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Drug Misuse Statistics Scotland 2007 

Information Services 

Edinburgh 2007

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ii 

Drug Misuse Statistics Scotland 2007

Contents 

National statistics releases from ISD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv 

Conventions 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv 

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 

A Prevalence of drug misuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 

A1 Scottish Crime and Victimisation Survey . . . . . . . . . . . . . . . . . . . . . . . 5 

A2 Scottish Schools Adolescent Lifestyle and Substance Use Survey . . . . 11 

B Services and treatment for drugs misusers . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 

B1 Scottish Drug Misuse Database. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 

B2 Prescription statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 

C Health impact of drug misuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 

C1 Hospital discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 

C2 Psychiatric discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 

C3 Information from general practice . . . . . . . . . . . . . . . . . . . . . . . . . 131 

C4 Blood-borne viruses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 

C5 Drug-related deaths in Scotland . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 

D Drugs and criminal justice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 

D1 Offences and court proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 

D2 Criminal Justice Social Work interventions. . . . . . . . . . . . . . . . . . . . 174 

D3 Drug misuse and treatment in Scottish prisons . . . . . . . . . . . . . . . . 179 

D4 Seizures of controlled drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 

E Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 


iii

National Statistics 

National Statistics releases from ISD Scotland 

Information presented in this publication from Information Services Division (ISD Scotland), NHS Scotland is 

derived from data sources which are classed as National Statistics releases. These include: 

• Hospital discharges (SMR01) 

• Psychiatric discharges (SMR04) 

• Information from general practice (PTI) 

• Scottish drug misuse database (SMR25a) 

• Prescription statistics (PIS) 

National Statistics are produced to high professional standards, and adhere to commitments relating to 

integrity, confidentiality, data collection, liaison and consultation, openness, access, and timeliness. National 

Statistics undergo regular quality assurance reviews to ensure that they meet customer needs, and they are 

produced free from political interference. 

Further details on National Statistics are contained at the National Statistics website www.statistics.gov.uk. 

Further information in relation to National Statistics and ISD Scotland is available from 

www.isdscotland.org/national_statistics. 

For further details on the non-ISD data please contact the appropriate organisation directly (see page 191) for 

contact details. 

Conventions 

¦¦ editorial comment (appears below footnotes) 

Percentages and rates per 100 000 population are shown in italics 

iv 


Introduction 

Introduction 

This annual publication presents the latest available information from a range of national data sources relevant 

to drug misuse. This report and previous publications are available on the national drugs misuse information 

web site at www.drugmisuse.isdscotland.org/dmss. 

This year there are four main sections: 

A Prevalence of drug misuse 

This section includes information from national surveys on reported drug use. 

B Services and treatment for drug misusers. 

This section includes information on individuals presenting to drug treatment services and on 

prescription statistics. 

C Health impact of drug misuse. 

D 

This section includes information on inpatients and day cases discharged from general hospitals, bloodborne 

viruses, discharges from psychiatric hospitals, information from general practice and drug-related 

deaths in Scotland. 

Drugs and criminal justice. 

This section includes information on drug-related offences and court proceedings, criminal justice social 

work and drug misuse and treatment in Scottish prisons. 

Thanks are given to the organisations who supplied the information presented in this publication. Contact 

details for these organisations can be found on page 191. 

Substance Misuse Information Strategy Team 

The Substance Misuse Information Strategy Team, part of the Information Services Division (ISD Scotland), NHS 

Scotland, has produced this report. The team: 

■ provides information to support Drug Action Teams, Local Authorities, NHS boards, specialist drug 

services, the Scottish Government and others. 

■ manages the Scottish Drug Misuse Database (SDMD), and ensures the effective and appropriate 

exploitation of other relevant data collected by ISD e.g. hospital inpatient data. 

■ develops expertise in the use of available data to produce robust performance and activity indicators to 

monitor the impact of national and local policies. 

■ supports the research and analytical work of other organisations, subject to general strategic priorities 

and ethical and legal considerations. 

The team also provides an information service to organisations and individuals who wish to use the data relating 

to drug misuse collected by ISD Scotland. For further information please phone 0131 275 6794 or e-mail 

substancemisuse@isd.csa.scot.nhs.uk. 

Contact 

Stephen Pavis (Assistant Head of Group, Epidemiology and Statistics) 

0131 275 6670 

stephen.pavis@isd.csa.scot.nhs.uk 


1

2 


A 

A1 

Prevalence of drug misuse 

Scottish Crime and Victimisation Survey 

Prevalence 

A2 

Scottish Schools Adolescent Lifestyle and Substance Use Survey 


3

Prevalence 


4


A1 Scottish Crime and Victimisation Survey 2006 

The Scottish Crime and Victimisation Survey (SCVS) is the national survey that gathers information 

about public perceptions and experiences as victims of crime. Since 1993 the surveys have 

included a short self-completion component. In 2006 the method of self-completion changed 

from Paper and Pen to Computer Assisted Self Interviewing (CASI). Introduction of this method in 

other surveys has been associated with more accurate recording of drug use, however, as a result 

it is not possible to make any meaningful comparisons between the prevalence figures for drug 

use in 2006 and findings from previous surveys. 

The results separating drug use by age should be interpreted with caution, due to possible bias 

within the sample and the lower number than usual of achieved interviews with individuals aged 

between 20 and 24 years old. 

Prevalence 

Key Points 2006 

Overview 

■ Over a third (37%) of respondents reported having taken illicit drugs at least once during their lives. 

Thirteen percent reported using illicit drugs in the last year (Tables A1.1 and A1.2). 

■ More male respondents reported ever having used drugs (43%) than female respondents (31%). (Table 

A1.1). 

■ More than a third of respondents in each of the age groups under 40 years old had ever used drugs: over 

half of those respondents aged 20 to 24, 25 to 29 and 30 to 34 years old (58%, 57% and 55% 

respectively); 46% of those aged 16 to 19 years old and 39% of 35 to 39 year olds. A fifth of 40 to 59 

year olds had used drugs (Table A1.1). 

■ A third of male respondents in each age group under 29 years old had used drugs in the last year. This 

fell to 21% of 30 to 34 year olds, 17% of 35 to 39 year olds and 4% of 40 to 59 year olds. The number 

of females reporting using drugs in the last year also declined with age (36% of 16 to 19 year olds, 24% 

of 20 to 24 year olds, 12% of 25 to 29 year olds and 5% of 30 to 34 year olds) (Table A1.2). 

Drugs recorded 

■ Cannabis was the drug most frequently reported as used in the year prior to the survey and used ever 

(11% and 33% respectively). Cocaine was reported to have been used in the last year by 4% of 

respondents and ever used by 9%. Ecstasy was used in the last year by 3% and ever used by 10% of 

respondents. Amphetamines and poppers had each been used in the last year by 2% of respondents and 

ever used by 14% and 10% of respondents respectively (Tables A1.1 and A1.2). 

■ The highest use of cannabis ‘ever’ was reported amongst 20 to 24 year age olds (54%) and 25 to 29 year 

olds (53%). The same was observed for cocaine (17% of 20 to 24 year olds and 18% of 25 to 29 year 

olds). Ecstasy use ever was reported most often among 25 to 29 year olds (25%) and 30 to 34 year olds 

(22%) (Table A1.1). 

■ Cannabis was the drug reported as having been most frequently offered in the last year. Twenty percent 

of males and 12% of females reported having been offered cannabis in the last year (Table A1.3). 

Background Information 

The 2006 Scottish Crime and Victimisation Survey (SCVS) was the eighth survey of its kind to be carried out in 

Scotland since the early 1980s. The first two sweeps in 1982 and 1988 were conducted as part of the British 

Crime Survey and only covered Central and Southern Scotland. A separate Scottish Crime Survey was 

introduced in 1993 that covered the whole of mainland Scotland, including the larger islands. This was 


5


Prevalence 

repeated in 1996, 2000 and 2003. In 2004 the survey became known as the Scottish Crime and Victimisation 

Survey. The latest sweep was carried out in 2006 and published in September 2007. The surveys were primarily 

designed to ask people about their experiences and perceptions of individual and household crime, however, 

each survey also included a self-completion component that asked adults about their use of drugs. This section 

focuses on the findings of the 2006 survey. 

The 2006 survey had an achieved sample of 4,988 respondents, an overall response of 70%. The self 

completion module was completed by 4,701 respondents between the ages of 16 to 59 years old, 66% of the 

issued sample and 94% of all the 4,988 interviewed 1 . 

As in previous sweeps, in 2006 the questions covered the following drugs: amphetamines; cannabis; cocaine; 

crack; ecstasy; heroin; methadone/physeptone; LSD; magic mushrooms; temazepam; valium; glues, gas or 

aerosols; anabolic steroids and poppers, ketamine was also included. The main questions covered: 

■ 

■ 

■ 

■ 

■ 

whether they had ever taken the drug 

whether they had been offered the drug in the last year 

whether they had taken the drug in the last year 

whether they had been offered the drug in the last month 

whether they had taken the drug in the last month. 

There are, of course, limitations to self-report data on drug use that may result in an underestimation of drug 

use prevalence. It is possible that problematic drug users are less likely to have taken part in the SCVS. There 

may also be a stigma attached to taking some drugs, especially ‘hard’ drugs such as heroin and crack, which 

again might have resulted in some under-reporting. 

The 2006 SCVS was carried out by BMRB Social Research, with interviews being conducted between June and 

December 2006. 

Changes to Survey Methods 

The 2006 survey was carried out using Computer Assisted Self Interviewing (CASI). Previously the selfcompleted 

sections of the survey had been collected using paper and pen. The CASI method of obtaining 

information on drug use has been found to result in more accurate disclosure and estimation of drug use. For 

this reason it is not possible to make valid comparisons between findings in 2006 and previous survey sweeps 

(for more detail see the full survey report). This is in keeping with the British Crime Survey’s experience of 

switching to CASI in the self completion section in the early 1990s. The use of CASI is likely to have reduced 

the effect of under-reporting caused by stigma attached to taking drugs. In terms of checking the ‘honesty’ of 

responses, the SCVS asks about a fake drug. Any respondents who report using the fake drug are excluded from 

analysis. 

References 

1 Brown, M., Bolling, K.; Drugs Misuse in Scotland: Findings from the 2006 Scottish Crime and Victimisation Survey. Scottish Government Social Research 2007 

Further information 

Information on the Scottish Crime and Victimisation Survey 2006 is available at: 

http://www.scotland.gov.uk/Topics/Justice/criminal/CJResearch/scvs06/intro 

The full report of Drug Misuse in Scotland: Findings from the 2006 Scottish Crime and Victimisation Survey is 

available at: http://www.scotland.gov.uk/Publications/2007/09/26163243/0 

6 



A1.1 Reported drug use ‘ever’ 1 ; gender and age 2 : 2006 

drug name 

16-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-59 years All ages 

percentage 

Any drug 

Total 45.8 58.2 56.8 54.5 39.2 20.2 36.6 

Males 44.7 65.8 63.1 60.2 50.0 25.4 42.6 

Females 46.9 50.4 50.8 49.3 29.2 15.3 30.9 

Prevalence 

Amphetamines 

Total 11.4 18.6 28.9 26.8 19.6 5.7 14.2 

Males 11.7 21.3 31.1 34.4 28.9 6.7 17.2 

Females 11.1 15.9 26.8 20.0 11.0 4.7 11.3 

Cannabis 

Total 42.4 53.8 52.4 48.4 35.1 17.5 32.9 

Males 41.0 62.0 57.8 55.7 44.9 22.8 39.0 

Females 43.7 45.4 47.3 41.6 26.0 12.5 27.2 

Cocaine 

Total 13.2 17.4 17.6 13.2 10.2 2.6 8.9 

Males 13.9 22.3 28.1 20.1 15.7 3.5 12.5 

Females 12.5 12.4 7.4 6.8 5.2 1.8 5.4 

Crack 

Total 0.7 1.2 1.2 1.3 2.5 0.5 1.0 

Males - 2.3 1.5 2.0 4.2 0.9 1.6 

Females 1.4 - 0.9 0.6 1.0 * 0.5 

Ecstasy 

Total 13.8 15.5 25.0 22.0 10.4 1.5 10.0 

Males 14.2 21.6 32.1 30.7 16.7 2.4 13.7 

Females 13.4 9.3 18.1 13.9 4.5 0.7 6.5 

Heroin 

Total 1.1 2.1 1.7 1.1 1.3 0.8 1.2 

Males 2.1 3.5 1.9 1.6 1.7 1.5 1.8 

Females 0.5 0.6 1.6 0.6 1 * 0.5 

Methadone 

Total - 1.2 1.2 1.7 1.5 * 0.8 

Males - 2.4 1.9 2.9 1.4 0.8 1.4 

Females - - 0.6 0.6 1.5 * * 

LSD 

Total 3.6 6.1 16.8 17.8 10.6 3.7 7.8 

Males 5.0 8.6 23.5 24.3 16.7 5.4 11.2 

Females 2.2 3.6 10.3 11.7 4.9 2.1 4.6 

Magic mushrooms 

Total 3.9 5.8 10.3 15.2 12.4 4.2 7.3 

Males 3.2 6.9 15.7 23.3 17.8 6.1 10.4 

Females 4.7 4.7 5.0 7.6 7.4 2.4 4.3 

Temazepam 

Total 3.0 2.3 7.7 6.1 3.2 1.2 3.0 

Males 3.0 2.8 10.5 10.2 3.4 1.4 3.9 

Females 3.0 1.8 5.0 2.4 3.1 1.1 2.1 

Valium 

Total 9.6 7.6 9.6 6.2 4.9 1.8 4.8 

Males 9.9 8.9 12.3 10.8 3.9 2.4 6.0 

Females 9.3 6.3 6.9 2.0 5.7 1.1 3.6 

Glues 

Total 5.6 4.0 4.7 6.2 5.6 1.0 3.3 

Males 6.4 1.8 5.9 9.4 8.9 1.7 4.3 

Females 4.8 6.2 3.5 3.1 2.5 0.5 2.3 

Anabolic steroids 

Total - - * 0.6 0.9 0.5 * 

Males - - 0.7 1.2 1.7 0.9 0.8 

Females - - - - * * * 

Poppers 

Total 14.7 19.3 19.9 18.0 10.8 2.1 9.8 

Males 16.3 25.9 24.5 24.1 17.4 3.4 13.4 

Females 12.9 12.6 15.5 12.5 4.7 1.0 6.5 

Base (2006) number 

Total 157 269 331 358 437 1 605 3 158 

Males 78 125 136 149 192 756 1 436 

Females 79 144 195 209 245 849 1 722 

1 All respondents who reported taking the bogus drug (20) have been excluded from analysis. 

2 The results separating drug use by age should be interpreted with caution, due to possible bias within the sample and the lower number than usual of achieved interviews with 

individuals aged between 20 and 24. 

- (zero) no respondents reported taking that drug ever. 

* less than 0.5% of respondents gave this answer 

Source: Scottish Crime and Victimisation Survey 2006 


7


A1.2 Reported drug use ‘in the last year’ 1 ; gender and age 2 : 2006 

drug name 

Prevalence 


percentage 

Any drug 

Total 34.6 28.3 22.3 12.6 12.2 2.8 12.6 

Males 33.1 32.3 33.2 20.6 17.4 3.7 16.2 

Females 36.1 24.2 11.9 5.2 7.3 2.0 9.1 

Amphetamines 

Total 6.3 5.1 4.5 1.0 2.4 0.5 2.2 

Males 6.4 4.9 5.9 1.4 4.2 0.8 2.8 

Females 6.1 5.3 3.2 0.6 0.6 * 1.6 

Cannabis 

Total 31.4 23.9 18.1 11.6 11.3 2.4 11.0 

Males 29.8 26.8 27.0 19.5 15.9 3.1 14.0 

Females 33.0 20.9 9.4 4.3 7.1 1.8 8.0 

Cocaine 

Total 10.4 11.4 7.9 2.8 3.3 * 3.7 

Males 10.6 14.5 12.8 4.8 5.7 * 5.2 

Females 10.2 8.2 3.1 0.9 1.0 * 2.3 

Crack 

Total 0.7 0.7 0.6 0.8 1.0 - 0.4 

Males - 1.3 0.7 1.3 2.1 - 0.6 

Females 1.4 - 0.6 * 1.0 * * 

Ecstasy 

Total 10.6 8.1 7.5 2.3 2.3 * 3.2 

Males 11 11.4 11.4 4.2 3.8 0.4 4.6 

Females 10.3 4.8 3.8 0.6 1.0 0.7 1.9 

Heroin 

Total 1.1 1.0 0.8 1.0 0.5 * 0.5 

Males 2.1 2.1 0.7 1.3 0.8 * 0.8 

Females - 0.6 0.9 0.6 * * * 

Methadone 

Total - 1.2 0.7 0.6 * * * 

Males - 2.4 1.1 0.6 0.5 * 0.6 

Females - - * 0.6 * - * 

LSD 

Total 2.5 1.6 0.9 * 0.7 - 0.6 

Males 5.0 2.7 1.1 * 1.5 - 1.1 

Females - * 0.7 - - - * 


Total 2.0 2.9 1.3 0.9 0.9 * 0.9 

Males 1.4 3.7 1.5 1.8 1.8 * 1.2 

Females 2.6 2.1 1.2 - - * 0.6 

Temazepam 

Total 1.1 1.2 1.3 0.5 3.2 * 0.5 

Males 2.1 2.1 1.7 * 3.4 * 0.7 

Females - * 0.9 0.6 - * 

Valium 

Total 5.7 3.9 2.7 2.2 1.6 * 1.7 

Males 4.0 4.0 2.8 4.0 0.5 * 1.7 

Females 7.5 3.7 2.7 0.6 2.6 * 1.7 

Glues 

Total 1.7 - - * 0.6 - * 

Males 2.1 - - 0.7 1.2 - * 

Females 1.4 - - - - - * 


Total - - - - - - - 

Males - - - - - * * 

Females - - - - - - - 

Poppers 

Total 10.2 4.9 3.8 0.7 0.8 * 2.0 

Males 9.2 6.7 6.6 1.1 1.5 * 2.7 

Females 11.2 3.0 1.0 * * - 1.4 


Total 157 269 331 358 437 1 605 3 158 

Males 78 125 136 149 192 756 1 436 

Females 79 144 195 209 245 849 1 722 




- (zero) no respondents reported being offered that drug in the last year. 




8


A1.3 Offered drugs ‘in the last year’ 1 ; gender and age 2 : 2006 

drug name 


percentage 

Amphetamines 

Males 14.4 13.5 11.6 9.1 12.3 3.5 8.1 

Females 14.2 15.8 8.5 3.5 1.2 0.9 4.6 

Cannabis 

Males 36.4 40.2 32.8 26.3 18.9 6.6 19.5 

Females 39.2 31.5 16 9.4 8.9 3.9 12.1 

Cocaine 

Males 22.5 27.5 16.9 12.0 13.4 2.7 11.1 

Females 20.3 19.5 9.3 3.8 2.0 0.7 5.7 

Crack 

Males 1.3 6.1 3.5 2.2 3.4 0.5 2.1 

Females 4.1 2.7 0.9 1.3 * * 0.9 

Ecstasy 

Males 20.7 27.6 21.0 10.8 9.5 2.3 10.6 

Females 23.2 18.3 8.9 3.6 1.8 0.5 5.5 

Heroin 

Males 3.8 4.2 3.7 4.4 3.4 0.6 2.4 

Females 5.3 2.6 2.5 0.9 0.5 * 1.2 

Methadone 

Males 1.0 2.6 0.7 1.3 0.9 * 0.8 

Females 0.5 1.9 * * 1.1 * 0.5 

LSD 

Males 6.1 9.0 5.9 3.0 3.0 0.7 3.2 

Females 3.9 6.1 0.7 1.3 1.1 * 2.1 


Males 7.0 7.4 3.3 1.9 1.8 0.5 2.4 

Females 10.0 8.3 1.9 * 0.7 * 2.1 

Temazepam 

Males 3.5 3.9 1.4 1.8 1.9 * 1.5 

Females 5 3.6 2.6 1.2 1.3 * 1.4 

Valium 

Males 7.9 9.3 2.4 3.3 2.4 0.6 2.9 

Females 7.1 5.8 3.2 1.3 3.1 * 2.1 

Glues 

Males 6 3.5 1.4 - 0.7 - 1.1 

Females 3.1 2.2 * - - * 0.5 


Males 1.8 3.5 0.7 2.4 1.8 0.5 1.3 

Females - 1.3 - - - * * 

Poppers 

Males 10.9 11.5 5.1 0.8 2.1 0.5 3.4 

Females 14.4 7.0 1.8 0.6 * * 2.3 

Prevalence 


Males 78 125 136 149 192 756 1 436 

Females 79 144 195 209 245 849 1 722 




- (zero) no respondents reported being offered that drug in the last year. 




9

Prevalence 


10

SALSUS 

A2 

Scottish Schools Adolescent Lifestyle and 

Substance Use Survey 2006 (SALSUS) 

This chapter is based on the Scottish Schools Adolescent Lifestyle and Substance Use Survey 

(SALSUS) 2006: National Report. It covers key results concerning drug misuse and provides brief 

background information about the survey. The survey was carried out in the Autumn Term whilst 

the surveys in 2002 and 2004 were carried out in the Spring Term. This means that the sample of 

pupils were therefore around six months younger in 2006. Some of the reduction in drug use 

found by the survey between 2004 and 2006 is likely to be due to the younger age of the 

respondents, however, whilst this impact must be taken into consideration, it is not enough to 

account for all the decline found. For more detail see Background Information. The National 

Report was released electronically and can be accessed at 

www.drugmisuse.isdscotland.org/publications/abstracts/salsus_national06.htm 

Prevalence 


Overview 

■ Nine percent of 13 year olds and 27% of 15 year olds reported that they had used an illicit drug at some 

point in their lives (Table A2.1). 

■ Seven percent of 13 year olds and 23% of 15 year olds reported that they had used an illicit drug in the 

year prior to the survey (Table A2.2). 

■ Four percent of 13 year olds and 14% of 15 year olds reported that they had used an illicit drug in the 

month prior to the survey. (Table A2.3). 

■ There was little difference between boys and girls in the percentage who reported that they had used 

illicit drugs in the last month (13 year olds, boys 4%, girls 3%: 15 year olds, boys 14%, girls 12%). (Table 

A2.3). 

■ Four percent of 15 year olds reported that they usually used illicit drugs at least once a week (including 

those reporting use on most days). Four percent of 15 year olds reported that they usually used illicit 

drugs once or twice a month and 4% a few times a year. (Table A2.6). 

■ Thirty-three percent of 13 year olds and 50% of 15 year olds who were regular smokers had also used 

drugs in the last month. The prevalence was lower than this among weekly drinkers; 19% of 13 year olds 

and 34% of 15 year olds who were weekly drinkers had also used drugs in the last month, but still higher 

than the overall prevalence for all pupils (4% of 13 year olds and 13% of 15 year olds) (Table A2.7). 

■ In 2006, just under a quarter (23%) of 13 year olds and over half (53%) of 15 year olds reported that 

they had ever been offered illicit drugs. (Table A2.8). 

■ There was little difference between boys and girls in their experience of being offered illicit drugs. At age 

13, 25% of boys and 21% of girls reported having been offered illicit drugs, whilst at age 15 years old 

55% of boys and 51% of girls had been offered illicit drugs (Table A2.8). 

Drugs Recorded 

■ The most frequently reported drug used was cannabis: 2% of all 13 year olds and 11% of all 15 year olds 

reported that they had used cannabis in the last month. Six percent of all 13 year olds and 25% of all 15 

year olds reported that they had used cannabis at least once in their lives (Tables A2.4 and A2.5). 

■ The reported use of drugs other than cannabis in the last month was low. The use of stimulants (cocaine, 

crack, ecstasy, amphetamine, poppers) was reported by 1% of 13 year olds and 5% of 15 year olds. The 

use of solvents was reported by 1% of 13 year olds and 2% of 15 year olds. The use of opiates in the last 

month was reported by 1% of pupils in both age groups (Table A2.5). 

■ The reported lifetime use for stimulants was 3% for 13 year olds and 11% for 15 year olds; and for 

solvents 3% for 13 year olds and 5% for 15 year olds. Equivalent figures for opiates were 1% for 13 year 

olds and 2% for 15 year olds (Table A2.4). 


11

SALSUS 

Prevalence 

Trends 1998 - 2006 

■ There has been a significant fall in prevalence of drug use in the last month among both age groups since 

1998. Up to and including 2002 there had been no significant change; between 2002 and 2004 

prevalence in the last month declined significantly among 15 year old boys only, (from 24% to 21%). 

Between 2004 and 2006 there was a significant decrease in prevalence of drug use in the last month 

among both boys and girls in both age groups. Prevalence among 15 year old boys declined from 21% 

to 14% and among 15 year old girls, from 20% to 12%. Among 13 year olds there was a decline from 

7% to 4% among boys and from 6% to 3% among girls (Table A2.3). 

■ Whilst drug use overall had declined in 2006, the reported use of drugs other than cannabis was the 

same or higher in 2006 compared to 2004. The use of stimulants (cocaine, crack, ecstasy, amphetamines, 

poppers) in the last month was reported by 1% of 13 year olds and 5% of 15 year olds, 2% and 4% 

respectively in 2004. The use of solvents in the last month was reported by 1% of 13 year olds and 2% 

of 15 year olds, compared to 1% of both age groups in 2004. And use of opiates in the last month was 

reported by 1 per cent of pupils in both age groups, as in 2004 (Table A2.5, 2004 data not shown). 

■ As in 2002 and 2004, for all 13 year olds who reported using illicit drugs the most frequently reported 

location was outdoors, reported by 48% of 13 year olds in 2006. This also continued to be the most 

frequently reported location among 15 year olds (47%). As in 2004 over a third of fifteen year old girls 

reported drug use in someone else’s home (36% in 2004 and 35% in 2006) (Table A2.10, 2004 data not 

shown). 

■ Between 1998 and 2006 there has been a reduction in the percentage of both 13 and 15 year olds who 

report being offered drugs: 13 year olds, 38% in 1998 and 23% in 2006; 15 year olds, 68% in 1998 and 

53% in 2006 (Table A2.8). 

Health and other lifestyle factors 

■ Seventy-seven percent of 13 year olds and 78% of 15 year olds who had used drugs in the last month 

rated their health as excellent or good compared to 90% of 13 year olds and 92% of 15 year olds who 

had never used drugs at all (Table A2.11). 

■ ‘Hanging around the street’ in their leisure time was reported by 85% of 15 year olds who had used 

drugs in the last month compared to 48% of 15 year olds who had never used drugs (Table A2.12). 

■ Reports of truancy in the last year (truanted one or more times) were higher among 15 year old pupils 

who had also used drugs in the last month (82%) compared to those who had never used drugs (40%) 

(Table A2.13). 

■ Twenty-three percent of 15 year olds who had used drugs in the last month expected to go to university 

when they left school compared to 50% of those who had never used drugs (Table A2.14). 


The survey continues the series of surveys begun in 1982 to measure the prevalence of smoking among 

secondary school children, which provide the national estimates of the proportion of young people in school 

aged under 16 who smoke, drink alcohol and /or use illegal drugs. Until 2000 the surveys were conducted in 

England and Scotland together. In Scotland, a needs assessment conducted in 2000 identified a need for 

information on the context of drug use and local as well as national information and separate arrangements 

were made. As a result of this SALSUS was established by the Scottish Executive in 2002 to monitor substance 

use in the context of other lifestyle, health and social factors. 

Information on young people’s drug use was first collected in this series of surveys in 1998, using a small 

number of questions to provide estimates of the proportion of pupils who used drugs and had been offered 

drugs. The same questions were repeated in 2000 and, with one exception, again in 2002 and 2004. When 

SALSUS was undertaken in 2002 more detailed information was required on sources of drugs, frequency of use, 

pupils’ need for help or information, attitudes towards drugs and drug users and knowledge of drugs, and 

money spent on drugs. This information was also collected in 2006. 

The surveys between 1982 and 2000 and in 2006 were carried out in the Autumn Term. In 2002 and 2004 

SALSUS was carried out in the Spring Term. This means that the sample of pupils were therefore around six 

months younger in 2006 than in the 2002 and 2004 surveys. Some of the reduction in drug use found by the 

survey between 2004 and 2006 is likely to be due to the younger age of the respondents, however, whilst this 

12 


SALSUS 

impact must be taken into consideration, it is not enough to account for all the decline found. The 2006 

National Report includes more information on the differences in the age profiles of pupils sampled in 2006 and 

2004. 


The SALSUS 2006 national and local reports are available at: 

www.drugmisuse.isdscotland.org/publications/abstracts/salsus.htm 

Previous SALSUS publications are available at: 

www.drugmisuse.isdscotland.org/publications/abstracts/salsus_national.htm 

If you would like further information please contact the Substance Misuse Information Strategy Team at 


Prevalence 


13

SALSUS 

A2.1 Pupils who reported they had never used drugs; age: 1998, 2000, 

2002, 2004 and 2006 

Prevalence 

Scotland 

All pupils 

gender 

13 years 15 years 

percentage 

1998 13 39 

2000 13 33 

2002 13 37 

2004 13 35 

2006 9 27 

Boys 

1998 16 42 

2000 15 35 

2002 15 38 

2004 15 35 

2006 9 27 

Girls 

1998 11 38 

2000 11 31 

2002 11 36 

2004 12 35 

2006 7 26 

Base (2006) 1 

number 

Boys 5 473 6 034 

Girls 5 564 5 946 

All pupils 11 037 11 980 

1 Some children failed to answer each question, these 'no answers' have been excluded from the analyses and so the tables that describe the same population may have varying 

bases. 

Source: Scottish Schools Adolescent Lifestyle and Substance Use Survey (SALSUS) 2006: National Report 

14 


SALSUS 

A2.2 Pupils who reported they had used drugs in the last year; age: 1998, 

2000, 2002, 2004 and 2006 


All pupils 

gender 


percentage 

1998 11 35 

2000 11 30 

2002 11 33 

2004 11 31 

2006 7 23 

Prevalence 

Boys 

1998 14 36 

2000 12 32 

2002 13 35 

2004 12 31 

2006 7 23 

Girls 

1998 9 34 

2000 10 27 

2002 10 32 

2004 10 31 

2006 6 21 

Base (2006) 1 

number 

Boys 5 473 6 034 

Girls 5 564 5 946 

All pupils 11 037 11 980 


bases. 



15

SALSUS 

A2.3 Pupils who reported they had used drugs in the last month; age: 1998, 

2000, 2002, 2004 and 2006 

Prevalence 


All pupils 

gender 


percentage 

1998 8 24 

2000 8 22 

2002 8 23 

2004 7 20 

2006 4 14 

Boys 

1998 9 26 

2000 8 23 

2002 9 24 

2004 7 21 

2006 4 14 

Girls 

1998 7 22 

2000 7 20 

2002 6 21 

2004 6 20 

2006 3 12 

Base (2006) 1 

number 

Boys 5 473 6 034 

Girls 5 564 5 946 

All pupils 11 037 11 980 


bases. 

Source : Scottish Schools Adolescent Lifestyle and Substance Use Survey (SALSUS) 2006: National Report 

16 


SALSUS 

A2.4 Pupils who reported they had used individual drugs ever; age: 2006 

drug group, drug name 



Boys Girls All pupils Boys Girls All pupils 

percentage 

Cannabis 7 4 6 26 23 25 

Prevalence 

Stimulants 3 2 3 11 11 11 

Cocaine 1 1 2 6 4 5 

Crack 1 1 1 2 1 2 

Ecstasy 1 1 1 6 5 5 

Amphetamines 1 1 1 4 3 3 

Poppers 2 1 1 8 7 8 

Psychedelics 1 1 1 4 2 3 

LSD 1 1 1 3 2 2 

Magic mushrooms 1 1 1 4 2 3 

Opiates 1 1 1 2 1 2 

Heroin 1 1 1 2 1 2 

Methadone 1 1 1 1 1 1 

Gas, glue or other solvents 3 3 3 5 5 5 

Tranquillisers 1 1 1 2 2 2 

Anabolic steroids 1 1 1 2 1 1 

Semeron 1 1 1 1 1 1 1 

Other 1 1 1 2 1 1 

number 

Base (2006) 2 5 473 5 564 11 037 6 034 5 946 11 980 

1 Dummy drug 


bases. 



17

SALSUS 

A2.5 Pupils who reported they had used individual drugs in the last month; 

age: 2006 

Prevalence 





percentage 

Cannabis 3 2 2 12 9 11 

Stimulants 1 1 1 5 5 5 

Cocaine 1 0 1 2 2 2 

Crack 1 1 1 1 1 1 

Ecstasy 1 1 1 3 2 3 


Poppers 1 0 1 2 2 2 


LSD 1 0 1 1 0 1 


Opiates 1 1 1 1 1 1 

Heroin 1 0 1 1 1 1 





Semeron 1 0 0 0 1 0 0 

Other 1 1 1 1 0 1 

number 

Base (2006) 2 5 473 5 564 11 037 6 034 5 946 11 980 

1 Dummy drug 


bases. 

0 (>0.0 & < 0.5) 


18 


SALSUS 

A2.6 Frequency of reported drug use; age: 2006 

gender 

All pupils 


percentage 2 


Prevalence 

Most days 1 2 

At least once a week 0 2 

Once or twice a month 1 4 

A few times a year 1 4 

Used to take drugs but not now 1 5 

Only taken drugs once 4 10 

Never taken drugs 93 75 

Boys 

Most days 1 2 







Girls 

Most days 1 1 







Base (2006) 1 

number 

Boys 5 473 6 034 

Girls 5 564 5 946 

All pupils 11 037 11 980 


bases. 

2 Percentages may not add up to 100 because of rounding. 



19

SALSUS 

A2.7 Prevalence of reported regular smoking, weekly drinking and drug use 

in the last month: 2006 

Prevalence 

13 year olds 

age 


All pupils Regular Weekly Used drugs in 

smokers drinkers last month 

percentage 

Regular smoker 4 - 22 32 

Weekly drinker 11 57 - 50 

Used drugs in last month 4 33 19 - 

15 year olds 

Regular smoker 15 - 37 59 

Weekly drinker 30 69 - 75 

Used drugs in last month 13 50 34 - 

Base (2006) 1 

13 year olds 11 647 471 1 159 423 

15 year olds 11 072 1 667 3 207 1 319 


bases. 

(-) not applicable 


20 


SALSUS 

A2.8 Whether pupils reported that they had been offered any drug; age: 

1998, 2000, 2002, 2004 and 2006 


All pupils 

gender 


percentage 

1998 38 68 

2000 44 70 

2002 34 65 

2004 33 63 

2006 23 53 

Prevalence 

Boys 

1998 40 70 

2000 45 71 

2002 38 66 

2004 36 63 

2006 25 55 

Girls 

1998 35 66 

2000 43 68 

2002 31 64 

2004 30 63 

2006 21 51 

Base (2006) 1 

number 

Boys 4 709 5 404 

Girls 4 848 5 391 

All pupils 9 557 10 795 


bases. 



21

SALSUS 

A2.9 Whether pupils reported that they had been offered individual drugs; 

age: 2006 

Prevalence 





percentage 

Cannabis 16 11 14 47 42 44 

Stimulants 8 8 8 27 28 27 

Cocaine 4 4 4 13 13 13 

Crack 3 3 3 5 4 4 

Ecstasy 5 5 5 18 19 18 


Poppers 4 3 3 17 16 16 


LSD 2 2 2 6 4 5 


Opiates 3 3 3 5 5 5 

Heroin 3 3 3 6 5 5 





Semeron 1 1 1 1 2 1 1 

Other 4 2 3 3 2 2 

number 

Base 2 5 473 5 564 11 037 6 034 5 946 11 980 

1 Dummy drug 


bases. 


22 


SALSUS 

A2.10 Reported location of pupils drug use; age: 2006 

gender 



percentage 1 

All pupils 

Own home 12 7 

Someone else's home 19 30 

At a party 13 16 

At a club/disco 6 4 

At school 15 7 

Outdoors 48 47 

Other 5 3 

Prevalence 

Boys 

Own home 11 8 






Other 6 4 

Girls 

Own home 12 6 






Other 3 2 

Base (2006) 2 

number 

Boys 379 1 538 

Girls 313 1 389 

All pupils 711 2 945 



bases. 



23

SALSUS 

A2.11 Subjective health by drug use status: 2006 

age 

Prevalence 

13 year olds 


Used drugs in last month 

percentage 1 

Used drugs but not in 

last month Never used drugs Total 

Excellent 18 25 36 34 

Good 60 55 56 56 

Fair 19 18 8 9 

Poor 3 3 1 1 

15 year olds 

Excellent 19 21 33 29 

Good 58 59 57 58 

Fair 20 17 10 12 

Poor 4 2 1 1 

Base (2006) 2 

number 

13 year olds 442 484 10 455 11 381 

15 year olds 1 353 1 536 8 017 10 906 



bases. 


24 


SALSUS 

A2.12 Leisure activities reported by drug use status: 2006 

age 


Used drugs 

in last month 

Used drugs but 

not in last month 

Never used 

drugs 

Total 

13 year olds 

percentage 

See my friends 96 96 90 91 

Listen to music 94 94 88 89 

Watch films / DVDs 86 84 80 80 

Play on computer games 75 71 72 72 

Look around the shops 81 78 69 70 

Read comics or magazines 55 55 54 54 

Read books 40 36 48 47 

Go to watch sport matches 52 43 35 36 

Do a sport e.g. football, swimming 76 76 77 77 

Go to the cinema 53 50 37 38 

Hang around the street 83 80 50 53 

Do a hobby, art or play an instrument 53 48 62 61 

Go to a friends house 92 87 80 80 

Go to concerts or gigs 28 17 10 11 

Go to the church, mosque or temple 23 13 16 16 

Helping other people / voluntary work 21 14 14 14 

Do nothing 22 19 11 12 

Prevalence 

15 year olds 

See my friends 98 97 91 93 

Listen to music 98 97 95 95 

Watch films / DVDs 81 82 78 79 

Play on computer games 61 60 61 61 

Look around the shops 69 69 68 68 

Read comics or magazines 40 42 45 44 

Read books 26 27 36 33 

Go to watch sport matches 34 34 32 32 

Do a sport e.g. football, swimming 56 62 69 66 

Go to the cinema 32 33 32 32 

Hang around the street 85 75 48 57 

Do a hobby, art or play an instrument 42 45 57 53 

Go to a friends house 92 90 80 83 

Go to concerts or gigs 17 13 10 11 

Go to the church, mosque or temple 9 10 13 12 

Helping other people / voluntary work 11 10 13 12 

Do nothing 19 17 15 16 

Base (2006) 1 

number 

13 year olds 445 486 10 498 11 429 

15 year olds 1 364 1 540 8 037 10 941 


bases. 



25

SALSUS 

A2.13 Number of times truanted in the past year, by drug use status: 2006 

age 

Prevalence 

13 year olds 


Used drugs 

in last month 

percentage 1 

Used drugs 

but not in 

last month 

Never used 

drugs 

Total 

Not at all 27 33 70 67 

Once 12 16 13 13 

Twice 9 14 7 8 

Three times 10 7 4 4 

Four times 5 6 2 2 

Five times 5 4 1 2 

Six to ten times 8 8 1 2 

More than ten times 24 13 2 3 

15 year olds 

Not at all 18 32 60 51 

Once 10 13 12 12 

Twice 11 15 11 11 

Three times 10 10 5 6 

Four times 6 5 3 4 

Five times 8 6 2 4 

Six to ten times 9 8 3 4 

More than ten times 28 12 4 8 

Base (2006) 2 

number 

13 year olds 395 442 9 992 10 829 

15 year olds 1 280 1 467 7 858 10 605 



bases. 


26 


SALSUS 

A2.14 What pupils think they will do when they leave school by drug use 

status and age 

13 year olds 

Used drugs 

in last month 

percentage 1 

Used drugs 

but not in 

last month 

Never used 

drugs 

Total 

Prevalence 

University 32 39 50 49 

F.E. college 18 21 18 18 

Apprentice / trade 10 11 6 6 

Youth training / skill seekers 3 2 1 1 

Working 15 10 9 9 

Unemployed 2 1 0 0 

Don't know 12 13 13 13 

Other 9 5 4 4 

15 year olds 

University 23 36 50 44 

F.E. college 31 30 23 25 

Apprentice / trade 20 13 9 11 

Youth training / skill seekers 1 0 1 1 

Working 11 9 7 8 

Unemployed 2 0 0 0 

Don't know 9 8 8 8 

Other 3 3 3 3 

Base (2006) 2 

number 

13 year olds 445 486 10 496 11 427 

15 year olds 1 362 1 540 8 034 10 936 



bases. 

0 (>0.0 & < 0.5) 

Source : Scottish Schools Adolescent Lifestyle and Substance Use Survey (SALSUS) 2006: National Report - Table 4.51 


27

Prevalence 


28

B 

Services and treatment for drugs misusers 

B1 

B2 

Scottish Drug Misuse Database 

Prescription statistics 

Services & Treatment 


29


B1 



The Scottish Drug Misuse Database (SDMD) offers a profile of drug misusers based on reports 

submitted on individuals when they first attend a service for assessment of their drug misuse 

problems. 

The information presented relates to new patients/clients. A ‘new’ patient/ client is defined as any 

person who, at the time of presenting, is not currently in contact with a service that provides 

specialist assessment of a client’s drug misuse care needs. 

From April 2006 the new SMR25a form was introduced. Changes to the data collection mean that 

trend information cannot be presented and figures are not directly comparable with those 

previously published from the SMR24 form (see background information for further details on the 

changes). 

It is important to note that the percentages quoted below are based on the number of individuals 

on which data for each specific question are available i.e. they are not based on the total number 

of individuals reported to the database. Further detail on ‘information available’ is provided within 

the tables. 

Key Points 2006/07 

Overview 

■ In 2006/07, 12,222 ‘new’ individuals were reported to the Scottish Drugs Misuse database (SDMD). This 

corresponds to a rate of 253 per 100,000 of the Scottish population (Table B1.1). 

