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Drug Education and
Prevention in England

Lost or found?
“I think a
combination of
education, also
treatment
programmes for drug
addicts... are the two
most important
planks of a proper
anti-drug policy.”
   David Cameron, March 2011
Alcohol death rate per 100,000
 population 15 - 34 year olds in the UK
3.5

3.0

2.5

2.0
                                                                                                                                    UK
1.5
                                                                                                                                    England
1.0

0.5

0.0
                                                                                          2003
      1991
             1992
                    1993
                           1994
                                  1995
                                         1996
                                                1997
                                                       1998
                                                              1999
                                                                     2000
                                                                            2001
                                                                                   2002


                                                                                                 2004
                                                                                                        2005
                                                                                                               2006
                                                                                                                      2007
                                                                                                                             2008
                                                                                                                                    2009
                                                                                                                                           2010
Government spending on drug
  education in England




Source: United Kingdom Drug Situation, UK Focal Point (2011)
Impact of 2010/11 spending
freeze on FRANK

• calls to the FRANK
  helpline fell by 22%
• web visits fell by 17%.
   Source: Changing Behaviour, Improving Outcomes, Department for Health (2011)
“We don’t have no drugs education”
The majority of students could not
remember having had any drug
education at their secondary school.
Teachers recognised that schools’ drugs
policies were rarely implemented in
practice and that drugs education was
not a priority.

 Fletcher, A., Bonell, C. and Sorhaindo, A. (2010). We don’t have no drugs education: The myth of universal
 drugs education in English secondary schools? International Journal of Drug Policy 21 (6) 452-458.
How often do schools deliver drug education?




   Personal, Social, Health and Economic (PSHE) Education: A mapping study of the
   prevalent models of delivery and their effectiveness, DfE (2011)
“Evidence regarding prevention
is always welcome, but it still
will not gain much funding.”
   Robert J. Maccoun, The Implicit Rules Of Evidence-Based Policy Analysis
                                                                 Updated
Source: Health England
             96%
             of NHS spending
             is on treating ill
             health




The UK spends 1/3 more on treating preventable ills (including
drug misuse) than the next most troubled nation.
                                              New Economics Foundation
Amount spent on primary prevention across
                            25,000 schools, including routine medical
                         checks, sexual health advice, smoking cessation
                                  and substance misuse advice




                                          £44m




                                                       bn
How much we spent on health
in England in 2006/07
Source: Health England
Rule 1
                           Don’t throw
                           money away
By Flickr user gmdesign1
£827,000
The cost of a lifetime
problematic drug user

                 Source: PriceWaterhouseCoopers
The number of
problematic drug users
has stayed stable at
c.320,000 for the last 5
years.
      Source: NTA and The Health and Social Care Information Centre
Why we need early interventions
                                               Age 21, cost per
                                               person already =
                                               £91 - £121k
Level of Problem Behaviors




                             Early Childhood                             Adulthood
                                                                  Source: PriceWaterhouseCoopers
Cost of
                  education =
                                   Cost of drug
                   £71,780         prevention
                                      £500




Source: LV= http://bit.ly/xX6adI
Rule 2
Follow the
evidence
What
    we do

            The Olive of
What        Prevention
we do
that we
know                        What
doesn’t                     we do
work                        that we
                    What    know
                    we      works
                    know
                    works
What doesn’t work?

   Scare    Knowledge    Ex-users   The police
tactics and    only     without a    as drug
  images    approaches programme    educators
programmes
that work
Good Behaviour          Life Skills
                                           Unplugged           Preventure
    Game                 Training
• Delivered to      • Delivered to      • Delivered to      • Delivered to
  children 6 – 8      children 8 - 15     children 12 –       children 13 –
  years               years               14 years            14 years
• Results:          • Results:          • Results:          • Results:
  • 7% fall in        • Cuts tobacco      • 30% less          • 40%
    drug misuse         use by 87%          likely to           decrease risk
    disorders at      • Cuts alcohol        experience          of alcohol
    21 years            use by 60%          drunkenness         consumption
  • 60% increase      • Cuts cannabis     • 23%               • 55% decrease
    in university       use by 75%          reduction in        in risk of
    attendance                              cannabis use        binge
                                            in past month       drinking
Rule 3 Get your
leadership right
“It is not the role of
                                 Government to dictate
                                 decisions that are best
                                 made locally by
                                 professionals, so the
                                 Department does not
                                 issue guidance to local
                                 authorities on the
                                 commissioning of drug
                                 education
                                 programmes.”


Source: Hansard, December 2011
“education about
                      drugs is vital and we
                      should make sure
                      that education
                      programmes are
                      there in our schools
                      and we should make
                      sure that they
                      work.”



