Publication - Strategy/plan
Rights Respect and Recovery - alcohol and drug treatment strategy: action plan 2019 to 2021 (version 2)
Actions, milestones and timeframes for implementing the 'Rights, respect and recovery' alcohol and drug treatment strategy.
Annex 1: Milestones for delivery
| Number | Action / Milestone | Timeframe | Responsibility | Progress - December 2020 | |
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| 1 | We will work with COSLA, Alcohol and Drug Partnerships and Health Scotland to improve partnership approaches to deliver the strategy. | ||||
| 1a | Implement the COSLA and Scottish Government Partnership Delivery Framework to Reduce the Use of and Harm from Alcohol and Drugs, including the development of a whole systems approach | 2021 | Scottish Government, Public Health Scotland, COSLA and Alcohol and Drug Partnerships | All Alcohol and Drug Partnerships have established 3 year strategies to address alcohol and drug harms | |
| 1b | Establish a plan with Heath Scotland for the ongoing monitoring and evaluation of the implementation of Rights, Respect and Recovery | 2019 | Scottish Government and Public Health Scotland | Complete The plan is available here |
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| 1c | Produce a workforce development framework with an ongoing implementation plan | 2020 | Scottish Government | Draft framework will go out for consultation early 2021. | |
| 1d | Publish an Equalities Impact Assessment to support the implementation of Rights, Respect and Recovery | 2020 | Scottish Government | Impact Assessment to be published in 2021 | |
| 2 | We will revise and improve the programme of substance use education and prevention in schools and broader settings to ensure it is good quality, impactful and in line with best practice. | ||||
| NB this programme of work has been paused as part of contingency response to demand of COVID-19 global pandemic. | |||||
| 3 | We will establish an expert group to develop a programme of work to address the stigma experienced by all people affected by problem alcohol and drug use including family members. This will focus on:
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| 3a | New Action Produce a strategy to ‘Address the Stigmatisation of People and Communities Affected by Drug Use |
2020 | Drug Deaths Taskforce | Complete Strategy is available here | |
| 3b | New Action Produce a national stigma charter |
2021 | Drug Deaths Taskforce | ||
| 3c | New Action Respond to recommendations in stigma strategy |
2021 | Scottish Government and partners | ||
| 3d | New Action Publish glossary on key terms to improve understanding of the role of language in addressing stigma |
2020 | Scottish Drugs Forum | Complete Glossary available here |
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| 4 | We will develop a comprehensive approach to early intervention amongst young people who are at risk, though deprivation, inequality or other factors of developing problem alcohol and drug use. | ||||
| 4a | Undertake a review of the evidence of trends, challenges and interventions for those young people at risk of developing problem drug and alcohol use | 2020 | Scottish Government | In progress Report to published early 2021 |
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| 4b | Develop a programme of work to establish effective supports and treatment for young people at risk | 2021 | Scottish Government | ||
| 5 | We will develop our online resources to ensure they provide accurate evidence based information on alcohol and drugs and where to find help. | ||||
| 5a | New Action Develop and improve content on alcohol and drug harms on NHS Inform |
2020 | Public health Scotland | Complete Further information available here and here |
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| 5b | New Action Improve and update Young Scott Website providing information and advice on alcohol and drugs specifically for young people |
2021 | Scottish Government / Young Scott | ||
| 6 | We will establish a Drug Deaths Taskforce to:
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| 6a | Establish the Drug Deaths Taskforce and identify workstreams | 2019 | Scottish Government | Complete Drug Deaths Taskforce established in 2019. Further information is available here |
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| 7 | We will develop and implement a programme of work to improve access to treatment and recovery services, particularly those at most risk. | ||||
| 7a | Develop and implement guidance on assertive outreach, targeting those at most risk | 2021 | Scottish Drugs Forum | ||
| 7b | Develop and implement guidance in relation to low threshold opiate substitution therapy provision | 2020 | Public Health Scotland Scottish Drugs Forum |
Complete Guidance incorporated into the draft Medication Assisted Treatment Standards. Further information available here |
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| 7c | Explore the management of alcohol problems in Deep End Practices in Scotland | 2021 | University of Stirling / Scottish Health Action on Alcohol Problems | ||
| 7d | Develop good practice in relation to alcohol hospital liaison | 2021 | Scottish Government / SHAAP / Alcohol Focus Scotland | ||