■ The male attendance rate was more than twice the female attendance rate (354 per 100,000 population 

for males, 156 per 100,000 population for females) (Tables B1.2 and B1.3). 

■ Of those reporting illicit drug use, 68% reported using heroin (6,756 individuals) (Tables B1.8 and B1.9). 

■ Over half (58%) of those under the age of 25 years old reporting illicit drug use reported using heroin 

(Table B1.11). 

■ Twenty-eight per cent of all individuals (for whom information is available) reported that they had 

injected in the month prior to seeking treatment. Forty-three per cent reported that they had never 

injected (Tables B1.21, B1.22 and B1.23). 

■ Twenty-nine per cent of current injectors reported that they had shared needles/ syringes in the previous 

month (Tables B1.27 and B1.28). 

■ Of current injectors: 61% reported that they had been tested for Hepatitis B; 63% for Hepatitis C and 

58% for HIV prior to seeking treatment (Table B1.31). 

■ Sixty-six per cent of individuals reported that more than a year had elapsed between the onset of 

problem drug use and treatment first being sought (Table B1.20). 

Geographical profile 

■ In 2006/07, of those reporting use of heroin, 24% (1,636 individuals) were resident in NHS Greater 

Glasgow & Clyde; 18% (1,186 individuals) were resident in NHS Lothian; 11% (757 individuals) were 

resident in NHS Fife; and 10% (649 individuals) were resident in NHS Grampian (Table B1.8). 

■ Of those reporting cocaine use, 44% (470 individuals) were resident in NHS Greater Glasgow & Clyde; 

14% (151 individuals) were resident in NHS Lothian; and 9% (97 individuals) were resident in NHS 

Lanarkshire (Table B1.8). 

■ 504 individuals reported crack cocaine use in 2006/07. Of these individuals 40% (203 individuals) were 

resident in NHS Grampian; 25% (126 individuals) were resident in NHS Lothian; and 19% (95 

individuals) were resident in NHS Greater Glasgow and Clyde (Table B1.8). 

30 



Additional points 

Demographic profile 

This section describes the demographic profile of ‘new’ individuals attending services. 

■ 

■ 

■ 

■ 

The male: female attendance ratio in 2006/07 was 2:1. There was variation between age groups with the 

male: female ratio for those aged under 20 years close to 2:1 and for those aged 35-39 years old at 3:1 

(Tables B1.2 and B1.3). 

The median age of male clients reported to the SDMD was 30 years, whilst the median age of female 

clients reported was 28 years (Tables B1.1, B1.2, and B1.3). 

Half of clients reported to the SDMD in 2006/07 were aged 30 years or over (Tables B1.1 and B1.4). 

Almost all (96%) of the individuals reported to the SDMD in 2006/07 described their ethnicity as ‘white 

Scottish’ (Table B1.5). 

Social profile 

The personal circumstances of the drug user seeking treatment or advice from services can influence the individual’s 

motivation for seeking help and the extent to which the service can contribute to a change in drug taking behaviour. 

Information on employment status, current living arrangements and accommodation, source of funding and average 

amount spent on their drug use, and the individual’s current legal status are potentially relevant factors and are 

collected by the SDMD. 

■ Two thirds (67%) of individuals in 2006/07 were unemployed, 14% of individuals were in paid or unpaid 

employment (including full time education and training), and 5% had never been employed (Table 

B1.33). 

■ Two thirds (67%) of individuals said that their drug use was funded by benefits, 27% reported that they 

funded their drug use with crime, and 18% reported that their drug use was funded by debt (Table 

B1.34). 

■ The average daily spend, in a ‘typical’ drug using day, for individuals who reported using heroin, was £34 


■ For individuals using cocaine, the average daily spend, in a ‘typical’ drug using day, was reported as £87 


■ Almost four fifths (79%) of individuals (who provided information) reported that they lived in owned or 

rented accommodation at the time of presentation, 14% reported that they were living in temporary or 

unstable accommodation and 2% reported that they were roofless (Table B1.40). 

■ A fifth (22%) of individuals had previously been in prison (Table B1.42). 

■ A third (31%) of individuals reported that they had dependent children under the age of 16 years (Table 

B1.39). 


Clients’ sources of referral and co-occurring health issues 

This section includes information on the main source of referral and reports issues that have led patients/clients to 

attend the service for their drug misuse problem. 

■ 

■ 

A third (31%) of individuals in 2006/07 self-referred to services. A further 27% were referred by a general 

practitioner (Table B1.6). 

Fifty-five per cent of individuals reported that drug-related physical health issues had led them to present 

to a service, in addition to their drug use. Forty-two per cent reported mental health problems as a cooccurring 

health issue, and 23% reported alcohol problems as a co-occurring health issue (Table B1.7). 


31


Types of drugs individuals are using 

The SDMD collects a range of information about the drugs that the patients/ clients have used in the past month. 


■ 

■ 

■ 

■ 

■ 

Of those reporting illicit drug use, 68% reported using heroin (6,756 individuals), 32% reported using 

cannabis (3,231 individuals), 31% reported using diazepam (3,140 individuals), 11% reported using 

cocaine (1,076 individuals) and 5% reported using crack cocaine (504 individuals) (Tables B1.8 and 

B1.9). 

Of the 6,756 individuals who reported heroin use, 94% (6,339 individuals) reported it as their main drug 

of misuse (Tables B1.8 and B1.10). 

Of those individuals who reported heroin as their main drug of misuse, 33% reported additional illicit 

diazepam use, 20% reported using cannabis, 6% reported using crack cocaine, and 5% reported using 

cocaine (Table B1.12). 

Seven per cent of individuals who reported illicit drug use had used dihydrocodeine (675 individuals) and 

the same proportion of individuals reporting illicit drug use had used methadone (7%, 718 individuals) 

(this figure does not include those receiving a prescription for methadone) (Tables B1.8 and B1.9). 

Reports of ecstasy use were most common amongst those aged under 20 years old with 20% of this 

group (176 individuals) reporting the use of ecstasy in 2006/07. Cannabis and solvent use were more 

common in the under 15 years old age group; 81% of this age group reported cannabis use and 14% 

reported solvent use. Caution is advised in interpreting these figures because the number of individuals 

in the 15 years old and under age group reported to the database is relatively small. (Table B1.9). 

Age at first use, problem recognition and seeking help 

The time lags between the age when an individual first used an illicit drug, age at onset of problem, and age when 

(professional) help was sought provide an indication of the pathways through drug misuse. 

■ 

■ 

■ 

The majority of individuals reported to the SDMD were in their teens when they first started using illicit 

drugs (including volatile substances and over the counter medicines),in their teens/early twenties when 

their drug use became a problem and in their twenties when they sought help (Tables B1.15, B1.16 and 

B1.17). 

The length of time between the first use of illicit drugs and the onset of a problem varies from person to 

person. Two fifths (42%) reported that they did not perceive their drug use to be a problem until after 

five years of misuse. Fourteen per cent of individuals perceived it as a problem after less than one year 


The time from the onset of the problem drug use until help was first sought also varied amongst 

individuals. A third (34%) of individuals reported that they first sought help less than a year after they 

perceived there to be a problem, 27% sought help after one to two years, 14% sought help after three 

to four years, whilst the remaining 25% waited five years or more before seeking help (Table B1.20). 

Ways in which people take drugs 

All patients/clients are asked whether they have ever injected and if so, whether they have done so in the past month 

prior to attending the service. Similar questions are also asked about sharing needles/syringes and sharing 

spoons/water/filters/solutions. These questions provide information about the numbers of individuals who have either 

used equipment previously used by someone else or lent to someone else equipment that they have already used. 

■ 

■ 

■ 

■ 

The highest proportions of individuals reporting injecting in the previous month were found in the 20 to 

29 years old age range; 33% of 20 to 24 year olds and 34% of 25 to 29 year olds reported injecting in 

the month prior to attending a service (Table B1.22). 

Only 14% of individuals aged under 20 years old reported injecting in the previous month (Table B1.22). 

Almost two fifths (37%) of the individuals who had injected reported that they were under 20 years old 

when they first injected. The youngest reported age for first injecting was 12 years old, the median age 

was 21 years old (Table B1.23). 

Half of individuals reporting heroin use also reported that they injected the drug (Table B1.25). 


32


■ 

Thirty-five per cent of individuals reporting heroin use reported taking it through injection only. Fifteen 

per cent reported administering the drug both by injection and by another method (e.g. smoking) (Table 

B1.24). 

Alcohol profile 

Patients/clients who present at a service for drug misuse are also asked to give details of their alcohol consumption, 

although it should be noted that this section is only completed for clients who have presented to a service for drug 

misuse. 

■ Forty-four per cent of individuals reported having consumed alcohol in the past month (5,411 

individuals) (Table B1.32). 

■ Approximately a quarter of individuals (27%) who provided information on frequency of consumption 

reported drinking alcohol every day, a further 26% reported drinking alcohol one to two days a week 

and 14% reported drinking alcohol two to three days a month (Table B1.32). 


The Scottish Drugs Misuse Database (SDMD) offers a profile of drug misusers based on reports submitted on 

individuals who attended a service for assessment of their drug misuse problems. These reports are taken at the 

time the patient/client initially attends a service. 

Data Collection 

The analysis presented in this section is based on data collected through SMR25a returns. Annex B1.3 includes 

a sample copy of the form. In April 2006 ISD introduced the SMR25a assessment form to replace the SMR24 

form which had been in use from 2001. The revised form reflects the need for more in-depth and focussed 

information on clients who present for treatment. The new dataset incorporates most of the information that 

was collected using SMR24 but also includes new information, including blood borne virus testing information, 

information on dependent children and alcohol profile. The SMR25a form is completed at the beginning of an 

individual’s care episode. 

There have been a number of changes which mean that data submitted through SMR25a forms is not directly 

comparable with previously published analysis of SMR24 data. Firstly, services submit a form only for a client 

beginning a new episode of care, and therefore do not submit forms for clients who have been referred from 

another service. Also, General Practitioners do not submit the new SMR25a form but continue to submit 

SMR24 forms. General Practitioner data is not included in this analysis. These changes were required in order 

to prepare for future data collection developments (see Data Developments below) These differences in data 

collection mean that information is presented for the financial year 2006/07 only. These figures are not directly 

comparable with information previously published from the SDMD. 


Data Developments 

The SMR25a form currently collects data at the beginning of an individual’s care episode. Developments are 

underway to collect further information at set points in an individuals treatment and to collect discharge and 

transfer data. This will mean that clients can be tracked across time and, if they are transferred or receive shared 

care, across drug services. These developments aim to provide a greater depth of information on clients’ 

pathways through treatment. 


33


Understanding the data 

‘New’ patients/clients 

The information presented relates to new patients/clients. The statistics do not reflect the total number of drug 

misusers seen by services during any period. 

New patient/client 

Any person who, at the time of presenting, is not currently in contact with a service that provides 

specialist assessment of a client’s drug misuse care needs. 


The database neither collects information on the non-client work in which most specialist projects are involved 

nor measures the number of contacts nor the amount of time spent with clients. The data are usually recorded 

at or around the time of the initial assessment and so no measure of outcome is included. 

Misuse of alcohol may be reported to the database but it should not be reported for clients presenting solely 

with an alcohol problem. 

Matching new patients/clients 

By means of matching on certain criteria (initial of first name, initial & 4th character of surname, date of birth 

and gender) an adjustment is made for the double counting of individuals who may have attended more than 

one service during the period. The accuracy of these matches cannot be guaranteed. This is, however, the 

most precise method of matching individuals given that full name and address is not provided to ISD. The 

terms ”individuals” and ”attendees” refer to new patients/clients who have been through the matching 

process. 

Local area analysis and trends 

Individuals have been included only once within each NHS board and council area of residence. However, they 

may appear in more than one area and as a result the sums of the NHS board and council area data will not 

equal the Scotland figure. Where data are presented at a national level individuals are counted only once in 

any year. This is true for all tables except table B1.43, which presents statistics on all valid forms received. 

Within Ayrshire & Arran NHS Board some agencies continued to collect data using the Ayrshire Common 

Database based on the SMR24 form after the introduction of the SMR25a form in April 2006. As a result 

information is unavailable from some agencies for certain questions that are specific to SMR25a. 

Background notes on client confidentiality and small numbers 

Maintaining patient confidentiality is a fundamental principle in ISD’s work. We take particular care when 

providing tabular information which results in small numbers appearing in table cells. We are currently 

reviewing our procedures with the objective of implementing the confidentiality guidance published by the 

Office of National Statistics (ONS) in October 2006. In line with this review and to protect client confidentiality 

when publishing sensitive data we have revised our protocol on the treatment of small numbers for this year’s 

publication. The main points are as follows: 

a) Client confidentiality. 

■ Data tables are classified as sensitive either if the information within them is in itself sensitive, eg. 

numbers of heroin injectors, or of it can be combined with data from other sensitive tables to obtain 

information that might be used to disclose the identity of individuals, eg. age, sex. 

■ If the data are sensitive and the total number of clients providing information is less than 40 and any 

individual category has a frequency below 5 then all individual entries are replaced by ‘z’. If the total is 

less than 5 then the total is replaced by ‘z’. 

■ If the data are not sensitive and the total number of clients providing information is less than 40 and any 

individual categories has a frequency below 5 then that entry is replaced by ‘z’. If the total is less than 5 

then it is presented but all individual entries must be less than 5 and are replaced by ‘z’s. 

34 



b) Small numbers: 

■ This protocol applies to all data, irrespective of sensitivity. 

■ If the total number of clients is very small so that the data within individual categories are not statistically 

meaningful then individual entries are replaced by ‘†’. The total is reported. 

Supplementary information for some specific tables can be found in Annex B1.1. 

Definitions of statistical terms and tests can be found in Annex B1.2. 

Acknowledgements 

The co-operation and assistance of the staff at all services contributing to the database are gratefully 

acknowledged. 


Information on the Scottish Drug Misuse Database is available at: 

http://www.drugmisuse.isdscotland.org/sdmd/sdmd.htm 

If you would like further information please contact the Substance Misuse Information Strategy Team at: 




35


B1.1 Age group analysis 1 : year ending 31 March 2007 

number of individuals, EASR (and 95% CI); NHS board and council area of residence 

■ 

NEW INDIVIDUAL PATIENTS/CLIENTS 

Numbers 

All Ages Under 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 years Median 

15 years years years years years years and over age 

Scotland 2 12 222 149 903 2 075 2 893 2 618 1 780 1 804 30 

by NHS board 


Ayrshire & Arran 1 158 - 44 151 230 306 201 226 32 

Borders 125 - 12 32 31 20 13 17 27 

Dumfries & Galloway 315 1 33 69 77 64 43 28 27 

Fife 1 269 28 138 221 326 271 148 137 28 

Forth Valley 578 11 45 93 140 127 92 70 30 

Grampian 873 3 51 176 248 215 97 83 28 

Greater Glasgow & Clyde 3 371 33 190 443 751 767 584 603 31 

Highland 792 27 72 120 141 98 117 217 31 

Lanarkshire 613 14 68 106 159 126 87 53 28 

Lothian 2 013 21 137 435 510 427 242 241 29 

Orkney 8 z z z z z z z 35 

Shetland 46 2 11 12 5 8 6 2 24 

Tayside 891 10 81 193 249 157 119 82 28 

Western Isles 28 z z z z z z z 22 

Outside Scotland 52 - 3 4 5 6 14 20 37 

Other/ not known 3 193 - 10 30 47 40 28 38 30 

by council area 

Aberdeen City 408 - 19 79 121 103 50 36 29 

Aberdeenshire 353 2 20 73 104 93 34 27 28 

Angus 170 4 18 43 45 23 24 13 26 

Argyll & Bute 143 - 5 37 35 22 23 21 29 

Ayrshire East 462 - 12 53 95 128 84 90 32 

Ayrshire North 484 - 24 73 87 122 92 86 32 

Ayrshire South 218 - 8 25 48 58 28 51 32 

Borders 125 - 12 32 31 20 13 17 27 

Clackmannanshire 135 1 11 24 26 26 25 22 30 


Dunbartonshire East 63 - 2 9 18 15 13 6 30 

Dunbartonshire West 400 1 22 67 110 92 53 55 30 

Dundee City 562 4 46 122 166 104 75 45 27 

Edinburgh City 1 091 10 63 221 279 243 134 141 29 

Eilean Siar 28 z z z z z z z 22 

Falkirk 307 3 18 52 83 74 51 26 29 

Fife 1 269 28 138 221 326 271 148 137 28 

Glasgow City 2 096 27 113 242 392 472 388 462 32 

Highland 653 27 67 86 106 76 95 196 32 

Inverclyde 319 2 27 42 99 72 46 31 29 

Lanarkshire North 324 12 39 54 74 66 50 29 28 

Lanarkshire South 384 2 34 65 112 80 60 31 28 

Lothian East 263 - 23 71 56 53 24 36 28 

Lothian West 489 11 43 100 118 98 71 48 28 

Midlothian 175 - 8 45 58 33 14 17 27 

Moray 115 1 12 25 23 20 14 20 29 


Perth & Kinross 163 2 17 30 39 30 20 25 29 

Renfrewshire 332 2 18 56 82 87 57 30 30 

Renfrewshire East 83 1 3 13 31 15 8 12 28 

Shetland 46 2 11 12 5 8 6 2 24 

Stirling 145 7 16 18 33 31 18 22 29 



1. Individuals are included once within each NHS Board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 

2. The Scotland figure includes all clients reported to the Scottish Drugs Misuse Database. 

3. Clients with no fixed abode or where NHS board or council area is not known. 

4. European Age Standardised rate per 100,000 population. 

. Not applicable 

z Figures not shown where the number of patients/clients in an area < 40 and the number of clients in any one category < 5. 

- (zero); 0 (>0.0 & < 0.5) 

Source: ISD Scotland (SMR25a Interim Database). 

36 



Age group analysis 1 : year ending 31 March 2007 B1.1 

continued 

EASR 4 

All ages Under 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 years 

Rate (95% CI) 15 years years years years years years and over 

253 (249, 258) 15 275 612 932 825 463 75 Scotland 2 

by NHS board 

370 (348, 391) - 184 737 1 297 1 504 758 131 Ayrshire & Arran 

159 (130, 187) - 188 682 696 349 159 32 Borders 

298 (265, 332) 3 376 1 058 1 259 886 432 39 Dumfries & Galloway 

398 (376, 420) 41 570 940 1 692 1 292 550 83 Fife 

224 (205, 242) 19 230 548 899 727 411 52 Forth Valley 

180 (168, 192) 3 151 529 794 650 238 33 Grampian 

279 (269, 288) 15 241 486 896 989 654 109 Greater Glasgow & Clyde 

305 (283, 326) 45 395 838 974 583 542 143 Highland 

119 (110, 128) 13 187 299 497 357 199 20 Lanarkshire 

235 (225, 245) 15 277 678 838 739 378 66 Lothian 

44 (12, 75) z z z z z z z Orkney 

252 (178, 326) 42 779 1 210 406 578 384 18 Shetland 

263 (246, 281) 14 324 755 1 161 745 451 46 Tayside 

152 (94, 209) z z z z z z z Western Isles 

. . . . . . . . . Outside Scotland 

. . . . . . . . . Other/ not known 3 



180 (163, 198) - 145 446 715 704 329 38 Aberdeen City 

198 (177, 219) 4 132 654 1 012 696 181 23 Aberdeenshire 

206 (175, 238) 19 277 812 945 383 316 25 Angus 

206 (172, 240) - 91 815 922 459 360 48 Argyll & Bute 

434 (394, 474) - 150 779 1 586 1 793 909 160 Ayrshire East 

414 (377, 451) - 264 948 1 300 1 631 937 136 Ayrshire North 

242 (210, 275) - 117 417 949 1 013 374 96 Ayrshire South 

159 (130, 187) - 188 681 696 349 159 32 Borders 

305 (253, 357) 10 338 896 990 885 655 93 Clackmannanshire 

298 (265, 332) 3 376 1 058 1 259 886 432 39 Dumfries & Galloway 

79 (59, 99) - 28 144 378 326 185 11 Dunbartonshire East 

478 (431, 525) 6 358 1 054 2 103 1 741 778 126 Dunbartonshire West 

399 (366, 432) 17 456 961 1 618 1 334 821 74 Dundee City 

199 (187, 211) 14 228 480 630 658 374 70 Edinburgh City 

152 (94, 209) z z z z z z z Eilean Siar 

222 (197, 247) 10 191 629 942 735 420 37 Falkirk 

398 (376, 420) 41 570 940 1 692 1 293 549 83 Fife 

325 (311, 339) 28 293 452 763 1 054 869 183 Glasgow City 

348 (321, 376) 64 526 879 993 633 626 183 Highland 

454 (404, 503) 13 497 807 2 247 1 610 806 77 Inverclyde 

105 (93, 116) 19 184 256 381 309 193 19 Lanarkshire North 

139 (125, 153) 3 174 345 651 428 255 21 Lanarkshire South 

385 (337, 433) - 403 1 687 1 566 1037 321 79 Lothian East 

316 (287, 344) 31 395 1 056 1 257 863 484 58 Lothian West 

284 (241, 326) - 151 1 017 1 621 758 229 45 Midlothian 

158 (129, 187) 6 213 568 568 391 203 48 Moray 


145 (123, 168) 7 202 395 608 413 207 37 Perth & Kinross 

218 (195, 242) 6 165 533 843 901 435 36 Renfrewshire 

129 (100, 157) 5 49 262 846 378 129 26 Renfrewshire East 

252 (178, 326) 42 779 1 210 406 578 384 18 Shetland 

192 (161, 224) 40 232 299 793 690 278 54 Stirling 


. . . . . . . . . Other/ not known 3 37 



B1.2 Age group analysis of males 1 : year ending 31 March 2007 


■ 


Numbers 




by NHS board 


Ayrshire & Arran 749 - 22 84 153 209 133 148 33 

Borders 90 - 6 26 17 16 11 14 29 


Fife 832 16 76 117 216 195 114 98 29 

Forth Valley 401 6 30 45 102 92 71 55 30 

Grampian 583 3 28 100 163 162 75 52 29 


Highland 587 17 52 87 100 76 92 163 32 

Lanarkshire 444 10 50 61 118 90 69 46 29 

Lothian 1 391 12 83 288 350 307 170 181 29 


Shetland 29 z z z z z z z 30 

Tayside 597 6 39 125 173 109 91 54 28 





Aberdeen City 262 - 8 45 67 79 37 26 30 


Angus 114 2 7 29 33 16 19 8 27 

Argyll & Bute 100 - 3 24 27 16 20 10 29 

Ayrshire East 285 - 5 25 56 82 57 60 33 



Borders 90 - 6 26 17 16 11 14 29 



Dunbartonshire East 38 z z z z z z z 31 


Dundee City 383 4 26 80 113 71 59 30 28 

Edinburgh City 736 5 32 141 186 174 101 97 30 


Falkirk 220 2 13 27 62 55 40 21 30 

Fife 832 16 76 117 216 195 114 98 29 

Glasgow City 1 504 19 80 169 275 318 306 337 33 

Highland 489 17 49 64 73 60 73 153 33 

Inverclyde 221 1 16 19 70 50 40 25 30 



Lothian East 190 - 15 45 46 38 16 30 29 

Lothian West 362 7 29 77 83 78 47 41 29 

Midlothian 107 - 7 26 36 17 7 14 27 

Moray 78 1 7 18 13 16 10 13 30 


Perth & Kinross 103 - 6 18 27 22 13 17 30 

Renfrewshire 234 - 9 35 60 65 43 22 30 



Stirling 89 3 10 6 19 19 14 18 32 









- (zero); 0 (>0.0 & < 0.5) 


38 



Age group analysis of males 1 : year ending 31 March 2007 B1.2 

continued 

EASR 4 



354 (346, 361) 19 326 754 1 276 1 208 732 113 Scotland 2 

by NHS board 

496 (461, 532) - 178 811 1 786 2 145 1 064 180 Ayrshire & Arran 

227 (179, 274) - 182 1 108 746 599 276 53 Borders 

424 (368, 481) 7 476 1 400 1 809 1 288 737 53 Dumfries & Galloway 

528 (493, 564) 46 622 971 2 275 1 913 874 122 Fife 

319 (287, 350) 21 301 526 1 360 1 117 668 84 Forth Valley 

233 (214, 252) 6 164 584 967 978 368 41 Grampian 

404 (388, 420) 20 311 627 1 252 1 383 1 100 168 Greater Glasgow & Clyde 

436 (400, 471) 56 533 1 068 1 305 914 887 219 Highland 

174 (158, 191) 17 266 336 748 536 330 36 Lanarkshire 

332 (314, 349) 16 331 933 1 159 1 095 543 102 Lothian 


297 (188, 405) z z z z z z z Shetland 

356 (328, 385) 16 304 957 1 564 1 084 742 63 Tayside 






226 (198, 253) - 129 530 715 1 026 479 56 Aberdeen City 

278 (243, 313) 8 165 625 1 594 1 099 319 23 Aberdeenshire 

277 (225, 328) 19 205 1 020 1 387 554 532 32 Angus 

261 (209, 312) - 102 857 1 211 645 624 47 Argyll & Bute 

544 (480, 607) - 121 727 1 911 2 351 1 297 221 Ayrshire East 

586 (522, 651) - 295 1 207 1 987 2 531 1 216 186 Ayrshire North 

339 (284, 394) - 86 419 1 377 1 491 643 134 Ayrshire South 

227 (179, 274) - 182 1 107 746 599 276 53 Borders 

454 (363, 544) 19 429 840 1 825 1510 959 140 Clackmannanshire 

424 (368, 481) 7 476 1 400 1 809 1 288 737 53 Dumfries & Galloway 

98 (66, 129) z z z z z z z Dunbartonshire East 

691 (610, 772) 11 475 1 290 3 025 2 452 1 338 204 Dunbartonshire West 

561 (504, 617) 32 530 1 286 2 119 1 927 1 400 105 Dundee City 



322 (279, 364) 14 264 661 1 433 1 136 688 60 Falkirk 

528 (493, 564) 46 622 971 2 275 1 913 873 122 Fife 

472 (448, 496) 38 406 646 1 055 1 409 1 403 277 Glasgow City 

514 (468, 560) 80 718 1 198 1 344 1 028 1 019 291 Highland 

634 (551, 717) 13 569 713 3 084 2 339 1 519 130 Inverclyde 


204 (180, 228) 3 255 340 1 013 660 401 38 Lanarkshire South 

569 (486, 651) - 496 2 095 2 633 1 613 456 135 Lothian East 

477 (428, 526) 39 522 1 623 1 786 1 472 666 102 Lothian West 

365 (295, 435) - 254 1 164 2 198 862 246 81 Midlothian 

196 (152, 240) 11 230 708 571 595 279 62 Moray 


185 (149, 221) - 134 450 808 633 290 53 Perth & Kinross 

318 (277, 359) - 160 655 1 246 1 437 701 56 Renfrewshire 

206 (155, 257) 10 94 387 1 273 623 288 41 Renfrewshire East 


249 (196, 302) 34 292 197 985 942 475 91 Stirling 


. . . . . . . . . Other/ not known 3 39 



B1.3 Age group analysis of females 1 : year ending 31 March 2007 


■ NEW INDIVIDUAL PATIENTS/CLIENTS 

Numbers 



Scotland 2 3 768 57 352 785 897 761 425 491 28 

by NHS board 


Ayrshire & Arran 409 - 22 67 77 97 68 78 32 

Borders 35 z z z z z z z 27 

Dumfries & Galloway 93 - 11 22 23 20 8 9 27 

Fife 437 12 62 104 110 76 34 39 26 

Forth Valley 177 5 15 48 38 35 21 15 27 

Grampian 290 - 23 76 85 53 22 31 27 

Greater Glasgow & Clyde 973 11 64 158 220 245 116 159 30 

Highland 205 10 20 33 41 22 25 54 29 

Lanarkshire 169 4 18 45 41 36 18 7 26 

Lothian 622 9 54 147 160 120 72 60 27 



Tayside 294 4 42 68 76 48 28 28 26 





Aberdeen City 146 - 11 34 54 24 13 10 27 

Aberdeenshire 107 - 7 35 21 25 5 14 27 

Angus 56 2 11 14 12 7 5 5 25 

Argyll & Bute 43 - 2 13 8 6 3 11 28 

Ayrshire East 177 - 7 28 39 46 27 30 31 



Borders 35 z z z z z z z 27 

Clackmannanshire 37 z z z z z z z 29 

Dumfries & Galloway 93 - 11 22 23 20 8 9 27 

Dunbartonshire East 25 z z z z z z z 30 

Dunbartonshire West 121 - 7 26 34 31 10 13 29 

Dundee City 179 - 20 42 53 33 16 15 26 



Falkirk 87 1 5 25 21 19 11 5 27 

Fife 437 12 62 104 110 76 34 39 26 

Glasgow City 592 8 33 73 117 154 82 125 32 

Highland 164 10 18 22 33 16 22 43 29 

Inverclyde 98 1 11 23 29 22 6 6 26 



Lothian East 73 - 8 26 10 15 8 6 25 

Lothian West 127 4 14 23 35 20 24 7 28 

Midlothian 68 - 1 19 22 16 7 3 27 

Moray 37 z z z z z z z 27 


Perth & Kinross 60 2 11 12 12 8 7 8 26 

Renfrewshire 98 2 9 21 22 22 14 8 28 

Renfrewshire East 17 z z z z z z z 28 


Stirling 56 4 6 12 14 12 4 4 27 









- (zero); 0 (>0.0 & < 0.5) 


40 



Age group analysis of females 1 : year ending 31 March 2007 B1.3 

continued 

EASR 4 



156 (151, 161) 12 220 467 583 465 213 40 Scotland 2 

by NHS board 

253 (229, 278) - 190 661 840 915 485 86 Ayrshire & Arran 

94 (62, 125) z z z z z z z Borders 

177 (141, 214) - 265 696 735 525 154 25 Dumfries & Galloway 

273 (247, 299) 35 518 907 1 125 705 245 47 Fife 

136 (116, 156) 18 157 570 470 379 178 22 Forth Valley 

124 (110, 139) - 137 471 591 321 108 24 Grampian 

159 (149, 169) 10 168 345 532 615 248 55 Greater Glasgow & Clyde 

167 (144, 191) 34 236 534 601 259 223 70 Highland 

66 (56, 76) 7 103 260 253 195 79 5 Lanarkshire 

143 (132, 154) 13 221 441 521 404 219 32 Lothian 

31 (-4, 65) z z z z z z z Orkney 


173 (153, 193) 11 345 543 732 436 198 30 Tayside 






133 (111, 154) - 159 369 716 346 174 21 Aberdeen City 

122 (98, 146) - 96 689 415 349 52 24 Aberdeenshire 

137 (101, 174) 19 359 571 503 225 125 19 Angus 

140 (96, 183) - 78 748 510 260 94 50 Argyll & Bute 

332 (282, 381) - 180 832 1 274 1 260 558 103 Ayrshire East 

262 (221, 302) - 231 694 682 866 699 93 Ayrshire North 

151 (115, 188) - 150 416 541 550 128 61 Ayrshire South 

94 (62, 125) z z z z z z z Borders 

168 (113, 223) z z z z z z z Clackmannanshire 

177 (141, 214) - 265 696 735 525 154 25 Dumfries & Galloway 

62 (37, 88) z z z z z z z Dunbartonshire East 

282 (232, 333) - 235 817 1 251 1 109 278 56 Dunbartonshire West 

247 (211, 284) - 386 649 1 076 802 325 48 Dundee City 



128 (101, 155) 7 112 598 468 363 174 14 Falkirk 

273 (247, 299) 35 518 907 1 125 705 245 47 Fife 

182 (167, 196) 17 175 267 462 693 359 96 Glasgow City 

182 (153, 210) 48 305 495 629 259 275 79 Highland 

283 (227, 339) 13 420 906 1 358 943 195 29 Inverclyde 


78 (64, 93) 3 86 350 298 222 122 5 Lanarkshire South 

211 (161, 260) - 299 1 262 547 545 201 26 Lothian East 

162 (133, 190) 24 263 487 738 330 315 16 Lothian West 

211 (161, 262) - 39 868 1 133 672 215 14 Midlothian 

114 (76, 152) z z z z z z z Moray 

31 (-4, 65) z z z z z z z Orkney 

107 (80, 135) 15 280 333 391 211 135 22 Perth & Kinross 

127 (101, 152) 13 169 407 448 429 201 18 Renfrewshire 

54 (28, 81) z z z z z z z Renfrewshire East 


144 (106, 182) 46 173 402 627 485 113 18 Stirling 




41


B1.4 Age group and gender: year ending 31 March 2007 

percentage and number of individuals ; gender and age group 


Both sexes Males Females Both sexes Males Females 

percentage 

numbers 

All ages (=100%) 12 222 8 454 3 768 


Under 15 years 1 1 2 149 92 57 

15-19 years 7 7 9 903 551 352 

20-24 years 17 15 21 2 075 1 290 785 

25-29 years 24 24 24 2 893 1 996 897 

30-34 years 21 22 20 2 618 1 857 761 

35-39 years 15 16 11 1 780 1 355 425 

40 years and over 15 16 13 1 804 1 313 491 

Due to rounding percentages may not add up to 100%. 



42


B1.5 Ethnic profile of new individuals: year ending 31 March 2007 

number of individuals by ethnic group 


numbers 

2006/07 

percentage 

New Individual patients/clients 12 222 

Information available (=100%) 11 811 

White: Scottish 11 339 96.0 

White: Other British 263 2.2 

White: Irish 44 0.4 

White: Any Other Backgroubd 87 0.7 

Mixed: Any Mixed Background 6 0.1 

Asian: Indian 5 0.0 

Asian: Pakistani 19 0.2 

Asian: Bangladeshi 1 0.0 

Asian: Chinese 2 0.0 

Asian: Any other background 6 0.1 

Black: Caribbean 6 0.1 

Black: African 15 0.1 

Black: Any other black background 9 0.1 

Any other ethnic background 9 0.1 


- (zero); 0.0 (>0.00 & < 0.1) 



43


B1.6 Source of referral to specialist drug services 1 : year ending 31 March 2007 

NHS board and council area of residence 

■ 



Self Health: Social Work: Criminal Justice: Criminal Jus 

Other/ not known 3 30 17 4 2 3 9 3 3 3 7 3 

G GP Primary Mental Other Criminal Child and Other DTTO Arrest DTTO Drug 

c care health Justice family 

referral Cour 

Scotland 2 

percentage 

31 27 4 3 4 5 3 2 2 3 2 

by NHS board 

Ayrshire & Arran 

24 41 9 1 5 3 1 1 0 0 0 

Borders 

20 52 - 5 2 1 2 2 1 - 1 

Dumfries & Galloway 43 18 4 2 2 3 3 0 1 11 1 - 

Fife 

34 17 10 3 5 7 3 1 4 1 4 

Forth Valley 

41 13 5 2 2 9 3 1 1 1 1 

Grampian 

25 46 2 2 3 8 1 2 

2 1 

Greater Glasgow & Clyde 42 20 3 4 4 4 5 4 2 1 2 

Highland 

22 22 4 6 5 8 4 1 2 2 2 

Lanarkshire 

14 32 5 3 8 13 7 3 2 1 2 

Lothian 

26 35 3 2 4 3 2 1 1 2 1 

Orkney 

z z z z z z z z z z z z z 

Shetland 

87 2 2 - - 4 - - - - - 

Tayside 

22 27 4 2 4 4 2 2 1 24 1 1 

Western Isles 

z z z z z z z z z z z z 

Outside Scotland 

15 25 6 17 21 - 2 4 2 - 2 - 

Other/ not known 3 

30 17 4 2 3 9 3 3 3 7 3 


Aberdeen City 

20 43 2 4 5 12 1 2 3 0 3 

Aberdeenshire 

29 48 1 1 1 5 2 3 - 2 - 

Angus 

25 22 7 3 8 8 4 6 - 4 - 

Argyll & Bute 

35 26 2 3 5 5 4 1 3 2 3 

Ayrshire East 

17 33 17 1 7 3 1 0 - 0 - 

Ayrshire North 

27 52 1 - 2 3 1 3 0 - 0 

Ayrshire South 

33 36 4 2 7 4 1 1 0 - 0 - 

Borders 

20 52 - 5 2 1 2 2 1 - 1 - 

Clackmannanshire 

42 12 4 2 1 13 1 - - 1 - 

Dumfries & Galloway 43 18 4 2 2 3 3 0 1 11 1 - 

Dunbartonshire East 29 37 11 3 6 - 6 - 5 - 5 - 

Dunbartonshire West 39 21 3 2 5 4 5 1 2 - 2 1 

Dundee City 

21 30 2 1 4 2 2 1 1 30 1 1 

Edinburgh City 

28 35 3 2 4 2 1 1 1 1 1 

Eilean Siar 


Falkirk 

45 10 5 3 1 9 3 0 1 1 1 

Fife 

34 17 10 3 5 7 3 1 4 1 4 

Glasgow City 

44 20 2 4 4 4 6 5 1 1 1 

Highland 

20 21 4 7 5 9 4 1 2 2 2 

Inverclyde 

39 18 2 2 5 1 5 3 5 - 5 

Lanarkshire North 

13 33 4 2 6 16 6 3 2 1 2 

Lanarkshire South 

18 31 5 3 9 9 9 2 1 1 1 

Lothian East 

19 58 4 1 4 1 2 0 0 0 0 

Lothian West 

24 23 2 2 5 5 3 2 3 6 3 

Midlothian 

30 29 2 2 3 7 5 1 2 1 2 

Moray 

26 51 2 - 4 1 2 1 3 1 3 

Orkney 


Perth & Kinross 

20 19 7 3 3 5 1 2 2 24 2 1 

Renfrewshire 

39 18 2 7 5 4 2 3 3 4 3 

Renfrewshire East 

47 23 4 - 5 7 2 2 1 - 1 - 

Shetland 

87 2 2 - - 4 - - - - - - 

Stirling 

31 21 6 1 3 6 4 3 1 1 

Outside Scotland 15 15 25 25 6 6 17 17 21 21 - - 2 2 4 4 2 - 2 





- (zero); 0 (>0.0 & < 0.5) 

|| Due to rounding percentages may not add up to 100%. 