Source: Al
Jazeera, March 2011
www.mentoruk.org.uk
@mentortweets

74 Great Eastern Street
London
EC2A 3JG

Registered Charity No: 1112339
Registered Company No: 5609241
Scottish Charity No: SC041210

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Drug education and prevention in England

  • 1. Drug Education and Prevention in England Lost or found?
  • 2. “I think a combination of education, also treatment programmes for drug addicts... are the two most important planks of a proper anti-drug policy.” David Cameron, March 2011
  • 3. Alcohol death rate per 100,000 population 15 - 34 year olds in the UK 3.5 3.0 2.5 2.0 UK 1.5 England 1.0 0.5 0.0 2003 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2004 2005 2006 2007 2008 2009 2010
  • 4. Government spending on drug education in England Source: United Kingdom Drug Situation, UK Focal Point (2011)
  • 5. Impact of 2010/11 spending freeze on FRANK • calls to the FRANK helpline fell by 22% • web visits fell by 17%. Source: Changing Behaviour, Improving Outcomes, Department for Health (2011)
  • 6. “We don’t have no drugs education” The majority of students could not remember having had any drug education at their secondary school. Teachers recognised that schools’ drugs policies were rarely implemented in practice and that drugs education was not a priority. Fletcher, A., Bonell, C. and Sorhaindo, A. (2010). We don’t have no drugs education: The myth of universal drugs education in English secondary schools? International Journal of Drug Policy 21 (6) 452-458.
  • 7. How often do schools deliver drug education? Personal, Social, Health and Economic (PSHE) Education: A mapping study of the prevalent models of delivery and their effectiveness, DfE (2011)
  • 8. “Evidence regarding prevention is always welcome, but it still will not gain much funding.” Robert J. Maccoun, The Implicit Rules Of Evidence-Based Policy Analysis Updated
  • 9. Source: Health England 96% of NHS spending is on treating ill health The UK spends 1/3 more on treating preventable ills (including drug misuse) than the next most troubled nation. New Economics Foundation
  • 10. Amount spent on primary prevention across 25,000 schools, including routine medical checks, sexual health advice, smoking cessation and substance misuse advice £44m bn How much we spent on health in England in 2006/07 Source: Health England
  • 11. Rule 1 Don’t throw money away By Flickr user gmdesign1
  • 12. £827,000 The cost of a lifetime problematic drug user Source: PriceWaterhouseCoopers
  • 13. The number of problematic drug users has stayed stable at c.320,000 for the last 5 years. Source: NTA and The Health and Social Care Information Centre
  • 14. Why we need early interventions Age 21, cost per person already = £91 - £121k Level of Problem Behaviors Early Childhood Adulthood Source: PriceWaterhouseCoopers
  • 15. Cost of education = Cost of drug £71,780 prevention £500 Source: LV= http://bit.ly/xX6adI
  • 17. What we do The Olive of What Prevention we do that we know What doesn’t we do work that we What know we works know works
  • 18. What doesn’t work? Scare Knowledge Ex-users The police tactics and only without a as drug images approaches programme educators
  • 20. Good Behaviour Life Skills Unplugged Preventure Game Training • Delivered to • Delivered to • Delivered to • Delivered to children 6 – 8 children 8 - 15 children 12 – children 13 – years years 14 years 14 years • Results: • Results: • Results: • Results: • 7% fall in • Cuts tobacco • 30% less • 40% drug misuse use by 87% likely to decrease risk disorders at • Cuts alcohol experience of alcohol 21 years use by 60% drunkenness consumption • 60% increase • Cuts cannabis • 23% • 55% decrease in university use by 75% reduction in in risk of attendance cannabis use binge in past month drinking
  • 21. Rule 3 Get your leadership right
  • 22. “It is not the role of Government to dictate decisions that are best made locally by professionals, so the Department does not issue guidance to local authorities on the commissioning of drug education programmes.” Source: Hansard, December 2011
  • 23. “education about drugs is vital and we should make sure that education programmes are there in our schools and we should make sure that they work.” Source: Al Jazeera, March 2011
  • 24. www.mentoruk.org.uk @mentortweets 74 Great Eastern Street London EC2A 3JG Registered Charity No: 1112339 Registered Company No: 5609241 Scottish Charity No: SC041210

Notes de l'éditeur

  1. Health England Report No 4.  Public Health and Prevention Expenditure in England.  2009.The main sources of identified expenditure on school health services are school-based children’s health services provided by the NHS. School-based children’s services include routine medical checks, sexual health advice and family planning, smoking cessation and substance misuse advice and support. This information comes from NHS Reference Costs, and distinguishes between services provided on an individual basis and in a group setting.An additional source of identified expenditure on school health services is the Healthy Schools Programme, which includes aspects of healthy eating, physical activity and emotional health. Health England Report No 2.  Prevention and Preventative Spending. 2009.