| 8 | We will continue our programme of work to ensure that there are effective and high quality treatment and recovery services across Scotland. | ||||
| 8a | Develop a Quality Improvement Framework for alcohol and drug services by: | ||||
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2020 | Scottish Government | In progress:
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2020 | Scottish Government | Complete Benchmarks set out here |
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2021 | Corra | Over £2.2 million invested through the challenge Fund with further details available here and here | ||
| 8b | Develop and implement guidance on asset-based assessment and case management | 2021 | Scottish Drugs Forum | ||
| 8c | Carry out research into rural alcohol use/problems and service issues | 2021 | Scottish Health Action on Alcohol Problems in Scotland | Complete Report available here |
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| 8d | Provide dedicated support to the implementation of quality improvement methodology across Scotland | 2021 | Scottish Government | ||
| 8e | Implement the Drug Misuse and Dependence: UK Guidelines on Clinical Management through the development and Implementation of a national opiate substitute therapy pathway to support local treatment delivery | 2021 | Scottish Government | The Drug Deaths Taskforce published standards of treatment for people seeking to access, or receiving, medication-assisted treatment (MAT) for drug problems and a consultation exercise was launched in November 2020. Further information is available here |
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| 8f | Scope and review the evidence on treatment engagement and retention (for example relapse prevention) | 2021 | Public Health Scotland | ||
| 8g | Commission an up-to-date resource providing information and guidance on equalities issues for alcohol and drug prevention and treatment services | 2020 | Scottish Government | In progress Resource to be published in 2021 |
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| 8h | Evaluate the provision of Heroin Assisted Treatment in Glasgow | 2021 | University of Strathclyde (funded by the Chief Scientist Office) |
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| 8i | Review the need / demand for residential services and develop effective services. | 2021 | Scottish Government | Residential Rehab Working Group Published in Dec 2020 available here. £90k announced to progress further research in 2021 arising from the recommendations. | |
| 8j | New Action Test a nationally funded pathway from people leaving Prison to Residential Rehab |
2021 | Pathway established. Evaluation to be published in early 2021 | ||
| 9 | We will ensure that people with lived / living experience are involved in service design, development and delivery. | ||||
| 9a | Establish five regional networks for people with lived experience (including family members) across Scotland to support the design, development and delivery of services at a local and national level | 2020 | Scottish Recovery Consortium | Complete Lived Experience Representative Networks have been established across Scotland. Further information is available here |
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| 9b | Carry out research into the role of lived experience in developing alcohol services | 2020 | Scottish Health Action on Alcohol Problems | Complete Report available here |
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| 9c | Publish an evaluation of National Development Project Fund investments in advocacy | 2021 | Scottish Government | ||
| 9d | Carry out research to explore the factors that influence harmful alcohol use through the refugee journey | 2021 | University of Edinburgh / Scottish Health Action on Alcohol Problems | Complete Report available here |
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| 9e | Hold a series of events for stakeholders across Scotland on taking a Human Rights based approach. | 2020 | Scottish Recovery Consortium / Scottish Families Affected by Alcohol and Drugs | Complete
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| 10 | We will improve access to evidence based harm reduction approaches for those experiencing alcohol and drug harms. | ||||
| 10a | Scope the feasibility and acceptability of Managed Alcohol Programmes for people who are homeless with severe alcohol problems in community-based, third sector services in Scotland. | 2020 | University of Stirling (funded by the Chief Scientist Office | Complete Report available here |
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| 10b | Refresh and implement Staying Alive in Scotland document to support local approaches to preventing drug deaths | 2020 | Scottish Drugs Forum | Complete Staying Alive available here 8 development events held across Scotland |
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| 10c | Update and implement best practice guidelines for services providing injecting equipment | 2020 | Blood Borne Virus Prevention (nonsexual transmission) Leads | In progress Guidance to be published in early 2021. |