44 



Source of referral to specialist drug services 1 : year ending 31 March 2007 B1.6 

continued 

Voluntary Education Housing Other Information Information 

Drug Prison Other service available unavailable 

Court 

(n=100%) 

numbers 

0 2 3 2 1 2 5 12 078 144 Scotland 2 

by NHS board 

- 1 5 1 - 3 6 1 048 110 Ayrshire & Arran 

- 2 1 6 - - 6 124 1 Borders 

- 6 1 3 - 1 1 315 - Dumfries & Galloway 

2 2 1 3 2 3 3 1 266 3 Fife 

1 2 7 4 1 0 9 576 2 Forth Valley 

- 0 2 2 0 0 3 871 2 Grampian 

0 3 3 1 0 1 3 3 362 9 Greater Glasgow & Clyde 

0 2 5 1 1 3 11 786 6 Highland 

0 2 6 0 0 1 2 612 1 Lanarkshire 

0 3 1 4 1 3 9 2 008 5 Lothian 

z z z z z z z 8 - Orkney 

- - - - - 4 - 46 - Shetland 

1 1 1 2 0 1 2 885 6 Tayside 

z z z z z z z 28 - Western Isles 

- 2 - - - - 6 52 - Outside Scotland 

- 4 5 3 - 4 5 193 - Other/ not known 3 


- 0 2 2 0 0 3 406 2 Aberdeen City 

- 1 2 1 0 0 2 353 - Aberdeenshire 

1 1 2 3 2 2 4 169 1 Angus 

- 1 4 2 - 5 4 141 2 Argyll & Bute 

- 0 2 2 - 4 12 447 15 Ayrshire East 

- 0 8 - - 2 1 402 82 Ayrshire North 

- 2 4 0 - 2 2 205 13 Ayrshire South 

- 2 1 6 - - 6 124 1 Borders 

- 2 6 6 1 - 7 135 - Clackmannanshire 

- 6 1 3 - 1 1 315 - Dumfries & Galloway 

- - - - - 2 2 63 - Dunbartonshire East 

1 10 2 1 1 1 3 397 3 Dunbartonshire West 

1 1 1 1 - 1 1 558 4 Dundee City 

0 2 2 5 0 2 10 1 086 5 Edinburgh City 

z z z z z z z 28 - Eilean Siar 

1 1 8 3 0 - 10 306 1 Falkirk 

2 2 1 3 2 3 3 1 266 3 Fife 

0 1 2 2 0 1 2 2 091 5 Glasgow City 

0 3 5 0 1 3 13 649 4 Highland 

1 10 5 1 0 0 3 319 - Inverclyde 

0 2 6 1 1 0 3 324 - Lanarkshire North 

1 2 4 0 - 2 2 383 1 Lanarkshire South 

- 1 1 1 0 3 5 263 - Lothian East 

- 5 1 4 2 4 10 489 - Lothian West 

- 2 1 1 1 3 10 175 - Midlothian 

- 1 2 3 - 2 3 115 - Moray 

z z z z z z z 8 - Orkney 

1 3 2 2 1 - 5 162 1 Perth & Kinross 

0 3 4 - - - 6 331 1 Renfrewshire 

- 2 1 - - - 5 83 - Renfrewshire East 

- - - - - 4 - 46 - Shetland 

- 2 6 6 1 1 6 144 1 Stirling 

- 2 - - - - 6 52 - Outside Scotland 

- 4 5 3 - 4 5 193 - Other/ not known 3 



45


B1.7 Co-occurring health issue(s) 1 : year ending 31 March 2007 


■ 


Information Information 

Drug-Related Mental available unavailable 

Physical Health Health Alcohol Other (=100%) 

percentage 4 

numbers 

Scotland 2 55 42 23 13 5 844 6 378 

by NHS board 


Ayrshire & Arran 20 44 4 58 585 573 

Borders 35 65 33 4 54 71 

Dumfries & Galloway 73 54 22 3 175 140 

Fife 70 28 10 12 587 682 

Forth Valley 62 51 11 8 253 325 

Grampian 76 32 13 9 446 427 

Greater Glasgow & Clyde 55 44 34 6 1 576 1 795 

Highland 28 31 63 9 399 393 

Lanarkshire 65 39 33 10 284 329 

Lothian 58 60 19 10 907 1 106 

Orkney z z z z 5 3 

Shetland z z z z 27 19 

Tayside 69 26 12 8 464 427 

Western Isles z z z z 17 11 

Outside Scotland 32 68 25 7 28 24 

Other/ not known 3 62 36 25 7 81 112 


Aberdeen City 77 38 9 12 219 189 

Aberdeenshire 80 21 11 6 178 175 

Angus 44 41 24 20 75 95 

Argyll & Bute 65 40 46 6 84 59 

Ayrshire East 24 33 5 54 222 240 

Ayrshire North 11 50 1 72 230 254 

Ayrshire South 29 51 5 39 136 82 

Borders 35 65 33 4 54 71 

Clackmannanshire 57 63 4 12 68 67 


Dunbartonshire East 63 58 8 8 24 39 

Dunbartonshire West 65 60 24 9 201 199 

Dundee City 78 17 8 7 321 241 

Edinburgh City 62 61 17 12 529 562 

Eilean Siar z z z z 17 11 

Falkirk 70 45 12 5 132 175 

Fife 70 28 10 12 587 682 

Glasgow City 53 37 40 5 1 018 1 078 

Highland 18 28 67 10 317 336 

Inverclyde 70 58 12 12 137 182 

Lanarkshire North 64 37 34 6 140 184 

Lanarkshire South 63 42 32 12 193 191 

Lothian East 60 73 17 8 92 171 

Lothian West 52 50 27 7 225 264 

Midlothian 46 60 10 8 63 112 

Moray 57 43 39 6 49 66 


Perth & Kinross 54 51 19 3 69 94 

Renfrewshire 44 54 30 7 129 203 

Renfrewshire East 40 44 40 - 25 58 

Shetland z z z z 27 19 

Stirling 49 53 14 7 57 88 






4. Percentages will not add up to 100% as individuals may report more than one presenting issue. 


- (zero); 0 (>0.0 & < 0.5) 


46 





47


B1.8 All illicit drugs 1,2,3 : year ending 31 March 2007 

number of individuals reporting using each drug of misuse; NHS board and council area of residence 


New individual Individuals Opiates B 

patients/clients reporting illicit 

drug use 4 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam T 

done codeine none orphine Opiates 

numbers 

Scotland 5 12 222 9 976 6 756 45 718 675 3 22 110 3 140 

by NHS board 


Ayrshire & Arran 1 158 830 508 - 70 55 - - 7 236 

Borders 125 110 67 1 9 20 - - 1 33 

Dumfries & Galloway 315 274 197 2 16 4 - - 7 72 

Fife 1 269 1 048 757 6 72 55 1 3 11 267 

Forth Valley 578 518 428 1 24 33 - 1 8 165 

Grampian 873 758 649 2 30 56 - 2 7 189 

Greater Glasgow & Clyde 3 371 2 690 1 636 1 102 80 - 9 22 893 

Highland 792 508 284 1 21 29 - - 7 133 

Lanarkshire 613 510 320 - 23 13 - - 3 134 

Lothian 2 013 1 753 1 186 2 296 190 2 4 18 644 

Orkney 8 z z z z z z z z z 

Shetland 46 45 36 2 3 12 - 2 3 16 

Tayside 891 811 641 25 48 109 - 1 11 324 

Western Isles 28 21 z z z z z z z z 

Outside Scotland 52 42 13 - 1 - - - 1 5 

Other/ not known 4 193 141 101 2 7 18 - 1 3 48 


Aberdeen City 408 355 295 1 22 17 - 1 3 100 

Aberdeenshire 353 309 282 - 7 30 - 1 - 55 

Angus 170 157 126 3 14 20 - - 3 67 

Argyll & Bute 143 119 80 - 5 - - - 2 48 

Ayrshire East 462 298 175 - 29 26 - - 2 92 

Ayrshire North 484 393 257 - 23 26 - - 5 109 

Ayrshire South 218 142 78 - 18 3 - - - 35 

Borders 125 110 67 1 9 20 - - 1 33 

Clackmannanshire 135 129 106 - 3 14 - - 2 52 

Dumfries & Galloway 315 274 197 2 16 4 - - 7 72 

Dunbartonshire East 63 50 28 - 3 1 - 1 2 17 

Dunbartonshire West 400 347 223 1 21 6 - 1 4 138 

Dundee City 562 522 413 19 31 73 - 1 5 213 

Edinburgh City 1 091 936 656 2 178 103 2 - 7 352 

Eilean Siar 28 21 z z z z z z z z 

Falkirk 307 281 241 1 18 15 - - 3 86 

Fife 1 269 1 048 757 6 72 55 1 3 11 267 

Glasgow City 2 096 1 608 931 - 62 53 - 4 13 489 

Highland 653 393 207 1 16 29 - - 5 87 

Inverclyde 319 262 159 - 8 6 - 1 1 94 

Lanarkshire North 324 270 156 - 8 10 - - 1 70 

Lanarkshire South 384 318 203 - 18 6 - - 3 86 

Lothian East 263 240 168 - 48 39 - 1 2 89 

Lothian West 489 425 276 - 46 32 - 2 9 152 

Midlothian 175 157 90 - 25 16 - 1 - 51 

Moray 115 96 74 1 1 9 - - 4 34 


Perth & Kinross 163 135 105 3 3 16 - - 3 45 

Renfrewshire 332 283 221 - 4 9 - 2 1 113 

Renfrewshire East 83 74 46 - 2 3 - - - 28 

Shetland 46 45 36 2 3 12 - 2 3 16 

Stirling 145 116 89 - 3 6 - 1 3 28 

Outside Scotland 52 42 13 - 1 - - - 1 5 

Other/ not known 6 193 141 101 2 7 18 - 1 3 48 


2. The total drugs reported is greater than the number of new individuals reporting illicit drug use because individuals may have reported use of more than one drug. 

3. An illicit drug is any drug that has not been prescribed for the user. This includes illegal drugs, volatile substances, and inappropriate use of over the counter medicines. 

4. At least one drug has been reported in the illicit drug profile. 




- (zero); 0 (>0.0 & < 0.5) 


48 



All illicit drugs 1,2,3 : year ending 31 March 2007 B1.8 

continued 

Benzodiazepines 

Other drug types 

Diazepam Temaz- Other Other Amphet- Cocaine Crack Ecstasy Hallucin- Cannabis Solvents Other 

epam Benzo- Sedatives amines Cocaine ogens Drugs 

diazepines 

3 140 103 209 23 560 1 076 504 471 21 3 231 61 127 Scotland 5 

by NHS board 

236 7 11 2 51 67 8 22 - 230 1 10 Ayrshire & Arran 

33 1 - 1 4 14 2 12 - 57 - 3 Borders 

72 5 7 - 26 33 1 18 3 95 1 6 Dumfries & Galloway 

267 9 24 1 84 49 3 49 - 416 18 12 Fife 

165 1 13 1 20 15 10 12 - 71 3 1 Forth Valley 

189 6 53 1 25 54 203 18 - 213 1 3 Grampian 

893 15 55 2 132 470 95 135 3 843 14 23 Greater Glasgow & Clyde 

133 6 3 3 50 48 6 35 6 217 6 9 Highland 

134 - 10 - 12 97 16 36 2 176 3 4 Lanarkshire 

644 30 14 - 94 151 126 85 6 665 9 26 Lothian 

z z z z z z z z z z z z Orkney 

16 - 4 - 17 5 12 8 1 21 - 3 Shetland 

324 20 6 - 33 40 20 26 1 166 4 27 Tayside 

z z z z z z z z z z z z Western Isles 

5 1 4 - 2 22 2 6 - 21 - - Outside Scotland 

48 1 5 1 9 11 6 5 - 41 1 3 Other/ not known 4 



100 4 8 - 8 30 130 5 - 90 - - Aberdeen City 

55 2 45 1 7 16 69 8 - 95 1 1 Aberdeenshire 

67 6 2 - 11 6 10 7 1 48 4 5 Angus 

48 1 1 1 13 24 1 9 1 53 - 2 Argyll & Bute 

92 3 5 1 20 16 4 7 - 95 - 5 Ayrshire East 

109 4 2 1 17 31 2 9 - 104 - 4 Ayrshire North 

35 - 4 - 15 20 2 6 - 31 1 1 Ayrshire South 

33 1 - 1 4 14 2 12 - 57 - 3 Borders 

52 - 3 - 5 6 2 3 - 22 - 1 Clackmannanshire 

72 5 7 - 26 33 1 18 3 95 1 6 Dumfries & Galloway 

17 - 2 - 1 10 3 1 - 9 - - Dunbartonshire East 

138 3 6 1 12 46 14 17 - 149 2 4 Dunbartonshire West 

213 10 3 - 12 22 6 12 - 93 - 19 Dundee City 

352 12 9 - 39 55 83 33 4 337 4 12 Edinburgh City 

z z z z z z z z z z z z Eilean Siar 

86 1 9 1 8 8 7 4 - 38 2 1 Falkirk 

267 9 24 1 84 49 3 49 - 416 18 12 Fife 

489 10 35 - 85 316 46 79 2 485 6 8 Glasgow City 

87 5 2 2 37 25 5 27 5 165 6 8 Highland 

94 2 8 1 10 20 20 16 - 99 2 4 Inverclyde 

70 - 5 - 8 49 5 19 2 105 - 2 Lanarkshire North 

86 - 5 - 8 62 14 23 - 102 3 4 Lanarkshire South 

89 3 2 - 13 18 8 11 1 97 1 2 Lothian East 

152 11 1 - 26 57 26 25 1 160 2 10 Lothian West 

51 4 2 - 16 21 9 16 - 73 2 2 Midlothian 

34 - - - 10 8 5 5 - 29 - 2 Moray 


45 4 1 - 10 12 4 7 - 26 - 3 Perth & Kinross 

113 - 3 - 15 46 11 8 - 51 2 3 Renfrewshire 

28 - 1 - 6 18 - 8 1 21 2 1 Renfrewshire East 

16 - 4 - 17 5 12 8 1 21 - 3 Shetland 

28 - 2 - 7 2 1 5 - 12 1 - Stirling 

5 1 4 - 2 22 2 6 - 21 - - Outside Scotland 

48 1 5 1 9 11 6 5 - 41 1 3 Other/ not known 6 


49


B1.9 All illicit drugs 1,2 : year ending 31 March 2007 

percentage of individuals using each drug of misuse by age group 

■ 


Individuals Opiates 

reporting illicit 

drug use 3 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other 

(=100%) done codeine none orphine Opiates 

percentage 

All ages 9 976 68 0 7 7 0 0 1 


Under 15 years 117 2 - - - - - - 

15 - 19 years 780 36 0 4 5 - 0 1 

20 - 24 years 1 821 72 0 8 7 - 0 1 

25 - 29 years 2 480 75 0 8 7 0 0 1 

30 - 34 years 2 155 72 1 8 7 - 0 1 

35 - 39 years 1 417 70 0 7 8 0 0 2 

40 years and over 1 206 63 0 6 6 0 0 2 

1. The total drugs reported is greater than the number of new individuals reporting illicit drug use because individuals may have reported use of more than one drug. Therefore percentages may add up to more than 

100%. 



- (zero); 0 (>0.0 & < 0.5) 



50


All illicit drugs 1,2 : year ending 31 March 2007 B1.9 

continued 





diazepines 

31 1 2 0 6 11 5 5 0 32 1 1 

10 - - - 7 6 - 14 2 81 14 1 

27 0 2 0 13 13 3 21 1 62 2 1 

37 1 2 0 5 13 6 7 0 33 1 2 

35 1 2 0 4 11 6 3 0 29 0 1 

32 1 2 0 5 10 5 2 0 28 0 1 

29 1 3 0 6 10 5 2 0 27 0 2 

24 1 1 0 6 10 3 2 - 28 0 2 



51


B1.10 Main illicit drug 1,2 : year ending 31 March 2007 



New individual Individuals Opiates 

patients/clients reporting illicit 

drug use 3 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other 

done codeine none orphine Opiates 

numbers 

Scotland 4 12 222 9 976 6 339 7 197 184 1 5 52 

by NHS board 


Ayrshire & Arran 1 158 830 452 - 30 20 - - 3 

Borders 125 110 60 1 - 1 - - 1 

Dumfries & Galloway 315 274 193 - 2 - - - 4 

Fife 1 269 1 048 729 - 23 12 1 1 3 

Forth Valley 578 518 412 - 5 18 - - 4 

Grampian 873 758 624 - 5 8 - - 3 

Greater Glasgow & Clyde 3 371 2 690 1 515 - 19 27 - 2 17 

Highland 792 508 265 1 1 6 - - 3 

Lanarkshire 613 510 310 - 5 5 - - 1 

Lothian 2 013 1 753 1 089 - 89 57 - 1 10 

Orkney 8 z z z z z z z z 

Shetland 46 45 31 1 2 - - - - 

Tayside 891 811 619 4 12 27 - - 2 

Western Isles 28 21 z z z z z z z 

Outside Scotland 52 42 11 - 1 - - - - 

Other/ not known 5 193 141 94 - 2 4 - 1 - 


Aberdeen City 408 355 281 - 3 2 - - 2 

Aberdeenshire 353 309 274 - 2 4 - - - 

Angus 170 157 116 - 2 5 - - - 

Argyll & Bute 143 119 72 - - - - - 2 

Ayrshire East 462 298 149 - 14 12 - - 1 

Ayrshire North 484 393 237 - 7 8 - - 2 

Ayrshire South 218 142 68 - 9 - - - - 

Borders 125 110 60 1 - 1 - - 1 

Clackmannanshire 135 129 99 - - 9 - - 1 

Dumfries & Galloway 315 274 193 - 2 - - - 4 

Dunbartonshire East 63 50 24 - 1 - - - 1 

Dunbartonshire West 400 347 204 - 4 1 - - 3 

Dundee City 562 522 405 4 10 16 - - 1 

Edinburgh City 1 091 936 592 - 63 38 - - 3 

Eilean Siar 28 21 z z z z z z z 

Falkirk 307 281 234 - 4 5 - - 1 

Fife 1 269 1 048 729 - 23 12 1 1 3 

Glasgow City 2 096 1 608 858 - 10 21 - 1 10 

Highland 653 393 196 1 1 6 - - 1 

Inverclyde 319 262 152 - - 2 - - 1 

Lanarkshire North 324 270 151 - 1 4 - - 1 

Lanarkshire South 384 318 196 - 5 2 - - 1 

Lothian East 263 240 155 - 12 7 - - 2 

Lothian West 489 425 265 - 10 7 - - 5 

Midlothian 175 157 80 - 4 5 - 1 - 

Moray 115 96 70 - - 2 - - 1 


Perth & Kinross 163 135 101 - - 6 - - 1 

Renfrewshire 332 283 209 - 1 2 - 1 1 

Renfrewshire East 83 74 40 - 2 - - - - 

Shetland 46 45 31 1 2 - - - - 

Stirling 145 116 87 - 1 4 - - 2 

Outside Scotland 52 42 11 - 1 - - - - 

Other/ not known 5 193 141 94 - 2 4 - 1 - 







- (zero); 0 (>0.0 & < 0.5) 


52 



Main illicit drug 1,2 : year ending 31 March 2007 B1.10 

continued 





diazepines 

576 7 33 4 230 501 67 79 1 1 372 25 66 Scotland 4 

by NHS board 

77 - 2 1 25 24 1 2 - 90 - 9 Ayrshire & Arran 

5 - - - 1 8 - 2 - 28 - 2 Borders 

13 - - - 10 15 - 5 - 28 - 3 Dumfries & Galloway 

33 1 4 - 25 13 1 10 - 170 4 8 Fife 

14 - 1 - 13 5 - 2 - 37 2 - Forth Valley 

17 1 2 1 11 14 21 7 - 37 - - Grampian 

225 3 19 1 65 248 27 21 1 465 8 10 Greater Glasgow & Clyde 

24 1 0 1 19 17 1 4 - 103 3 4 Highland 

20 - 1 - 7 52 2 5 - 96 - - Lanarkshire 

111 1 2 - 41 67 9 15 - 235 5 9 Lothian 


- - - - 2 - - 2 - 5 - 1 Shetland 

30 - 1 - 6 19 4 2 - 51 3 22 Tayside 

z z z z z z z z z z z z Western Isles 

2 - - - 1 16 1 2 - 5 - - Outside Scotland 

6 - 1 - 4 4 1 - - 15 - - Other/ not known 5 



11 1 2 1 3 11 21 2 - 13 - - Aberdeen City 

3 - - - 2 2 1 2 - 15 - - Aberdeenshire 

5 - - - 1 3 3 - - 12 3 4 Angus 

10 - - 1 2 7 - - - 23 - - Argyll & Bute 

38 - 1 - 9 6 1 - - 36 - 4 Ayrshire East 

28 - 1 1 9 7 - - - 36 - 4 Ayrshire North 

11 - - - 8 11 - 2 - 18 - 1 Ayrshire South 

5 - - - 1 8 - 2 - 28 - 2 Borders 

5 - - - 2 2 - 1 - 8 - - Clackmannanshire 

13 - - - 10 15 - 5 - 28 - 3 Dumfries & Galloway 

6 - 1 - 1 7 1 1 - 6 - - Dunbartonshire East 

37 1 1 1 4 27 2 2 - 58 1 - Dunbartonshire West 

20 - 1 - 3 10 1 2 - 31 - 16 Dundee City 

64 - 1 - 17 20 6 5 - 111 1 5 Edinburgh City 

z z z z z z z z z z z z Eilean Siar 

5 - - - 5 3 - 1 - 21 1 - Falkirk 

33 1 4 - 25 13 1 10 - 170 4 8 Fife 

130 2 13 - 50 164 18 14 - 295 4 6 Glasgow City 

14 1 - - 17 11 1 4 - 80 3 4 Highland 

23 - 3 - 5 6 2 3 - 63 - 2 Inverclyde 

12 - 1 - 4 28 - - - 65 - - Lanarkshire North 

12 - - - 5 32 4 5 - 53 - - Lanarkshire South 

12 - - - 7 5 - 1 - 36 1 1 Lothian East 

23 - 1 - 11 31 2 7 - 59 1 2 Lothian West 

12 1 - - 6 11 1 2 - 31 2 1 Midlothian 

3 - - - 6 1 - 3 - 9 - - Moray 


5 - - - 2 6 - - - 8 - 2 Perth & Kinross 

20 - 1 - 3 21 3 1 - 14 2 2 Renfrewshire 

6 - - - 1 14 - - 1 8 1 - Renfrewshire East 

- - - - 2 - - 2 - 5 - 1 Shetland 

4 - 1 - 6 - - - - 8 1 - Stirling 

2 - - - 1 16 1 2 - 5 - - Outside Scotland 

6 - 1 - 4 4 1 - - 15 - - Other/ not known 5 


53


B1.11 Reports of heroin use 1 , people under the age of 25: year ending 31 March 2007 

percentage of individuals reporting use of heroin; NHS board and council area of residence 

■ 


2006/07 Individuals 

reporting illicit 

drug use 2 

percentage (=100%) 

Scotland 3 58 2 718 

by NHS board 


Ayrshire & Arran 57 178 

Borders 56 39 

Dumfries & Galloway 64 92 

Fife 56 326 

Forth Valley 70 125 

Grampian 83 208 

Greater Glasgow & Clyde 41 574 

Highland 46 171 

Lanarkshire 42 163 

Lothian 64 524 

Orkney z z 

Shetland 80 25 

Tayside 82 261 

Western Isles z 12 

Outside Scotland - 4 

Other/ not known 4 67 33 


Aberdeen City 85 88 

Aberdeenshire 86 88 

Angus 80 60 

Argyll & Bute 66 38 

Ayrshire East 62 58 

Ayrshire North 57 92 

Ayrshire South 50 28 

Borders 56 39 

Clackmannanshire 71 34 


Dunbartonshire East z 11 

Dunbartonshire West 54 79 

Dundee City 84 162 

Edinburgh City 70 255 

Eilean Siar z 12 

Falkirk 74 65 

Fife 56 326 

Glasgow City 37 324 


Inverclyde 39 62 

Lanarkshire North 32 90 

Lanarkshire South 49 89 

Lothian East 67 87 

Lothian West 56 135 

Midlothian 51 49 

Moray 66 32 

Orkney z z 

Perth & Kinross 80 41 

Renfrewshire 60 65 

Renfrewshire East 31 16 


Stirling 59 27 

Outside Scotland - 4 







- (zero); 0 (>0.0 & < 0.5) 


54 





55


B1.12 Drugs used in combination with heroin when heroin is the main drug 

of misuse 1,2 : year ending 31 March 2007 


■ 


Individuals Opiates B 

New individual reporting 

patients/clients heroin as a Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam Temazmain 

drug done codeine none orphine Opiates epam 

(=100%) 

numbers percentage 3 



by NHS board 

Ayrshire & Arran 1 158 452 - 7 5 - - 0 25 0 

Borders 125 60 - 12 28 - - - 32 2 

Dumfries & Galloway 315 193 1 7 2 - - 1 24 2 

Fife 1 269 729 1 7 5 - 0 1 28 1 

Forth Valley 578 412 0 4 3 - 0 0 30 0 

Grampian 873 624 0 4 7 - 0 0 25 1 

Greater Glasgow & Clyde 3 371 1 515 0 5 3 - 0 0 34 1 

Highland 792 265 - 6 6 - - 1 34 2 

Lanarkshire 613 310 - 6 2 - - 0 29 - 

Lothian 2 013 1 089 0 17 10 0 0 0 40 2 


Shetland 46 31 z z z z z z z z 

Tayside 891 619 3 5 12 - 0 1 42 3 

Western Isles 28 z z z z z z z z z 

Outside Scotland 52 11 - - - - - - 9 - 

Other/ not known 5 193 94 2 5 13 - - 2 36 - 


Aberdeen City 408 281 - 6 5 - 0 - 28 1 

Aberdeenshire 353 274 - 1 9 - 0 - 17 1 

Angus 170 116 3 9 13 - - 1 46 3 

Argyll & Bute 143 72 - 4 - - - - 44 - 

Ayrshire East 462 149 - 7 6 - - 1 25 1 

Ayrshire North 484 237 - 6 6 - - 0 25 - 

Ayrshire South 218 68 - 10 1 - - - 22 - 

Borders 125 60 - 12 28 - - - 32 2 

Clackmannanshire 135 99 - 2 4 - - - 37 - 

Dumfries & Galloway 315 193 1 7 2 - - 1 24 2 

Dunbartonshire East 63 24 z z z z z z z z 

Dunbartonshire West 400 204 0 7 1 - 0 - 41 1 

Dundee City 562 405 3 4 13 - 0 1 43 2 

Edinburgh City 1 091 592 0 17 9 0 - 0 39 1 

Eilean Siar 28 z z z z z z z z z 

Falkirk 307 234 0 6 4 - - 1 30 0 

Fife 1 269 729 1 7 5 - 0 1 28 1 

Glasgow City 2 096 858 - 5 3 - 0 0 32 1 

Highland 653 196 - 6 9 - - 2 31 2 

Inverclyde 319 152 - 5 3 - 1 - 39 1 

Lanarkshire North 324 151 - 5 3 - - - 32 - 

Lanarkshire South 384 196 - 7 2 - - 1 26 - 

Lothian East 263 155 - 22 15 - 1 - 42 2 

Lothian West 489 265 - 12 9 - 0 1 42 4 

Midlothian 175 80 - 25 8 - - - 34 3 

Moray 115 70 1 1 9 - - 1 39 - 


Perth & Kinross 163 101 3 3 10 - - - 35 4 

Renfrewshire 332 209 - 1 3 - 0 - 37 - 

Renfrewshire East 83 40 - - 8 - - - 30 - 

Shetland 46 31 z z z z z z z z 

Stirling 145 87 - 2 2 - 1 - 17 - 

Outside Scotland 52 11 - - - - - - 9 - 

Other/ not known 5 193 94 2 5 13 - - 2 36 - 



3. Percentages may add up to more than 100% as individuals may have reported use of more than one drug. 




- (zero); 0 (>0.0 & < 0.5) 


56 



Drugs used in combination with heroin when heroin is the main 

drug of misuse 1,2 : year ending 31 March 2007 

B1.12 

continued 



Diazepam Temaz- Other Temaz- Other Amphet-Other Cocaine Amphet- Crack CocaineEcstasyCrack Hallucin- Ecstasy Cannabis Hallucin- Solvents Cannabis Other Other Solvents Other 

epam Benzo- Sedatives amines Cocaine ogens Drugs D 

diazepines 

33 1 2 1 02 2 0 5 2 6 5 1 6 0 1 20 0 0 20 0 0 0 0Scotland S 

4 S 

by NHS board 

25 0 1 0 01 1 0 1 1 2 1 0 2 - 0 12 - - 12 - - - Ayrshire A - & Arran A 

32 2 - 2 - - 2 - 3 2 2 3 3 2 - 3 30 - - 30 - - - - Borders B 

B 

24 2 2 2 - 2 3 - 4 3 - 4 2 - 1 2 26 1 - 26 1 1 - Dumfries D & 1Galloway 

D 

28 1 2 0 4 3 0 1 - 27 - 0 0 Fife F 

30 0 3 0 03 1 0 1 1 2 1 0 2 - 0 7 - - 7 - - - Forth -F 

Valley F 

25 1 7 1 07 0 0 5 0 28 5 0 28 - 0 25 - - 25 0 0 - 0Grampian 

G 

G 

34 1 1 1 01 1 0 10 1 4 10 1 4 - 1 16 - 0 16 1 1 Greater G0 Glasgow 1 & GClyde 

34 2 1 2 - 1 4 - 7 4 2 7 3 2 1 3 28 1 - 28 0 0 - 0 Highland H 

H 

29 - 3 - - 3 0 - 8 0 4 8 2 4 - 2 16 - 1 16 1 1 1 Lanarkshire 1L 

L 

40 2 1 2 - 1 1 - 4 1 9 4 1 9 0 1 27 0 0 27 1 1 0 1 Lothian L 

L 

z z z z z z z z z z z z z Orkney O 

z z z z z z z z z z z z z Shetland S 

42 3 0 3 - 0 2 - 2 2 2 2 1 2 - 1 14 - 0 14 0 0 0 0 Tayside T 

T 

z z z z z z z z z z z z z Western W Isles 

9 - 18 - - 45 - - - 45 - - - Outside O Scotland 

36 - 4 - 14 4 1 5 4 5 5 2 5 - 2 20 - 1 20 2 2 1 Other/ O not 2 known 5 O 



28 1 2 1 - 2 1 - 6 1 38 6 - 38 - - 24 - - 24 - - - Aberdeen A- City A 

17 1 15 1 015 0 0 4 0 24 4 1 24 - 1 27 - - 27 0 0 - Aberdeenshire 

A0 A 

46 3 - 3 - - 5 - 1 5 6 1 1 6 - 1 21 - 1 21 1 1 1 1 Angus A 

A 

44 - - - - - 8 - 14 8 1 14 4 1 - 4 26 - - 26 3 3 - Argyll 3A 

& Bute A 

25 1 - 1 1 - 1 1 1 1 2 1 1 2 - 1 16 - - 16 - - - Ayrshire A- East A 

25 - 0 - - 0 1 - 1 1 1 1 - 1 - - 11 - - 11 - - - Ayrshire A- North A 

22 - 4 - - 4 3 - 1 3 3 1 1 3 - 1 4 - - 4 - - - Ayrshire A - South A 

32 2 - 2 - - 2 - 3 2 2 3 3 2 - 3 30 - - 30 - - - - Borders B 

B 

37 - 3 - - 3 1 - 3 1 2 3 1 2 - 1 12 - - 12 - - - Clackmannanshire 

C - C 

24 2 2 2 - 2 3 - 4 3 - 4 2 - 1 2 26 1 - 26 1 1 - Dumfries D & 1Galloway 

D 

z z z z z z z z z z z z z Dunbartonshire D 

East 

41 1 0 1 - 0 1 - 5 1 5 5 1 5 - 1 32 - 0 32 1 1 0 Dunbartonshire D 1 West D 

43 2 0 2 - 0 1 - 2 1 1 2 - 1 - - 12 - - 12 0 0 - Dundee 0D 

City D 

39 1 1 1 - 1 1 - 4 1 11 4 1 11 0 1 25 0 1 25 1 1 1 Edinburgh E1 City E 

z z z z z z z z z z z z z Eilean E Siar 

30 0 3 0 03 1 0 1 1 3 1 - 3 - - 6 - - 6 0 0 - 0 Falkirk F 

F 

28 1 2 1 02 4 0 3 4 0 3 1 0 - 1 27 - - 27 0 0 - 0 Fife F 

F 

32 1 2 1 - 2 1 - 11 1 3 11 1 3 - 1 14 - 0 14 0 0 0 Glasgow G0 City G 

31 2 1 2 - 1 3 - 4 3 2 4 2 2 2 2 28 2 - 28 - - - - Highland H 

H 

39 1 1 1 11 1 1 7 1 10 7 1 10 - 1 13 - - 13 1 1 - 1Inverclyde 

I 

I 

32 - 3 - -3 - - 10 - 3 10 2 3 - 2 17 - - 17 1 1 - Lanarkshire L 1 North L 

26 - 2 - - 2 1 - 6 1 4 6 2 4 - 2 15 - 1 15 2 2 1 Lanarkshire L 2 South L 

42 2 1 2 - 1 1 - 2 1 4 2 1 4 - 1 27 - - 27 - - - Lothian -L 

East L 

42 4 - 4 - - 2 - 6 2 8 6 2 8 - 2 27 - - 27 1 1 - Lothian L1 West L 

34 3 3 3 - 3 3 - 4 3 9 4 4 9 - 4 34 - - 34 - - - -Midlothian 

M 

M 

39 - - - - - - - 3 - 6 3 - 6 - - 23 - - 23 - - - - Moray M 

M 

z z z z z z z z z z z z z Orkney O 

35 4 - 4 - - 5 - 4 5 4 4 3 4 - 3 14 - - 14 - - - Perth P -& Kinross P 

37 - 1 - - 1 2 - 9 2 3 9 0 3 - 0 13 - - 13 - - - Renfrewshire R- R 

30 - - - - - 3 - 8 3 - 8 - - - - 15 - - 15 - - - Renfrewshire R - East R 

z z z z z z z z z z z z z Shetland S 

17 - 1 - -1 - - - - 1 - - 1 - - 1 - - 1 - - - - Stirling S 

S 

9 - 18 - - 45 - - - 45 - - - Outside O Scotland 

36 - 4 - 14 4 1 5 4 5 5 2 5 - 2 20 - 1 20 2 2 1 Other/ O not 2 known 5 O 


57


B1.13 All prescribed drugs 1,2,3 : year ending 31 March 2007 

number of individuals reporting prescribed use of each drug; NHS board and council area of residence 

■ 


New individual Individuals Opiates: Benzodiazepines: Sedatives: Other 

patients/clients reporting Metha- Dihydro- Other Diazepam Temaz- Other Other Drugs 

prescribed done codeine Opiates epam Nitrazepam Benzo- Zopiclone Sedatives 

drug use 4 

diazepines 

numbers 

Scotland 5 12 222 5 099 3 152 449 129 1 401 96 195 174 117 57 1 352 

by NHS board 


Ayrshire & Arran 1 158 643 396 35 16 153 4 6 77 15 6 185 

Borders 125 50 8 17 2 22 2 1 1 - - 21 

Dumfries & Galloway 315 107 45 8 5 39 4 8 1 5 - 31 

Fife 1 269 550 362 18 17 90 12 12 7 13 7 154 

Forth Valley 578 118 52 13 4 29 2 3 1 1 2 42 

Grampian 873 408 241 88 6 120 5 90 5 33 5 66 

Greater Glasgow & Clyde 3 371 1 416 994 75 30 296 19 47 57 13 16 352 

Highland 792 213 64 27 6 69 6 5 7 14 4 82 

Lanarkshire 613 214 153 12 2 38 2 7 4 3 - 41 

Lothian 2 013 993 665 112 24 424 28 10 6 8 9 234 

Orkney 8 z z z z z z z z z z z 

Shetland 46 21 z z z z z z z z z z 

Tayside 891 286 137 31 12 92 6 3 2 11 7 103 

Western Isles 28 15 z z z z z z z z z z 

Outside Scotland 52 25 10 - 1 5 4 - 4 - - 9 

Other/ not known 6 193 77 50 6 2 16 1 2 1 1 1 23 


Aberdeen City 408 206 158 12 1 49 - 3 1 24 3 42 

Aberdeenshire 353 175 72 75 5 63 4 86 3 7 1 16 

Angus 170 54 25 4 - 19 - - - 2 2 12 

Argyll & Bute 143 51 15 12 1 13 - 3 4 2 1 19 

Ayrshire East 462 347 260 20 6 90 2 5 18 2 4 86 

Ayrshire North 484 147 52 12 5 33 1 1 39 4 1 41 

Ayrshire South 218 153 87 3 5 32 1 1 20 9 1 59 

Borders 125 50 8 17 2 22 2 1 1 - - 21 

Clackmannanshire 135 20 z z z z z z z z z z 


Dunbartonshire East 63 38 z z z z z z z z z z 

Dunbartonshire West 400 209 136 6 6 72 5 9 4 6 4 67 

Dundee City 562 170 86 21 9 65 3 1 2 4 3 65 

Edinburgh City 1 091 557 405 69 7 230 14 2 2 5 4 110 

Eilean Siar 28 15 z z z z z z z z z z 

Falkirk 307 63 27 8 1 17 2 1 - 1 2 24 

Fife 1 269 550 362 18 17 90 12 12 7 13 7 154 

Glasgow City 2 096 832 582 40 18 164 13 32 51 3 9 187 

Highland 653 165 49 16 5 58 6 2 4 12 3 63 

Inverclyde 319 176 143 14 4 29 - 5 - 1 - 46 

Lanarkshire North 324 118 94 3 1 15 1 3 3 2 - 16 

Lanarkshire South 384 133 90 11 1 28 1 5 1 1 - 29 

Lothian East 263 142 94 18 - 84 3 4 1 1 1 28 

Lothian West 489 219 110 19 16 85 11 3 2 3 4 76 

Midlothian 175 79 58 7 1 26 - 1 1 - - 21 

Moray 115 30 z z z z z z z z z z 


Perth & Kinross 163 63 27 6 3 8 3 2 - 5 2 26 

Renfrewshire 332 113 78 5 2 17 - - 1 3 2 30 

Renfrewshire East 83 21 z z z z z z z z z z 


Stirling 145 39 z z z z z z z z z z 


Other/ not known 6 193 77 50 6 2 16 1 2 1 1 1 23 


2. The total drugs reported is greater than the number of new individuals reporting prescribed drug use because individuals may have reported use of more than one drug. 

3. A prescribed drug is defined as 'any drug which is prescribed for the treatment of drug misuse or dependence'. 

4. At least one drug has been reported in the prescribed drug profile. 




- (zero); 0 (>0.0 & < 0.5) 


58 



B1.14 Main prescribed drug 1,2 : year ending 31 March 2007 

number of individuals reporting using each drug as main prescribed drug; NHS board and council area of residence 

■ 


New individual Individuals Opiates: Benzodiazepines: Sedatives: Other 

patients/clients reporting Metha- Dihydro- Other Diazepam Temaz- Other Other Drugs 

prescribed done codeine Opiates epam Nitrazepam Benzo- Zopiclone Sedatives 

drug use 3 

diazepines 

numbers 


by NHS board 

Ayrshire & Arran 1 158 643 394 27 10 26 3 - 69 - 3 111 

Borders 125 50 7 17 1 9 - - 1 - - 15 


Fife 1 269 550 360 15 13 40 3 4 3 4 1 107 

Forth Valley 578 118 51 8 3 18 1 - - - - 37 

Grampian 873 408 239 86 2 29 - 7 2 8 1 34 


Highland 792 213 63 24 5 45 4 - 6 2 - 64 

Lanarkshire 613 214 153 11 2 10 1 1 4 1 - 31 

Lothian 2 013 993 658 105 12 78 9 2 3 4 1 121 



Tayside 891 286 136 23 10 32 3 2 - 5 2 73 

Western Isles 28 15 z z z z z z z z z z 


Other/ not known 5 193 77 48 3 2 4 1 - 1 - 1 17 



Aberdeen City 408 206 156 12 - 13 - 1 - 3 1 20 

Aberdeenshire 353 175 72 74 2 10 - 5 2 4 - 6 

Angus 170 54 25 4 - 12 - - - 1 1 11 

Argyll & Bute 143 51 15 11 1 8 - - 4 - - 12 

Ayrshire East 462 347 260 17 4 9 2 - 13 - 2 40 

Ayrshire North 484 147 50 9 3 11 - - 39 - - 35 

Ayrshire South 218 153 87 1 3 6 1 - 17 - 1 37 

Borders 125 50 7 17 1 9 - - 1 - - 15 

Clackmannanshire 135 20 z z z z z z z z z z 


Dunbartonshire East 63 38 z z z z z z z z z z 

Dunbartonshire West 400 209 133 4 4 27 - 1 2 2 - 36 

Dundee City 562 170 86 16 7 15 1 1 - - 1 43 

Edinburgh City 1 091 557 402 62 3 29 4 - 1 2 - 54 

Eilean Siar 28 15 z z z z z z z z z z 

Falkirk 307 63 27 4 - 9 1 - - - - 22 

Fife 1 269 550 360 15 13 40 3 4 3 4 1 107 

Glasgow City 2 096 832 577 33 8 55 2 5 42 1 2 107 

Highland 653 165 48 13 4 39 4 - 3 2 - 52 

Inverclyde 319 176 143 9 2 9 - 1 - - - 12 

Lanarkshire North 324 118 94 3 1 5 - 1 3 1 - 10 

Lanarkshire South 384 133 90 10 1 6 1 - 1 - - 24 

Lothian East 263 142 93 18 - 17 1 - 1 1 - 11 

Lothian West 489 219 107 19 8 32 4 2 1 1 1 44 

Midlothian 175 79 58 7 1 - - - - - - 13 

Moray 115 30 z z z z z z z z z z 


Perth & Kinross 163 63 26 3 3 5 2 1 - 4 - 19 

Renfrewshire 332 113 76 3 1 6 - - 1 - 2 24 

Renfrewshire East 83 21 z z z z z z z z z z 


Stirling 145 39 z z z z z z z z z z 


Other/ not known 5 193 77 48 3 2 4 1 - 1 - 1 17 


2. A prescribed drug is defined as 'any drug which is prescribed for the treatment of drug misuse or dependence'. 

3. At least one drug has been reported in the prescribed drug profile. 




- (zero); 0 (>0.0 & < 0.5) 



59


B1.15 Age when first started using illicit drugs 1,2 : year ending 31 March 2007 



Under 15-19 20-24 25-29 30-34 35-39 40 years Information Information 

15 years years years years years years and over available unavailable 

(=100%) 

percentage 

numbers 

Scotland 3 41 40 9 5 3 1 1 10 340 1 882 

by NHS board 


Ayrshire & Arran 38 42 10 6 3 1 1 759 399 

Borders 49 44 3 2 1 1 2 117 8 

Dumfries & Galloway 45 39 8 5 2 1 - 288 27 

Fife 46 40 8 2 2 1 1 1 204 65 

Forth Valley 41 36 13 5 4 1 1 542 36 

Grampian 44 44 7 2 1 1 1 799 74 


Highland 43 38 10 5 3 1 1 464 328 

Lanarkshire 36 38 14 6 4 2 0 574 39 

Lothian 43 41 9 3 2 1 1 1 778 235 

Orkney z z z z z z z 6 2 

Shetland 71 27 2 - - - - 45 1 

Tayside 32 48 10 4 3 2 1 795 96 

Western Isles z z z z z z z 18 10 

Outside Scotland 45 29 14 2 7 2 - 42 10 

Other/ not known 4 45 35 6 7 5 1 1 152 41 


Aberdeen City 43 43 7 4 2 1 0 389 19 


Angus 40 44 7 4 1 2 1 156 14 

Argyll & Bute 48 40 5 4 3 - - 96 47 

Ayrshire East 38 40 10 6 4 1 1 389 73 

Ayrshire North 42 42 7 5 3 - 0 204 280 

Ayrshire South 34 43 13 6 2 1 1 172 46 

Borders 49 44 3 2 1 1 2 117 8 


Dumfries & Galloway 45 39 8 5 2 1 - 288 27 

Dunbartonshire East 34 42 14 3 3 2 2 59 4 


Dundee City 31 49 11 4 2 1 1 516 46 


Eilean Siar z z z z z z z 18 10 

Falkirk 38 38 14 5 4 1 - 295 12 

Fife 46 40 8 2 2 1 1 1 204 65 

Glasgow City 37 38 10 7 4 2 1 1 722 374 

Highland 42 37 11 5 3 1 1 372 281 

Inverclyde 41 43 8 3 4 1 1 301 18 



Lothian East 43 44 7 2 2 1 1 250 13 

Lothian West 45 41 7 2 3 1 1 422 67 

Midlothian 42 42 8 4 1 3 1 170 5 

Moray 41 46 8 - 2 1 1 95 20 


Perth & Kinross 29 45 10 6 5 2 3 126 37 

Renfrewshire 41 36 9 7 3 2 2 225 107 

Renfrewshire East 39 48 6 4 1 3 - 80 3 

Shetland 71 27 2 - - - - 45 1 

Stirling 48 33 11 5 2 2 1 132 13 

Outside Scotland 45 29 14 2 7 2 - 42 10 



2. Includes illicit drugs, volatile substances, inappropriate use of over the counter medicines. Exlcudes alcohol and tobacco. 




- (zero); 0 (>0.0 & < 0.5) 


Caution is advised in interpreting percentage differences across age groups, due to small numbers. 


