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Background papers: Lifestyle and wider determinants :: Substance misuse in adults [Update in progress] :: Summary

Medway Community Safety Partnership (CSP) support Medway Drug and Alcohol Action Team (MDAAT) to deliver the National Drug Strategy (Drug Strategy 2010: Reducing demand, restricting supply, building recovery: supporting people to live a drug-free life). The strategy moves the focus of treatment away from increasing numbers and towards an increase in recovery.

Key issues and gaps

Medway still has a very low number of non-opiate drug users accessing the KCA service. The restructuring of this team should improve this situation and there has already been an increase in the number of non-opiate clients referring to the service.
There is an increasing number of prescription drug clients accessing the drug service. Work needs to be done with GPs around this as well as more community focus on this area of work. There is a need to provide carer support in Medway which doesn't exist at the moment. Following an audit of all commissioned services this year there has been a need identified around Safeguarding Children and Hidden Harm within services. There is also more work needed around transitional age clients in the young people's service — particularly as they have an increasing number of young heroin users accessing their service who are prescribed for by the adult service.

Recommendations for Commissioning

Medway DAAT is currently undertaking its needs assessment but there are already indications that on-going training is needed for staff around working with non-opiate using clients, safeguarding children and Hidden Harm. Re-commissioning of Rochester Prison substance misuse service in line with national guidance.