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| 10d | Ensure all those at risk of opiate overdose and their family members are provided with Naloxone by improving supply through the following settings:
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2021 | Scottish Drugs Forum, Drug Deaths Taskforce and Alcohol and Drug Partnerships | The Drug Deaths Taskforce has led and supported a range of actions including:
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| 10e | Produce and implement best practice guidance for wound care for people who inject drugs | 2021 | Blood Borne Virus Prevention (nonsexual transmission) Leads | ||
| 10f | Produce best practice guidance to support blood borne virus testing in alcohol and drug treatment services | 2021 | Blood Borne Virus Prevention (nonsexual transmission) Leads | ||
| 11 | We will develop person centred approaches alongside the range of services working with people with alcohol and drug problems, in line with the issues raised in the Hard Edges report. | ||||
| 11a | Invest in improving access to Housing First amongst those with alcohol and drug problems | 2020/2021 | Scottish Government with Partners | ||
| 11b | Ensure effective protocols are in place between alcohol and drug services and mental health services to improve access and pathways for those who experience this co-morbidity | 2020 | Scottish Government with Partners | In progress | |
| 11c | Pilot integrated models of delivery between alcohol/drug and mental health services | 2021 | Scottish Government with Partners | In progress Healthcare Improvement Scotland supporting Alcohol and Drug Partnerships Tayside to develop integrated mental health and substance use services |
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| 11d | Provide training for Primary Care Practitioners through the Royal College of General Practitioners to improve access to drug treatment within primary care | 2020 | Royal College of General Practitioners | In progress Training reviewed and to be delivered on line in 2021 due to COVID |
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| 11e | Develop an integrated response to the education, volunteering and employment needs of people recovering from alcohol and drug problems through the No One Left Behind strategy | 2021 | Scottish Government with partners | ||
| 12 | We will work with the recovery community in achieving its potential. | ||||
| 12a | Provide a programme of training and development for recovery community members across Scotland | 2020 | Scottish Recovery Consortium | Complete Recovery Development Training Programme developed and available here |
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| 12b | Support the growth of and expansion of recovery communities in wider settings, focussing on:
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2021 | Scottish Recovery Consortium | ||
| 12c | Publish an evaluation of National Development Project Fund investments in the development of recovery communities | 2021 | Scottish Government | ||
| 12d | New Action Publish guidance on the convening of Recovery Community & Mutual Aid Groups during the COVID-19 pandemic |
2020 | Scottish Recovery Consortium | Complete Guidance is available here £30,000 investment made available through the Scottish Recovery Consortium to support people in recovery to connect through online groups |
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| 13 | We will develop trauma informed approaches within alcohol and drug services. | ||||
| 13a | Continue to implement the LPASS report: “The delivery of psychological interventions in substance misuse services in Scotland to improve psychosocial interventions” | 2021 | Scottish Government and ADPs | ||
| 13b | Support the development of trauma informed services through the delivery of the National Trauma Training Framework | 2021 | NHS Education for Scotland | ||
| 14 | We will develop an intelligence led approach which future proofs delivery. | ||||
| 14a | Establish a drug and alcohol public health surveillance system for Scotland | 2021 | Scottish Government, Public Health Scotland | ||
| 14b | Implement the Drug and Alcohol Information System database within alcohol and drug treatment services | 2020 | Scottish Government, Public Health Scotland and ADPs | Complete The Drug and Alcohol Information System went live in December 2020. |
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| 14c | Develop a programme of data linkage to better understanding of the needs of those at most risk and opportunities to intervene | 2021 | Public Health Scotland | ||
| 14d | Review and update the Drugs Research Framework. | 2020 | Scottish Government and Drugs Research Network Scotland | In progress Framework to be published in 2021 |
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| 14e | Conduct a review of the national level statistical data on drugs and alcohol with a view to ensuring they are fit for purpose in supporting the delivery of Rights, Respect and Recovery | 2021 | Scottish Government, Health Protection Scotland, NRS and Public Health Scotland | ||
| 15 | Develop and implement a programme of work to improve access and delivery alcohol treatment and support. | ||||