60 



B1.16 Age at onset of problem drug use 1 : year ending 31 March 2007 


■ 




(=100%) 

percentage 

numbers 


by NHS board 


Borders 4 39 25 20 9 1 3 111 14 


Fife 8 40 27 13 6 3 2 1 184 85 

Forth Valley 6 33 29 16 10 4 3 535 43 

Grampian 4 43 31 12 6 2 1 791 82 


Highland 11 36 27 11 9 5 2 447 345 

Lanarkshire 9 33 28 17 8 4 1 560 53 

Lothian 6 40 27 13 7 3 2 1 756 257 


Shetland 9 47 26 19 - - - 43 3 

Tayside 4 44 29 12 6 3 2 767 124 


Outside Scotland 5 38 17 10 12 14 5 42 10 




Aberdeen City 5 48 28 11 5 2 1 385 23 


Angus 6 50 22 11 5 6 1 151 19 

Argyll & Bute 10 44 24 9 10 4 - 93 50 

Ayrshire East 3 39 24 20 7 3 3 387 75 

Ayrshire North 7 36 23 13 11 3 6 302 182 

Ayrshire South 5 37 23 17 6 5 8 173 45 

Borders 4 39 25 20 9 1 3 111 14 



Dunbartonshire East 4 27 29 20 11 4 5 55 8 


Dundee City 3 42 32 11 6 3 2 497 65 



Falkirk 5 34 30 16 11 3 1 294 13 

Fife 8 40 27 13 6 3 2 1 184 85 

Glasgow City 6 36 26 16 8 4 3 1 659 437 

Highland 11 35 27 11 8 5 3 358 295 

Inverclyde 6 47 26 10 5 3 1 298 21 



Lothian East 5 51 21 11 6 3 2 249 14 

Lothian West 7 37 25 13 12 4 2 419 70 

Midlothian 3 41 31 16 4 2 4 167 8 

Moray 4 34 33 12 9 3 4 93 22 


Perth & Kinross 2 41 27 12 9 1 7 121 42 

Renfrewshire 7 36 25 17 9 2 3 214 118 


Shetland 9 47 26 19 - - - 43 3 

Stirling 9 33 26 16 9 2 5 129 16 







- (zero); 0 (>0.0 & < 0.5) 





61


B1.17 Age when help first sought 1,2 : year ending 31 March 2007 


■ 




(=100%) 

percentage 

numbers 


by NHS board 



Borders 1 21 31 22 10 6 9 68 57 


Fife 3 25 30 20 11 7 4 965 304 

Forth Valley 3 21 27 21 18 7 4 396 182 

Grampian 2 29 36 20 9 3 2 642 231 


Highland 4 22 34 17 12 6 5 363 429 

Lanarkshire 2 18 33 23 16 5 2 383 230 

Lothian 1 26 32 21 10 6 4 1 307 706 


Shetland 3 35 35 10 13 3 3 40 6 

Tayside 2 29 33 18 9 5 3 595 296 





Aberdeen City 1 34 37 16 9 3 1 313 95 


Angus 6 25 36 17 7 7 2 121 49 

Argyll & Bute 2 28 38 11 17 3 2 65 78 

Ayrshire East 1 20 33 23 11 6 5 368 94 


Ayrshire South - 17 31 23 9 8 12 155 63 

Borders 1 21 31 22 10 6 9 68 57 

Clackmannanshire - 23 28 16 15 13 6 88 47 


Dunbartonshire East - 21 42 12 9 14 2 43 20 


Dundee City 1 30 34 19 9 5 2 387 175 



Falkirk 4 21 25 25 18 5 2 220 87 

Fife 3 25 30 20 11 7 4 965 304 

Glasgow City 2 17 26 26 14 7 7 1 220 876 

Highland 4 21 33 18 11 7 6 302 351 

Inverclyde 2 31 34 17 8 6 3 253 66 



Lothian East 1 34 35 15 8 5 3 187 76 

Lothian West 2 23 33 19 12 9 3 334 155 

Midlothian 1 24 34 25 8 4 4 126 49 

Moray 3 15 32 32 9 3 5 74 41 


Perth & Kinross 4 29 26 16 12 6 8 90 73 

Renfrewshire 3 26 31 20 12 6 2 162 170 


Shetland 3 35 35 10 13 3 3 40 6 

Stirling 3 19 29 18 22 4 4 95 50 




2. Includes professional help/advice for their drug misuse problem. 




- (zero); 0 (>0.0 & < 0.5) 




62 



B1.18 Time from first used illicit drugs until onset of problem drug use 1,2 : 

year ending 31 March 2007 


■ 


Less than 1 - 2 3 - 4 5 - 6 7 - 8 9 - 10 11-14 15 years Information Information 

1 year years years years years years years and over available unavailable 

percentage 

(=100%) 

numbers 


by NHS board 

Ayrshire & Arran 12 24 18 13 9 5 8 10 742 416 

Borders 5 19 16 18 12 7 15 6 110 15 

Dumfries & Galloway 13 20 22 12 10 7 9 6 285 30 

Fife 12 22 21 14 10 7 9 7 1 170 99 

Forth Valley 9 25 18 16 11 5 8 7 532 46 

Grampian 8 23 22 16 11 7 7 6 789 84 


Highland 17 23 18 14 9 5 6 8 436 356 

Lanarkshire 17 30 17 10 6 7 8 5 555 58 

Lothian 12 23 21 14 9 6 8 7 1 740 273 

Orkney z z z z z z z z 6 2 

Shetland 5 16 28 12 9 14 14 2 43 3 

Tayside 16 27 22 14 8 5 3 5 762 129 

Western Isles z z z z z z z z 15 13 

Outside Scotland 17 17 24 17 2 5 2 17 42 10 

Other/ not known 4 14 26 21 12 10 4 8 5 145 48 



Aberdeen City 11 29 21 15 10 6 5 4 384 24 

Aberdeenshire 6 18 22 17 12 9 8 7 316 37 

Angus 17 26 21 15 6 6 5 5 151 19 

Argyll & Bute 9 27 27 14 10 2 4 7 90 53 

Ayrshire East 10 24 21 14 10 5 9 6 386 76 

Ayrshire North 17 20 13 12 8 5 8 17 193 291 

Ayrshire South 12 30 16 13 8 3 8 11 169 49 

Borders 5 19 16 18 12 7 15 6 110 15 

Clackmannanshire 8 21 20 13 15 8 8 7 120 15 


Dunbartonshire East 13 18 18 7 15 7 15 7 55 8 

Dunbartonshire West 11 21 22 15 9 7 7 7 368 32 

Dundee City 15 27 22 14 8 5 3 5 495 67 


Eilean Siar z z z z z z z z 15 13 

Falkirk 10 27 20 16 9 3 9 5 291 16 

Fife 12 22 21 14 10 7 9 7 1 170 99 

Glasgow City 19 24 19 12 8 5 7 6 1 652 444 

Highland 19 22 16 15 9 5 6 8 350 303 

Inverclyde 17 25 24 12 7 7 4 5 297 22 

Lanarkshire North 19 29 14 10 6 7 10 5 293 31 

Lanarkshire South 14 29 19 12 7 8 7 4 349 35 

Lothian East 12 26 22 14 8 7 5 6 247 16 

Lothian West 10 19 20 15 8 8 12 8 412 77 

Midlothian 11 20 23 13 13 6 8 4 167 8 

Moray 7 14 26 14 10 8 14 8 92 23 


Perth & Kinross 21 26 24 12 7 3 2 5 118 45 

Renfrewshire 18 25 20 9 10 6 7 4 212 120 

Renfrewshire East 12 27 22 13 12 4 4 8 78 5 

Shetland 5 16 28 12 9 14 14 2 43 3 

Stirling 9 27 12 16 12 5 9 11 129 16 




2. Includes illicit drugs, volatile substances and inappropriate use of over the counter medicines. Exlcudes alcohol and tobacco. 




- (zero); 0 (>0.0 & < 0.5) 




63


B1.19 Time from first used illicit drugs until help was first sought 1,2,3 : 



■ 




percentage 

(=100%) 

numbers 


by NHS board 



Borders 2 9 3 23 12 11 24 17 66 59 


Fife 4 11 14 16 13 11 16 16 942 327 

Forth Valley 3 11 14 17 12 11 16 16 384 194 

Grampian 5 13 17 16 14 12 14 9 624 249 

Greater Glasgow & Clyde 6 13 15 14 11 9 15 16 1 972 1 399 

Highland 6 13 13 19 15 10 11 14 324 468 

Lanarkshire 7 17 18 11 11 9 15 12 370 243 

Lothian 5 12 15 16 14 10 14 16 1 259 754 


Shetland z z z z z z z z 39 7 

Tayside 9 16 18 14 14 11 8 10 568 323 





Aberdeen City 7 17 17 16 15 12 10 6 307 101 


Angus 7 14 19 12 16 10 11 10 116 54 

Argyll & Bute 2 8 17 17 23 13 10 10 52 91 

Ayrshire East 3 15 15 16 12 11 16 12 361 101 



Borders 2 9 3 23 12 11 24 17 66 59 





Dundee City 7 18 16 14 15 13 8 9 376 186 



Falkirk 4 11 16 18 11 10 15 14 213 94 

Fife 4 11 14 16 13 11 16 16 942 327 

Glasgow City 7 12 16 12 11 9 16 18 1 128 968 

Highland 7 13 13 18 13 9 12 14 276 377 

Inverclyde 8 15 18 15 14 9 11 10 249 70 



Lothian East 6 12 17 16 17 9 14 9 180 83 

Lothian West 3 10 12 18 13 10 16 19 316 173 

Midlothian 7 10 15 13 13 14 16 12 124 51 

Moray - 7 19 14 11 13 21 15 72 43 


Perth & Kinross 16 13 25 15 6 4 5 15 79 84 

Renfrewshire 7 14 16 18 12 10 14 8 153 179 



Stirling 2 12 8 14 8 14 22 19 90 55 




2. Includes illicit drugs, volatile substances, inappropriate use of over the counter medicines. Exlcudes alcohol and tobacco. 





- (zero); 0 (>0.0 & < 0.5) 



64 



B1.20 Time from onset of problem drug use until help was first sought 1,2 : 



■ 




percentage 

(=100%) 

numbers 


by NHS board 


Borders 32 31 14 7 12 3 2 - 59 66 

Dumfries & Galloway 59 20 8 5 3 3 3 - 173 142 

Fife 29 30 16 9 5 4 3 3 907 362 

Forth Valley 32 27 17 7 7 4 3 3 367 211 

Grampian 39 34 11 7 4 2 3 1 588 285 


Highland 34 29 14 9 3 4 3 3 300 492 

Lanarkshire 40 26 13 8 5 4 3 1 362 251 

Lothian 35 27 14 9 6 4 4 2 1 194 819 



Tayside 40 27 12 9 5 2 3 1 538 353 


Outside Scotland 35 22 16 5 - - 3 19 37 15 




Aberdeen City 34 36 12 7 5 3 3 0 289 119 


Angus 35 29 14 10 4 3 4 2 109 61 

Argyll & Bute 21 31 23 15 4 2 - 4 48 95 

Ayrshire East 33 31 13 9 5 3 4 1 347 115 



Borders 32 31 14 7 12 3 2 - 59 66 


Dumfries & Galloway 59 20 8 5 3 3 3 - 173 142 

Dunbartonshire East z z z z z z z z 34 29 


Dundee City 40 26 13 10 6 2 3 1 360 202 



Falkirk 33 28 15 7 6 5 2 4 205 102 

Fife 29 30 16 9 5 4 3 3 907 362 

Glasgow City 31 21 14 11 6 5 6 5 1 076 1 020 

Highland 36 28 13 9 3 5 3 3 256 397 

Inverclyde 35 27 13 11 5 3 5 2 238 81 



Lothian East 38 26 13 10 5 3 2 1 172 91 

Lothian West 35 26 16 7 7 4 3 2 297 192 

Midlothian 41 26 13 6 5 3 4 3 119 56 

Moray 43 31 10 9 3 4 - - 68 47 


Perth & Kinross 45 28 8 6 4 3 3 3 71 92 

Renfrewshire 33 27 18 7 5 3 4 3 137 195 



Stirling 34 16 22 7 9 3 6 2 87 58 

Outside Scotland 35 22 16 5 - - 3 19 37 15 







- (zero); 0 (>0.0 & < 0.5) 




65


B1.21 Injecting 1 : year ending 31 March 2007 


■ 


Injected in Injected in Has never Information Information 

previous month past- but not in injected available unavailable 

previous month (=100%) 

percentage 

numbers 

Scotland 2 28 29 43 11 725 497 

by NHS board 



Borders 19 29 52 121 4 

Dumfries & Galloway 38 25 37 313 2 

Fife 38 29 32 1 257 12 

Forth Valley 50 20 30 575 3 

Grampian 50 30 19 850 23 

Greater Glasgow & Clyde 20 32 48 3 310 61 

Highland 19 21 60 638 154 

Lanarkshire 25 27 48 603 10 

Lothian 24 31 45 1 919 94 

Orkney z z z 7 1 

Shetland 48 22 30 46 0 

Tayside 39 21 40 876 15 

Western Isles z z z 25 3 

Outside Scotland 2 23 75 48 4 

Other/ not known 3 29 36 35 177 16 


Aberdeen City 51 35 14 399 9 

Aberdeenshire 51 27 22 343 10 

Angus 56 16 28 167 3 

Argyll & Bute 17 19 64 135 8 

Ayrshire East 21 41 38 455 7 

Ayrshire North 25 20 56 397 87 

Ayrshire South 20 35 45 215 3 

Borders 19 29 52 121 4 

Clackmannanshire 52 16 31 134 1 


Dunbartonshire East 18 35 47 60 3 

Dunbartonshire West 23 36 41 395 5 

Dundee City 34 22 44 559 3 


Eilean Siar z z z 25 3 

Falkirk 51 22 27 306 1 

Fife 38 29 32 1 257 12 

Glasgow City 19 30 51 2 050 46 

Highland 20 22 58 507 146 

Inverclyde 17 53 30 319 0 

Lanarkshire North 25 26 48 321 3 

Lanarkshire South 24 29 47 376 8 

Lothian East 19 29 52 262 1 

Lothian West 18 31 51 466 23 

Midlothian 19 31 49 172 3 

Moray 45 23 32 111 4 


Perth & Kinross 40 24 36 153 10 

Renfrewshire 21 25 54 328 4 

Renfrewshire East 19 25 57 81 2 

Shetland 48 22 30 46 0 

Stirling 44 22 34 144 1 

Outside 2 23 75 48 4 






- (zero); 0 (>0.0 & < 0.5) 



66 



B1.22 Injecting by age group: year ending 31 March 2007 

percentage of individuals by injecting status and age group 


Injected in Injected in Has never Information Information 

previous month past- but not in injected available unavailable 


percentage 

numbers 

All ages 28 29 43 11 725 497 

Under 20 years 14 7 79 989 63 

20 - 24 years 33 23 43 2 015 60 

25 - 29 years 34 32 34 2 817 76 

30 - 34 years 30 35 35 2 535 83 

35 - 39 years 28 34 38 1 716 64 

40 years and over 20 29 51 1 653 151 





67


B1.23 Age when first injected 1 : year ending 31 March 2007 

individuals reported to have injected in past month; NHS board and council area of residence 

■ 


Under 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 years Information Information Median 

15 years years years years years years and over available unavailable age Youngest Oldest 

(=100%) 

percentage 

numbers 

Scotland 2 2 35 31 19 8 4 2 2 978 357 21 12 53 

by NHS board 


Ayrshire & Arran 2 39 28 18 9 3 1 170 66 21 13 45 

Borders z z z z z z z 16 7 22 16 31 

Dumfries & Galloway 3 43 31 17 6 - 1 108 11 20 13 44 

Fife 1 32 31 19 8 6 2 452 29 22 12 52 

Forth Valley 4 30 31 18 9 5 2 267 20 22 12 42 

Grampian 3 43 29 16 6 3 1 396 33 20 13 43 


Highland - 25 41 19 6 5 4 100 21 23 15 53 

Lanarkshire 1 31 32 19 10 5 1 139 12 22 13 51 

Lothian 2 34 30 18 11 4 1 405 49 22 13 49 

Orkney - - - - - - - - - † † † 

Shetland z z z z z z z 20 z 21 12 31 

Tayside 1 32 31 23 7 4 3 304 40 22 12 49 

Western Isles z z z z z z z z z † † † 

Outside Scotland - 100 - - - - - 1 - † † † 

Other/ not known 3 2 42 26 16 9 5 - 43 8 20 13 39 


Aberdeen City 4 51 28 11 5 2 1 188 8 19 13 42 


Angus 1 44 31 15 4 4 1 84 1 20 13 40 

Argyll & Bute z z z z z z z 20 - 21 15 37 

Ayrshire East 3 42 26 18 9 3 - 78 2 20 13 38 

Ayrshire North - 26 34 19 14 5 2 58 - 23 15 45 

Ayrshire South z z z z z z z 36 1 19 14 30 

Borders z z z z z z z 16 - 22 16 31 

Clackmannanshire 3 26 29 17 9 12 3 65 2 23 14 42 

Dumfries & Galloway 3 43 31 17 6 - 1 108 3 20 13 44 

Dunbartonshire East z z z z z z z 9 - 23 18 28 


Dundee City 2 28 30 27 8 5 1 169 3 23 12 48 

Edinburgh City 3 31 31 19 10 4 2 254 7 22 13 49 

Eilean Siar z z z z z z z z z † † † 

Falkirk 4 33 34 17 8 1 1 145 6 21 12 42 

Fife 1 32 31 19 8 6 2 452 6 22 12 52 

Glasgow City 3 35 30 20 8 3 2 369 10 21 12 52 

Highland - 23 44 19 5 4 5 81 - 23 15 53 

Inverclyde 2 36 39 16 5 2 - 44 1 20 14 38 

Lanarkshire North 3 32 25 20 11 8 1 75 2 22 13 51 

Lanarkshire South - 32 33 21 10 4 1 82 - 22 15 40 

Lothian East - 47 33 7 12 2 - 43 - 21 16 37 

Lothian West 3 37 24 15 15 6 - 79 2 22 13 38 

Midlothian 0 30 40 30 0 0 0 30 - 22 15 29 

Moray - 32 30 27 2 7 2 44 - 23 15 43 

Orkney - - - - - - - - - † † † 

Perth & Kinross - 26 34 19 9 2 9 53 - 24 15 49 

Renfrewshire - 35 33 22 8 2 - 49 - 22 15 39 

Renfrewshire East z z z z z z z 12 - 21 16 26 

Shetland z z z z z z z 20 2 21 12 31 

Stirling 5 28 27 22 10 7 2 60 3 23 14 40 

Outside Scotland - 100 - - - - - 1 - † † † 

Other/ not known 2 2 42 26 16 9 5 - 43 1 20 13 39 





† Number of individuals providing information is too low for meaningful analysis. 

- (zero); 0 (>0.0 & < 0.5) 



68 



B1.24 Route of use of heroin 1 : year ending 31 March 2007 

percentage of individuals reporting use of heroin by route of use; NHS board and council area of residence 

■ 


Inject 2 and Information Information 

Inject 2 only other route No injecting available unavailable 

(=100%) 

percentage 

numbers 


by NHS board 

Ayrshire & Arran 37 13 50 489 19 

Borders 13 22 64 67 - 


Fife 51 11 38 754 3 

Forth Valley 60 8 32 427 1 

Grampian 52 16 32 634 15 

Greater Glasgow 27 11 62 1 627 9 

Highland 24 21 55 281 3 

Lanarkshire 31 20 49 320 - 

Lothian 21 17 62 1 173 13 

Orkney - - - - - 

Shetland 25 28 47 36 - 

Tayside 33 21 46 636 5 

Western Isles z z z 5 - 

Outside Scotland 15 - 85 13 - 






Angus 46 25 30 125 1 

Argyll & Bute 20 9 71 79 1 




Borders 13 22 64 67 - 

Clackmannanshire 58 12 30 106 - 


Dunbartonshire East z z z 28 - 


Dundee City 26 20 53 412 1 

Edinburgh City 27 19 54 645 11 

Eilean Siar z z z 5 - 

Falkirk 60 9 31 241 - 

Fife 51 11 38 754 3 

Glasgow City 30 11 59 930 1 

Highland 25 25 49 205 2 

Inverclyde 17 13 70 158 1 

Lanarkshire North 33 24 42 156 - 

Lanarkshire South 28 17 55 203 - 

Lothian East 11 15 74 167 1 

Lothian West 15 13 72 275 1 

Midlothian 20 14 66 90 - 

Moray 50 23 27 74 - 

Orkney - - - - 

Perth & Kinross 42 21 37 102 3 


Renfrewshire East 33 4 63 46 - 

Shetland 25 28 47 36 - 

Stirling 60 5 35 88 1 

Outside Scotland 15 - 85 13 - 



2. Includes intra-venous, intra-muscular and skin popping. 




- (zero); 0 (>0.0 & < 0.5) 




69


B1.25 Injecting heroin use 1,2 year ending 31 March 2007 

percentage of individuals reporting use of heroin by injecting; NHS board and council area of residence 

■ 


2006/07 

Information 

available 

(=100%) 

percentage numbers 


by NHS board 



Borders 36 67 


Fife 62 754 



Greater Glasgow & Clyde 38 1 627 



Lothian 38 1 173 

Orkney - - 



Western Isles z 5 

Outside Scotland 15 13 





Angus 70 125 





Borders 36 67 



Dunbartonshire East 46 28 




Eilean Siar z 5 

Falkirk 69 241 

Fife 62 754 









Moray 73 74 

Orkney - - 









2. Includes cases with any mention of injecting reported. 



z Figures not shown where information available < 40 and the number of clients reporting injecting < 5. 

- (zero); 0 (>0.0 & < 0.5) 


70 



B1.26 Route of use of heroin: year ending 31 March 2007 

percentage of individuals reporting use of heroin by route of use 

■ 


Inject 1 only Inject 1 and No injecting Information 

other route available 

(=100%) 

percentage 

numbers 

All ages 35 15 50 6 686 

Under 20 years 29 19 52 280 

20 - 24 years 35 18 47 1 297 

25 - 29 years 35 15 50 1 844 

30 - 34 years 36 13 50 1 533 

35 - 39 years 37 13 50 978 

40 years and over 32 12 56 754 

1. Includes intra-venous, intra-muscular and skin popping. 





71


B1.27 Sharing needles/syringes 1 : year ending 31 March 2007 

individuals reported to have injected in the past month; NHS board and council area of residence 

■ 


Shared in Shared in Has never Information Information 

previous month past- but not in shared available unavailable 


percentage 

numbers 


by NHS board 



Borders z z z 19 4 


Fife 24 23 53 463 18 

Forth Valley 30 25 45 264 23 

Grampian 35 31 34 392 37 

Greater Glasgow & Clyde 36 26 38 569 81 

Highland 34 22 44 108 13 

Lanarkshire 28 23 48 130 21 

Lothian 23 26 51 403 51 

Orkney - - - - - 

Shetland z z z 11 11 

Tayside 21 16 63 299 45 

Western Isles z z z z z 

Outside Scotland 100 - - 1 - 





Angus 34 26 41 86 8 

Argyll & Bute 30 35 35 20 3 


Ayrshire North z z z 3 95 


Borders z z z 19 4 



Dunbartonshire East z z z 10 1 


Dundee City 14 12 73 166 25 


Eilean Siar z z z z - 

Falkirk 28 28 44 141 15 

Fife 24 23 53 463 18 

Glasgow City 36 26 38 371 26 

Highland 36 19 45 89 10 

Inverclyde 19 44 37 43 10 



Lothian East 28 16 56 43 6 

Lothian West 19 23 57 77 7 

Midlothian z z z 26 7 

Moray 26 17 57 47 3 

Orkney - - - - - 

Perth & Kinross 20 12 67 49 12 


Renfrewshire East z z z 11 4 


Stirling 38 13 49 61 3 







- (zero); 0 (>0.0 & < 0.5) 



72 



B1.28 Sharing needles/syringes: year ending 31 March 2007 

individuals reported to have injected in the past month by sharing status and age group 

■ 





percentage 

numbers 

All ages 29 24 47 2 876 459 

Under 20 years 42 10 48 115 20 

20 - 24 years 30 23 47 584 86 

25 - 29 years 29 24 47 812 137 

30 - 34 years 28 26 45 661 107 

35 - 39 years 28 26 46 411 71 

40 years and over 28 26 46 293 38 





73


B1.29 Sharing spoons/water/filters/solutions 1 : year ending 31 March 2007 

individuals reported to have injected in the past month; NHS board and council area of residence 

■ 





percentage 

numbers 


by NHS board 



Borders 40 25 35 20 3 


Fife 48 22 29 460 21 

Forth Valley 47 18 34 262 25 

Grampian 45 27 29 393 36 


Highland 38 26 36 104 17 

Lanarkshire 36 29 36 126 25 

Lothian 33 24 43 396 58 

Orkney - - - - - 


Tayside 19 13 67 294 50 

Western Isles z z z z z 






Angus 19 23 58 83 11 

Argyll & Bute z z z 20 3 


Ayrshire North z z z 2 96 

Ayrshire South z z z 29 15 

Borders 40 25 35 20 3 



Dunbartonshire East z z z 9 2 


Dundee City 15 9 76 163 28 


Eilean Siar z z z z z 

Falkirk 45 21 34 140 16 

Fife 48 22 29 460 21 

Glasgow City 37 28 35 371 26 

Highland 40 27 33 85 14 

Inverclyde 26 38 36 39 14 



Lothian East 45 17 38 42 7 


Midlothian z z z 25 8 

Moray 41 17 41 46 4 

Orkney - - - - - 

Perth & Kinross 34 12 54 50 11 


Renfrewshire East z z z 11 4 


Stirling 52 13 35 60 4 







- (zero); 0 (>0.0 & < 0.5) 



74 



B1.30 Sharing spoons/water/filters/solutions: year ending 31 March 2007 

individuals reported to have injected in the past month by sharing status and age group 

■ 





percentage 

numbers 

All ages 39 23 38 2 837 498 

Under 20 years 52 15 34 117 18 

20 - 24 years 41 21 38 574 96 

25 - 29 years 37 24 39 798 151 

30 - 34 years 39 23 37 659 109 

35 - 39 years 37 25 37 405 77 

40 years and over 36 23 40 284 47 





75


B1.31 Tested for blood borne viruses 1 : year ending 31 March 2007 

individuals who reported injecting in the past month who also provided information on whether or not they had been 

tested for blood borne viruses; NHS board and council area of residence 


Tested for: 

Injected in last month/provided information on virus testing 

Information available (=100%) 

Hepatitis B Hepatitis C HIV Hepatitis B Hepatitis C HIV 

percentage 

numbers 

Scotland 2 

61 63 58 2 896 2 948 2 847 


by NHS board 

66 68 65 98 101 95 


Borders 68 75 68 115 115 114 


Fife 46 50 43 268 276 266 

Forth Valley 71 69 61 408 405 391 

Grampian 59 63 54 561 584 543 


Highland 60 59 55 130 133 128 

Lanarkshire 67 68 65 406 412 403 

Lothian - - - - - - 

Orkney 65 65 65 20 20 20 

Shetland 50 54 51 290 297 290 

Tayside z z z z z z 

Western Isles 100 100 100 1 1 1 




85 84 71 192 188 179 

Aberdeen City 60 59 56 172 172 169 


Angus 59 59 50 17 17 16 

Argyll & Bute 57 61 58 61 61 59 

Ayrshire East 67 67 63 9 9 8 



Borders 42 47 36 66 68 64 


Dumfries & Galloway 60 70 z 10 10 9 



Dundee City 70 71 68 250 257 249 

Edinburgh City z z z z z z 

Eilean Siar 44 48 41 145 149 145 

Falkirk 62 61 59 454 457 454 

Fife 59 64 55 348 371 337 

Glasgow City 69 69 69 91 93 89 

Highland 54 60 52 50 50 50 

Inverclyde 51 49 44 76 76 75 



Lothian East 73 75 69 83 83 83 

Lothian West 50 47 48 32 32 31 

Midlothian 46 47 42 46 47 45 

Moray - - - - - - 

Orkney 36 40 33 47 48 46 

Perth & Kinross 54 56 50 50 50 46 

Renfrewshire 50 43 43 14 14 14 

Renfrewshire East 65 65 65 20 20 20 

Shetland 52 55 53 60 62 60 

Stirling 100 100 100 1 1 1 







- (zero); 0 (>0.0 & < 0.5) 



76 



B1.32 Alcohol consumption 1,2 : year ending 31 March 2007 

number of individuals reported to have consumed alcohol in the past month by frequency of consumption; 



New individual Individuals Individuals who have 

patients/clients who consumed provided information Every Day 5-6 Days 3-4 Days 1-2 Days 2-3 Days 1 day Less Often 

alcohol in on frequency of per week per week per week per month per month 

the past month consumption (=100%) 

numbers 

percentage 


by NHS board 

Ayrshire & Arran 1 158 271 131 25 5 11 25 15 6 11 

Borders 125 65 61 26 11 18 30 8 2 5 


Fife 1 269 451 445 16 3 14 29 22 12 5 

Forth Valley 578 201 194 20 5 13 31 18 11 3 

Grampian 873 395 385 14 5 15 25 18 11 11 

Greater Glasgow & Clyde 3 371 1 672 1 628 38 6 13 21 11 6 5 

Highland 792 529 454 33 11 12 22 12 5 4 

Lanarkshire 613 371 362 20 7 17 38 13 3 3 

Lothian 2 013 844 811 19 5 13 31 14 11 7 


Shetland 46 34 33 z z z z z z z 

Tayside 891 332 312 17 5 12 29 14 13 9 

Western Isles 28 20 18 z z z z z z z 





Aberdeen City 408 181 178 10 5 13 27 20 11 14 


Angus 170 95 91 15 8 8 38 15 11 4 

Argyll & Bute 143 80 76 34 13 11 30 9 1 1 

Ayrshire East 462 100 65 23 8 12 22 15 11 9 

Ayrshire North 484 96 13 z z z z z z z 


Borders 125 65 61 26 11 18 30 8 2 5 

Clackmannanshire 135 38 38 z z z z z z z 


Dunbartonshire East 63 25 24 z z z z z z z 


Dundee City 562 173 160 16 4 13 26 14 14 13 

Edinburgh City 1 091 394 374 21 5 11 30 13 12 8 

Eilean Siar 28 20 18 z z z z z z z 

Falkirk 307 109 103 23 6 14 27 16 14 1 

Fife 1 269 451 445 16 3 14 29 22 12 5 

Glasgow City 2 096 1 080 1 057 43 7 14 18 9 4 4 

Highland 653 451 380 33 11 12 21 13 6 5 

Inverclyde 319 149 143 15 3 8 32 22 13 7 



Lothian East 263 121 116 18 9 15 22 22 10 4 

Lothian West 489 235 229 19 5 14 33 12 10 7 

Midlothian 175 95 93 12 1 13 41 14 14 5 

Moray 115 61 57 21 9 12 23 14 7 14 


Perth & Kinross 163 67 63 21 6 16 27 11 13 6 

Renfrewshire 332 127 117 34 4 12 25 11 6 8 

Renfrewshire East 83 38 38 z z z z z z z 

Shetland 46 34 33 z z z z z z z 

Stirling 145 57 56 13 4 13 39 16 7 9 




2. The alcohol profile is only completed for clients who have presented at a service for drug misuse. 




- (zero); 0 (>0.0 & < 0.5) 




77


B1.33 Employment Status 1 : year ending 31 March 2007 


■ 


Employed 2 Support into Unemployed Never Student 3 Other 4 Information Information 

employment employed available unavailable 

(=100%) 

percentage 

numbers 

Scotland 5 14 1 67 5 2 11 11 311 911 

by NHS board 


Ayrshire & Arran 14 0 72 5 - 8 1 019 139 

Borders 22 - 70 4 1 4 113 12 

Dumfries & Galloway 18 1 69 2 0 10 305 10 

Fife 11 0 72 3 5 8 1 208 61 

Forth Valley 15 1 61 5 2 16 549 29 

Grampian 18 0 69 2 1 10 812 61 


Highland 19 1 59 2 6 14 656 136 

Lanarkshire 17 2 67 4 4 5 578 35 

Lothian 15 1 65 4 2 13 1 851 162 

Orkney z z z z z z 7 1 

Shetland 14 5 67 - 5 9 43 3 

Tayside 9 1 65 11 2 13 843 48 

Western Isles z z z z z z 23 5 

Outside Scotland 33 - 56 2 2 7 45 7 

Other/ not known 6 12 - 67 5 1 16 170 23 


Aberdeen City 16 1 72 2 1 9 372 36 

Aberdeenshire 20 - 66 2 1 11 338 15 

Angus 7 2 75 4 3 9 165 5 

Argyll & Bute 20 2 66 3 - 9 128 15 

Ayrshire East 13 0 73 4 - 10 429 33 

Ayrshire North 15 - 73 6 - 6 394 90 

Ayrshire South 15 - 70 5 - 9 201 17 

Borders 22 - 70 4 1 4 113 12 

Clackmannanshire 13 - 66 2 1 18 131 4 


Dunbartonshire East 30 - 60 2 - 8 63 - 

Dunbartonshire West 10 - 71 6 1 12 378 22 

Dundee City 9 0 62 14 1 14 533 29 

Edinburgh City 9 1 67 7 2 13 966 125 

Eilean Siar z z z z z z 23 5 

Falkirk 16 0 63 4 1 16 296 11 

Fife 11 0 72 3 5 8 1 208 61 

Glasgow City 12 0 68 7 2 10 1 981 115 

Highland 19 0 57 1 8 14 532 121 

Inverclyde 7 - 63 6 3 21 297 22 

Lanarkshire North 16 2 64 6 7 6 305 19 

Lanarkshire South 18 1 69 4 1 7 360 24 

Lothian East 22 1 68 1 - 8 254 9 

Lothian West 18 1 59 1 4 17 467 22 

Midlothian 27 1 61 4 1 7 169 6 

Moray 18 1 71 2 1 7 105 10 


Perth & Kinross 13 1 63 10 2 11 148 15 

Renfrewshire 9 2 73 8 1 7 309 23 

Renfrewshire East 22 1 59 9 1 9 82 1 

Shetland 14 5 67 - 5 9 43 3 

Stirling 15 2 55 8 5 16 131 14 

Outside Scotland 33 - 56 2 2 7 45 7 

Other/ not known 6 12 - 67 5 1 16 170 23 


2. Employed includes paid and unpaid employment, and full time education/ training. 

3. Student includes school and excluded from school. 

4. Other includes long term sick/ disabled, in prison and other. 




- (zero); 0 (>0.0 & < 0.5) 




78


B1.34 Source of funding 1 : year ending 31 March 2007 


■ 


Employment Crime Debt Benefits Sex Work Did not wish Information Information 

to answer available unavailable 

(n=100%) 

percentage 4 

numbers 


by NHS board 

Ayrshire & Arran 12 19 9 80 1 3 322 836 

Borders 22 24 25 67 - 2 102 23 


Fife 13 28 23 69 1 8 1 075 194 

Forth Valley 15 27 12 61 1 14 522 56 

Grampian 21 26 12 63 5 7 738 135 


Highland 29 26 16 48 1 9 495 297 

Lanarkshire 20 24 21 58 1 12 522 91 

Lothian 17 26 19 65 2 4 1 588 425 


Shetland 24 22 29 66 - 10 41 5 

Tayside 11 46 44 76 2 3 745 146 

Western Isles z z z z z z 18 10 

Outside Scotland 43 20 7 45 7 11 44 8 

Other/ not known 3 13 34 13 69 5 6 140 53 



Aberdeen City 18 26 10 61 8 8 342 66 

Aberdeenshire 23 24 12 69 3 4 307 46 

Angus 12 40 34 73 1 5 146 24 

Argyll & Bute 26 16 15 60 1 6 126 17 

Ayrshire East 11 16 13 83 1 3 198 264 

Ayrshire North z z z z z z 28 456 

Ayrshire South 12 25 4 76 1 5 100 118 

Borders 22 24 25 67 - 2 102 23 

Clackmannanshire 12 26 14 66 - 14 125 10 


Dunbartonshire East 34 13 8 55 2 2 53 10 

Dunbartonshire West 15 29 18 71 1 3 333 67 

Dundee City 9 48 50 81 3 3 476 86 

Edinburgh City 11 31 20 66 3 5 805 286 

Eilean Siar z z z z z z 18 10 

Falkirk 15 29 10 59 2 16 279 28 

Fife 13 28 23 69 1 8 1 075 194 

Glasgow City 14 25 12 72 4 4 1 685 411 

Highland 30 30 16 45 1 10 373 280 

Inverclyde 10 29 18 68 2 3 260 59 

Lanarkshire North 17 22 23 57 0 15 275 49 

Lanarkshire South 22 25 18 61 2 7 322 62 

Lothian East 28 22 29 61 2 2 225 38 

Lothian West 19 21 16 69 0 5 410 79 

Midlothian 27 19 13 55 1 4 152 23 

Moray 27 30 20 54 1 13 91 24 


Perth & Kinross 15 44 29 63 1 3 126 37 

Renfrewshire 15 26 16 65 0 5 258 74 


Shetland 24 22 29 66 - 10 41 5 

Stirling 18 27 16 61 2 9 127 18 

Outside Scotland 43 20 7 45 7 11 44 8 

Other/ not known 3 13 34 13 69 5 6 140 53 




4. Percentages will not add up to 100% as individuals may report more than one source of funding. 


- (zero); 0 (>0.0 & < 0.5) 



79


B1.35 Daily spend on all illicit drugs 1,2 : year ending 31 March 2007 



Individuals Individuals Average 

reporting illicit providing funding daily 

Under £5 £5 - £24 £25 - £49 £50 - £99 £100 and over drug use 3 information spend (£) 

(=100%) 

percentage numbers Difference 6 

Scotland 4 4 37 29 21 8 9 976 7 556 44 1.3 

by NHS board 


Ayrshire & Arran 3 50 25 18 3 830 241 32 4.2 

Borders - 36 35 23 6 110 66 53 30.0 

Dumfries & Galloway 2 34 33 19 12 274 241 50 8.1 

Fife 5 40 34 18 4 1 048 928 34 2.1 

Forth Valley 2 39 33 21 5 518 440 41 4.7 

Grampian 1 30 30 28 12 758 665 53 4.0 

Greater Glasgow & Clyde 5 40 26 20 9 2 690 2 192 46 3.0 

Highland 5 33 32 21 9 508 343 46 5.7 

Lanarkshire 4 41 25 18 12 510 405 46 6.1 

Lothian 4 37 29 23 8 1 753 1 252 44 3.0 

Orkney † † † † † 4 1 † † 

Shetland - 21 21 33 26 45 39 94 36.1 

Tayside 4 34 32 24 7 811 681 43 3.6 

Western Isles † † † † † 21 1 † † 

Outside Scotland 5 24 14 29 29 42 21 82 48.1 

Other/ not known 5 5 36 27 28 6 141 109 40 6.6 


Aberdeen City 1 31 30 26 13 355 308 54 6.3 

Aberdeenshire 1 31 32 27 11 309 285 50 5.5 

Angus 2 45 32 17 4 157 122 36 6.6 

Argyll & Bute 3 44 27 17 8 119 86 46 14.9 

Ayrshire East 5 56 21 14 3 298 135 29 5.1 

Ayrshire North z z z z z 393 27 38 21.9 

Ayrshire South 1 38 33 26 2 142 82 36 6.3 

Borders - 36 35 23 6 110 66 53 30.0 

Clackmannanshire 2 30 39 22 6 129 109 46 10.1 


Dunbartonshire East - 30 34 27 9 50 44 46 10.8 

Dunbartonshire West 3 40 29 16 11 347 272 46 7.2 

Dundee City 4 32 31 25 8 522 456 45 4.9 

Edinburgh City 4 36 30 23 7 936 692 43 3.1 

Eilean Siar † † † † † 21 1 † † 

Falkirk 1 39 31 23 5 281 244 43 7.0 

Fife 5 40 34 18 4 1 048 928 34 2.1 

Glasgow City 5 39 26 21 10 1 608 1 344 46 3.5 

Highland 5 30 34 22 10 393 261 45 5.8 

Inverclyde 7 50 22 14 7 262 227 45 16.0 

Lanarkshire North 7 43 23 17 11 270 223 43 7.1 

Lanarkshire South 3 37 30 18 11 318 238 49 9.3 

Lothian East 4 44 24 22 6 240 141 44 13.0 

Lothian West 4 36 30 22 8 425 307 45 6.4 

Midlothian 4 37 24 23 12 157 117 53 13.5 

Moray - 26 23 39 12 96 74 58 12.3 

Orkney † † † † † 4 1 † † 

Perth & Kinross 5 29 33 25 8 135 106 43 6.7 

Renfrewshire 1 40 25 25 9 283 204 44 6.0 

Renfrewshire East 5 27 40 20 7 74 55 55 27.6 

Shetland - 21 21 33 26 45 39 94 36.1 

Stirling 3 49 31 16 1 116 94 29 4.2 

Outside Scotland 5 24 14 29 29 42 21 82 48.1 

Other/ not known 5 5 36 27 28 6 141 109 40 6.6 






6. Difference is standard error x t-value; mean +/- difference gives 95% confidence limits for true mean value (see Annex B1.4 for further explanation). 


