The DAAT, with partners, should review and update the Hampshire wide alcohol needs assessment

Hampshire documents

Hampshire Alcohol Strategy 2006 - 2009

Hampshire and Isle of Wight Substance Misuse Treatment Services Directory

Hampshire. Tackling Alcohol. 2004

Hampshire Local Area Agreement. Summary 2006 - 2009

HMP Winchester. Survey of Prisoners. Alcohol Misuse. Hampshire DAAT.

Regional documents

Choosing Health in the South East: Alcohol. 2007

Mental Health and Well-Being in the South East. 2006

National documents

Alcohol and Intimate Partner Violence: key findings from the research. Home Office Findings 216. Andrea Finney

Alcohol Concern. Young People's Drinking - Factsheet 1: Summary

Alcohol Harm Reduction Strategy for England. Cabinet Office. Prime Ministers Strategy Unit. 2004

Alcohol Misuse Interventions: guidance on developing a local programme of improvement. Department of Health. 2005

Alcohol Needs Assessment Research Project (ANARP). The 2004 national alcohol needs assessment for England. Department of Health 2005

A National Framework to Support Local Workforce Strategy Development. A Guide for HR Directors in the NHS and Social Care. Department of Health 2005

Cheers ? - understanding the relationship between alcohol and mental health. The Mental Health Foundation.

Choosing Health: Making healthy choices easier. Department of Health. 2004

Delivering Choosing Health - making healthy choices easier. Department of Health. 2005

Domestic Violence Offenders: characteristics and offending related needs. Home Office Findings 217. Elizabeth Gilchrist at al

Dual Diagnosis in mental health in-patient and day hospitals settings. 2007

Finding the Key - developing a good practice guide to key working in hostels with homeless people who drink heavily. Providence Row Charity

Good Practice Report on Offender Health. Department of Health.

Home and Dry ? - homelessness and substance use in London. National Addiction Centre. Jane Fountain and Samantha Howes

Improving Health, Supporting Justice: a consultation document. Department of Health 2007

Mental Health: New Ways of Working for Everyone. Department of Health. 2007

Mental health policy implementation guide: Dual Diagnosis Good Practice Guide. Department of Health. 2002

Mental Health Services - Workforce Design and Development. Department of Health/NIMHE. 2006

Models of Care for alcohol misusers. Department of Health. 2006

National Mental Health Workforce Strategy. Department of Health 2004

Review of the effectiveness of treatment for alcohol problems. 2006

Safe. Sensible. Social. The next steps in the National Alcohol Strategy. 2007

The National Service Framework for Mental Health - Five Years On. Department of Health. 2004

Youth Homelessness and Substance Use: report to the drugs and alcohol research unit.

Websites

Department of Health: www.dh.gov.uk

Stakeholder group

Organisation

Local Authority:

Basingstoke and Deane Borough Council

Eastleigh Borough Council

Hampshire County Council:

      - Adult Services

      - Children and Families Services

      - Occupational Health

      - Supporting People

      - Youth Service

Other statutory agencies

Hampshire Constabulary

Hampshire Partnership NHS Trust:

      - Community Mental Health Team for Older People

      - Director of Public Health

      - Substance Misuse Service

      - Winchester Community Alcohol Team

Hampshire Primary Care Trust

Hampshire Probation Area

South Central Connexions

South Central Strategic Health Authority

University of Southampton Department of Mental Health

Non statutory agencies

Acorn Drug and Alcohol Service

Alcohol Concern

Ayurva

CLEMS Winchester

CRI

Salvation Army

Stonham Housing Association

T2

Trinity House

Two Saints Housing Association

Winchester Remix

Winchester Youth Counselling

Service Users

DAAT service users

Hampshire Alcohol Advisory Group

Spencer House service users

Partnerships

Hampshire Drug and Alcohol Action Team

      - DAAT officers

      - Alcohol Focus Group

Wessex Youth Offending Team

Winchester DARG chair

Executive Member

Cllr. Felicity Hindson, Adult Services

Members of the Public

Jaimie Jackson and Peter North, members of Alcoholics Anonymous

Focus: availability of early identification services and national best practice

Time

Line of Enquiry

Written Evidence

10.00 - 12.00

Early identification services

Witnesses:

    - Nikki Keeley, Options

    - Helen Erswell, Howard King, T2

    - Zoe Fletcher, CRI DAIS

    - Colin Hughes, Two Saints Housing Association

Appendix One

Appendix Two

12 00- 12.15

BREAK

12.15 - 1.00

National best practice

Witnesses:

    - Don Shenker, Director, Alcohol Concern, London

Focus: multi agency partnerships

and

workforce development and planning for the future

Time

Witnesses

Written Evidence

10.00 - 11.00

Partnerships

    - Sue Wilkes, DAAT

    - Jean Bradlow, PCT

Appendix One

Appendix Two

11.00 - 11.45

    Health

    - Ruth Monger, SHA

    - Rob Stait, Hampshire Partnership Trust

Appendix Three

Appendix Four

11.45 - 12.00

Break

12.00 - 1.00

    HCC

    - Officer, Adult Services

    - Officer, Human Resources

    - Pete Marsh, Childrens' Services and

    Campbell Todd, DAAT

Appendix Five

1.00 - 1.15

Partnerships cont.

    - Sue North, Winchester DARG

Focus: Improvements in effective support and treatment for vulnerable groups,

including mental health

Time

Line of Enquiry

Written Evidence

10.00 - 10.30

Effective support and treatment

Witnesses:

    - Sue Wilks and Mike Webb, DAAT

Appendix One

10.30 - 11.45

Improvements in effective delivery to vulnerable groups

Witnesses:

    a) Offenders

    - Representative, Hampshire

    Probation Service

    b) Homeless

    - Michelle Gardner, Trinity House

    c) Dual diagnosis (alcohol & mental

    health)

    - Liz McGill, Hampshire County

    Council

Appendix Two

Appendix Three

11.45 - 12.00

Break

12.00 - 12.30

Executive Member

    - Cllr. F Hindson, Executive Member for Adult Services

Category

Definition

Hazardous drinking

This is a pattern of heavy alcohol consumption which carries a high risk of future damage to the health of the drinker, but which has not yet resulted in significant physical or psychological harm. The Department of Health Alcohol Needs Assessment Research Project (ANARP) defines this as around 22-50 units per week for men, and 15-35 units per week for women.

Harmful drinking

This can be defined as heavy alcohol consumption already resulting in physical or mental harm to the user. ANARP defines this as more than 50 units per week for men and more than 35 units per week for women. This group does not include drinkers who have developed alcohol dependence.

Dependent drinking

Dependent drinking is defined in terms of psychological dependence on alcohol, with an increased desire to consume alcohol and difficulty in controlling its use despite awareness of the potential consequences.

Moderately dependent drinking

Drinkers in this category show moderate levels of alcohol dependence. Moderately dependent drinkers may recognise that they have a problem with drinking, even if this has been acknowledged only reluctantly.

Severely dependent drinkers

People in this category may have serious and long standing problems. In traditional language, they include individuals described as `chronic alcoholics'.

1 Young People's Drinking Factsheet 1 - Alcohol Concern, March 2004

2 Ibid

3 Ibid

4 For example prevention is the thrust of the Department of Health's `Choosing Health' White Paper, 2004

5 Home Office Findings 216 `Alcohol and intimate partner violence: key findings from the research' by Andrea Finney, 2004

6 Ibid

7 Home Office Findings 217 `Domestic violence offenders: characteristics and offending related needs' by Elizabeth Gilchrist et al, 2003

8 `HMP Winchester Survey of Prisoners' Alcohol Misuse' - Hampshire DAAT

9 Ibid

10 Probation service oral evidence, 19 November 2007

11 Strategy Unit, 2003

12 `Home and Dry? - homelessness and substance use in London' - Jane Fountain and Samantha Howes (National Addiction Centre)

13 Ibid

14 Oral evidence from representatives of Two Saints housing association and Stonham, 9 November 2007

15 World Health Organisation `Global Status Report on Alcohol', 2004