| 15a | Improve access to alcohol treatment and support | 2021 | Scottish Government with Partners | ||
| 15b | Identify pathways to recovery through:
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2021 | Scottish Government with Partners | ||
| 15c | Improve our understanding of alcohol harms and deaths by developing a local process for auditing alcohol deaths to help opportunities to intervene | 2020 | Alcohol Focus Scotland with Partners | Complete Guidance available here |
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| 16 | Develop and implement a programme of work to improve our response to people (both children and adults) who are affected by a family member / loved one’s problem alcohol / drug use. | ||||
| 16a | Produce a national definition of a whole family approach alongside principles of family inclusive practice, and support implementation | 2020 | Scottish Government with partners | In progress Principles of a Whole Family Approach to be published in Spring 2021, alongside national implementation plan. |
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| 17 | We will ensure that people who are affected by another’s problem alcohol / drug use are involved in service design, development and delivery. | ||||
| 17a | Work in partnership with key stakeholders to pilot and evaluate a digital platform, which will support children and young people affected by alcohol and drugs to share their stories | 2021 | Corra | ||
| 17b | Continue to invest in peer led family supports through the Families Recovery Initiative Fund (FRIF) | 2021 | Scottish Families Affected by Alcohol and Drugs and Corra | Over 20 awards made Further information is available here | |
| 17c | Develop and grow the Behind the Numbers film campaign (launched in July 2019) to highlight and champion the hidden and unrecognised contribution of families in saving and preserving the lives of those harmed through alcohol or drugs. The campaign will also support family members to become storytellers and share their voices in the media and other platforms, increasing the understanding of families’ experiences of substance-related harm to the wider public. | 2020 | Scottish Families Affected by Alcohol and Drugs | Complete Further information including recommendations for services is available here |
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| 17d | Develop a family media and storyteller volunteering programme to increase the profile of family voices in the media and other platforms, and to increase understanding of families’ experiences of substance-related harm. | 2020 | Scottish Families Affected by Alcohol and Drugs | Complete Further information is available here, here, here and here |
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| 18 | We will work with partners to ensure that people who come into with contact with justice agencies are provided with the right support from appropriate services. | ||||
| 18a | New Action Publish paper on improving operational practice to support better health outcomes for people who use drugs. |
2020 | Drug Deaths Taskforce | Complete Available here |
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| 18b | New Action Produce a process map the current criminal justice pathway for an individual found in possession of a controlled substance. |
2020 | Drug Deaths Taskforce | Complete | |
| 18c | New Action Establish and evaluate tests of change to improve access to drug treatment through the justice system |
2021 | Drug Deaths Taskforce | In progress Test of Change funding applications submitted to CORRA. |
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| 19 | We will develop a programme of work to take forward the Eight Point Plan for Treatment and Recovery Services within prison settings in line with Prison Inspectors Standards 9 (Health and Wellbeing of prisons) and 7 (transition to the community). | ||||
| 19a | New Action Ensure Buvidal is a treatment option for people requiring opiate substitute therapy across all prisons in Scotland |
2021 | Scottish Government | £1.9 million allocated to Health Boards across Scotland in 2020 to support implementation Evaluation to be published in December 2020. |
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| 19b | New Action Develop action plan in partnership with the Prison Healthcare Network to improve the response to |
2020 | Scottish Government | Complete | |
| 20 | We will support the delivery of the Serious and Organised Crime Strategy by ensuring that people involved in drug dealing and distribution are effectively targeted for prosecution. | We continue to bring to justice those who supply drugs to some of our most vulnerable individuals and communities through the work of Serious and Organised Crime Taskforce. Serious and organised strategy is available here | |||
| On-going | |||||
| 21 | We will undertake a consultation on drug law. | ||||
| 21a | Consultation on drug law | 2021 | Drug Deaths Taskforce | In progress Two phased engagement process developed. Phase 1 to report in spring 2021 Phase 2 to report in Autumn 2021 |
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