† Number of individuals providing information is too low for meaningful analysis 

- (zero); 0 (>0.0 & < 0.5) 


80 



B1.36 Daily spend on heroin 1 : year ending 31 March 2007 




reporting providing funding 

Under £5 £5 - £24 £25 - £49 £50 - £99 £100 and over heroin use information spend (£) 

(=100%) 


daily 

Scotland 2 0 44 34 18 3 6 756 5 623 34 0.8 

by NHS board 

Ayrshire & Arran 1 56 30 13 - 508 163 26 2.6 

Borders - 36 36 23 5 67 56 39 8.3 


Fife 1 43 40 15 2 757 718 31 1.6 

Forth Valley - 43 36 19 3 428 389 34 2.3 

Grampian 1 44 32 20 3 649 588 35 2.4 

Greater Glasgow & Clyde 0 49 33 15 3 1 636 1 435 32 2.1 

Highland 0 33 38 24 4 284 235 40 4.2 

Lanarkshire 0 53 29 16 2 320 281 30 3.2 

Lothian 0 41 34 21 3 1 186 960 37 2.1 

Orkney † † † † † z z † † 

Shetland z z z z z 36 30 39 13.5 

Tayside - 37 35 23 4 641 556 38 2.1 

Western Isles † † † † † z z † † 

Outside Scotland - 38 38 25 - 13 8 32 18.3 

Other/ not known 3 - 44 35 17 4 101 89 33 5.1 



Aberdeen City - 48 34 17 1 295 268 31 2.6 

Aberdeenshire 1 45 32 19 4 282 262 36 3.9 

Angus - 49 38 12 2 126 101 31 4.8 

Argyll & Bute - 54 27 14 5 80 63 32 6.4 

Ayrshire East 1 64 25 10 - 175 89 24 3.6 

Ayrshire North z z z z z 257 20 18 5.8 

Ayrshire South - 36 43 21 - 78 56 32 4.4 

Borders - 36 36 23 5 67 56 39 8.3 

Clackmannanshire - 38 39 20 3 106 97 36 5.2 


Dunbartonshire East - 48 33 19 - 28 27 28 7.7 

Dunbartonshire West 1 56 30 10 3 223 191 27 3.4 

Dundee City 1 34 34 26 5 413 369 40 2.7 

Edinburgh City - 40 34 23 3 656 540 38 2.4 

Eilean Siar † † † † † z z † † 

Falkirk - 42 35 20 3 241 221 36 3.1 

Fife 1 43 40 15 2 757 718 31 1.6 

Glasgow City 0 46 33 17 3 931 839 33 2.0 

Highland 1 26 42 27 3 207 175 42 5.1 

Inverclyde - 58 29 10 3 159 150 37 15.2 

Lanarkshire North 1 52 29 16 2 156 144 30 3.9 

Lanarkshire South 1 51 31 14 3 203 171 31 4.4 

Lothian East 2 50 27 21 1 168 113 32 4.3 

Lothian West - 42 36 18 4 276 233 34 3.4 

Midlothian - 40 33 23 4 90 78 44 16.4 

Moray 2 23 28 38 8 74 60 51 11.2 

Orkney † † † † † z z † . 

Perth & Kinross - 38 37 21 3 105 89 38 5.3 

Renfrewshire 1 49 30 17 2 221 164 31 4.5 

Renfrewshire East - 43 48 10 - 46 40 29 5.1 


Stirling - 50 36 13 1 89 78 29 4.0 

Outside Scotland - 38 38 25 - 13 8 32 18.3 








- (zero); 0 (>0.0 & < 0.5) 



81


B1.37 Daily spend on cocaine 1 : year ending 31 March 2007 


■ 



reporting providing funding 

Under £5 £5 - £24 £25 - £49 £50 - £99 £100 and over cocaine use information spend (£) 

(=100%) 


daily 

Scotland 2 2 17 27 23 30 1 076 638 87 8.6 

by NHS board 


Ayrshire & Arran z z z z z 67 11 96 30.7 

Borders † † † † † 14 z † † 

Dumfries & Galloway z z z z z 33 24 88 40.2 

Fife z z z z z 49 39 57 18.3 

Forth Valley z z z z z 15 9 171 151.5 

Grampian z z z z z 54 30 61 24.1 

Greater Glasgow & Clyde 0 23 27 24 25 470 324 79 10.4 

Highland z z z z z 48 19 116 58.3 

Lanarkshire 3 20 16 21 39 97 61 90 23.6 

Lothian 6 12 20 27 35 151 83 101 27.9 

Orkney † † † † † z z † † 


Tayside z z z z z 40 22 110 81.4 

Western Isles † † † † † z z † † 

Outside Scotland - - 25 25 50 22 8 133 128.8 



Aberdeen City z z z z z 30 18 52 25.5 

Aberdeenshire z z z z z 16 10 78 62.6 

Angus † † † † † 6 z † † 

Argyll & Bute z z z z z 24 6 212 187.2 

Ayrshire East z z z z z 16 6 98 54.9 

Ayrshire North † † † † † 31 z † † 

Ayrshire South † † † † † 20 z † † 

Borders † † † † † 14 z † n/a 

Clackmannanshire z z z z z 6 5 111 97.0 

Dumfries & Galloway z z z z z 33 24 88 40.2 

Dunbartonshire East z z z z z 10 8 61 23.4 

Dunbartonshire West - 16 19 26 39 46 31 96 38.9 

Dundee City z z z z z 22 13 156 139.4 

Edinburgh City z z z z z 55 26 67 31.3 

Eilean Siar † † † † † z z † † 

Falkirk † † † † † 8 z † † 

Fife z z z z z 49 39 57 18.3 

Glasgow City 0 24 26 26 24 316 231 74 10.0 

Highland z z z z z 25 14 70 25.3 

Inverclyde z z z z z 20 14 111 126.1 

Lanarkshire North z z z z z 49 36 83 23.7 

Lanarkshire South - 19 23 23 35 62 31 94 40.3 

Lothian East z z z z z 18 10 168 179.0 

Lothian West z z z z z 57 33 105 43.1 

Midlothian z z z z z 21 14 105 44.1 

Moray † † † † † 8 z † † 

Orkney † † † † † z z † † 

Perth & Kinross z z z z z 12 7 46 15.7 

Renfrewshire z z z z z 46 24 61 24.8 

Renfrewshire East z z z z z 18 9 166 172.3 


Stirling † † † † † 2 - † † 

Outside Scotland - - 25 25 50 22 8 133 128.8 








- (zero); 0 (>0.0 & < 0.5) 


82 



B1.38 Living situation 1,2 : year ending 31 March 2007 


■ 


Lives Lives with Lives with Lives with Information Information 

alone parents spouse / other available unavailable 

partner drug users (=100%) 

percentage 

numbers 


by NHS board 

Ayrshire & Arran 36 19 35 17 1 030 128 

Borders 39 23 29 14 114 11 


Fife 34 28 31 26 1 123 146 

Forth Valley 34 29 31 19 510 68 

Grampian 34 30 29 23 776 97 

Greater Glasgow & Clyde 41 25 27 17 3 025 346 

Highland 40 26 28 15 654 138 

Lanarkshire 26 35 33 15 579 34 

Lothian 37 25 30 19 1 731 282 


Shetland 33 40 23 14 43 3 

Tayside 37 27 25 17 766 125 

Western Isles z z z z 26 2 





Aberdeen City 38 24 33 26 362 46 


Angus 43 24 27 20 161 9 

Argyll & Bute 37 25 35 30 122 21 

Ayrshire East 35 20 37 17 441 21 



Borders 39 23 29 14 114 11 





Dundee City 37 27 23 15 475 87 


Eilean Siar z z z z 26 2 

Falkirk 33 29 32 21 266 41 

Fife 34 28 31 26 1 123 146 

Glasgow City 43 23 25 16 1 876 220 

Highland 40 26 26 11 535 118 

Inverclyde 31 31 32 24 272 47 



Lothian East 27 36 28 17 249 14 

Lothian West 37 30 27 9 431 58 

Midlothian 25 36 33 21 163 12 

Moray 31 29 33 15 103 12 


Perth & Kinross 32 31 30 20 133 30 

Renfrewshire 41 26 27 13 297 35 

Renfrewshire East 30 33 30 17 76 7 

Shetland 33 40 23 14 43 3 

Stirling 26 27 36 19 125 20 




2. A client may identify more than one living situation, therefore the total of all living situations may not add up to the total information available. 




- (zero); 0 (>0.0 & < 0.5) 



83


B1.39 Dependent children 1 : year ending 31 March 2007 


■ 


New Individual 

patients/clients 

Individuals with 

dependent 

children 2 

numbers 

percentage 


by NHS board 



Borders 125 26 


Fife 1269 43 






Lothian 2013 34 

Orkney 8 z 



Western Isles 28 z 






Angus 170 35 





Borders 125 26 



Dunbartonshire East 63 33 



Edinburgh City 1 091 30 

Eilean Siar 28 z 

Falkirk 307 32 

Fife 1 269 43 

Glasgow City 2 096 26 








Moray 115 36 

Orkney 8 z 









2. Includes only those patients/ clients reporting that they have a dependent child aged under 16 years. 




- (zero); 0 (>0.0 & < 0.5) 


84 



B1.40 Accommodation 1 : year ending 31 March 2007 


■ 


Owned/ Supported Residential Homeless: In prison Other Information Information 

rented accommodation rehabilitation Temporary/ Roofless available unavailable 

(drug related) unstable (=100%) 

accommodation/ 

hostel 

percentage 

numbers 


by NHS board 

Ayrshire & Arran 87 1 - 10 1 0 1 1 061 97 

Borders 87 - - 11 1 1 1 122 3 

Dumfries & Galloway 75 1 - 15 4 3 3 302 13 

Fife 77 2 0 18 1 0 1 1 236 33 

Forth Valley 80 1 0 14 2 3 1 559 19 

Grampian 85 3 0 10 1 - 0 822 51 


Highland 76 3 1 12 3 4 1 727 65 

Lanarkshire 86 1 - 10 1 1 1 592 21 

Lothian 80 1 0 14 1 3 1 1 870 143 

Orkney z z z z z z z 8 - 

Shetland 59 - - 39 2 - - 44 2 

Tayside 76 2 0 14 2 5 1 844 47 


Outside Scotland 81 - - 11 6 - 2 47 5 




Aberdeen City 89 3 0 7 0 - 0 388 20 

Aberdeenshire 80 4 0 13 2 - 1 332 21 

Angus 76 5 1 16 1 - 1 165 5 

Argyll & Bute 74 3 - 16 4 1 2 139 4 

Ayrshire East 93 0 - 4 1 - 1 456 6 

Ayrshire North 84 1 - 13 0 1 0 398 86 

Ayrshire South 80 1 - 17 1 - 0 213 5 

Borders 87 - - 11 1 1 1 122 3 

Clackmannanshire 87 1 1 8 1 3 - 128 7 

Dumfries & Galloway 75 1 - 15 4 3 3 302 13 

Dunbartonshire East 93 2 - 5 - - - 61 2 

Dunbartonshire West 73 2 - 13 2 9 1 392 8 

Dundee City 78 1 - 10 2 8 1 543 19 



Falkirk 79 0 - 15 2 3 1 297 10 

Fife 77 2 0 18 1 0 1 1 236 33 

Glasgow City 75 2 1 17 2 1 1 1 989 107 

Highland 76 3 1 11 3 5 1 592 61 

Inverclyde 85 0 - 7 - 7 1 311 8 

Lanarkshire North 89 0 - 8 1 1 1 314 10 

Lanarkshire South 85 1 - 11 1 2 1 371 13 

Lothian East 87 1 - 11 1 1 - 257 6 

Lothian West 82 0 - 10 1 6 1 474 15 

Midlothian 86 2 - 11 1 - 1 172 3 

Moray 82 4 - 12 2 - - 105 10 

Orkney z z z z z z z 8 - 

Perth & Kinross 69 2 - 23 2 2 1 139 24 

Renfrewshire 84 0 0 11 3 1 2 312 20 

Renfrewshire East 86 1 - 10 - 3 - 78 5 

Shetland 59 - - 39 2 - - 44 2 

Stirling 75 1 - 18 4 3 - 141 4 

Outside Scotland 81 - - 11 6 - 2 47 5 






- (zero); 0 (>0.0 & < 0.5) 



85


B1.41 Legal situation 1 : year ending 31 March 2007 


■ 


Case Probation/ Information Information 

None Pending DTTO Supervision In Prison available unavailable 

(=100%) 

percentage 2 

numbers 


by NHS board 



Borders 70 26 1 2 1 115 10 

Dumfries & Galloway 55 34 3 6 3 300 15 

Fife 67 24 5 8 0 1 183 86 

Forth Valley 51 42 - 10 2 544 34 

Grampian 63 28 1 10 1 765 108 


Highland 59 29 1 10 5 573 219 

Lanarkshire 57 25 1 18 2 521 92 

Lothian 66 25 2 6 3 1 763 250 

Orkney z z z z z 4 4 

Shetland 52 41 - 11 2 44 2 

Tayside 61 27 3 8 5 790 101 

Western Isles z z z z z 21 7 

Outside Scotland 83 11 2 4 - 46 6 

Other/ not known 4 60 25 2 14 7 154 39 


Aberdeen City 61 27 2 13 0 355 53 

Aberdeenshire 65 29 1 8 1 315 38 

Angus 56 34 7 14 - 153 17 

Argyll & Bute 56 30 3 14 2 131 12 

Ayrshire East 83 12 - 4 - 272 190 

Ayrshire North 73 13 - 5 10 40 444 

Ayrshire South 67 20 1 12 - 121 97 

Borders 70 26 1 2 1 115 10 

Clackmannanshire 43 50 - 9 2 125 10 


Dunbartonshire East 82 10 4 4 - 50 13 

Dunbartonshire West 57 29 2 6 11 332 68 

Dundee City 63 26 2 5 8 511 51 

Edinburgh City 65 27 1 5 2 907 184 

Eilean Siar z z z z z 21 7 

Falkirk 54 40 - 8 3 291 16 

Fife 67 24 5 8 0 1 183 86 

Glasgow City 64 25 1 11 1 1 863 233 

Highland 59 29 0 9 6 446 207 

Inverclyde 58 23 3 10 7 292 27 

Lanarkshire North 55 25 2 19 1 278 46 

Lanarkshire South 59 26 1 15 2 327 57 

Lothian East 78 18 - 4 1 239 24 

Lothian West 64 22 3 6 6 463 26 

Midlothian 54 38 1 10 - 159 16 

Moray 66 33 2 4 1 98 17 

Orkney z z z z z 4 4 

Perth & Kinross 60 26 2 12 2 129 34 

Renfrewshire 63 26 4 9 1 304 28 

Renfrewshire East 65 23 3 5 4 74 9 

Shetland 52 41 - 11 2 44 2 

Stirling 53 38 - 14 1 136 9 

Outside Scotland 83 11 2 4 - 46 6 

Other/ not known 4 60 25 2 14 7 154 39 


2. A client may identify more than one legal situation, therefore percentages may add up to more than 100%. 




- (zero); 0 (>0.0 & < 0.5) 


86 



B1.42 Previously been in prison 1 : year ending 31 March 2007 


■ 


Did not wish Information Information 

Yes No to answer available unavailable 

(=100%) 

percentage 

numbers 


by NHS board 


Borders 18 82 1 114 11 


Fife 21 76 3 1 225 44 

Forth Valley 18 79 3 553 25 

Grampian 21 78 1 836 37 


Highland 19 79 2 631 161 

Lanarkshire 24 74 2 586 27 

Lothian 20 79 1 1 857 156 


Shetland 11 89 - 45 1 

Tayside 29 70 1 853 38 

Western Isles z z z 24 4 

Outside Scotland 11 89 - 47 5 






Angus 22 77 1 168 2 

Argyll & Bute 22 77 1 134 9 




Borders 18 82 1 114 11 



Dunbartonshire East 8 92 - 51 12 


Dundee City 32 67 1 540 22 


Eilean Siar 21 79 - 24 4 

Falkirk 19 78 3 296 11 

Fife 21 76 3 1 225 44 

Glasgow City 17 80 3 1 999 97 

Highland 18 79 2 501 152 

Inverclyde 27 73 0 308 11 



Lothian East 12 88 - 257 6 

Lothian West 21 79 0 473 16 

Midlothian 17 83 - 168 7 

Moray 27 73 - 107 8 


Perth & Kinross 26 74 - 148 15 



Shetland 11 89 - 45 1 

Stirling 19 79 2 137 8 

Outside Scotland 11 89 - 47 5 






- (zero); 0 (>0.0 & < 0.5) 




87


B1.43 SMR25 Forms Received 1 : year ending 31 March 2007 


■ 

ALL VALID FORMS 

2006/07 

Scotland 2 13 708 

by NHS board 



Borders 133 

Dumfries & Galloway 339 

Fife 1 577 

Forth Valley 691 

Grampian 971 


Highland 864 

Lanarkshire 653 

Lothian 2 279 

Orkney 8 

Shetland 48 

Tayside 1 012 

Western Isles 32 

Outside Scotland 52 

Other/ not known 3 197 


Aberdeen City 429 

Aberdeenshire 412 

Angus 192 

Argyll & Bute 146 

Ayrshire East 480 

Ayrshire North 505 

Ayrshire South 231 

Borders 133 

Clackmannanshire 162 

Dumfries & Galloway 339 

Dunbartonshire East 66 

Dunbartonshire West 457 

Dundee City 638 


Eilean Siar 32 

Falkirk 366 

Fife 1 577 


Highland 722 

Inverclyde 367 

Lanarkshire North 345 

Lanarkshire South 404 

Lothian East 289 

Lothian West 593 

Midlothian 194 

Moray 130 

Orkney 8 

Perth & Kinross 182 

Renfrewshire 358 

Renfrewshire East 86 

Shetland 48 

Stirling 163 

Outside Scotland 52 

Other/ not known 3 197 


2. The Scotland figure includes all forms for all clients reported to the Scottish Drugs Misuse Database. 



88 



Annex B1.1 

Supplementary information for specific SDMD tables 

Table B1.6 Source of referral 

The source of referral provides information on the main source from whom the referral was received. 

Table B1.7 Co-occurring health issue(s) 

Co-occurring health issues are those significant issues, in addition to drug use, that have led individuals to 

present to the service. 

Tables B1.8 to B1.12 Illicit drug profile and B1.13 to B1.14 Prescribed drug profile 

The SDMD collects a range of details about the particular drugs that patients/clients have used in the past 

month. 

Earlier versions of the data collection forms (SMR22 and SMR23, used prior to April 2001) included only one 

drug profile question, which gathered information on all drugs used. This included illicit drugs as well as drugs 

which had been prescribed for the individual’s own use. The SMR24 form (April 2001 to March 2006) included 

two drug profile questions in order to make a clearer distinction between illicit use and an individual’s 

prescription. The first question collected data on the illicit drug profile in the past month, the second collected 

data on the individual’s current prescription. The SMR25a form has a similar illicit and prescribed drug profile 

(see definitions below). 


Illicit drug profile 

The illicit drug profile collects information on: 

- any illegal drug 

- over the counter medicines used inappropriately 

- volatile substances use inappropriately 

- use of a prescribed drug which has been prescribed for someone else’s use 

Table B1.10 collects information on the main illicit drug. 

Main illicit drug 

The drug which causes the patient/client the most problems at the time of contact. This may not 

be the drug used most frequently or in the largest quantities. 

Prescribed drug profile 

The prescribed drug profile collects information on any drug relating to drug misuse which is currently 

being prescribed, including: 

- Drugs prescribed as substitution for opioids 

- Drugs prescribed to alleviate the symptoms of withdrawal 

- Drugs prescribed for relapse prevention 

- Anti-depressants and anti-psychotics which are prescribed for the symptomatic treatment of drug 

misuse or dependence 


89


Table B1.14 collects information on the main prescribed drug. 

Main prescribed drug 

The prescription drug relating to the treatment of the main illicit drug. This may not be the drug 

used most frequently or in the largest quantities. 

Tables B1.15 to B1.20 and B1.23 Age profiles 

The SDMD collects information on the age of the individual at different points of their drug use: age when first 

used an illicit drug, age at onset of problem and age when (professional) help was sought. The time lags 

between these ages provide an indication of the lengths of time between first use, onset of problem and 

seeking help. 


Tables B1.21 to B1.30 Routes of use and sharing behaviour 

Information on injecting and sharing behaviour is collected by the SDMD because of the serious health 

implications. All patients/clients are asked whether they have either injected in the past month prior to 

attending the service or have ever injected. Similar questions are asked regarding sharing needles/syringes and 

sharing spoons/water/filters/solutions to find out if the individual has either used equipment already used by 

someone else or lent equipment to other people after using it themselves. 

Table B1.31 Blood borne viruses 

Information on whether or not an individual has been tested for Hepatitis B, Hepatitis C or HIV. 

Table B1.32 Alcohol consumption 

Following the introduction of the SMR25 form in April 2006 the SDMD collects information on alcohol 

consumption. This is only completed for persons who have presented to a service for drug misuse. 

Tables B1.33, B1.38 and B1.40 to B1.42 Social information 

The personal circumstances of the drug user seeking treatment or advice from services can influence the 

individual's motivation for seeking help and the extent to which the service can contribute to a change in drug 

taking behaviour. Information on employment status, current living arrangements and accommodation and 

the individual's current legal status are each potentially relevant factors and are collected by the SDMD. 

Table B1.34 to B1.37 Source of funding and amount spent 

The SDMD collects information both on how individuals fund their drug use and how much they spend in a 

‘typical’ drug using day on each illicit drug they have listed. 

Table B1.39 Dependent children 

This provides information on persons with children (both biological and non-biological) who are dependent on 

the client. 

Table B1.43 SMR25a Forms received 

This table presents information on all attendances reported by contributing services i.e. all valid forms received. 

All other tables present information on the numbers of new individual patients/clients. Some of these 

individuals will have been included more than once on the SDMD if they have been in contact with more than 

one service during the reporting period. 

90 



Annex B1.2 Statistical definitions 

Median 

The median is the value above and below which half the cases fall, i.e. the 50th percentile, if the cases are sorted 

in ascending order, i.e. the 50th percentile. If there is an even number of cases, the median is the average of 

the two middle cases. The median is a measure of central tendency not sensitive to outlying values unlike the 

mean, which can be affected by a few extremely high or low values. 

European Age Standardised Rate (EASR) 

Comparison of numbers of individuals attending services in different areas may be misleading because of 

demographic differences. An adjustment can be made for the effect of differing age distributions within 

populations. An age-standardised rate is the incidence in the population that would have been observed 

theoretically if the population had the same age structure as a standard population. Age standardisation 

facilitates the comparison of attendance rates from different populations. In the Scottish Drug Misuse Database 

tables, the standard population used is the European Standard Population. 

Confidence Intervals for EASRs 

The 95% confidence interval of a rate is an estimated range of values calculated from the data in the table. We 

expect that the true rate for the population will lie within such an interval 95% of the time. For example, we 

might estimate the rate as 193 and might be 95% confident that the rate lies between 166 and 219 per 

100 000 population based on the data available. This information will be presented as follows in the table. 

Rate = 193 (166,219) 


Estimates of error for means based on small numbers 

For some tables containing small numbers a column of differences is supplied to provide information about the 

precision of the means presented. The difference is calculated by multiplying the standard error of the mean 

by the appropriate value from Student’s t-tables. The mean +/- difference is the 95% confidence interval for the 

population mean. 


For detail on statistical methods used in the analysis of the Scottish Drug Misuse Database contact 



91


Annex B1.3 

SMR25 Form 


FIRST NAME SURNAME CHI NUMBER 

SMR25 ASSESSMENT REPORT Introduced April 2006 

1) PERSONAL DETAILS 

First Name Surname 

First initial only 

First and fourth letter only 

Date of Birth Gender Male Female 

Local Ref 

ETHNIC GROUP 

White 

ADDRESS 

City/Town 

Postal Sector 

Scottish Other British Irish Other White (specify) 

Asian, Asian Scottish or Asian British 

Indian Pakistani Bangladeshi Chinese Other Asian (specify) 

Black, Black Scottish or Black British 

African Caribbean Other Black (specify) 

Mixed Background 

Any (specify) 

2) PRESENTING INFORMATION (OF THIS EPISODE) 

MAIN SOURCE OF REFERRAL 

Self 

Health 

CO-OCCURING HEALTH ISSUES 

Tick all that apply 

Drug related physical health 

3) CONTACT WITH THIS SERVICE 

Institution code 

Contact name 

GP Mental health Date contact first made 

Primary Care Alcohol (this episode only) - include letter/ phone referrals 

Mental Health 

Other 

Social work 

Criminal Justice 

Child and Family 

Other 


DTTO 

Arrest Referral 

Drug Court 

Prison 

Other 

Voluntary service 

Education 

Housing 

Other (specify) 


ISD Ref A 

Date first appointment offered 

Please do not enter last two items of postcode 

Date this assessment completed/ last seen 

4) PREVIOUS CONTACT WITH sam 

OTHER SERVICES 

Previous contact with any drug 

treatment services 

Yes 

No 

If yes, year of last contact 

Age when help first sought 

years 

5) AGE PROFILE 

Age when first started using illicit drugs 

Age at onset of problem illicit drug use 

6) PRESCRIPTION DRUGS PROFILE (CURRENT) - Give details of current prescription related to treatment of addiction 

None Not known Details verified? Yes No 

If none or not known, go to section 7 

Main drug 

Drug 2 




Drug name 

7) ILLICIT DRUGS PROFILE (PAST MONTH) - Including solvents & OTC medicine taken inappropriately 

Used in past month? 

Main Drug 





Tear here 

Yes 

show details No go to section 8 

Drug name 

Route(s) e.g. IV/ IM/ smoke/ swallow/ inhale/ snort 

How often i.e. daily/ most days/ weekends/ weekly/ fortnightly/ monthly 

Main route How often Other route How often 

Please return top copy using envelope provided 

years 

years 

Daily dosage (mg) 

In a ‘typical’ drug using day 

Quantity e.g. mg/ 

ml/oz/binge 

Spend 

£ 

92 



Annex B1.3 

SMR25 Form 

8) INJECTING/ SHARING DETAILS 

EVER 

Injected 

If no go to section 10 

Always used new 

equipment first 

Used a needle or 

syringe that someone 

else has used 

Lent someone else 

a needle or syringe 

which client has used 

Used the same spoon, 

filter or water as 

someone else 

Age first injected 

10) ALCOHOL PROFILE (PAST MONTH) 

Consumed alcohol? 

How often did client have an alcoholic drink? 

Yes 

show details No go to section 11 

Every day 2 - 3 days per month units 

5 - 6 days per week about one day a month 

3 - 4 days per week less often 

1 - 2 days per week 

IN THE PAST MONTH 

Yes 

No Yes No 

years 

11) SOCIAL PROFILE (CURRENT) 

ACCOMMODATIONATION 

Owned/ Rented 

Supported accommodation (drug related) 

Injected 

Wple 

Always used new 

equipment first 

Used a needle or 

syringe that someone 

else has used 

Lent someone else 

a needle or syringe 

which client has used 

Used the same spoon, 

filter or water as 

someone else 

9) BLOOD BORNE VIRUSES 

Tested for: 

Hepatitis B 

Hepatitis C 

HIV 

Yes 

Has client been at risk since last test? 

Has client completed a course of 

vaccination for Hep B? 

Date of last test 

No m m y y y y 

Yes No 

In a typical day how many units did the client usually have? 

LEGAL SITUATION 


None 

Case pending 

Residential rehabilitation 

DTTO 

In prison 

On probation/ subject to supervision order 

Homeless - Temporary/ Unstable accommodation/ Hostel 

In Prison 

Homeless - Roofless 


Other specify) 

) 

LIVING ATION ApleLIV 

VING WITH OTHER DRUG USERS HAS CLIENT BEEN IN PRISON IN PREVIOUS 12 MONTHS? 

Tick all l that apply 

With spouse/ partner 

es 

Yes No Did not wish to answer 

pleYes 

SITUple 

With parentspleNo 

How long since release 

Alone 

Did 

not wish to answer 

Name of Prison of release 

Other (specifyple 

(ple 

(specify) 

EMPLOYMENT/ EDUCATION 

DRUG USE FUNDED BY 



Employed (paid or unpaid) School Employment Benefits 

Support into employment Excluded from school Crime Sex work 

Unemployed Full time education/ training Debt Did not wish to answer 

Never employed In Prison Other (specify) 

Long term sick/ disabled 


12) DEPENDENT CHILDREN 

Does client have dependent children 

If yes provide age of each child in table below 

Yes 

No 

13) CURRENT CONTACT WITH SERVICE 

Is client still in contact with this service 

Please provide details below 

Yes 

No 

Living with own 

children 

Own children living 

elsewhere 

Living with partner’s 

children 

Child 

one 

Child 

two 

Child 

three 

Child 

four 

Child 

five 

Child 

six 

Received required support 

Disciplinary 

Unplanned 

Deceased 

Referred to other service 

If referred, name of service 

Yes 

No 

Date of referral/ discharge/ contact ended 

Is client or their partner pregnant? 

1 2 3 4 5 6 7 8 9 

14) LOCAL USE ISD Ref A 


93


Annex B1.4 

Services contributing to the Scottish Drug Misuse 

Database 2006/07 

The following services contributed data to the SDMD in 2006/07. 


Argyll & Clyde 

C001Z Needle Exchange 

C002Z East Renfrewshire Substance Misuse Team 

C005Z West Dunbartonshire Social Inclusion 

Partnership 

C006Z Special Needs Midwife, Royal Alexandra 

Maternity Unit 

C007Z C.A.C.T.U.S. TP Scotland, Paisley 

C009Z Harm Reduction & Addiction Services, North 

Argyll 

C010Z Methadone Clinic, Dunoon 

C011Z Cowal Substance Misuse Project, Dunoon 

C012Z Cowal Council on Alcohol & Drugs, Dunoon 

C015Z DTTO, Criminal Justice Team, Barrhead 

C204H Lomond Drug Problem Service 

C208V Red Tower 

C213C Alternatives, West Dunbartonshire 

Community Drug Services 

C310C Inverclyde Community Drug Team 

C310H Inverclyde Drug Problem Service, 

Ravenscraig Hospital 

C313H Special Needs In Pregnancy Service, 

Inverclyde Maternity 

C426C Renfrewshire Drug Service 

C438C Social Work Department, Alexandria 

C440C Social Work Department, Renfrew 

C456C Johnstone Social Work Area Team 

C466C Helensburgh Addiction Rehabilitation Team 

(HART) 

C468C OASIS, Oban 

C470C SOLAS, Oban 

C472Z The Indie Project, Port Glasgow 

C476Z Kintyre Alcohol and Drug Advisory Service, 

Campbeltown 

C478Z Moving On, Greenock 

C479Z Inverclyde Short Term Detox Clinic 

C480Z Kintyre Addiction, Campbeltown 

C482Z Argyll & Bute Substance Misuse Service, 

Lochgilphead 

Ayrshire & Arran 

A002Z Vernon Centre (Med) 

A004Z Loudoun House Clincial Addiction Services 

A005Z Dual Diagnosis Service - Non Medical 

A006Z Townhead Centre (Non Med) 

A007Z Home Detox Team - Whitletts Clinic (Non- 

Medical) 

A009Z Bentinck Centre (Harm Reduction Services) 

A155C Townhead Centre (Med) 

A158C Vernon Centre (Non Med) 

A257Z DTTO, Ayr 

A258Z Turning Point, Ayr 

A260Z Turning Point, Kilmarnock 

A261Z Substitute Prescribing Support Team 

A262Z Addictions Medical 

A265Z East Ayrshire Council 

A267Z Social Work, House & Health (Youth support 

Team) 

Borders 

B001Z The Big River Project, Turning Point, Borders 

B110V Castle Craig Clinic 

B124C Borders Community Addictions Team 

B129C Rehab Team - Borders South 

B135C Penumbra Youth Project 

B137Z DTTO, Galashiels 

Dumfries & Galloway 

Y001Z Turning Point, Stranraer 

Y002Z Turning Point, ANNAN 

Y004Z Sunrise Alcohol & Drug Support (South West 

Scotland) 

Y128H Cameron House 

Y140Z Child & Adolescent Substance Misuse 

Service, CASMS, Dumfries 

Y141Z Dumfries & Galloway Arrest Referral Scheme 


94


Fife 

F003Z Forensic Drug Treatment Team 

F004Z Fife Youth Drug Team 

F005Z Forth Park Hospital - Drug Misuse In 

Pregnancy Community Midwives 

F006Z FIRST, (Fife Intensive Rehabilitation 

Substance Misuse Team), Kirkcaldy 

F731C Fife Addiction Service 

F736C Drug & Alcohol Project - Levenmouth 

F823C West Fife Community Drugs Team 

F832C Delta Project 

F844C Clued Up Project 

F846Z Fife NHS Addiction Services - Prescribing 

Service 

F847Z The Web Project, Milnathort 

Forth Valley 

V002Z Community Alcohol & Drug Service, 

Bannockburn 

V005Z Criminal Justice Drug Treatment Service 

V006Z Go Forth, Falkirk 

V009Z Fraeggaroch Project, Barnardos, Stirling 

V010Z Connect Services for Young People, Falkirk 

V011Z Sign Post Forth Valley 

V012Z Secondary Schools Support Service 

V013Z DTTO, Criminal Justice Drug Treatment 

Service, Stirling 

V014Z Fraegarroch Project, Falkirk 

V123C Alcohol Support and Counselling, Stirling 

Grampian 

N002Z Drugs Action Needle Exchange 

N003Z Substance Misuse Service - Fraserburgh 

Needle Exchange 

N004Z Substance Misuse Service, North 

Aberdeenshire Team 

N005Z Substance Misuse Service, South 


N006Z Substance Misuse Service, Central 


N008Z Substance Misuse Service, Criminal Justice 

Clinic 

N009Z Substance Misuse Service, Ante-Natal Clinic 

Team 

N010Z Community Substance Misuse Service 

(Aberdeenshire Council SW) 

N012Z Primary Care Resource Centre, Aberdeen 

N014Z Moray Council For Addictions 

N015Z Northern Horizons, Turning Point Scotland, 

Peterhead 

N016Z Moray Social Work Addiction Team 

N017Z Drug Testing & Treatment Order Project, 

Aberdeen 

N019Z Barnardos, New Directions, Youth Drug 

Initiative 

N110Z Substance Misuse Service, Aberdeen City 

Team 

N132C Drugs Action 

N198Z Substance Misuse Service - Fulton Clinic 

N204Z Aberdeen Community Drug Team (Phoenix 

House), Aberdeen 

N540C Moray Drug & Alcohol Team, Elgin 

N555Z Criminal Justice Team, Aberdeenshire 

N613C Moray Youth Action (Aberlour Childcare 

Trust) 

N616Z Barnardo's New Directions, Aberdeen 

N617Z Moray Direct Access Drug/Alcohol Service 

(Studio 8) 

Greater Glasgow 

G002Z Community Alcohol Service 

G005Z Turning Point, Glasgow - One Stop 

G007Z Reception Services, Social Work Resources, 

Rutherglen 

G008Z East Renfrewshire Substance Misuse Team 

G009Z Drug Clinic, Parkhead Hospital 

G011Z East Dunbartonshire Addiction Team 

G014Z Homeless Addiction Team 

G015Z New Futures Inclusion Project, Glasgow 

G016Z South East Alternative 

G018Z Drug Court Supervision & Treatment Team, 

Glasgow 

G139C North East Community Addiction Team 

G140C Molendinar Drug Services 

G151Z Hunter Street Homeless Health, Glasgow 

G326C Rutherglen Substance Misuse Team 

G430Z Arcaladh, Glasgow 

G505H Gartnavel Royal Hospital 

G520S Phoenix House 

G541C Glasgow East Addiction Service 

G543C Clydebank Community Addiction Team 

G549C Realise Community Care Project 

G558C Milestone Project 

G601Z Phoenix House, Community Service, 

Glasgow 

G610Z Advice & Response Team, SWD, Kirkintilloch 



95



G700Z Homeless Addiction Team, Glasgow 

G701C North East Cat, Glasgow 

G702C Noth West CAT, Glasgow 

G703C North CAT, Glasgow 

G704C South CAT, GLASGOW 

G705C West CAT, GLASGOW 

G706C East Cat, GLASGOW 

G707C South East CAT, Glasgow 

G708C South West CAT, Glasgow 

G709C Greater Pollok Cat, Glasgow 

G710Z Addiction Liaison, Glasgow Addiction 

Services 

G712Z Persistent Offenders Unit, Glasgow 

Highland 

H001Z Community Substance Misuse Service - 

Inverness 

H002Z Drug Misuse Office, CJ Services, Highland 

Social Work 

H003Z Substance Misuse Social Work, Osprey House 

H004Z Community Substance Misuse Service - Lairg 

H005Z Mid Ross Community Mental Health Team 

H007Z In-Patient Substance Misuse Service - 

Ruthven Ward, New Craigs 

H008Z Substance Misuse Service - Bettyhill 

H215H Community Substance Misuse Service - Skye 

& Lochalsh 

H219C Community Mental Health Service - 

Lochaber 

H219H Community Substance Misuse Service - 

Easter Ross 

H221H Osprey House 

H262C Community Substance Misuse Service - 

Nairn & Ardersier 

H270C Criminal Justice Social Work, INVERNESS 

H273C Criminal Justice Social Work, Dingwall 

H274C CrossReach, Beechwood House 

H275C Criminal Justice Social Work, Inverness Prison 

H300Z Youth Action Team, Inverness 

H301Z Caithness/Sutherland Youth Action Team 

H302Z Youth Action Team, 

Nairn/Badenoch/Lochaber 

H303Z Youth Action Team, West Ross/Skye and 

Lochalsh/East Highland 

H312Z Gael Og - Intensive Supervision 

H313Z Pathways to Employment, Fort William 

H315Z Turning Point, Elgin 

H316Z Prison Liaison Nurse, Inverness 

H317Z 

H319Z 

H321Z 

Non Enhanced Patient Clinic, Inverness 

Homeless Day Centre, Inverness 

Highland Homeless Trust 

Lanarkshire 

L001Z Hamilton SWD, Substance Misuse Service 

L002Z Lanarkshire Alcohol & Drugs Service 

(Monklands/cumbernauld) 


(Hamilton/EK) 

L006Z Monklands Council On Addictions 


(clydesdale) 

L011Z NHS Lanarkshire Primary Care Operating 

Division, Blantyre 

L115C Integrated Addiction Services, Airdrie 

L121C Counselling Services North Lanarkshire 

L224C Shield Centre 

L232C Bellshill Cross Addiction Centre 

L233C Lanarkshire Alcohol & Drugs Service 

(Motherwell) 

L324C Larkhall Area Team (Social Work) 

L325C Blantyre Area Team (Social Work Substance 

Misuse Team) 

L330C Rushes 

L333C Lanark SWD, Substance Misuse Service 

L392C East Kilbride Substance Misuse Team 

L393Z Kerith Counselling Services, East Kilbride 

L400Z Young Persons Drug and Alcohol Service 

L401Z DTTO South Lanarkshire, Hamilton 

L402Z Phoenix House (Lanarkshire Detox), 

Hamilton 

L403Z NEST, Negotiated Entry into Secure Tenancy 

L404Z Substance Misuse Liaison Nurses - Hairmyres 

L405Z Substance Misuse Liaison Nurse - Monklands 

L406Z Substance Misuse Liaison Nurse - Wishaw 

L408Z SACRO, Arrest Referral, Motherwell 

Lothian 

S001Z South West Locality Clinic 

S002Z Genesis Project, Rankeillor Initiative 

S004Z Back on Track 

S005Z H.Y.P.E. (Help for Young People in 

Edinburgh) - N.C.H. Scotland, Edinburgh 

S006Z North East Locality Clinic 

S007Z Social Work Addictions Team, Livingston 

S009Z East Lothian Locality Clinic, Roodlands 


96


S011Z CHAI Community Support 

S012Z Adult Resource Team Addictions (HIV) 

S013Z West Lothian Locality Drug Problem 

Assessment Clinic 

S014Z Edinburgh Stimulants User Service 

S015Z Detox & Relapse Prevention Service, CDPS 

S127S Links Project - Turning Point 

S143C Drug Prevention Group, Leith 

S146C NEDAC (North Edinburgh Drug Advice 

Centre) 

S147C Simpson House: Drugs Counselling & 

Related Services 

S249C W.E.S.T. (West Edinburgh Support Team) 

S252C Castle Drugs Project 

S258C Harm Reduction Team (Spittal Street Centre) 

S261C Mid & East Lothian Drugs 

S264C Turning Point, Leith 

S321B Craigmillar Medical Centre 

S336C West Lothian Drug & Alcohol Service 

(Counselling Team) 

S337C Edinburgh & Lothian Council On Alcohol 

S338C Moving On (Edinburgh) Ltd. 

S339C CDPS, Spittal Street 

S342C Bethany Addiction Team 

S346C Chrysalis Project, Turning Point, Forrest Road 

S369C Homeless Outreach Project Addiction Team 

S371Z South East Edinburgh Drug Locality Clinic 

(SEEDAC) 

S372Z South East Locality Clinic, (Castle Project), 

Edinburgh 

S373C DTTO, Drug Treatment & Testing Order 

S373Z for CDPS element of Craigmillar locality 

clinic 

S374Z Turning Point Scotland - Integrate Project 

S375Z Transitional Access Prescribing Team (TAPS) 

S376Z Livingston CDPS 

S377Z Trust Challenging Behavioural Practice 

S378Z Midlothian Substance Misuse Integrated 

Team, Loanhead 

S380Z Streetwork Nine out of Ten Project, 

Edinburgh 

S381Z West Lothian DTTO, Livingston 

S383Z East Lothian Locality Clinic, Dalkeith 

S384Z North West Locality Clinic, Edinburgh 

Orkney 

R001Z Alcohol Specialist Nurse & CPNs 

R002Z Orkney Alcohol Counselling and Advisory 

Service (OACAS) 

Shetland 

Z001Z Shetland Community Drugs Team 

Z105C Shetland Community Drugs Team 

Tayside 

T001Z Dundee Drug & Alcohol Team 

T003Z Tayside Harm Reduction Centre, Dundee 

T005Z Choice Project 

T006Z Aberlour Outreach, Dundee 

T008Z Topaz Detoxification Service, Dundee 

T009Z NCH Scotland, Tayside Arrest Referral 

Scheme, Dundee 

T011Z NCH Scotland, Tayside Arrest Referral 

Scheme, Perth 

T127C Dundee Drugs & Aids Project 

T128C Tayside Drug Problems Service 

T221C Perth Drug and Alcohol Team 

T229C Social Work Department, Perth 

T300Z Tayside Drug Treatment & Testing Order, 

Dundee 

T340Z Alcohol & Drugs Team, Arbroath 

T342Z Key to Change, Dundee 

T345Z Fairbridge Project, Dundee 

T346Z Central Health Care, Perth 

T350Z Connect, Perth & Kinross (Young Persons) 

T352Z The Web Project, Angus 

T353Z Tayside Council on Alcohol, (Adult Services) 

T354Z NCH Scotland, Dundee 

T356Z Eclips 

T357Z Addaction, Dundee 

Western Isles 

W119C Bridge Project - Uist 

W119Z Substance Misuse, Western Isles 

W120C Comhla 

W120Z Substance Misuse, Western Isles, Uist and 

Barra 



97




98

Prescriptions 

B2 

Prescriptions 


Overview 

Methadone hydrochloride (methadone mixture) is the most commonly used pharmacological treatment for 

opioid dependency in Scotland. It is used primarily for the treatment of drug addiction. Tables B2.1 and B2.2 

list other drugs which are sometimes used for the treatment of opioid dependence. Some of these are also 

commonly prescribed for non-drug misusing patients. It is not possible to assess what proportion of these 

prescriptions were for the purposes of treating drug dependence. 

