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The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

The Prison to Rehab pathway was established in the summer of 2020 to support individuals into residential rehabilitation services during the unprecedented time of the COVID-19 pandemic.

We conducted an internal review of the pathway in 2021-2022 which was complimented by an evaluation from one of our commissioned third sector organisations, the Scottish Recovery Consortium. The published evaluation can be viewed here . The review and the evaluation informed a new version of the Prison to Rehab protocol to ensure it continued to be fit for purpose. This was published in March 2023 and can be viewed here here .

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

Quality improvement methodology is being embedded across Scotland through the implementation of the Medication Assisted Treatment (MAT) standards.

The MAT Standards Implementation Support Team (MIST), based within Public Health Scotland, was set up to support local areas to build improvement-based capacity and capability so that they will be able to implement and sustain the MAT standards locally.

MIST helps local areas with quality improvement work which has focused on establishing that local areas have written procedures in place, have numerical information and data available and have a means in place to gather experiential data. All of which are required to help drive improvement.

Healthcare Improvement Scotland (HIS) is also supporting local areas and works closely with MIST in providing practical quality improvement assistance and advice to local areas.

HIS will shortly begin delivery of its full quality improvement assistance to local areas to build on the first phase of quality improvement work MIST has undertaken. HIS also provides close links between its other relevant workstreams on residential rehabilitation, prison healthcare and mental health and addictions services.

Alcohol remains a priority for Scottish Government and we are treating our policies to reduce alcohol and drug deaths as twin public health emergencies in Scotland.

This is why we established a National Mission to improve and save lives, at the core of which is ensuring that every individual has access to, and choice in the type of recovery and treatment they need.

We are working to ensure people with alcohol use disorder receive the care and support in the same way that people can access for problematic use of drugs. The forthcoming Alcohol Treatment Guidelines will help ensure support for alcohol treatment, in a similar way to how the Medication-Assisted Treatment Standards ensure this for people impacted by opiates.

Following publication of the UK-wide guidelines it is our intention to draft a paper on specific alcohol treatment standards for Scotland.

Through our National Mission we are investing in residential rehabilitation that will benefit people experiencing alcohol and/or drug addiction.

The launch of our National Mission in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the action plan milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

We recognise the damaging impact alcohol misuse can have and we are working to ensure that people with problematic alcohol use can access treatment that is suitable for them at the time they need it.

On 7 September 2023 the Minister for Drugs and Alcohol supported a Member’s Debate Motion calling for investment in alcohol services - outlining the Government’s plan to reduce harm from alcohol misuse. The plan includes measures to improve access to treatment and support, including through stabilisation and crisis management, expansion in local assertive outreach services and increasing the availability of residential rehabilitation placements. The plan also includes working with partners and stakeholders to implement alcohol treatment standards – building on the forthcoming UK-wide Clinical Alcohol Treatment Guidelines.

At present, we have no plans to establish and evaluate tests of change for alcohol treatment in the justice system.

The Scottish Prison Service is currently refreshing its Alcohol and Drug Recovery Strategy, this will ensure alcohol intervention and support are included in any recovery pathway planning across our establishments. It is anticipated that the strategy will be published later this year.

We are also supporting the UK Government on reviewing and updating clinical guidelines for alcohol treatment. The guidance will look to introduce new approaches to treatment and will apply to a broad range of settings including justice settings. The guidelines are expected to be published for consultation this year.

Following finalisation of the alcohol treatment guidelines, Scottish Government will review and use these to ensure that our justice systems are providing consistent and good care to those with problematic alcohol use.

The National Development Project Fund (NDPF) forms part of Scottish Government's investment in services to reduce problem drugs and alcohol use and reflects the priorities of the Rights, Respect and Recovery strategy. In January 2019, Ten projects were awarded NDPF funding to address gaps in advocacy, family inclusive services, and start-up investment for new approaches to recovery.

In October 2019, the Scottish Government commissioned Iconic Consulting to evaluate the NDPF.

In March 2021, the Scottish Government published an evaluation ( National Development Project Fund (NDPF) - evaluation: final report ) of those projects which were supported through the NDPF. Of the ten projects evaluated, six were Advocacy based.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

Assertive outreach is being delivered though the guidance for Medication Assisted Treatment (MAT) standard 3. The aim of MAT standard 3 is to proactively identify people, including through assertive outreach, who are at high risk, and to prevent harms by rapidly providing that individual with appropriate support.

In practice, implementation of MAT standard 3 extends to all substance misuse problems. A significant proportion of support offered to people identified through outreach is for problem alcohol use. Alcohol-specific outreach guidance will feature in wider standards for alcohol and drug treatment following the publication of UK-wide alcohol treatment guidelines.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

As part of the National Mission, Public Health Scotland established the Rapid Action Drug Alerts and Response (RADAR) system. The first published report was issued on 11 October 2022 and that has been followed by quarterly publications. It reports on drug-related indicators in order to inform action to prevent drug harms and deaths.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way.

In July 2022 the Scottish Drugs Deaths Taskforce ‘Changing Lives’ Report, was published. This report recommended that The Scottish Government should develop a workforce action plan. In response to this recommendation, Scottish Government’s Drugs and Alcohol Workforce Action Plan will shortly be published, setting out the steps we will take to address prevailing challenges.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

The Medication Assisted Treatment standards published on 31 May 2021 and are a set of standards aimed at providing a framework to ensure that MAT is sufficiently safe, effective, acceptable, accessible and person-centred to enable people to benefit from treatment for as long as they need it.

The standards are evidence based and were developed through extensive consultation with multiagency partners that deliver care, and, with the individuals, families and communities with experience of problematic drug use.

The Scottish Government has committed to full and sustained implementation of MAT standards 1-10 in community and justice settings by April 2026. To help local areas achieve this, the MAT Implementation Support Team (MIST), based within Public Health Scotland (PHS) is supporting the roll out of the standards ensuring local areas have systems, protocols and procedures in place to be able to continuously improve services based on evidence.

In order to demonstrate implementation of the MAT standards, local areas provide process, numerical and experiential evidence to MIST which helps to inform an annual National Benchmarking Report, published by PHS. Process evidence includes formularies, clinical guidelines, care pathways, standard operating procedures, policies and other supporting documentation.

The National Benchmarking Report for 2022/2023, published in July 2023 reported that the 29 ADP areas assessed against each of the 10 MAT standards, 66% (96/145) of MAT standards 1–5 were fully implemented and 88% (127/145) of MAT standard 6–10 were partially implemented.