■ In Scotland in 2006/07 there were 489,447 prescriptions for methadone mixture, around 96 

prescriptions per 1,000 population (Table B2.3). 

■ The cost of dispensing methadone mixture (dispensing fees and ingredients) for Scotland in 2006/07 was 

£12,683,660 around £2,479 per 1,000 population (Table B2.4). 

■ Diazepam, dihydrocodeine and temazepam were prescribed at, respectively, rates of 163, 85 and 72 

prescriptions per 1,000 population in 2006/07. Buprenorphine was prescribed at a rate of 9 

prescriptions per 1,000 population (Table B2.1). 

■ In 2006/07 87% of methadone prescriptions in Scotland were dispensed in instalments (Table B2.5). 


Five year trends - 2002/2003 to 2006/07 

■ The cost of methadone mixture prescriptions has seen an overall increase of 17% between 2002/03 and 

2006/07 (£10,855,585 rising to £12,683,660). However, the highest cost over the period was in 

2004/05 (£12,935,828). It then fell in 2005/06 to £12,200,215 before rising again in 2006/07 (Table 

B2.4). 

■ Methadone prescribing rates have risen by 35% over the last five years, from 71 per 1,000 population in 

2002/03 to 96 per 1,000 population in 2006/07 (Table B2.2). 

■ The rate of prescribing of dihydrocodeine has remained relatively stable between 2002/03 and 2006/07. 

The rate of prescribing of buprenorphine has increased from 2 to 9 prescriptions per 1,000 population 

between 2002/03 and 2006/07. Diazepam prescribing rates rose by 9% between 2002/03 and 2005/06 

(150 to 163 prescriptions per 1,000 population). The only decrease over the time period was in 

temazepam prescribing which fell by 16% from 86 to 72 prescriptions per 1,000 population (Table B2.2). 


■ Methadone prescription rates vary across Scotland from 180 per 1,000 population in NHS Ayrshire and 

Arran to 16 per 1,000 population in NHS Borders (Table B2.1). 

■ NHS Tayside is the only area which has seen a decrease in the rate of methadone mixture prescribing 

between 2002/03 and 2006/07, from 56 to 38 prescriptions per 1,000 population. The rate increased 

in all other areas (Table B2.3). 

■ The cost of methadone mixture fees and ingredients per 1,000 population varies across Scotland. The 

cost was highest in Ayrshire and Arran (£4,121 per 1,000 population), Greater Glasgow and Clyde 

(£3,927 per 1,000 population) and Lothian (£3,480 per 1,000 population) (Table B2.4). 

■ The percentage of methadone mixture prescriptions dispensed in instalments varied across Scotland. It 

was highest in NHS Greater Glasgow and Clyde and NHS Shetland with 91% of prescriptions dispensed 

by instalment. It was lowest in Orkney where only 47% of methadone mixture prescriptions were 

dispensed by instalment (Table B2.5). 


99

Prescriptions 


Background information 

Prescribed medication can be used for the treatment of drug addiction. Methadone hydrochloride (methadone 

mixture) is a commonly used pharmacological treatment for opioid dependence. Methadone mixture for the 

treatment of opioid dependence comprises the majority of methadone prescribing. Other formulations of 

methadone are used in the treatment of severe pain and palliative care. 

There is no national routine information which reports the number of people in Scotland who are receiving 

methadone hydrochloride mixture, nor information on the cost per person to the NHS. The Prescribing 

Information System (PIS) at ISD Scotland holds information derived from prescriptions dispensed in the 

community in Scotland. The system and information held constitute a key part of the pharmacy payment 

process. However, the PIS does not store patient identifiable information (e.g. name, date of birth, address) 

that can be used to count the number of people receiving particular medications. 

Temazepam and Diazepam are prescribed to sedate, induce sleep, and relieve severe anxiety as well as a 

substitute medication for problem drug users. Dihydrocodeine and Buprenorphine are used for the relief of 

moderate to severe pain and also for the management of opiate dependence. Some of these drugs are 

commonly prescribed for non-drug using patients and so is not possible to assess precisely what proportion of 

these prescriptions is for the treatment of drug dependence. 

Defined Daily Doses 

Defined Daily Doses (DDDs) cited in the following data are considered to be a more accurate index of 

prescribing volume than the number of items prescribed alone. A DDD is defined by the World Health 

Organisation (WHO) as the typical adult daily maintenance dose of a drug 1 . 

Although DDDs are considered to be superior to number of items as a unit of comparative analysis, difficulties 

may arise when they are used in estimating disease prevalence, because they correspond to a drug's principal 

indication 2 . 

Defined Daily Doses used in the production of the following data are based on the WHO Definitions: 

Methadone mixture 25mg; insofar as methadone mixture is concerned, it is useful to bear in mind that 

Department of Health Guidelines (1999) 3 suggest that while 25-40 mg of methadone mixture is an appropriate 

initial daily dosage (during assessment), the stabilization dosage offered on a longer term basis should be 60- 

100 mg/day. 

Dihydrocodeine 120mg; 

Buprenorphine 1.2mg; 

Diazepam 10mg; 

Temazepam 20mg. 

Instalment dispensing 

Single dispensing occurs where the whole of an item is dispensed on one occasion (e.g. multiple doses are 

dispensed and taken home by patient). Instalment dispensing occurs where a proportion of the prescription 

item is dispensed on multiple occasions (e.g. a single daily dose is dispensed each day for seven days). 

Where items are dispensed in instalments, the number of dispensings exceeds the number of items, but where 

items are dispensed singly, the number of dispensings will equal the number of items. For many instalment 

prescriptions the quantity per dispensing is equivalent to the daily dose of methadone requested. However, it 

should be noted that for a significant proportion of prescription items, there will be a discrepancy between the 

prescribed daily dose and the amount dispensed by instalment. This is because pharmacies often dispense a 

double dose of methadone mixture on Saturdays, to cover Sunday’s instalment; additional doses will also be 

added to an instalment to cover public holidays. 

100 


Prescriptions 

References 

1 World Health Organisation (WHO) (1991). Guidelines for defined daily doses. WHO Collaborating for Drug 

Statistics Methodology. Oslo. 

2 Frischer M, Chapman S (1998). Issues and directions in prescribing analysis. In: Medicines Management. 

Eds. Panton R, Chapman S. 82-84 BMJ and Ph.Press. London. 

3 Department of Health (1999). Drug misuse and dependence – guidelines on clinical management. The 

Scottish Office Department of Health, the Welsh Office and the Department of Health and Social Services, 

Northern Ireland. London: Stationery Office. 


Although there is no routine information on the number of people receiving a methadone prescription, ISD 

Scotland has published a paper providing estimates of the number of people receiving a methadone 

prescription. This paper was published in 2005 and is available at 

http://www.drugmisuse.isdscotland.org/publications/abstracts/isd_methadone.htm 

The Prescribing Information System (PIS) holds information on a variety of different medications prescribed in 

Scotland. Information on the data and statistics are available at http://www.isdscotland.org/prescribing 

If you would like further information on methadone prescriptions or on prescriptions of other medications 

related to drug misuse please contact the Substance Misuse Information Strategy Team at 




101

Prescriptions 

B2.1 Prescriptions & Defined Daily Doses per 1 000 population : 2006/07 

NHS board, drug type 

Methadone Methadone Dihydrocodeine Buprenorphine Diazepam Temazepam 

Mixture Other 1 

Prescriptions per 1 000 population 2 

Scotland 96 0 85 9 163 72 



Borders 16 1 115 4 139 106 


Fife 42 0 62 9 122 54 

Forth Valley 37 0 84 6 127 79 

Grampian 78 0 88 5 125 58 

Greater Glasgow & Clyde 3 171 1 82 10 214 79 

Highland 3 31 1 101 8 168 74 

Lanarkshire 90 0 65 24 171 60 

Lothian 78 1 89 5 139 73 

Orkney 3 - 63 6 80 40 

Shetland 42 0 56 9 116 27 

Tayside 38 0 98 2 154 78 

Western Isles 0 0 122 25 222 156 

Defined Daily Doses per 1 000 population 2 



Borders 763 30 2 774 339 2 702 1 929 


Fife 1 863 8 2 121 260 2 778 1 323 

Forth Valley 1 866 1 2 595 102 2 489 1 887 

Grampian 2 490 24 2 781 127 2 954 1 337 


Highland 3 977 18 2 397 156 2 689 1 429 

Lanarkshire 2 192 7 2 104 1 167 3 651 1 537 

Lothian 4 681 33 3 756 219 5 076 1 788 

Orkney 57 - 1 565 140 1 118 872 

Shetland 1 188 8 1 478 507 1 712 451 

Tayside 1 985 19 3 307 42 3 325 1 974 

Western Isles 18 4 2 835 461 4 140 3 012 

1 These figures include linctus, tablets and injections 

2 Data is expressed as per 1 000 population, based on GRO mid year estimates. 

3 Absorbed some of original Argyll & Clyde in April 2006 

- (zero); 0 (>0.0 &

Prescriptions 

B2.2 Prescriptions & Defined Daily Doses per 1 000 population : 1995/96, 

2000/01, 2002/03 - 2006/07 

drug type 

1995/96 2000/01 2002/03 2003/04 2004/05 2005/06 2006/07 

Prescriptions per 1 000 population 2 

Total 347 372 395 401 402 413 424 

Methadone Mixture 26 53 71 76 81 90 96 

Methadone Other 1 1 0 0 0 0 0 0 

Dihydrocodeine 69 86 87 86 85 85 85 

Buprenorphine 3 1 2 2 3 5 9 

Diazepam 109 138 150 154 156 159 163 

Temazepam 139 94 86 82 77 74 72 

Defined Daily Doses per 1 000 population 2 

Total 8 905 9 813 10 726 11 136 11 547 12 125 12 556 

Methadone Mixture 596 1 415 2 135 2 538 2 959 3 437 3 794 

Methadone Other 1 26 12 12 14 17 16 18 

Dihydrocodeine 1 759 2 395 2 570 2 617 2 653 2 721 2 750 

Buprenorphine 40 24 34 83 146 229 366 

Diazepam 2 596 3 513 3 795 3 830 3 848 3 913 3 947 

Temazepam 3 888 2 453 2 180 2 054 1 925 1 810 1 680 


1 These figures include linctus, tablets and injections 


- (zero); 0 (>0.0 &

Prescriptions 

B2.3 Prescriptions for Methadone Mixture: 2002/03 - 2006/07 

NHS board of dispensing, number and rate per 1 000 population 1 

2002/03 2003/04 2004/05 2005/06 2006/07 

Number Rate Number Rate Number Rate Number Rate Number Rate 



Ayrshire & Arran 40 655 111 45 694 124 47 229 128 56 604 154 65 821 180 

Borders 1 161 11 1 153 11 1 121 10 1 322 12 1 794 16 

Dumfries & Galloway 8 027 54 11 396 77 12 263 83 12 324 83 12 944 87 

Fife 13 432 38 13 867 39 13 702 39 13 650 38 14 968 42 

Forth Valley 4 587 16 6 772 24 8 720 31 9 160 32 10 515 37 

Grampian 29 388 56 29 813 57 34 689 66 38 087 72 41 265 78 

Greater Glasgow and Clyde 2 ** ** ** ** ** ** ** ** 204 168 171 

Highland 2 ** ** ** ** ** ** ** ** 9 548 31 

Lanarkshire 37 982 69 38 555 70 40 535 73 50 800 91 50 217 90 

Lothian 34 877 45 41 290 53 50 255 64 56 904 72 62 425 78 

Orkney 17 1 9 0 12 1 28 1 55 3 

Shetland 745 34 898 41 759 35 826 38 924 42 

Tayside 21 734 56 22 691 59 19 435 50 16 964 44 14 792 38 

Western Isles 5 0 3 0 4 0 4 0 11 0 

Greater Glasgow 3 131 186 151 134 691 155 136 565 157 152 195 175 162 120 186 

Highland 3 2 811 14 3 857 18 4 551 22 5 568 26 6 210 29 


2 From April 2006 NHS Argyll and Clyde was dissolved with parts absorbed by NHS Greater Glasgow & Clyde and NHS Highland. Data for the new boards formed as a result of this 

is only available for the most recent year (2006/07). Trend information is presented separately for the old NHS Boards in order to allow comparison of the data over the time period 

shown. 

3 Data is presented for NHS Greater Glasgow and NHS Highland as they were organised prior to April 2006. This information is presented to allow comparison over the time period 

shown. 

- (zero); 0 (>0.0 &

Prescriptions 

B2.4 Costs and fees 1 for Methadone mixture: 2002/03 to 2006/07 

NHS board of dispensing 

2002/03 2003/04 

2004/05 

2005/06 

2006/07 

Cost of fees 1 & 

ingredients 

(£) 

Cost of fees 1 

& ingredients 

per 1 000 

population 2 

(£) 


Cost of fees 1 & ingredients 

& ingredients per 1 000 

(£) population 2 (£) 













Scotland 10 855 585 2 148 11 675 768 2 309 12 935 828 2 547 12 200 215 2 395 12 683 660 2 479 

Ayrshire & Arran 827 858 2 255 994 894 2 710 1 081 996 2 943 1 319 276 3 595 1 510 080 4 121 

Borders 35 176 328 32 089 296 35 610 326 43 220 394 47 682 433 

Dumfries & Galloway 90 325 613 150 314 1 021 192 848 1 304 208 550 1 406 267 970 1 810 

Fife 394 462 1 125 402 514 1 144 404 059 1 140 457 587 1 283 585 278 1 631 

Forth Valley 226 652 811 347 498 1 242 483 833 1 717 538 617 1 894 447 335 1 564 

Grampian 647 963 1 238 425 652 813 535 677 1 022 579 481 1 102 684 069 1 291 

Greater Glasgow & Clyde 3 ** ** ** ** ** ** ** ** 4 679 443 3 927 

Highland 3 ** ** ** ** ** ** ** ** 170 776 557 

Lanarkshire 762 856 1 380 817 474 1 477 870 502 1 565 950 332 1 706 970 497 1 739 

Lothian 1 279 861 1 643 1 585 475 2 033 2 015 476 2 559 2 469 517 3 116 2 788 915 3 480 

Orkney 190 10 170 9 253 13 313 16 484 24 

Shetland 6 998 319 11 047 505 10 331 471 14 456 657 21 831 998 

Tayside 693 829 1 791 679 647 1 758 622 164 1 604 542 524 1 392 509 004 1 300 

Western Isles 122 5 179 7 169 6 81 3 296 11 

4 

Greater Glasgow 4 876 129 5 630 5 669 827 6 544 5 920 074 6 828 4 179 405 4 816 3 917 936 4 506 

4 

Highland 52 108 250 85 631 410 110 988 525 153 403 718 99 244 461 


1 Dispensing fees only i.e. excludes supervision and controlled drug fees. 


3 From April 2006 NHS Argyll and Clyde was dissolved with parts absorbed by NHS Greater Glasgow & Clyde and NHS Highland. Data for the new boards formed as a result of this 

is only available for the most recent year (2006/07). Trend information is presented separately for the old NHS Boards in order to allow comparison of the data over the time period 

shown. 

4 Data is presented for NHS Greater Glasgow and NHS Highland as they were organised prior to April 2006. This information is presented to allow comparison over the time period 

shown. 

Source: ISD Scotland - Prescribing Information System (PIS). 


105

Prescriptions 

B2.5 Instalment dispensing of methadone mixture: 2006/07 

NHS board of dispensing 


1 Quantity dispensed in milligrams. 

2 Number of occasions an item is dispensed. 

3 Number of prescriptions. 

4 Number of dispensings per item = (b)/(c). 

5 Quantity per item = (a)/(c). 

6 Quantity per dispensing = (a)/(b). 

7 Percentage of total dispensed (singly and in instalments). 

8 Absorbed some of original Argyll & Clyde in April 2006 

Source: ISD Scotland - Prescribing Information System (PIS). 


106

C 

Health impact of drugs misuse 

C1 

C2 

C3 

C4 

C5 

Hospital discharges 

Psychiatric discharges 

Information from general practice 

Blood-borne viruses 

Drug-related deaths in Scotland 

Health Impact 


107

Health Impact 

Health Impact 


108

Hospital Discharges 

C1 



Overview 

■ During 2006/07 there were 4,620 general acute hospital discharges with a diagnosis of drug misuse, a 

rate of 94 discharges per 100,000 population (Tables C1.1 and C1.2). 

■ In 2006/07 the ratio of discharges to patients was 1.3 (Table C1.1). 

■ Over two-thirds of discharges were male (3,188) compared with 1,432 discharges for females (Table 

C1.2). 

■ The 25 to 29 years old age group had the highest rate of discharges, with 321 per 100,000 population 

(Table C1.2). 

■ Ninety-three percent (4,298) of discharges were admitted as an emergency rather than elective (i.e. 

planned) intake. The percentage of emergency intakes was lowest amongst those aged 50 or over (84%) 

compared with 89% or more in all other age groups (Table C1.5). 

■ Sixty percent (2,762) of discharges were from the speciality of general medicine. A further 8% were 

discharged from orthopaedics and 7% from accident and emergency (Table C1.6). 

■ More than 90% of cases (4,264) involved a stay of less than a week (Table C1.7). 

Five Year trends – 2002/03 to 2006/07 

■ There has been little change in the rate of discharges with a diagnosis of drug misuse between 2002/03 

and 2006/07 (fluctuating between a minimum of 89 discharges per 100,000 population and a maximum 

of 94 discharges per 100,000 population) (Table C1.2). 

■ The rate per 100,000 population for discharges with a diagnosis of drug misuse varied across age groups 

between 2002/03 and 2005/06. The rate showed a tendency to decline in age groups below 30 years 

old and, conversely, a tendency to increase in those aged 30 years old and over. In particular, the trends 

were significant in both the 20 to 24 years old age group (a fall from 282 discharges per 100,000 

population in 2001/02 to 188 in 2005/06) and the 40 to 44 years old age group (a rise from 71 

discharges per 100,000 population in 2001/02 to 131 in 2005/06) (Table C1.2). 

■ The proportions of male and female discharges have remained stable over the five year period with males 

accounting for approximately 70% of discharges (Table C1.2). 

Health Impact 


■ Opioids were recorded in almost two-thirds of discharges involving drug misuse (2,957). Cannabinoids 

(397) and cocaine (318) were the next most frequently recorded drugs (Table C1.3). 

■ The types of drug recorded varied with age. Opioids were recorded in 20% of cases involving patients 

aged under 20 years old and in 67% of cases for those aged 20 years old and over. Conversely 

cannabinoids were recorded in 29% of cases for those aged under 20 years old and in only 7% of cases 

involving patients aged 20 years old and over. Cocaine figures were 14% for those under 20 years old 

and 6% for those aged 20 years old and over. Other stimulants were recorded in 32% of cases under 20 

years old and in only 4% of cases involving patients aged 20 years old and over (Table C1.3). 


■ The rate of drug misuse discharges varied across Scotland in 2006/07 with the highest levels seen in NHS 

Ayrshire & Arran (201 discharges per 100,000 population), NHS Greater Glasgow & Clyde (123 

discharges per 100, 000 population), NHS Fife and NHS Grampian (both with a rate of 113 discharges 

per 100,000 population) (Table C1.2). 


109



Data on individual patients are collected by ISD Scotland as a series of Scottish Morbidity Records (SMR). 

The SMR datasets are a significant local and national information resource, and are used for epidemiological 

monitoring, health needs assessment, national and local planning and a range of other applications. 

SMR01 is an episode based patient record relating to all inpatients and day cases discharged from specialities 

other than mental health, maternity, neonatal and geriatric long stay specialities in the NHS Scotland. A record 

is generated for each inpatient and day case episode, of which there are about 1,200,000 each year. 

Attendances at Accident and Emergency that do not result in an admission are not included. Each individual 

patient may have more than one episode and hence the number of people discharged within a year will be less 

than the total number of discharges. The SMR01 basic data set encompasses patient identification and 

demographic information, episode management information and general clinical information. Items such as 

waiting time for inpatient or day case admission and length of stay may be derived from the episode 

management information. 

When figures are broken down by geographical area or age the numbers in some categories can be very small. 

In these cases both differences between categories and trends over time should be interpreted with caution 

because they may be misleading. 

Health Impact 

The tables presented here are derived from the SMR01, and contain information about patients admitted to 

general hospitals (mainly for emergency treatment), where drugs misuse is diagnosed as a factor in the patient's 

treatment. Up to six diagnoses are recorded per admission, and episodes with either a main or a supplementary 

diagnosis of drugs misuse are included. Poisonings and overdoses are not included unless a diagnosis of drug 

misuse is also recorded. In the tables of drug type (C1.3, C1.4 and C1.8), there is an element of double 

counting as episodes may be associated with, for example, diagnoses of both opiate and cocaine misuse. Drugs 

misuse is recorded using the International Classification of Diseases 10th Revision (ICD10) Codes. The following 

codes were used in the analysis presented in this section: 

ICD 10 Code Description ICD 10 Code Description 

F11 Opioids F15 Other Stimulants 

F12 Cannabinoids F16 Hallucinogens 

F13 Sedatives / Hypnotics F18 Volatile Solvents 

F14 Cocaine F19 Multiple / Other Psychoactive 

Substances 

Some caution is necessary when using these data as (a) drug misuse may only be suspected and may not always 

be recorded by the hospital, and (b) where drug misuse is recorded, it may not be possible to identify which 

drug(s) may be involved. 


Information on ISD Scotland’s national datasets can be found on our website at: 

http://www.isdscotland.org/isd/4306.html 

Further statistics on general acute hospital discharges are available at: 

http://www.isdscotland.org/acute_hospital_care 

If you would like further information on hospital discharges relating to drug misuse then please contact the 

Substance Misuse Information Strategy Team at 

substancemisuse@isd.csa.scot.nhs.uk 

110 



C1.1 General acute inpatient discharges 1 with a diagnosis of drug misuse 2 

in any position: 2006/07 p 

NHS board and council area of residence, age group and gender 

Ratio of discharges 

Discharges Patients to patients 

Scotland 4 620 3 665 1.3 

by NHS board of residence 

Ayrshire and Arran 626 481 1.3 

Borders 44 41 1.1 

Dumfries and Galloway 82 67 1.2 

Fife 365 266 1.4 

Forth Valley 103 92 1.1 

Grampian 560 421 1.3 

Greater Glasgow & Clyde 1 498 1 195 1.3 

Highland 108 92 1.2 

Lanarkshire 215 181 1.2 

Lothian 793 656 1.2 

Orkney 2 2 1.0 

Shetland 16 10 1.6 

Tayside 198 163 1.2 

Western Isles 10 9 1.1 

Outside Scotland 15 14 1.1 

Other / not known 3 66 54 1.2 

Argyll & Clyde 4 321 262 1.2 

Greater Glasgow & Clyde part 289 235 1.2 

Highland part 32 27 1.2 

Greater Glasgow 4 1 209 962 1.3 

Highland 4 76 65 1.2 

by council area of residence 

Aberdeen City 455 331 1.4 

Aberdeenshire 87 75 1.2 

Angus 29 22 1.3 

Argyll & Bute 32 27 1.2 

Ayrshire East 215 171 1.3 

Ayrshire North 262 191 1.4 

Ayrshire South 149 124 1.2 

Borders 44 41 1.1 

Clackmannanshire 24 22 1.1 

Dumfries & Galloway 82 67 1.2 

Dunbartonshire East 27 27 1.0 

Dunbartonshire West 55 50 1.1 

Dundee City 74 64 1.2 

Edinburgh City 541 438 1.2 

Eilean Siar 10 9 1.1 

Falkirk 43 37 1.2 

Fife 365 266 1.4 

Glasgow City 1 078 841 1.3 


Inverclyde 89 74 1.2 

Lanarkshire North 128 110 1.2 

Lanarkshire South 156 135 1.2 

Lothian East 59 54 1.1 

Lothian West 117 100 1.2 

Midlothian 76 65 1.2 

Moray 18 16 1.1 

Orkney Islands 2 2 1.0 

Perth & Kinross 95 77 1.2 

Renfrewshire 140 108 1.3 

Renfrewshire East 40 37 1.1 

Shetland Islands 16 10 1.6 

Stirling 36 33 1.1 



Health Impact 

by age group 5,6 

Under 15 years 25 24 1.0 

15-19 years 278 257 1.1 

20-24 years 639 540 1.2 

25-29 years 995 762 1.3 

30-34 years 956 750 1.3 

35-39 years 802 595 1.3 

40-44 years 531 418 1.3 

45-49 years 186 152 1.2 

50-54 years 96 70 1.4 

55-59 years 39 33 1.2 

60 years and over 73 64 1.1 

by gender 6 

Male 3 188 2 525 1.3 

Female 1 432 1 140 1.3 

1 Excludes mental illness hospitals, psychiatric units and maternity hospitals and transfers. 

2 Excludes misuse of tobacco or alcohol. 

3 Patients with no fixed abode or where NHS board or council area of residence is not known. 

4 Former NHS Board areas (before dissolution of Argyll & Clyde on 1st April 2006). 

5 Age on admission. 

6 Includes Scottish residents only. 

p Provisional. 

Source: ISD Scotland (SMR01). 

Data Extracted: 29th September 2007. 


111


C1.2 General acute inpatient discharges 1 with a diagnosis of drug misuse 2 in 

any position: 2002/03 r - 2006/07 p 


Numbers 

2002/03 r 2003/04 r 2004/05 r 2005/06 r 2006/07 p 




Borders 54 42 40 49 44 


Fife 232 253 328 364 365 

Forth Valley 153 127 128 96 103 

Grampian 410 445 526 489 560 


Highland 95 102 105 121 108 

Lanarkshire 230 211 186 221 215 

Lothian 485 625 659 758 793 

Orkney 5 5 3 1 2 

Shetland 7 5 11 23 16 

Tayside 173 144 137 161 198 

Western Isles 6 12 11 11 10 


Other / not known 3 131 51 56 42 66 

Argyll & Clyde 4 458 434 372 309 321 

Greater Glasgow & Clyde part 419 388 341 273 289 

Highland part 39 46 31 36 32 

Greater Glasgow 4 1 629 1 409 1 273 1 141 1 209 

Highland 4 56 56 74 85 76 


Health Impact 

Aberdeen City 337 351 403 377 455 


Angus 23 17 14 22 29 

Argyll & Bute 39 46 31 36 32 

Ayrshire East 212 190 200 179 215 



Borders 54 42 40 49 44 



Dunbartonshire East 47 20 25 21 27 


Dundee City 68 50 49 63 74 


Eilean Siar 6 12 11 11 10 

Falkirk 66 56 54 43 43 

Fife 232 253 328 364 365 

Glasgow City 1 478 1 267 1 143 1 013 1 078 

Highland 56 56 74 85 76 

Inverclyde 203 219 163 94 89 



Lothian East 27 34 50 54 59 

Lothian West 71 79 91 114 117 

Midlothian 29 38 46 52 76 

Moray 7 27 28 26 18 

Orkney Islands 5 5 3 1 2 

Perth & Kinross 82 77 74 76 95 

Renfrewshire 112 91 104 111 140 


Shetland Islands 7 5 11 23 16 

Stirling 58 50 53 36 36 




Under 15 years 29 23 20 26 25 

15-19 years 343 286 316 299 278 

20-24 years 903 794 697 622 639 

25-29 years 1 055 984 920 850 995 

30-34 years 1 021 1 031 950 889 956 

35-39 years 684 697 778 832 802 

40-44 years 274 341 410 434 531 

45-49 years 115 125 168 174 186 

50-54 years 60 63 87 112 96 

55-59 years 26 38 40 48 39 

60 years and over 43 48 58 52 73 

by gender 6 

Male 3 121 3 031 3 025 3 060 3 188 

Female 1 432 1 399 1 419 1 278 1 432 







7 European Age Standardised Rate per 100 000 population. 


r Revised. 




112 



General acute inpatient discharges 1 with a diagnosis of drug 

misuse 2 in any position: 2002/03 r - 2006/07 p C1.2 

continued 

EASR 7 

2002/03 r 2003/04 r 2004/05 r 2005/06 r 2006/07 p 

93 91 91 89 94 Scotland 


174 184 194 175 201 Ayrshire & Arran 

67 51 48 60 56 Borders 

97 78 73 76 74 Dumfries & Galloway 

72 80 102 113 113 Fife 

58 49 48 35 39 Forth Valley 

81 89 108 99 113 Grampian 

. . . . 123 Greater Glasgow & Clyde 

. . . . 42 Highland 

44 39 35 42 40 Lanarkshire 

59 76 79 91 93 Lothian 

33 28 19 6 13 Orkney 

40 27 57 109 82 Shetland 

50 43 40 46 58 Tayside 

29 54 56 56 43 Western Isles 

. . . . . Outside Scotland 

. . . . . Other / not known 3 

123 119 100 84 88 Argyll & Clyde 4 

. . . . 99 Greater Glasgow & Clyde part 

. . . . 44 Highland part 

179 154 140 125 132 Greater Glasgow 4 

34 33 42 49 42 Highland 4 


143 153 182 173 202 Aberdeen City 

34 37 53 45 46 Aberdeenshire 

25 20 15 25 34 Angus 

49 58 39 50 44 Argyll & Bute 

200 178 185 167 205 Ayrshire East 

201 211 216 198 227 Ayrshire North 

109 155 177 156 163 Ayrshire South 

67 51 48 60 56 Borders 

65 51 52 39 53 Clackmannanshire 

97 78 73 76 74 Dumfries & Galloway 

57 23 32 24 32 Dunbartonshire East 

132 100 88 82 66 Dunbartonshire West 

46 36 35 44 55 Dundee City 

72 95 92 105 103 Edinburgh City 

29 54 56 56 43 Eilean Siar 

48 41 37 29 30 Falkirk 

72 80 102 113 113 Fife 

228 195 178 158 166 Glasgow City 

34 33 42 49 42 Highland 

274 308 221 130 124 Inverclyde 

51 48 40 52 39 Lanarkshire North 

52 52 45 48 55 Lanarkshire South 

42 46 68 78 82 Lothian East 

46 53 58 73 74 Lothian West 

43 58 68 79 125 Midlothian 

8 34 34 35 25 Moray 

33 28 19 6 13 Orkney Islands 

79 72 70 67 84 Perth & Kinross 

70 58 65 69 89 Renfrewshire 

27 32 52 36 54 Renfrewshire East 

40 27 57 109 82 Shetland Islands 

72 67 69 47 48 Stirling 

. . . . . Outside Scotland 

. . . . . Other / not known 3 

Health Impact 


3 2 2 3 3 Under 15 years 

107 88 96 91 85 15-19 years 

282 245 214 188 188 20-24 years 

353 340 316 285 321 25-29 years 

276 288 276 269 301 30-34 years 

170 174 196 214 208 35-39 years 

71 87 103 107 131 40-44 years 

33 35 46 47 49 45-49 years 

18 19 26 34 29 50-54 years 

8 12 12 14 11 55-59 years 

4 4 5 5 7 60 years and over 

by gender 6 

130 127 126 127 132 Male 

58 57 58 52 58 Female 


113


C1.3 General acute inpatient discharges 1 with a diagnosis of drug misuse 2 

in any position; drug type 3 : 2006/07 p 


Total Opioids Cannab- Sedatives/ Cocaine Other Halluc- Volatile Multiple/ 

admissions inoids hypnotics stimulants 8 inogens solvents Other 9 



Ayrshire & Arran 626 477 52 21 23 51 9 - 32 

Borders 44 10 13 1 2 11 - 1 12 

Dumfries & Galloway 82 64 8 1 5 5 - - 6 

Fife 365 272 45 12 10 30 9 1 15 

Forth Valley 103 79 3 2 8 7 3 - 5 

Grampian 560 506 11 5 9 6 6 1 18 


Highland 108 63 9 8 7 9 1 - 14 

Lanarkshire 215 122 11 3 24 13 4 - 41 

Lothian 793 496 109 81 73 77 5 4 58 


Shetland 16 z z z z z z z z 

Tayside 198 111 19 2 14 10 6 - 44 

Western Isles 10 z z z z z z z z 

Outside Scotland 15 6 1 1 3 2 1 - 2 

Other / not known 4 66 45 4 3 6 5 - - 11 

Argyll & Clyde 5 321 214 14 14 19 14 1 2 51 

Greater Glasgow & Clyde part 289 197 11 13 16 11 - 2 46 

Highland part 32 z z z z z z z z 

Greater Glasgow 5 1 209 540 103 30 126 43 8 2 422 

Highland 5 76 46 6 7 4 6 - - 9 


Health Impact 

Aberdeen City 455 418 10 2 5 3 4 1 13 

Aberdeenshire 87 74 1 2 3 3 2 - 3 

Angus 29 z z z z z z z z 

Argyll & Bute 32 z z z z z z z z 

Ayrshire East 215 168 14 6 13 14 4 - 7 

Ayrshire North 262 216 19 10 4 16 2 - 6 

Ayrshire South 149 93 19 5 6 21 3 - 19 

Borders 44 10 13 1 2 11 - 1 12 

Clackmannanshire 24 z z z z z z z z 

Dumfries & Galloway 82 64 8 1 5 5 - - 6 

Dunbartonshire East 27 z z z z z z z z 

Dunbartonshire West 55 26 2 3 5 4 - - 17 

Dundee City 74 34 5 - 6 2 5 - 23 


Eilean Siar 10 z z z z z z z z 

Falkirk 43 29 - - 5 5 2 - 4 

Fife 365 272 45 12 10 30 9 1 15 

Glasgow City 1 078 489 84 29 94 34 7 2 394 

Highland 76 46 6 7 4 6 - - 9 

Inverclyde 89 45 5 3 1 4 - - 32 

Lanarkshire North 128 85 4 2 14 6 2 - 16 

Lanarkshire South 156 71 22 2 23 12 2 - 33 

Lothian East 59 36 7 6 1 9 - - 4 

Lothian West 117 61 16 12 19 9 2 - 5 

Midlothian 76 44 16 9 8 13 1 - 6 

Moray 18 14 - 1 1 - - - 2 

Orkney Islands 2 z z z z z z z z 

Perth & Kinross 95 62 12 2 8 4 - - 13 

Renfrewshire 140 110 4 7 10 4 - 1 9 

Renfrewshire East 40 25 4 - 9 1 - 1 2 

Shetland Islands 16 z z z z z z z z 

Stirling 36 z z z z z z z z 

Outside Scotland 15 6 1 1 3 2 1 - 2 

Other / not known 4 66 45 4 3 6 5 - - 11 


Under 15 years 25 2 11 5 - 8 - 2 1 

15-19 years 278 59 78 27 42 89 3 1 28 

20-24 years 639 328 83 33 84 75 7 4 86 

25-29 years 995 696 67 40 57 54 9 1 131 

30-34 years 956 687 46 21 56 21 10 - 165 

35-39 years 802 562 50 15 38 18 10 - 139 

40-44 years 531 370 26 12 29 8 7 1 100 

45-49 years 186 124 20 3 8 3 1 - 30 

50-54 years 96 75 9 5 3 - 3 - 7 

55-59 years 39 24 4 4 - - - - 7 

60 years and over 73 30 3 16 1 - 1 2 21 

by gender 7 

Male 3 188 2 010 303 113 256 203 34 9 483 

Female 1 432 947 94 68 62 73 17 2 232 



3 Figures shown include an element of 'double counting' where a patient is recorded as having more than one drug type e.g. opioids and cannabinoids. 





8 Includes caffeine. 

9 Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances. 

- (zero) 

z Figures not shown where the number of discharges in an area < 40 and the number of discharges in any one category < 5. 




114 




any position; drug type 3 

year of discharge 


admissions inoids Hypnotics Stimulants 4 inogens Solvents Other 5 

2002/03 r 4 553 2 330 260 138 114 239 249 23 1 344 

2003/04 r 4 430 2 324 361 153 132 255 235 15 1 178 

2004/05 r 4 444 2 569 423 177 167 298 191 7 854 

2005/06 r 4 338 2 675 581 148 266 193 77 16 699 

2006/07 p 4 620 2 957 397 181 318 276 51 11 715 






r Revised. 




Health Impact 


115



any position; type of admission: 2006/07 p 


Total 

Admissions Elective 7 Emergency 

Scotland 4 620 322 4 298 


Ayrshire & Arran 626 51 575 

Borders 44 1 43 

Dumfries & Galloway 82 12 70 

Fife 365 52 313 

Forth Valley 103 2 101 

Grampian 560 39 521 


Highland 108 4 104 

Lanarkshire 215 10 205 

Lothian 793 66 727 

Orkney 2 - 2 

Shetland 16 2 14 

Tayside 198 8 190 

Western Isles 10 3 7 

Outside Scotland 15 1 14 

Other / not known 3 66 2 64 

Argyll & Clyde 4 321 12 309 

Greater Glasgow & Clyde part 289 11 278 

Highland part 32 1 31 


Highland 4 76 3 73 


Health Impact 

Aberdeen City 455 30 425 

Aberdeenshire 87 8 79 

Angus 29 2 27 

Argyll & Bute 32 1 31 

Ayrshire East 215 12 203 

Ayrshire North 262 22 240 

Ayrshire South 149 17 132 

Borders 44 1 43 

Clackmannanshire 24 1 23 

Dumfries & Galloway 82 12 70 

Dunbartonshire East 27 - 27 

Dunbartonshire West 55 2 53 

Dundee City 74 2 72 

Edinburgh City 541 49 492 

Eilean Siar 10 3 7 

Falkirk 43 - 43 

Fife 365 52 313 

Glasgow City 1 078 52 1026 

Highland 76 3 73 

Inverclyde 89 2 87 

Lanarkshire North 128 6 122 

Lanarkshire South 156 10 146 

Lothian East 59 7 52 

Lothian West 117 5 112 

Midlothian 76 5 71 

Moray 18 1 17 

Orkney Islands 2 - 2 

Perth & Kinross 95 4 91 

Renfrewshire 140 6 134 

Renfrewshire East 40 4 36 

Shetland Islands 16 2 14 

Stirling 36 1 35 

Outside Scotland 15 1 14 

Other / not known 3 66 2 64 


Under 15 years 25 2 23 

15-19 years 278 13 265 

20-24 years 639 24 615 

25-29 years 995 73 922 

30-34 years 956 59 897 

35-39 years 802 68 734 

40-44 years 531 29 502 

45-49 years 186 20 166 

50-54 years 96 15 81 

55-59 years 39 6 33 

60 years and over 73 13 60 

by gender 6 

Male 3 188 220 2 968 

Female 1 432 102 1 330 

1 Excludes mental illness hospitals, psychiatric units and maternity hospitals and 

transfers. 


3 Patients with no fixed abode or where NHS board or council area of residence is not 

known. 




7 Includes deferred, waiting list and repeat admissions and booked cases. 

- (zero) 





116



any position; specialty: 2006/07 p 


Total General Cardio- Commun- Respir- General General A & E Anaes- Ortho- Plastic Gynae- Other 

admissions Medicine logy icable atory Surgery Surgery thetics paedics Surgery cology 

Diseases Medicine (excl 

Vascular) 



Ayrshire & Arran 626 332 2 - - 1 74 104 9 42 1 25 36 

Borders 44 35 - - - - 3 - - 2 - - 4 

Dumfries & Galloway 82 45 - - - 10 - - - 17 - 1 9 

Fife 365 203 1 8 2 2 33 4 2 44 1 12 53 

Forth Valley 103 75 1 - - 13 - 2 - 12 - - - 

Grampian 560 266 5 33 20 2 41 87 4 30 6 13 53 


Highland 108 66 - - 1 16 2 2 - 6 - 1 14 

Lanarkshire 215 129 4 3 - 37 5 8 - 20 1 - 8 

Lothian 793 516 9 48 16 2 44 55 18 47 12 2 24 

Orkney 2 z z z z z z z z z z z z 

Shetland 16 z z z z z z z z z z z z 

Tayside 198 113 1 - 4 6 22 24 6 10 4 1 7 

Western Isles 10 z z z z z z z z z z z z 

Outside Scotland 15 9 - - - 2 1 - - 1 - - 2 

Other / not known 3 66 45 2 - - 2 3 3 1 8 - - 2 

Argyll & Clyde 4 321 203 1 - - 42 5 15 - 31 1 4 19 

Greater Glasgow & Clyde part 289 190 1 - - 38 3 14 - 29 1 4 9 

Highland part 32 z z z z z z z z z z z z 

Greater Glasgow 4 1 209 775 17 21 6 82 76 36 23 121 8 - 44 

Highland 4 76 53 - - 1 12 - 1 - 4 - 1 4 


Aberdeen City 455 222 4 30 16 2 29 73 3 21 5 11 39 

Aberdeenshire 87 34 1 3 4 - 7 14 1 7 1 2 13 

Angus 29 z z z z z z z z z z z z 

Argyll & Bute 32 z z z z z z z z z z z z 

Ayrshire East 215 108 1 - - - 30 32 7 17 1 6 13 

Ayrshire North 262 135 1 - - 1 28 57 1 18 - 12 9 

Ayrshire South 149 89 - - - - 16 15 1 7 - 7 14 

Borders 44 35 - - - - 3 - - 2 - - 4 

Clackmannanshire 24 z z z z z z z z z z z z 

Dumfries & Galloway 82 45 - - - 10 - - - 17 - 1 9 

Dunbartonshire East 27 z z z z z z z z z z z z 

Dunbartonshire West 55 30 - - - 9 3 4 - 8 - - 1 

Dundee City 74 37 1 - - 4 1 19 3 2 3 1 3 

Edinburgh City 541 369 7 46 14 1 36 3 12 31 5 - 17 

Eilean Siar 10 z z z z z z z z z z z z 

Falkirk 43 30 - - - 8 - - - 5 - - - 

Fife 365 203 1 8 2 2 33 4 2 44 1 12 53 

Glasgow City 1 078 698 15 21 6 69 71 33 19 102 7 - 37 

Highland 76 53 - - 1 12 - 1 - 4 - 1 4 

Inverclyde 89 59 - - - 18 - 1 - 6 1 1 3 

Lanarkshire North 128 79 1 2 - 23 1 5 - 12 1 - 4 

Lanarkshire South 156 83 5 1 - 25 4 4 3 22 1 - 8 

Lothian East 59 39 1 - 1 - 5 - 1 7 1 1 3 

Lothian West 117 49 1 1 - 1 1 51 2 3 5 1 2 

Midlothian 76 59 - 1 1 - 2 1 3 6 1 - 2 

Moray 18 z z z z z z z z z z z z 

Orkney Islands 2 z z z z z z z z z z z z 

Perth & Kinross 95 58 - - 4 - 21 - 3 6 1 - 2 

Renfrewshire 140 101 1 - - 10 1 9 - 11 - 1 6 

Renfrewshire East 40 21 - - - 3 1 2 - 9 - 2 2 

Shetland Islands 16 z z z z z z z z z z z z 

Stirling 36 z z z z z z z z z z z z 

Outside Scotland 15 9 - - - 2 1 - - 1 - - 2 

Other / not known 3 66 45 2 - - 2 3 3 1 8 - - 2 

Health Impact 


Under 15 years 25 9 - - - - - 4 - - - - 12 

15-19 years 278 176 2 - 2 4 9 35 1 25 1 3 20 

20-24 years 639 401 7 5 8 27 38 64 4 55 4 4 22 

25-29 years 995 585 5 19 6 46 61 80 19 84 10 26 54 

30-34 years 956 569 8 18 14 54 71 69 12 75 8 17 41 

35-39 years 802 474 9 25 8 40 60 40 15 71 7 7 46 

40-44 years 531 310 6 28 3 27 44 34 7 43 4 2 23 

45-49 years 186 111 2 10 2 13 14 6 2 15 - - 11 

50-54 years 96 57 2 7 7 2 5 3 2 4 - - 7 

55-59 years 39 25 - 1 - 1 - 1 - 5 - - 6 

60 years and over 73 45 - - - 2 1 1 - 3 - - 21 

by gender 6 

Male 3 188 1 922 29 74 22 150 192 251 45 291 26 - 186 

Female 1 432 840 12 39 28 66 111 86 17 89 8 59 77 


transfers. 



known. 




- (zero) 

z Figures not shown where the number of discharges in an area < 40 and the number 

of discharges in any one category < 5. 





117



any position; length of stay: 2006/07 p 


Total less than between 1 week between 1 month more than 

admissions 1 week and 1 month and 3 months 3 months 



Ayrshire & Arran 626 581 44 1 - 

Borders 44 42 2 - - 

Dumfries & Galloway 82 78 4 - - 

Fife 365 350 14 1 - 

Forth Valley 103 94 9 - - 

Grampian 560 502 52 6 - 

Greater Glasgow & Clyde 1 498 1 355 134 9 - 

Highland 108 101 6 1 - 

Lanarkshire 215 204 11 - - 

Lothian 793 746 45 2 - 

Orkney 2 z z z z 

Shetland 16 z z z z 

Tayside 198 184 10 3 1 

Western Isles 10 z z z z 

Outside Scotland 15 14 1 - - 

Other / not known 3 66 62 4 - - 

Argyll & Clyde 4 321 297 23 1 - 

Greater Glasgow & Clyde part 289 266 23 - - 

Highland part 32 z z z z 

Greater Glasgow 4 1 209 1 089 111 9 - 

Highland 4 76 70 6 - - 


Health Impact 

Aberdeen City 455 409 41 5 - 

Aberdeenshire 87 76 10 1 - 

Angus 29 z z z z 

Argyll & Bute 32 z z z z 

Ayrshire East 215 200 15 - - 

Ayrshire North 262 240 21 1 - 

Ayrshire South 149 141 8 - - 

Borders 44 42 2 - - 

Clackmannanshire 24 z z z z 

Dumfries & Galloway 82 78 4 - - 

Dunbartonshire East 27 z z z z 

Dunbartonshire West 55 52 3 - - 

Dundee City 74 69 2 2 1 

Edinburgh City 541 500 40 1 - 

Eilean Siar 10 z z z z 

Falkirk 43 39 4 - - 

Fife 365 350 14 1 - 

Glasgow City 1 078 967 104 7 - 

Highland 76 70 6 - - 

Inverclyde 89 83 6 - - 

Lanarkshire North 128 122 6 - - 

Lanarkshire South 156 148 8 - - 

Lothian East 59 57 2 - - 

Lothian West 117 116 1 - - 

Midlothian 76 73 2 1 - 

Moray 18 z z z z 

Orkney Islands 2 z z z z 

Perth & Kinross 95 87 7 1 - 

Renfrewshire 140 127 13 - - 

Renfrewshire East 40 35 4 1 - 

Shetland Islands 16 z z z z 

Stirling 36 z z z z 

Outside Scotland 15 14 1 - - 

Other / not known 3 66 62 4 - - 


Under 15 years 25 24 1 - - 

15-19 years 278 273 5 - - 

20-24 years 639 619 16 4 - 

25-29 years 995 927 65 3 - 

30-34 years 956 889 66 1 - 

35-39 years 802 729 68 5 - 

40-44 years 531 472 55 4 - 

45-49 years 186 165 19 1 1 

50-54 years 96 80 15 1 - 

55-59 years 39 31 7 1 - 

60 years and over 73 55 15 3 - 

by gender 6 

Male 3 188 2 970 204 13 1 

Female 1 432 1 294 128 10 - 


transfers. 



known. 




- (zero) 

z Figures not shown where the number of discharges in an area < 40 and the number 

of discharges in any one category < 5. 





118



any position; length of stay: 2006/07 p 

drug type 


admissions 1 week and 1 month and 3 months 3 months 

Opioids 2 957 2 708 234 15 - 

Cannabinoids 397 384 13 - - 

Sedatives/hypnotics 181 171 10 - - 

Cocaine 318 308 10 - - 

Other stimulants 4 276 266 10 - - 

Hallucinogens 51 47 4 - - 

Volatile solvents 11 11 - - - 

Multiple/Other 5 715 639 66 9 1 






- (zero) 




Health Impact 


119

Health Impact 


120


C2 


Key points 2005/06 

Overview 

■ In 2005/06 there were 24,632 psychiatric discharges in Scotland, of which 1,623 had a diagnosis of drug 

misuse (a rate of 33 discharges per 100,000 population) (Tables C2.2 and C2.3). 

■ During 2005/06 the ratio of discharges to patients was 1.3 (Table C2.1). 

■ Of the 1,623 psychiatric discharges relating to drug misuse over 70% (1,162) were re-admissions (Table 

C2.2). 

■ Over two-thirds (1,119) of drug misuse discharges were males compared with 504 discharges for females 

(Table C2.2). 

■ The majority of patients who were discharged with a diagnosis of drug misuse were aged under 40 years 

old (81%). The 25 to 29 years old age group had the highest rate of discharges, with 115 per 100, 000 

population (Table C2.2). 

■ Where a main diagnosis of drug misuse was recorded with supplementary diagnoses, the most common 

specific supplementary diagnoses were mood (affective) disorders (42) and mental and behavioural 

disorders due to drug use (55) (Table C2.4). 

■ More than two-fifths (737) of discharges involved a supplementary diagnosis for drug misuse. In these 

cases the most common main diagnoses were schizophrenia (238) and mood affective disorders (145) 

(Table C2.5). 

Five year trends – 2001/02 to 2005/06 

■ There has been little change in the rate of psychiatric discharges with either a main or supplementary 

diagnosis of drug misuse between 2001/02 and 2005/06 (fluctuating between a maximum of 38 per 

100,000 population and a minimum of 33 per 100,000 population) (Table C2.2). 

■ Similarly, there was little variation over the 5 year period in the rate per 100,000 population of psychiatric 

discharges where drug misuse was recorded as the main diagnosis only. The rate lay between a 

maximum of 24 discharges per 100,000 (in 2002/03) and a minimum of 19 per 100,000 (in 2005/06) 

(Table C2.2). 

■ Some of the younger age groups (15 to 29 years old) showed a slight downward trend in the rate of 

discharges with a diagnosis of drug misuse per 100,000 population between 2001/02 and 2005/06. 

Some older age groups (40 to 49 years old) showed a slight upward trend over the same period. (Table 

C2.2). 

Health Impact 


■ The most common specifically recorded drug was opioids with 26% of cases (424). Cannabinoids was 

the second most commonly recorded drug with 12% of discharges (201) (Table C2.6). 

Geographical Profile 

■ The highest rate of discharges per 100,000 population was seen in NHS Dumfries and Galloway, with 73 

per 100,000 population. The second highest rate was NHS Ayrshire and Arran with 68 per 100,000 

(Table C2.2). 


121



Data on individual patients are collected by ISD Scotland as a series of Scottish Morbidity Records (SMR). 

The SMR datasets are a significant local and national information resource, and are used for epidemiological 

monitoring, health needs assessment, national and local planning and a range of other applications. 

These statistics are derived from data collected through the mental health inpatient and day case return 

(SMR04), which records information at admission and discharge. On the SMR04 form up to six separate 

diagnoses can be recorded on discharge. A diagnosis in the first position is the main diagnosis on discharge. A 

diagnosis `in any position', refers to the occurrence of a diagnosis in any of the six positions (including main 

and supplementary). 

Figures for all admissions, re-admissions and discharges relate to the number of episodes not to the number of 

individual patients admitted or discharged. Each individual may have more than one episode. First admissions 

relate to first ever admissions to a psychiatric hospital, and therefore approximate to the number of people. It 

is also important to note that re-admissions will include patients who have returned for treatment after a long 

period of time, as well as those who have been re-admitted after a short interval. 

When figures are broken down by geographical area or age the numbers in some categories can be very small. 

In these cases both differences between categories and trends over time should be interpreted with caution 

because they may be misleading. 

Diagnosis is recorded on both the admission and the discharge part of the record and diagnosis on discharge 

may differ from diagnosis on admission. The tables presented here are based on diagnosis on discharge. Drugs 

misuse is defined using the same group of ICD 10 codes outlined in section C1. In tables C2.3 to C2.5 

diagnoses have been grouped together into the following short list of conditions based on the International 

Classification of Diseases 10th Revision (ICD10): 

Health Impact 

ICD 10 Code 

Description 

F00-F03 

Dementia 

F10 

Alcohol Misuse 

F11-F16, F18-F19 

Drug Misuse 

F20 

Schizophrenia 

F30-F39 

Mood (Affective) Disorders 

F31 

- Bipolar Affective Disorders 

F32 

- Depressive Episode 

F33 

- Recurrent Depressive Disorder 

F04, F05, F09, F22, F23, F24, F28, F29 Other Psychotic Disorders 

F80-F84, F88-F89, F90, F93-F94, F98 Disorders of Childhood 

F40-F48 

Neurotic, Stress-related and Somatoform Disorders 

F60 

Personality Disorders 

F70-F79 

Learning Disabilities 

All other codes from chapter 5 

Other Conditions 


Information on ISD Scotland’s national datasets can be found on our website at: 


Further statistics on psychiatric admissions and discharges are available at: 

http://www.isdscotland.org/isd/info3.jsp?pContentID=962&p_applic=CCC&p_service=Content.show& 

If you would like further information on psychiatric discharges relating to drug misuse then please contact 

the Substance Misuse Information Strategy Team at substancemisuse@isd.csa.scot.nhs.uk 

122 



C2.1 Psychiatric hospital discharges 1 with a diagnosis of drug misuse 2 in any 

position: 2005/06p 


Ratio of discharges 

Discharges Patients to patients 

Scotland 3 1 623 1 246 1.3 

by previous psychiatric inpatient status 

First admission 439 432 1.0 

Re-admission 4 1 162 792 1.5 


Ayrshire & Arran 210 154 1.4 

Borders 40 37 1.1 


Fife 112 97 1.2 

Forth Valley 82 67 1.2 

Grampian 62 47 1.3 

Greater Glasgow and Clyde 391 317 1.2 


Lanarkshire 121 93 1.3 

Lothian 219 166 1.3 

Orkney - - - 

Shetland - - - 

Tayside 169 120 1.4 

Western Isles 2 2 1.0 



Argyll & Clyde 6 132 102 1.3 

Greater Glasgow & Clyde part 127 99 1.3 

Highland part 5 3 1.7 

Greater Glasgow 6 264 218 1.2 

Highland 6 134 91 1.5 


Aberdeen City 50 35 1.4 

Aberdeenshire 3 3 1.0 

Angus 23 19 1.2 

Argyll & Bute 5 3 1.7 

Ayrshire East 78 57 1.4 

Ayrshire North 92 66 1.4 

Ayrshire South 40 31 1.3 

Borders 40 37 1.1 

Clackmannanshire 32 26 1.2 


Dunbartonshire East 11 7 1.6 

Dunbartonshire West 13 13 1.0 

Dundee City 108 71 1.5 

Edinburgh City 138 111 1.2 

Eilean Siar 2 2 1.0 

Falkirk 26 21 1.2 

Fife 112 97 1.2 

Glasgow City 240 199 1.2 


Inverclyde 44 33 1.3 

Lanarkshire North 84 63 1.3 

Lanarkshire South 43 36 1.2 

Lothian East 8 8 1.0 

Lothian West 59 36 1.6 

Midlothian 14 11 1.3 

Moray 9 9 1.0 

Orkney Islands - - - 

Perth & Kinross 38 31 1.2 

Renfrewshire 56 40 1.4 

Renfrewshire East 21 19 1.1 

Shetland Islands - - - 

Stirling 24 20 1.2 



Health Impact 


Under 15 years 1 1 1.0 

15-19 years 105 83 1.3 

20-24 years 242 186 1.3 

25-29 years 343 263 1.3 

30-34 years 355 266 1.3 

35-39 years 274 209 1.3 

40-44 years 161 125 1.3 

45-49 years 76 58 1.3 

50-54 years 37 29 1.3 

55-59 years 18 16 1.1 

60 years and over 11 10 1.1 

by gender 8 

Male 1 119 842 1.3 

Female 504 404 1.2 

1 Excludes acute and maternity hospitals. 


3 Includes cases for which the type of admission is not known and cases with a missing 

or invalid response. 

4 Includes readmissions following a break from inpatient care and direct transfers either 

within a hospital or from other psychiatric inpatient care. 


known. 





- (zero) 

Source : ISD Scotland (SMR04). 



123


C2.2 Psychiatric inpatient discharges 1 with a diagnosis of drug misuse 2 : 

2001/02 r - 2005/06 p 

previous psychiatric inpatient status, NHS board and council area of residence, age group and gender 

Numbers EASR 9 

2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 p 2001/02 r 

Main 10 All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 

Scotland 3 1 122 1 778 1 162 1 830 1 103 1 726 1 061 1 794 943 1 623 23 36 


First admission 373 488 390 537 383 502 381 508 311 439 8 10 

Re-admission 4 714 1 240 707 1 212 681 1 184 656 1 248 622 1 162 15 25 


Ayrshire & Arran 150 219 180 232 172 241 140 214 144 210 48 69 

Borders 27 38 36 53 25 40 36 64 24 40 37 53 

Dumfries & Galloway 44 65 43 63 32 64 31 63 41 76 41 58 

Fife 51 76 58 79 71 105 99 125 90 112 16 24 

Forth Valley 52 89 56 99 69 112 59 106 54 82 20 33 

Grampian 46 59 72 103 47 66 29 61 31 62 9 11 

Greater Glasgow and Clyde 371 581 361 544 358 488 279 430 196 391 . . 

Highland 44 79 63 128 53 109 61 145 68 139 . . 

Lanarkshire 121 170 111 157 97 157 124 170 93 121 23 31 

Lothian 158 287 129 240 114 219 141 293 119 219 19 34 

Orkney 1 2 1 1 - - - 1 - - 5 12 

Shetland 2 2 1 1 1 1 1 1 - - 12 12 

Tayside 51 107 51 129 62 122 61 121 82 169 14 30 

Western Isles 4 4 - 1 2 2 - - 1 2 21 21 

Outside Scotland 3 3 3 6 2 2 10 12 4 5 . . 

Other / not known 5 58 88 53 76 56 82 29 62 31 43 . . 

Argyll & Clyde 6 133 244 135 229 136 217 111 186 68 132 36 65 

Greater Glasgow & Clyde part 123 229 122 215 120 195 100 173 64 127 . . 

Highland part 10 15 13 14 16 22 11 13 4 5 . . 

Greater Glasgow 6 248 352 239 329 238 293 179 257 132 264 27 39 

Highland 6 34 64 50 114 37 87 50 132 64 134 20 37 


Health Impact 

Aberdeen City 29 37 48 64 31 47 22 45 28 50 13 16 


Angus 6 17 6 14 6 11 9 21 10 23 8 20 

Argyll & Bute 10 15 13 14 16 22 11 13 4 5 15 22 

Ayrshire East 64 86 64 73 59 80 40 57 53 78 61 80 

Ayrshire North 53 87 77 104 91 131 82 120 66 92 45 73 

Ayrshire South 33 46 39 55 22 30 18 37 25 40 36 49 

Borders 27 38 36 53 25 40 36 64 24 40 37 53 

Clackmannanshire 17 27 17 33 19 25 23 35 22 32 37 58 


Dunbartonshire East 12 14 15 18 21 23 13 15 11 11 13 16 


Dundee City 24 48 39 91 41 78 39 78 53 108 16 33 

Edinburgh City 86 168 62 144 61 129 80 176 77 138 17 33 

Eilean Siar 4 4 - 1 2 2 - - 1 2 21 21 

Falkirk 23 31 14 22 25 43 24 45 15 26 17 22 

Fife 51 76 58 79 71 105 99 125 90 112 16 24 

Glasgow City 212 305 199 273 202 249 149 220 116 240 33 48 

Highland 34 64 50 114 37 87 50 132 64 134 20 37 

Inverclyde 20 51 33 52 17 36 21 45 18 44 25 65 

Lanarkshire North 80 111 63 95 75 122 86 126 63 84 25 35 

Lanarkshire South 51 73 57 78 33 50 49 58 33 43 18 26 

Lothian East 11 15 9 12 7 11 17 19 2 8 13 18 

Lothian West 29 60 33 55 24 50 37 83 29 59 18 38 

Midlothian 32 44 25 29 22 29 7 15 11 14 49 65 

Moray 7 10 12 21 4 5 1 8 2 9 8 12 

Orkney Islands 1 2 1 1 - - - 1 - - 5 12 

Perth & Kinross 21 42 6 24 15 33 13 22 19 38 19 37 

Renfrewshire 79 133 66 123 73 113 43 84 28 56 50 84 

Renfrewshire East 16 28 11 15 10 18 13 19 10 21 22 40 

Shetland Islands 2 2 1 1 1 1 1 1 - - 12 12 

Stirling 12 31 25 44 25 44 12 26 17 24 15 38 

Outside Scotland 3 3 3 6 2 2 10 12 4 5 . . 

Other / not known 5 58 88 53 76 56 82 29 62 31 43 . . 


Under 15 years 1 1 - - 1 1 1 1 1 1 0 0 

15-19 years 106 143 104 143 83 124 73 92 73 105 33 45 

20-24 years 270 368 257 356 250 361 213 333 162 242 86 117 

25-29 years 284 441 279 438 247 371 261 404 212 343 90 140 

30-34 years 209 356 236 407 226 375 201 371 189 355 55 93 

35-39 years 143 244 149 259 147 243 163 286 146 274 35 61 

40-44 years 59 111 65 115 82 139 82 167 87 161 16 29 

45-49 years 18 47 37 56 35 58 33 67 41 76 5 14 

50-54 years 15 28 11 19 11 26 20 39 16 37 4 8 

55-59 years 5 14 6 11 7 11 7 17 9 18 2 5 

60 years and over 12 25 18 26 14 17 7 17 7 11 1 2 

by gender 8 

Male 791 1247 778 1189 748 1173 711 1174 652 1119 33 52 

Female 331 531 384 641 355 553 350 620 291 504 13 21 



3 Includes cases for which the type of admission is not known and cases with a missing or invalid response. 

4 Includes readmissions following a break from inpatient care and direct transfers either within a hospital or from other psychiatric inpatient care. 





9 European Age Standardised Rate per 100 000 population. 

10 'Main' is the Primary diagnosis; 'All' includes supplementary diagnoses. 

124 



Psychiatric inpatient discharges 1 with a diagnosis of drug misuse 2 : 

2001/02 r - 2005/06 p C2.2 

continued 

EASR 9 

2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 p 

All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 Main 10 All 10 

1 623 23 36 24 38 23 36 22 37 19 33 Scotland 3 


439 8 10 8 11 8 10 8 11 6 9 First admission 

1 162 15 25 15 25 14 24 14 26 13 24 Re-admission 4 


210 48 69 57 73 55 77 45 67 47 68 Ayrshire & Arran 

40 37 53 43 66 34 54 43 76 33 52 Borders 

76 41 58 43 60 32 58 29 55 42 73 Dumfries & Galloway 

112 16 24 18 25 22 32 31 39 27 34 Fife 

82 20 33 21 37 26 42 23 40 20 31 Forth Valley 

62 9 11 14 21 9 13 6 12 6 13 Grampian 

391 . . . . . . . . . . Greater Glasgow and Clyde 

139 . . . . . . . . . . Highland 

121 23 31 21 29 18 30 24 32 18 23 Lanarkshire 

219 19 34 16 29 14 26 17 35 14 26 Lothian 

- 5 12 6 6 - - - 9 - - Orkney 

- 12 12 6 6 5 5 7 7 - - Shetland 

169 14 30 15 37 18 35 18 36 24 49 Tayside 

2 21 21 - 5 9 9 - - 4 7 Western Isles 

5 . . . . . . . . . . Outside Scotland 

43 . . . . . . . . . . Other / not known 5 

132 36 65 37 62 38 60 32 53 19 36 Argyll & Clyde 6 

127 . . . . . . . . . . Greater Glasgow & Clyde part 

5 . . . . . . . . . . Highland part 

264 27 39 26 36 26 32 20 28 15 29 Greater Glasgow 6 

134 20 37 30 65 22 51 29 78 37 76 Highland 6 


50 13 16 22 28 14 21 10 20 13 24 Aberdeen City 

3 6 7 7 11 7 8 3 5 0 2 Aberdeenshire 

23 8 20 7 17 7 12 12 25 12 28 Angus 

5 15 22 18 19 23 31 18 20 5 6 Argyll & Bute 

78 61 80 59 67 56 74 38 53 50 74 Ayrshire East 

92 45 73 65 87 79 114 70 100 58 79 Ayrshire North 

40 36 49 43 59 24 31 19 40 28 46 Ayrshire South 

40 37 53 43 66 34 54 43 76 33 52 Borders 

32 37 58 39 75 44 57 51 78 50 72 Clackmannanshire 

76 41 58 43 60 32 58 29 55 42 73 Dumfries & Galloway 

11 13 16 18 21 24 26 17 19 14 14 Dunbartonshire East 

13 25 40 32 53 28 40 35 40 12 15 Dunbartonshire West 

108 16 33 27 63 28 54 28 56 37 77 Dundee City 

138 17 33 12 28 12 25 15 34 15 27 Edinburgh City 

2 21 21 - 5 9 9 - - 4 7 Eilean Siar 

26 17 22 10 15 17 30 17 32 10 18 Falkirk 

112 16 24 18 25 22 32 31 39 27 34 Fife 

240 33 48 31 42 32 39 24 34 18 37 Glasgow City 

134 20 37 30 65 22 51 29 78 37 76 Highland 

44 25 65 44 69 25 51 28 62 24 60 Inverclyde 

84 25 35 20 30 24 39 28 40 20 26 Lanarkshire North 

43 18 26 20 28 11 17 17 21 12 15 Lanarkshire South 

8 13 18 11 15 11 15 25 27 3 12 Lothian East 

59 18 38 22 36 14 30 23 51 19 37 Lothian West 

14 49 65 34 39 34 44 12 24 15 20 Midlothian 

9 8 12 16 28 5 6 1 10 2 12 Moray 

- 5 12 6 6 - - - 9 - - Orkney Islands 

38 19 37 6 21 13 29 11 21 19 35 Perth & Kinross 

56 50 84 43 80 49 74 28 54 18 35 Renfrewshire 

21 22 40 15 22 14 24 21 28 16 32 Renfrewshire East 

- 12 12 6 6 5 5 7 7 - - Shetland Islands 

24 15 38 30 53 33 56 16 34 23 32 Stirling 

5 . . . . . . . . . . Outside Scotland 

43 . . . . . . . . . . Other / not known 5 

Health Impact 


1 0 0 - - 0 0 0 0 0 0 Under 15 years 

105 33 45 33 45 26 38 22 28 22 32 15-19 years 

242 86 117 80 111 77 112 65 102 49 73 20-24 years 

343 90 140 93 147 85 128 90 139 71 115 25-29 years 

355 55 93 64 110 63 105 58 108 57 107 30-34 years 

274 35 61 37 64 37 61 41 72 38 70 35-39 years 

161 16 29 17 30 21 35 21 42 22 40 40-44 years 

76 5 14 11 16 10 16 9 19 11 21 45-49 years 

37 4 8 3 6 3 8 6 12 5 11 50-54 years 

18 2 5 2 4 2 3 2 5 3 5 55-59 years 

11 1 2 2 2 1 2 1 2 1 1 60 years and over 

by gender 8 

1119 33 52 33 50 32 49 30 49 27 47 Male 

504 13 21 15 26 15 22 14 25 12 20 Female 


r Revised. 


- (zero); 0 (>0.0 &


C2.3 All psychiatric inpatient discharges 1 ; gender : 2005/06 p 

main discharge diagnosis, overall and by previous psychiatric inpatient status 

Total Male Female 


Dementia 2 236 1 059 1 177 

Mental and behavioural disorders due to use of alcohol 3 397 2 312 1 085 

Mental and behavioural disorders due to drug misuse 2 944 652 292 

Schizophrenia 3 664 2 572 1 092 

Mood (affective) disorders 7 037 2 715 4 322 

- Bipolar affective disorder 2 064 802 1 262 

- Depressive episode 3 702 1 479 2 223 

- Recurrent depressive disorder 833 257 576 

Other psychotic disorders 1 422 768 654 

Disorders of childhood 60 32 28 

Neurotic, stress related and somatoform disorders 1 541 633 908 

Personality disorder 1 111 284 827 

Learning disabilities 1 697 882 815 

Other 1 523 633 890 

First admission 6 619 3 374 3 245 

Dementia 1 030 479 551 

Mental and behavioural disorders due to use of alcohol 1 043 711 332 


Schizophrenia 293 198 95 

Health Impact 

Mood (affective) disorders 1 916 812 1 104 

- Bipolar affective disorder 196 75 121 

- Depressive episode 1 432 609 823 


Other psychotic disorders 559 290 269 


Neurotic, stress related and somatoform disorders 691 319 372 

Personality disorder 142 65 77 

Learning disabilities 74 49 25 

Other 536 221 315 

Re-admission 4 17 373 8 811 8 562 

Dementia 1 057 507 550 

Mental and behavioural disorders due to use of alcohol 2 165 1 460 705 


Schizophrenia 3 334 2 346 988 

Mood (affective) disorders 5 020 1 866 3 154 

- Bipolar affective disorder 1 854 724 1 130 

- Depressive episode 2 202 842 1 360 






Learning disabilities 1 610 828 782 

Other 931 387 544 


2 Includes cases for which the type of admission is not known and cases with a missing or invalid response. 

3 Excludes misuse of tobacco. 

4 Includes readmissions following a break from inpatient care and direct transfers either within a hospital or from other psychiatric inpatient care. 




126 



C2.4 Psychiatric inpatient discharges 1 with a main discharge diagnosis of 

drug misuse 2 : 2005/06 p 

supplementary discharge diagnosis 


Discharges with a main diagnosis of drug misuse 278 173 105 

Dementia - - - 

Mental and behavioural disorders due to use of alcohol 24 15 9 

Mental and behavioural disorders due to drug misuse 55 39 16 


Mood (affective) disorders 42 17 25 


- Depressive episode 31 14 17 

- Recurrent depressive disorder 1 - 1 


Disorders of childhood - - - 



Learning disabilities 2 2 - 

Other 66 48 18 


2 Excludes misuse of tobacco or alcohol in main diagnosis. 


- (zero) 



Health Impact 


127


C2.5 Psychiatric inpatient discharges 1 with a supplementary discharge 

diagnosis of drug misuse 2 : 2005/06 p 

main discharge diagnosis 


Main psychiatric discharges with a supplementary 

discharge diagnosis of drug misuse 737 506 231 

Dementia - - - 

Mental and behavioural disorders due to use of alcohol 75 62 13 

Mental and behavioural disorders due to drug misuse 57 39 18 


Mood (affective) disorders 145 78 67 


- Depressive episode 64 32 32 



Disorders of childhood - - - 



Learning disabilities 6 6 - 

Other 41 24 17 


2 Excludes misuse of tobacco or alcohol as a supplementary diagnosis. 

Health Impact 


- (zero) 




128


C2.6 Psychiatric inpatient discharges 1 with a discharge diagnosis of drug 

misuse 2 in any position; drug type 3 : 2005/06 p 



inoids Hypnotics stimulants 10 inogens solvents Other 11 



First admission 439 132 63 19 7 22 4 1 207 

Re-admission 5 1 162 288 137 51 21 53 13 4 647 


Ayrshire & Arran 210 53 18 2 3 5 - - 136 

Borders 40 17 8 6 1 1 - 1 9 

Dumfries & Galloway 76 36 16 4 - 9 - - 17 

Fife 112 35 19 9 - 1 2 - 48 

Forth Valley 82 46 12 2 - 2 - - 21 

Grampian 62 15 - - - 1 - - 46 

Greater Glasgow and Clyde 391 86 54 15 17 31 9 - 208 

Highland 139 11 17 13 1 - 1 - 99 

Lanarkshire 121 45 10 2 3 3 - - 59 

Lothian 219 58 25 10 2 11 3 3 118 

Orkney - - - - - - - - - 

Shetland - - - - - - - - - 

Tayside 169 22 21 9 2 11 2 1 106 

Western Isles 2 z z z z z z z z 

Outside Scotland 5 z z z z z z z z 

Other / not known 6 43 13 4 1 - 1 - - 27 

Argyll & Clyde 7 132 15 14 6 2 3 7 - 92 

Greater Glasgow & Clyde part 127 15 13 6 2 3 7 - 88 

Highland part 5 z z z z z z z z 

Greater Glasgow 7 264 71 41 9 15 28 2 - 120 

Highland 7 134 11 16 13 1 - 1 - 95 


Aberdeen City 50 14 - - - - - - 36 

Aberdeenshire 3 z z z z z z z z 

Angus 23 z z z z z z z z 

Argyll & Bute 5 z z z z z z z z 

Ayrshire East 78 14 6 - - 1 - - 60 

Ayrshire North 92 29 8 1 - 2 - - 55 

Ayrshire South 40 10 4 1 3 2 - - 21 

Borders 40 17 8 6 1 1 - 1 9 

Clackmannanshire 32 16 3 1 - 1 - - 11 

Dumfries & Galloway 76 36 16 4 - 9 - - 17 

Dunbartonshire East 11 z z z z z z z z 

Dunbartonshire West 13 z z z z z z z z 

Dundee City 108 15 11 3 2 5 - - 76 

Edinburgh City 138 36 19 5 - 10 2 - 73 

Eilean Siar 2 z z z z z z z z 

Falkirk 26 z z z z z z z z 

Fife 112 35 19 9 - 1 2 - 48 

Glasgow City 240 61 39 7 13 28 2 - 111 

Highland 134 11 16 13 1 - 1 - 95 

Inverclyde 44 8 8 1 - 3 7 - 22 

Lanarkshire North 84 35 5 1 3 1 - - 39 

Lanarkshire South 43 12 6 2 1 2 - - 21 

Lothian East 8 z z z z z z z z 

Lothian West 59 17 2 3 1 - 1 3 35 

Midlothian 14 z z z z z z z z 

Moray 9 z z z z z z z z 

Orkney Islands 

Perth & Kinross 38 z z z z z z z z 

Renfrewshire 56 5 - 3 1 - - - 47 

Renfrewshire East 21 z z z z z z z z 

Shetland Islands 

Stirling 24 z z z z z z z z 

Outside Scotland 5 z z z z z z z z 

Other / not known 6 43 13 4 1 - 1 - - 27 

Health Impact 


Under 15 years 1 1 - - - - - - - 

15-19 years 105 16 18 - 1 2 2 2 65 

20-24 years 242 62 36 9 3 8 1 - 131 

25-29 years 343 108 32 13 10 13 1 - 181 

30-34 years 355 91 46 11 11 21 4 - 185 

35-39 years 274 69 33 13 3 14 1 - 155 

40-44 years 161 39 15 11 - 13 7 2 84 

45-49 years 76 20 11 5 1 3 1 - 40 

50-54 years 37 11 8 5 - - - - 14 

55-59 years 18 6 2 2 - 1 - - 7 

60 years and over 11 1 - 4 - - - 1 5 

by gender 9 

Male 1 119 286 132 33 22 42 15 3 629 

Female 504 138 69 40 7 33 2 2 238 



3 Figures shown include an element of 'double counting' where a patient is recorded as having more than 

one drug type e.g. opioids and cannabinoids. 

4 Includes cases for which the type of admission is not known and cases with a missing or invalid 

response. 

5 Includes readmissions following a break from inpatient care and direct transfers either within a hospital 

or from other psychiatric inpatient care. 








z Figures not shown where the total number of discharges in an area < 40 and the number of discharges 

in one or more categories < 5. 

- (zero) 




129


C2.7 Psychiatric inpatient discharges with a discharge diagnosis 1 of drug 

misuse 2 in any position ; length of stay: 2005/06 



1 week and 1 month and 3 months 3 months 



First admission 439 227 171 33 8 

Re-admission 4 1 162 450 485 158 69 



Borders 40 14 24 2 - 


Fife 112 61 41 6 4 

Forth Valley 82 35 31 11 5 

Grampian 62 27 22 8 5 

Greater Glasgow and Clyde 391 153 171 49 18 

Highland 139 43 62 20 14 

Lanarkshire 121 41 64 13 3 

Lothian 219 118 67 24 10 

Orkney - - - - - 

Shetland - - - - - 

Tayside 169 85 52 20 12 

Western Isles 2 1 1 - - 



Argyll & Clyde 6 132 52 56 18 6 

Greater Glasgow & Clyde part 127 50 53 18 6 

Highland part 5 2 3 - - 


Highland 6 134 41 59 20 14 


Health Impact 


Aberdeenshire 3 2 1 - - 

Angus 23 8 12 2 1 

Argyll & Bute 5 2 3 - - 



Ayrshire South 40 15 18 7 - 

Borders 40 14 24 2 - 



Dunbartonshire East 11 1 10 - - 

Dunbartonshire West 13 5 6 2 - 

Dundee City 108 53 32 13 10 


Eilean Siar 2 1 1 - - 

Falkirk 26 13 8 4 1 

Fife 112 61 41 6 4 

Glasgow City 240 99 102 29 10 

Highland 134 41 59 20 14 

Inverclyde 44 15 16 12 1 



Lothian East 8 5 2 1 - 


Midlothian 14 10 4 - - 

Moray 9 6 2 1 - 

Orkney Islands - - - - - 

Perth & Kinross 38 24 8 5 1 



Shetland Islands - - - - - 

Stirling 24 10 10 3 1 




Under 15 years 1 - 1 - - 

15-19 years 105 45 45 9 6 

20-24 years 242 111 84 36 11 

25-29 years 343 156 138 37 12 

30-34 years 355 157 137 37 24 

35-39 years 274 109 119 36 10 

40-44 years 161 64 68 24 5 

45-49 years 76 24 36 11 5 

50-54 years 37 11 19 4 3 

55-59 years 18 6 10 - 2 

60 years and over 11 4 5 2 - 

by gender 8 

Male 1 119 475 443 136 65 

Female 504 212 219 60 13 



3 Includes cases for which the type of admission is not known and cases with a missing or invalid 

response. 

4 Includes readmissions following a break from inpatient care and direct transfers either within a hospital 

or from other psychiatric inpatient care. 






- (zero) 




130

General practice 

C3 


Practice Team Information is a system that collects morbidity data from general medical practices 

in Scotland. Data are collected from a sample of practices covering 5% of the Scottish population 

and include every face-to-face doctor-patient consultation. This sample is broadly representative 

of the Scottish population in terms of age, sex, deprivation and urban/rural mix and allows 

estimates to be produced for Scotland. 

Key Points 

Overview 

■ In 2005/06, around 1% (158,100) of the estimated 14,729,700 consultations (face-to-face contacts) 

between patients and GPs related to drug misuse (Table C3.1). 

■ The average number of GP consultations per year for all patients attending was 3.7. For those with a 

diagnosis of drug misuse, the average number of drug misuse GP consultations per year was 4.7 (Table 

C3.1). 

■ More males than females consult their GP for drug related problems (nearing 2:1) although overall, more 

females than males consult their GP (Table C3.2). 

■ Sixty-nine percent of patients attending a GP for a drug misuse consultation were within the 25 to 44 

years old age group. Twenty-four percent were in the 15 to 24 years old age group. In contrast, 28% 

of patients consulting a GP for any reason were in the 25 to 44 years old age group and 13% were in 

the 15 to 24 years old age group (Table C3.2). 

■ For both men and women, aged 15 to 44 years old and with a drug misuse diagnosis, depression and 

anxiety disorders were the top two most common co-morbidities. Of male drug misuse patients, 16.7% 

also had a diagnosis of depression compared with 6.1% of non-drug misuse patients. Among females, 

28.4% of drug misuse patients also had a diagnosis of depression compared with 10.3% of non-drug 

misuse patients (Table C3.3). 

■ Among males, drug misusing patients were over four times more likely to have a diagnosis of alcohol 

misuse with 8.7% of drug misusing patients having this diagnosis compared to 2% of non-drug misusing 

patients. Alcohol misuse did not feature in the top ten most common co-morbidities for females but was 

the fifth most common co-morbidity for males (Table C3.3). 

■ The drug misuse GP consultation rate increased as deprivation increased. The GP consultation rate per 

1,000 practice population in deprivation category five (most deprived) was over ten times greater than 

that of category one (most affluent), 74.0 GP consultations per 1,000 practice population compared to 

7.0 per 1,000 practice population. (Table C3.4) 

■ Of the estimated number of drug misuse GP consultations, 75% were by patients in the two most 

deprived categories. Among non-drug misuse GP consultations, 43% were in the two most deprived 

categories. (Table C3.4). 

Health Impact 

Three year trends – 2003/04 to 2005/06 

■ The rate of patients attending a GP in General Practice with a diagnosis of drug misuse has remained 

stable from 8.6 per 1,000 patients attending in 2003/04, 8.7 per 1,000 patients in 2004/05 and 8.4 per 

1 000 patients attending in 2005/06. (Table C3.1) 

■ The rate of drug misuse GP consultations per 1,000 GP consultations has also remained relatively stable 

over the past three years from 10.9 per 1,000 consultations in 2003/04, increasing to 11.4 per 1,000 

consultations in 2004/05 and decreasing back to 10.7 per 1 000 consultations in 2005/06. (Table C3.1). 


131



Practice Team Information (PTI) is a system for the collection of primary care data from the general practice 

team, including General Practitioners, practice and community nurses. This system developed from Continuous 

Morbidity Recording (CMR) which collected data from contacts between GP and patient only. 

Data are collected from every face-to-face contact between a patient and a member of the practice team. 

Currently there are around 60 PTI practices collecting data in Scotland which contribute to the PTI sample. The 

selected practices involved are broadly representative of the Scottish population in terms of age, gender, 

deprivation and urban/rural mix. This allows the data collected to be extrapolated to Scotland. 

Following a substantial review of PTI data and subsequent revisions to the methodology for all PTI analyses, 

direct comparisons with figures produced prior to 27th March 2007 are not valid. Further information can be 

found on the PTI website at: http://www.isdscotland.org/isd/4724.html. 

Analysis & Definitions 

The analysis is based on data from the sample of practices in each individual year for which complete data were 

available, for the years 2003/04 to 2005/06. 

It is important to note that the information presented in this section of the publication does not give a measure 

of how prevalent drugs misuse is in the community. It does, however, give an insight into some of the 

characteristics of those who misuse drugs and present to a GP. 

For PTI, the diagnosis of drug misuse has been identified using the following set of Read codes: 

Health Impact 

Read code Read code description Read code Read code description 

13c.. Drug user 8FB0. Drug detox programme completed 

1P30. Compul uncontrollable drug tak 9HC.. Substance misuse monitoring 

1P31. Compulsive drug taking E02.. Drug psychoses 

1P6.. Craving for drugs E24.. Drug dependence 

63C6. Maternal drug abuse E25.. Nondependent abuse of drugs 

68U.. Drugs of abuse screening Eu1.. [X]Mental dis, psychoact subst 

8B23. Drug addiction therapy SL501 Heroin poisoning 

8B2N. Drug add detox ther methadone SL502 Methadone poisoning 

8B2P. Drug add maint ther methadone SL50z Opiate/narcotic poisoning NOS 

8B2Q. Drug add maint ther buprenorph SL850 Cocaine poisoning 

8B2R. Drug add detox ther buprenorph SL96. Hallucinogen poisoning 

8BA9. Detoxification dependence drug SL97. Psychostimulant poisoning 

8Bad. Opiate dependence detoxificatn SL9y. Other psychotropic poisoning 

8FB.. Drug rehabilitation SL9z. Psychotropic agent poison.NOS 

Interpretation of trend data 

Caution must be exercised in interpreting data on trends. Although PTI is generally representative in terms of 

age, sex, deprivation and urban/rural mix, it may not be as representative in terms of numbers of patients with 

drug misuse. This is because there can be wide variation in numbers of drug misusing patients in different 

practices. 


Information about Practice Team Information data collection and statistics is available at 


If you would like further information on PTI and drug misuse please contact the Substance Misuse Information 

Strategy Team at substancemisuse@isd.csa.scot.nhs.uk 

132 


Estimated number of patients attending a GP for a drug misuse consultation 7 Number 34 400 34 750 33 750 


C3.1 Estimated number and annual rate of patients attending a GP, for a 

drug misuse consultation, in Scotland; estimated number and annual 

rate of drug misuse GP consultations in Scotland 1,2 : 2003/04 - 

2005/06 3,4 

2003/04 2004/05 2005/06 

Estimated number of patients attending a GP in the period 5 4 010 300 4 004 600 4 017 450 

Estimated number of GP consultations in the period 6 15 095 500 14 831 400 14 729 700 

Rate per 1 000 patients attending a GP 8.6 8.7 8.4 

Estimated number of drug misuse GP consultations 

Number 164 500 169 800 158 100 

Rate per 1 000 PTI GP consultations 10.9 11.4 10.7 

1 Face-to-face contact between GP and patient. 

2 Estimates are based on a sample of 47, 44 and 44 PTI practices which collected and submitted complete GP data for the years ending 31 March 2004, 2005 and 2006, 

respectively. 

Caution must be exercised in interpreting data on trends. 

Although PTI is generally representative in terms of age, sex, deprivation and urban/rural mix, it may not be as representative in terms of numbers of patients with drug misuse. This 

is because there can be wide variation in numbers of drug misusing patients in different practices. 

3 Estimates are standardised by age, sex and deprivation 

4 Estimates are rounded to the nearest 50. 

5 Includes all PTI GP patients i.e. not only those with a diagnosis of drug misuse. 

6 Includes all PTI GP consultations i.e. not only those with a diagnosis of drug misuse. 

7 Number of PTI GP patients with at least one diagnosis of drug misuse during the period. 

Note: Following a substantial review of PTI data and subsequent revisions to the methodology for all PTI analyses, direct comparisons with figures produced prior to 27th March 2007 

are not valid. Further information can be found on our website, at: http://www.isdscotland.org/isd/4724.html 

Source : ISD Scotland, Practice team Information (PTI). 

Population source - Community Health Index (CHI) record (as at 30 September 2003, 2004 and 2005). 

Health Impact 


133


C3.2 Estimated number and annual rate of patients attending a GP, for a 

drug misuse consultation, in Scotland; estimated number and annual 

rate of drug misuse GP consultations in Scotland 1 : 2005/06 2,3,4 

Estimated number of patients attending a GP in the period 5 

Estimated number of GP consultations in the period 6 

Total Males Females 

Total 4 017 450 1 777 200 2 240 250 

Under 15 years 624 250 316 750 307 500 

15-24 514 450 210 600 303 900 

25-44 1 134 550 484 200 650 400 

45-64 1 020 250 467 750 552 500 

65 years and over 723 900 297 900 425 950 

Total 14 729 700 5 798 100 8 931 600 

Under 15 years 1 661 150 844 150 816 950 

15-24 1 540 200 497 900 1 042 300 

25-44 3 924 050 1 387 250 2 536 750 

45-64 4 042 650 1 659 800 2 382 850 

65 years and over 3 561 650 1 408 900 2 152 750 

Estimated number of patients attending a GP for a drug misuse consultation 7 

Number Total 33 750 22 200 11 500 

Under 15 years 150 100 20 

15-24 7 950 5 100 2 850 

25-44 23 250 16 000 7 250 

45-64 2 050 950 1 100 


Health Impact 

Rate 8 Total 8.4 12.5 5.1 

Under 15 years 0.2 0.3 0.1 

15-24 15.5 24.2 9.5 

25-44 20.5 33.1 11.1 

45-64 2.0 2.0 2.0 

65 years and over 0.4 0.2 0.6 

Estimated number of drug misuse GP consultations 

Number Total 158 100 104 650 53 450 

Under 15 years 150 100 20 

15-24 26 550 16 750 9 750 

25-44 123 150 84 350 38 800 

45-64 7 850 3 350 4 500 


Rate 9 Total 10.7 18.1 6.0 

Under 15 years 0.1 0.1 0.0 

15-24 17.2 33.7 9.4 

25-44 31.4 60.8 15.3 

45-64 1.9 2.0 1.9 

65 years and over 0.1 0.1 0.2 

1 Face-to-face contact between GP and patient. 

2 Based on a sample of 44 PTI practices which collected and submitted complete GP data for the year ending 31 March 2006. 

3 Estimates are standardised by deprivation (age/sex where applicable). 

4 Estimates are rounded to the nearest 50, to the nearest 10 if less than 50. 

5 Includes all PTI GP patients i.e. not only those with a diagnosis of drug misuse. 

6 Includes all PTI GP consultations i.e. not only those with a diagnosis of drug misuse. 

7 Number of PTI GP patients with at least one diagnosis of drug misuse during the period. 

8 Rate per 1000 PTI patients attending a GP. 

9 Rate per 1000 PTI GP consultations. 




Population source - Community Health Index (CHI) record (as at 30 September 2005). 

134 



C3.3 Proportion of the estimated number of patients with specified condition/illness, 

1,2 attending a GP in Scotland : 2004 3,4,5 

(patients aged 15 - 44 years) 

Drug misuse PTI patients 

Non-drug misuse PTI patients 

Number Percentage Number Percentage 

Males (n=21,100) (n=678,350) 

Depression & other affective disorders 3 550 16.7 41 150 6.1 

Anxiety & other neurotic, stress-related, & somatoform disorders 3 400 16.2 42 350 6.2 

General abnormal S&S NEC (6) 2 550 12.2 67 250 9.9 

Psychological S&S 2 200 10.5 34 000 5.0 

Mental & behavioural disorders due to use of alcohol 1 850 8.7 13 650 2.0 

Diseases of the skin & subcutaneous tissue (7) 1 800 8.5 98 550 14.5 

Digestive/abdominal S&S 1 750 8.2 60 300 8.9 

Back & neck disorders 1 750 8.2 66 750 9.8 

Diseases of upper respiratory tract (8) 1 600 7.5 47 900 7.1 

Infections of the skin & subcutaneous tissue 1 400 6.6 30 700 4.5 

Females (n =10,100) (n=952,100) 

Depression & other affective disorders 2 900 28.4 98 050 10.3 

Anxiety & other neurotic, stress-related, & somatoform disorders 2 700 26.7 88 650 9.3 

Digestive/abdominal S&S 1 850 18.3 131 200 13.8 

General abnormal S&S NEC (6) 1 850 18.1 124 000 13.0 

Psychological S&S 1 450 14.5 71 750 7.5 

Diseases of upper respiratory tract (8) 1 250 12.4 72 200 7.6 

Diseases of the skin & subcutaneous tissue (7) 1 200 11.8 144 800 15.2 

Infections of the skin & subcutaneous tissue 1 100 11.1 40 300 4.2 

Back & neck disorders 1 050 10.6 89 150 9.4 

Infectious diseases (9) 1 050 10.5 100 050 10.5 

1 Ten most commonly seen conditions for drug misuse patients. 

2 Includes signs and symptoms (S&S) that do not necessarily have a confirmed diagnosis, classified according to body system. Classified using ISD's Read Code Groupings (RCGs). 

3 Based on 44 PTI practices that submitted complete PTI data†for the†year ending 31 March 2006. 

4 Estimates are standardised by deprivation. 


6 NEC= Not Elsewhere Classified. 

7 Excluding infections and malignancies. 

8 Excluding influenza, pneumonia, acute bronchitis, acute bronchiolitis, chronic sinusitis, chronic disease of tonsils & adenoids & malignancies. 

9 Excluding meningococcal, skin, respiratory & urinary tract infections, gastroenteritis, & osteomyelitis. 

Health Impact 






135


C3.4 Estimated number of patients with a drug misuse diagnosis in Scotland, 

attending a GP and annual rate per 1,000 population; estimated 

number of drug misuse and non drug misuse GP consultations in 

Scotland and annual GP consultation rates per 1,000 population; by 

deprivation category: 2006 1 

Scottish Index of Multiple Deprivation 5 

Total 1 2 3 4 5 

Drug misuse 2 

Estimated number of patients attending a GP for a drug misuse consultation 3 33 750 1 500 2 900 4 950 8 350 15 950 

Drug misusing GP patients 2 per 1 000 practice population 6.3 1.4 2.7 4.6 7.8 14.7 

Estimated number of drug misuse GP consultations 3 158 100 7 500 11 400 21 300 37 450 80 450 

Drug misuse GP consultations 4 per 1 000 practice population 29.4 7.0 10.6 19.9 34.8 74.0 

Non-drug misuse 

Estimated number of non-drug misuse GP consultations 3 14 612 450 2 506 950 2 728 850 3 075 950 3 142 650 3 158 050 

Non drug misuse GP consultations 4 per 1 000 practice population 2 720.1 2 353.5 2 541.5 2 871.1 2 923.2 2 906.3 

PTI practice population 5 372 015 1 065 196 1 073 707 1 071 357 1 075 067 1 086 640 

1 Based on 44 PTI practices that submitted complete PTI data†for the†year ending 31 March 2006. 

2 Drug misusing PTI GP patient rates are calculated by dividing the number of PTI GP patients with at least one diagnosis of the specified condition by the practice population. 

4 Estimates are standardised by age and sex. 


4 PTI GP consultation rates are calculated by dividing the number of PTI GP consultations recorded within the relevant time period by the practice population. 

PTI GP consultations include face to face contact between GP and patient. 

5 Category 1 denotes most affluent and 5 least affluent. 



Health Impact 




136

Blood-borne Viruses 

C4 



Hepatitis B Virus 

Overview 

■ In 2006 there were 13 new hepatitis B virus (HBV) diagnoses among persons for whom injecting drug 

use was indicated as a risk factor (Table C4.1). 

Five Year Trends – 2002 to 2006 

■ The overall number of new diagnoses of HBV declined between 2002 and 2004 from 354 to 341, but 

rose in 2005 (372) and 2006 (375). This rise was not reflected in figures for new hepatitis B infected 

injecting drug users (IDUs) which show a decline between 2002 (38) and 2006 (13) (Table C4.1). 


■ Reports of new hepatitis B cases in IDUs were received from 7 NHS board areas. However, no NHS board 

reported more than 3 new cases in 2006 (Table C4.1). 

Hepatitis C Virus 

Overview 

■ In 2006 759 IDU’s were diagnosed with hepatitis C virus (HCV). IDUs accounted for 50% of the 1,519 

HCV cases diagnosed in 2006 (Table C4.2). 

■ The total number of IDUs known to be infected with the hepatitis C virus is 13,146, accounting for 89% 

of the 14,765 HCV reports in Scotland for which the possible/probably route of transmission was known. 

There have been a further 7,306 reports in Scotland where the route of transmission is not known, some 

of which would be expected to be IDUs (Tables C4.2). 

■ Seventy percent of the IDU’s with a diagnosis of HCV were male (Table C4.3). 

■ Forty-nine percent of IDUs were recorded as aged under 30 years old when diagnosed with HCV. Four 

percent were recorded as aged under 20 years old on diagnosis (Table C4.3). 

Health Impact 


■ Between 2002 and 2006 there has been a decrease in the total number of HCV cases reported each year, 

from 1,795 to 1,519. This decrease has been more marked in the number of IDU HCV cases reported, 

falling from 1,143 in 2001 to 759 in 2006. However, there was an increase in the number of cases of 

HCV reported where the probable/possible route of transmission was not known, from 555 in 2002 to 

635 in 2006, some of which would be expected to be IDUs (Table C4.2). 


■ Of the 13,146 reports of HCV infected IDUs 44% were from NHS Greater Glasgow and Clyde, a further 

15% were from NHS Lothian and 14% were from NHS Grampian (Table C4.2). 


137


Human Immunodeficiency Virus and AIDS 

Overview 

■ In 2006 there were 25 new cases of HIV infection among IDUs. Thirteen of these new infections were 

thought to have been contracted in Scotland (see background information for further details) (Table 

C4.4). 

■ 12 of the new cases were aged 30 to 39 years old at the time of diagnosis and the median age was 35 

years (Table C4.6). 

■ 18 of the new cases were males (Table C4.6). 

■ The cumulative total (to 31 December 2006) of HIV infected reports in IDUs is 1,367. IDUs accounted 

for 28% of the cumulative total of 4,969 HIV infection reports for Scotland (Table C4.4). 

■ Four new AIDS cases were registered among IDUs in 2006, bringing the cumulative total number of cases 

registered to 439 (Table C4.4). 


■ Between 2002 and 2006 numbers of HIV infections in IDUs rose: 13 in 2002 rising to 25 in 2006 (Table 

C4.4). 

■ The number of AIDS cases registered has declined from 13 cases in 2002 to 4 cases in 2006 (Table C4.4). 

■ There has been a decline over the last five years in the number of HIV infected IDUs in clinical care, from 

412 in 2002 to 388 in 2006 (Table C4.7). 

Health Impact 


■ Of the 25 new HIV reports in 2006, just under a third were in NHS Lothian (7 reports) and a fifth were 

in NHS Greater Glasgow and Clyde (5 reports). NHS Tayside reported 4 new infections (Table C4.5). 

■ Of the cumulative total of infections 51% of cases were in NHS Lothian (696 of 1,367 reports). A further 

22% were in NHS Tayside (304 cases) and 15% (199 cases) in NHS Greater Glasgow (Table C4.5). 


Hepatitis B Virus 

Health Protection Scotland (HPS) receives notification of positive hepatitis B Virus (HBV) tests from all 

laboratories located in the 14 NHS Board areas. At present no standard exists for the reporting of HBV infection 

and the amount of information provided by the different laboratories varies significantly. Information on risk 

factors, clinical history and status of HBV markers is frequently missing, thus it is difficult to determine whether 

cases are acute or chronic and to estimate the true incidence and prevalence of the virus. HPS are currently 

working towards developing an enhanced surveillance system for HBV in order to improve the quality of data 

that they receive. 

Hepatitis C Virus 

HPS, in association with Scotland’s principal HCV testing laboratories (the West of Scotland Specialist Virus 

Centre at Gartnavel General Hospital, Glasgow, the East of Scotland Specialist Virus Centre at the Edinburgh 

Royal Infirmary, the Department of Microbiology at Ninewells Hospital, Dundee, and the Department of 

Microbiology at Aberdeen Royal Infirmary) collates information on all cases of HCV diagnosed in Scotland. 

There is no dedicated HCV request form and information is limited to what is available on standard virological 

test request forms that accompany blood specimens. 

Revised data – A comprehensive review of all records of diagnoses, received by HPS from HCV testing 

laboratories, was undertaken in 2005. This established that 6% of records of persons diagnosed HCV positive 

138 



to December 2003 were duplicates (previously published in HPS weekly reports and included in this publication 

in previous years); most duplicates applied to the period 2000-2003 and the NHS board area most affected was 

Grampian where 18% of records had been duplicated. New procedures to reduce the chances of recording 

duplicate diagnoses have been introduced though HPS, for the purposes of patient confidentiality, only holds 

the following limited identifiers on individuals: gender, initial of forename, soundex code of surname, date of 

birth and postcode district of residence. 

Human Immunodeficiency Virus 

Voluntary case reporting of HIV and AIDS forms the basis for surveillance in Scotland; this provides information 

only on diagnosed infections. Data collected by HPS includes limited patient identifiers (initials, soundex code 

of surname, date of birth, gender and first part of postcode) and risk exposure. Follow-up information such as 

all AIDS indicator diseases present at the time of the AIDS diagnosis, immunological (CD4 count which is testing 

to assess the immunological status and thus the stage of HIV disease has reached) monitoring and antiretroviral 

treatment are linked to cases where relevant. The number of individuals undergoing CD4 count monitoring is 

a good indicator of the number receiving clinical care. 

Information is presented here on cases presumed infected in Scotland. This excludes cases where infection is 

known to have occurred elsewhere in the UK, Europe or the rest of the world. Cases are presumed infected in 

Scotland unless there is definite evidence of infection elsewhere at the time or in follow-up procedures. 


Information about HPS data collection and research and statistics on blood-borne viruses are available at 

http://www.hps.scot.nhs.uk/bbvsti/index.aspx 

Health Impact 


139


C4.1 Hepatitis B infected injecting drug users 1 : 1985, 1990, 1995, 2000, 

2002 - 2006 2 

NHS board 3 

1985 1990 1995 2000 2002 2003 2004 2005 2006 

Hepatitis B (Drug misuse cases) 


Ayrshire & Arran 2 1 - 2 2 - 1 3 1 

Borders 1 - - - - - - - 2 

Dumfries & Galloway - - - - - - - - - 

Fife - - - - - - - - - 

Forth Valley 7 - - - 1 - - - 2 

Grampian 10 1 - 52 13 3 3 2 2 

Greater Glasgow and Clyde 4 105 47 12 27 16 17 12 11 3 

Highland 4 - 2 - 1 2 - - - 1 

Lanarkshire 7 1 - 3 1 2 4 3 - 

Lothian 21 1 2 2 3 - 1 3 - 

Orkney - - - - - - - - - 

Shetland - - - - - - - - 2 

Tayside 4 2 - 2 - - 1 - - 

Western Isles - - - - - - - - - 

Hepatitis B (All cases) 


Health Impact 

1 Persons are categorised as IDU if mentioned on request form. 

2 Year of report. 

3 Refers to the person's NHS board of residence or, where this is not known, the NHS board of source of specimen. 

4 From April 2006 Argyll and Clyde NHS Board was dissolved. Part of the former NHS Argyll and Clyde merged with NHS Greater Glasgow becoming NHS Greater Glasgow and Clyde, while the remained merged with 

NHS Highland. Data for earlier years is shown by these new NHS boards to allow comparison over the time period. 

- (zero) 

Source: Health Protection Scotland (HPS). 


140


C4.2 Persons reported to be Hepatitis C antibody-positive: Prior to 1995, 

1995, 2000, 2002 - 2006 1 

NHS board 2 , probable/possible route of transmission 

Prior to 

1995 r 1995 r 2000 r 2002 r 2003 r 2004 r 2005 r 2006 Total 5 

Scotland Total 2 439 1 118 1 883 1 795 1 652 1 653 1 617 1 519 22 071 

Injecting drug user 1 072 661 1 309 1 143 1 010 924 899 759 13 146 

Other 3 445 118 93 97 93 86 111 125 1 619 

Not known 922 339 481 555 549 643 607 635 7 306 

Ayrshire & Arran Total 75 34 140 132 150 122 105 133 1 275 

Injecting drug user 20 11 78 55 63 56 47 34 523 

Other 3 24 6 4 4 3 5 4 5 82 

Not known 31 17 58 73 84 61 54 94 670 

Borders Total 22 14 8 11 10 11 9 16 128 


Other 3 6 1 1 1 - - - 1 11 

Not known 8 5 2 7 8 6 7 11 65 

Dumfries & Galloway Total 28 22 56 52 50 54 65 50 551 


Other 3 7 3 1 - - 1 3 1 26 

Not known 9 10 13 16 10 12 12 14 155 

Fife Total 44 22 49 39 23 64 62 45 607 


Other 3 11 2 - 4 1 1 1 4 33 

Not known 20 3 15 15 13 40 35 22 242 

Forth Valley Total 86 32 95 76 71 84 71 91 965 


Other 3 15 4 7 4 1 - 2 6 55 

Not known 45 13 34 33 40 63 40 54 501 

Grampian Total 123 137 259 208 201 167 179 185 2 547 

Injecting drug user 57 96 183 162 140 112 111 110 1 802 

Other 3 24 16 5 9 10 1 7 5 114 

Not known 42 25 71 37 51 54 61 70 631 

Greater Glasgow and Clyde 4 Total 844 403 802 786 731 653 594 531 9 064 


Other 3 144 28 40 44 43 45 59 64 640 

Not known 379 163 142 191 188 194 183 152 2 637 

Highland 4 Total 83 48 53 68 59 32 40 59 721 


Other 3 26 18 7 5 5 1 4 4 89 

Not known 46 18 16 20 26 19 12 30 312 

Lanarkshire Total 116 42 123 144 125 129 155 103 1 430 


Other 3 34 5 - 4 7 7 10 11 99 

Not known 57 20 49 65 39 43 63 48 594 

Health Impact 

Lothian Total 775 224 172 165 146 238 233 199 3 195 


Other 3 115 18 14 11 11 20 18 18 308 

Not known 207 42 41 53 54 91 84 80 956 

Orkney Total 2 1 - 2 - 1 1 - 15 

Injecting drug user - - - 2 - 1 1 - 9 

Other 3 1 - - - - - - - 4 

Not known 1 1 - - - - - - 2 

Shetland Total 4 3 3 3 2 2 2 3 33 

Injecting drug user - 2 3 2 1 1 1 1 18 

Other 2 2 1 - 1 - - - - 5 

Not known 2 - - - 1 1 1 2 10 

Tayside Total 235 135 123 107 84 96 101 104 1 533 


Other 3 35 15 14 10 12 5 3 6 151 

Not known 74 22 40 43 35 59 55 58 527 

Western Isles Total 2 1 - 2 - - - - 7 

Injecting drug user - - - - - - - - 1 

Other 3 1 1 - - - - - - 2 

Not known 1 - - 2 - - - - 4 

1 Year of earliest known positive specimen (as at 31 March 2007) 


3 Includes sexual contact, body piercing/tattoo, needlestick, bite, perinatal transmission, and blood factor/blood transfusion risk. 

Any persons who acquired their infection through blood transfusion will have done so prior to the introduction of Hepatitis C antibody testing of blood donors in 1991. 



5 Total includes data for years not featured. 

(zero) 

r Revised. 

Source: Health Protection Scotland (HPS) - Hepatitis C database. 


141


C4.3 Persons reported to be Hepatitis C antibody positive; 

probable/possible route of transmission 1 

NHS board 2 and age group at time of earliest positive specimen; 31st Dec 2006 3 

Injecting Other 4 Not Total 

drug user 

known 

Scotland Under 15 years 3 79 18 100 

15-19 518 51 136 705 

20-24 2 484 154 775 3 413 

25-29 3 453 235 1 288 4 976 

30-34 3 048 257 1 274 4 579 

35-39 1 923 254 1 052 3 229 

40-44 932 206 806 1 944 

45-49 392 125 571 1 088 

50-54 169 78 404 651 

55-59 43 57 227 327 

60 years and over 21 115 584 720 

Not known 160 8 171 339 

Total 13 146 1 619 7 306 22 071 

Males 9 196 1 000 4 668 14 864 

Females 3 871 615 2 485 6 971 

Not Known 79 4 153 236 

Health Impact 

Ayrshire & Arran Under 20 years 22 5 13 40 

20-24 111 13 108 232 

25-29 144 15 146 305 

30-34 111 11 130 252 

35-39 71 9 82 162 

40-44 30 6 77 113 

45-49 20 8 26 54 

50 years and over 5 14 73 92 

Not known 9 1 15 25 

Total 523 82 670 1 275 

Males 327 44 445 816 

Females 189 38 202 429 

Not known 7 - 23 30 

Borders Under 20 years 2 - - 2 

20-24 14 - 2 16 

25-29 8 1 9 18 

30-34 9 3 9 21 

35-39 7 1 11 19 

40-44 7 3 9 19 

45-49 4 - 8 12 


Not known - - 3 3 

Total 52 11 65 128 

Males 523 82 670 1 275 

Females 43 7 45 95 


Dumfries & Galloway Under 20 years 34 3 4 41 

20-24 93 1 25 119 

25-29 100 4 27 131 

30-34 53 - 20 73 

35-39 38 4 18 60 

40-44 14 5 11 30 

45-49 5 3 10 18 



Total 370 26 155 551 

Males 219 17 95 331 

Females 115 9 51 175 


142 



Persons reported to be Hepatitis C antibody positive; C4.3 

probable/possible route of transmission 1 continued 

Fife Under 20 years 19 1 9 29 

20-24 98 3 29 130 

25-29 90 6 35 131 

30-34 56 7 28 91 

35-39 31 3 36 70 

40-44 26 6 28 60 

45-49 8 5 25 38 



Total 332 33 242 607 

Males 251 22 152 425 

Females 78 11 88 177 


Forth Valley Under 20 years 44 5 17 66 

20-24 100 3 76 179 

25-29 96 9 99 204 

30-34 67 7 89 163 

35-39 46 11 62 119 

40-44 26 11 47 84 

45-49 16 3 41 60 



Total 409 55 501 965 

Males 253 35 333 621 

Females 152 19 161 332 


Grampian Under 20 years 157 14 20 191 

20-24 514 18 99 631 

25-29 475 13 105 593 

30-34 300 18 90 408 

35-39 188 21 96 305 

40-44 79 5 55 139 

45-49 49 7 55 111 

50 years and over 31 18 100 149 


Total 1 802 114 631 2 547 

Health Impact 

Males 1 261 70 393 1 724 

Females 535 42 226 803 


Greater Glasgow Under 20 years 148 51 55 254 

and Clyde 5 20-24 997 50 273 1 320 

25-29 1 581 111 538 2 230 

30-34 1 475 106 537 2 118 

35-39 906 95 361 1 362 

40-44 390 82 273 745 

45-49 142 44 161 347 

50 years and over 64 97 356 517 

Not known 84 4 83 171 

Total 5 787 640 2 637 9 064 

Males 3 997 375 1 645 6 017 

Females 1 780 265 940 2 985 

Not known 10 - 52 62 

Highland 5 Under 20 years 11 7 4 22 

20-24 50 10 21 81 

25-29 83 11 48 142 

30-34 69 11 58 138 


143

and Clyde 5 20-24 997 50 273 1 320 

25-29 1 581 111 538 2 230 

30-34 1 475 106 537 2 118 

35-39 906 95 361 1 362 

40-44 390 82 273 745 

45-49 142 Blood-borne Viruses 44 161 347 

50 years and over 64 97 356 517 

C4.3 

continued 

Not known 84 4 83 171 

Persons 

Total 

reported to be 

5 787 

Hepatitis 

640 

C antibody 

2 637 

positive; 

9 064 


Males 3 997 375 1 645 6 017 

Females 1 780 265 940 2 985 

Not known 10 - 52 62 

Highland 5 Under 20 years 11 7 4 22 

20-24 50 10 21 81 

25-29 83 11 48 142 

30-34 69 11 58 138 

35-39 47 13 52 112 

40-44 37 10 46 93 

45-49 8 8 29 45 



Total 320 89 312 721 

Males 234 50 197 481 

Females 85 39 109 233 


Lanarkshire Under 20 years 25 5 11 41 

20-24 136 13 49 198 

25-29 203 11 116 330 

30-34 195 16 105 316 

35-39 110 18 84 212 

40-44 38 16 64 118 

45-49 15 8 51 74 

50 years and over 10 12 101 123 


Total 737 99 594 1 430 

Males 546 68 419 1 033 

Females 191 31 172 394 

Not known - - 3 3 

Health Impact 

Lothian Under 20 years 38 25 14 77 

20-24 199 28 57 284 

25-29 441 33 91 565 

30-34 488 51 136 675 

35-39 364 47 147 558 

40-44 222 41 123 386 

45-49 96 29 112 237 

50 years and over 75 54 257 386 


Total 1 931 308 956 3 195 

Males 1 365 201 590 2 156 

Females 559 107 333 999 


Orkney Under 20 years z z z z 

20-24 z z z z 

25-29 z z z z 

30-34 z z z z 

35-39 z z z z 

40-44 z z z z 

45-49 z z z z 

50 years and over z z z z 

Not known z z z z 

Total 9 4 2 15 

Males 7 3 2 12 

Females 2 1 - 3 

Not known - - - - 

Shetland Under 20 years z z z z 

20-24 z z z z 

25-29 z z z z 

30-34 z z z z 

35-39 z z z z 

40-44 z z z z 

45-49 z z z z 



144 


20-24 z z z z 

25-29 z z z z 

30-34 z z z z 

35-39 z z z z 

40-44 z z z z 

45-49 z Blood-borne zViruses 

z z 



Persons reported to be Hepatitis C antibody positive; C4.3 


Total 9 4 2 15 

Males 7 3 2 12 

Females 2 1 - 3 


continued 

Shetland Under 20 years z z z z 

20-24 z z z z 

25-29 z z z z 

30-34 z z z z 

35-39 z z z z 

40-44 z z z z 

45-49 z z z z 



Total 18 5 10 33 

Males 15 4 7 26 

Females 2 1 3 6 

Not known 1 - - 1 

Tayside Under 20 years 21 14 6 41 

20-24 167 14 35 216 

25-29 227 20 73 320 

30-34 219 24 70 313 

35-39 111 30 101 242 

40-44 61 19 71 151 

45-49 26 10 50 86 

50 years and over 18 18 112 148 


Total 855 151 527 1 533 

Males 677 103 342 1 122 

Females 174 47 179 400 


Western Isles Under 20 years z z z z 

20-24 z z z z 

25-29 z z z z 

30-34 z z z z 

35-39 z z z z 

40-44 z z z z 

45-49 z z z z 



Total 1 2 4 7 

Males 1 1 3 5 

Females - 1 1 2 


Health Impact 

1 Risk group identified at time of earliest positive specimen. 


3 Data as at 31 March 2007 

4 Includes sexual contact, body piercing/tattoo, needlestick, bite, perinatal transmission, and blood factor/blood transfusion risk. 

Any persons who acquired their infection through blood transfusion will have done so prior to the introduction of Hepatitis C antibody testing of blood donors in 1991. 


NHS Highland. 

- (zero) 

z Data not shown due to small numbers. 

Source: Health Protection Scotland (HPS) - Hepatitis C database. 


145


C4.4 Reports of HIV infection and deaths 1 among injecting drug users and 

AIDS cases registered 2,3 : 1985, 1990, 1995, 2000, 2002 - 2006 4 

as at 31 December of year indicated 5 

All HIV reports 

HIV reports among persons presumed 

infected in Scotland 6 

Deaths among HIV infected IDU's 

AIDS cases registered 

Males Females Total Males Females Total Males Females Total Males Females Total 

Injecting drug user 

1985 105 61 166 102 60 162 3 1 4 - - - 

1990 31 7 38 30 7 37 28 10 38 22 3 25 

1995 r 24 6 30 19 4 23 54 24 78 33 17 50 

2000 r 13 6 19 11 6 17 19 6 25 9 2 11 

2002 r 9 4 13 8 4 12 25 9 34 11 2 13 

2003 r 8 4 12 6 4 10 19 8 27 6 2 8 

2004 r 14 3 17 11 3 14 9 4 13 5 - 5 

2005 r 25 4 29 12 3 15 19 6 25 2 2 4 

2006 18 7 25 10 3 13 5 4 9 3 1 4 

Cumulative Total 

(to 31 Dec 2006) 967 400 1 367 873 381 1 254 546 198 744 320 119 439 

All transmission categories 

Cumulative Total 

(To 31 Dec 2006) 3 630 1 339 4 969 2 538 753 3 291 1 221 306 1 527 1 035 278 1 313 

1 Deaths relate to the number of deaths occurring during the given year - irrespective of when the case was registered. Cause of death may not necessarily be related to the persons HIV status. Death data is subject to 

reporting delay. 

2 Totals include data for years not featured. 

3 Figures include several males who have had sexual intercourse with other males. 

4 Year of report/registration. 

5 Data as at 31 June 2007 

6 Cases are presumed infected in Scotland unless information is available which indicates the infection occurred elsewhere. Cases presumed infected in Scotland excludes cases where infection in know to have 

occurred in other parts of the UK, Europe or the rest of the world. 

- (zero) 

r Revised. 


Health Impact 


146


C4.5 HIV-infected injecting drug users: 1985, 1990, 1995, 2000, 2002 - 

2006 1 

NHS board 2 

1985 r 1990 1995 r 2000 r 2002 r 2003 2004 r 2005 r 2006 Total Alive Dead 

All Cases 


Ayrshire & Arran 2 - - - - - - - - 6 3 3 

Borders - - - 1 - 1 1 1 1 7 6 1 

Dumfries & Galloway 2 - - - - - 4 5 2 18 17 1 

Fife 2 - 3 - - 2 1 - - 34 22 12 

Forth Valley 4 - - - 1 - - 1 2 26 18 8 

Grampian 3 - 2 2 1 1 1 3 1 38 21 17 

Greater Glasgow and 9 8 10 3 2 3 3 3 5 199 109 90 

Highland 3 1 - - 1 - - - - - 13 8 5 

Lanarkshire 1 2 1 - 1 - - 3 3 26 19 7 

Lothian 108 19 10 9 6 3 4 10 7 696 305 391 

Orkney - - - - - - - - - - - - 

Shetland - - - - - - - - - - - - 

Tayside 34 9 4 3 2 2 3 3 4 304 95 209 

Western Isles - - - - - - - - - - - - 

Cases presumed infected in Scotland 4 


Ayrshire & Arran 1 - - - - - - - - 

Borders - - - 1 - - - 1 - 

Dumfries & Galloway 2 - - - - - 4 3 2 

Fife 2 - 3 - - 2 1 - - 

Forth Valley 3 - - - 1 - - - 1 

Grampian 3 - 2 1 1 1 1 1 1 

Greater Glasgow and 7 8 4 3 2 3 2 2 3 

Highland 3 1 - - 1 - - - - - 

Lanarkshire 1 2 1 - 1 - - 1 - 

Lothian 108 18 9 8 5 2 4 5 2 

Orkney - - - - - - - - - 

Shetland - - - - - - - - - 

Tayside 34 9 4 3 2 2 2 2 4 

Western Isles - - - - - - - - - 

Health Impact 

1 Year of report. Data as at 31st December 2006. 




4 Cases are presumed infected in Scotland unless information is available which indicates the infection occurred elsewhere. Cases presumed infected in Scotland excludes cases where infection in know to have 

occurred in other parts of the UK, Europe or the rest of the world. 

- (zero) 

r Revised. 

Source: Health Protection Scotland (HPS)- AIDS and HIV-positive registers. 


147


C4.6 HIV-infected injecting drug users: 1985, 1990, 1995, 2000, 2002 - 

2006 1 

age at time of earliest specimen; as at 31 December 2006 2 

1985 r 1990 1995 r 2000 r 2002 r 2003 2004 r 2005 r 2006 


Under 15 - - - - - - - - 1 

15 - 19 27 4 - 1 - 1 - - - 

20 - 24 65 15 3 3 - - 3 3 2 

25 - 29 43 8 8 1 1 5 3 5 3 

30 - 34 18 6 12 6 - 2 2 11 4 

35 - 39 9 4 6 4 10 1 3 2 8 

40 - 44 - 1 1 1 1 2 6 3 4 

45 - 49 - - - 1 1 1 - 5 - 

50 - 54 - - - 1 - - - - 2 

55 - 59 - - - - - - - - - 

60 - 64 - - - 1 - - - - - 

65 or over - - - - - - - - 1 

Not known 4 - - - - - - - - 

Median Age 24 25 31 33 37 29 35 32 35 

Males 105 31 24 13 9 8 14 25 18 

Females 61 7 6 6 4 4 3 4 7 

1 Year of report. 

2 Data as at 31 March 2007 

- (zero) 

r Revised. 


Health Impact 

C4.7 HIV-infected injecting drug users in clinical care 1 : 1995, 2000, 2002 - 

2006 2 

number of individuals monitored by NHS board of residence 

1995 r 2000 r 2002 r 2003 r 2004 r 2005 2006 



Borders - 2 2 3 3 4 5 


Fife 12 19 16 19 18 18 17 

Forth Valley 5 6 8 6 6 7 9 

Grampian 10 13 14 13 9 9 12 

Greater Glasgow and Clyde 3 72 74 65 66 69 66 67 

Highland 3 2 4 1 1 1 1 1 

Lanarkshire 7 10 11 9 10 14 17 

Lothian 275 232 221 202 206 203 190 

Orkney - - - - - - - 

Shetland - - - - - - - 

Tayside 76 72 70 70 55 58 59 

Western Isles - - - - - - 

Scotland (all risks) 992 1 310 1 529 1 686 1 932 2 208 2 411 

1 Indicated that persons are undergoing immunological monitoring in Scotland - CD4 monitoring 

2 Year of test. National surveillance began in 1992. 2006 data subject to reporting delay. Data as at 30 June 2007. 



- (zero) 

r Revised. 


148 



C4.8 HIV prevalence among injecting drug users 1 having a named HIV-antibody 

test: 1995, 2000, 2002 - 2006 2 

NHS board 3 

1995 2000 2002 2003 

Tests New positives Tests New positives Tests New positives Tests New positives 

No. Preval- No. Preval- No. Preval- No. Prevalence 

ence ence ence 

% % % % 

Scotland 1 425 22 1.54 2 330 15 0.64 1 934 10 0.52 1 947 12 0.62 

Argyll & Clyde 59 2 3.39 149 1 0.67 84 2 2.38 101 - 0.00 

Ayrshire & Arran 37 - 0.00 83 - 0.00 121 - 0.00 109 - 0.00 

Borders - - 0.00 13 - 0.00 11 - 0.00 24 2 8.33 

Dumfries & Galloway 23 - 0.00 47 - 0.00 55 - 0.00 68 - 0.00 

Fife 27 1 3.70 69 - 0.00 76 1 1.32 86 - 0.00 

Forth Valley 33 - 0.00 38 - 0.00 29 1 3.45 26 - 0.00 

Grampian 149 - 0.00 450 1 0.22 234 - 0.00 266 1 0.38 

Greater Glasgow and Clyde 4 521 8 1.54 712 7 0.98 548 - 0.00 510 3 0.59 

Highland 4 23 - 0.00 64 - 0.00 54 - 0.00 37 - 0.00 

Lanarkshire 71 - 0.00 138 1 0.72 180 1 0.55 191 1 0.52 

Lothian 270 8 2.96 376 4 1.06 367 5 1.36 372 2 0.54 

Orkney 1 - 0.00 - - 0.00 1 - 0.00 - - - 

Shetland 2 - 0.00 9 - 0.00 3 - 0.00 6 - 0.00 

Tayside 209 3 1.44 182 1 0.55 167 - 0.00 148 3 2.03 

Western Isles - - 0.00 - - 0.00 3 - 0.00 3 - 0.00 

1995 2004 2000 2005 2002 2006 

2003 

ositives Tests New positives Tests New positives Tests New positives Tests New positives 

Preval- No. Preval- No. Preval- No. Prevalence 

No. Preval- 

ence ence ence 

ence 

% % % % 

% 

0.62 Scotland 12 425 115 22 10 1.54 0.47 2 330 261 15 21 0.64 0.93 12 934 140 10 16 0.52 0.75 1 947 12 0.62 

0.00 Argyll & Clyde 59 81 2- 3.39 0.00 149 86 1- 0.67 0.00 84 - 2- 2.38 - 

101 - 0.00 

0.00 Ayrshire & Arran 37 87 - 0.00 83 52 - 0.00 121 70 - 0.00 

109 - 0.00 

8.33 Borders 31- - 0.00 13 36 1- 0.00 2.78 11 28 1- 0.00 3.57 

24 2 8.33 

0.00 Dumfries & Galloway 23 71 4- 0.00 5.63 120 47 4- 0.00 3.33 140 55 1- 0.00 0.71 

68 - 0.00 

0.00 Fife 112 27 1 3.70 0.89 69 98 1- 0.00 1.02 76 86 1- 1.32 0.00 

86 - 0.00 

0.00 Forth Valley 33 - 0.00 38 24 - 0.00 29 15 1- 3.45 0.00 

26 - 0.00 

0.38 Grampian 149 251 - 0.00 450 249 1 0.22 0.40 234 248 1- 0.00 0.40 

266 1 0.38 

0.59 Greater Glasgow and Clyde 4 521 406 81 1.54 0.25 712 432 72 0.98 0.46 548 507 3- 0.00 0.59 

510 3 0.59 

0.00 Highland 4 23 51 - 0.00 64 61 - 0.00 54 78 - 0.00 

37 - 0.00 

0.52 Lanarkshire 250 71 - 0.00 138 272 12 0.72 0.74 180 245 12 0.55 0.82 

191 1 0.52 

0.54 Lothian 270 589 84 2.96 0.68 376 662 48 1.06 1.21 367 574 54 1.36 0.70 

372 2 0.54 

- Orkney 1 - 0.00 3- - 0.00 1- - 0.00 

- - - 

0.00 Shetland 21 - 0.00 98 - 0.00 3- - 0.00 

6 - 0.00 

2.03 Tayside 209 151 3- 1.44 0.00 182 157 12 0.55 1.27 167 135 3- 0.00 2.22 

148 3 2.03 

0.00 Western Isles 2- - 0.00 1- - 0.00 3- - 0.00 

3 - 0.00 

Health Impact 

1 Includes some IDUs who reported homo/bisexual contact. 

2 For each individual tested, only the first test within a calendar year is included. 




- (zero) 



149

Health Impact 


150


C5 


This section is based on the General Register Office for Scotland’s Short Paper published on the 

30th August 2007. This paper and those for previous years can be found at 

www.gro-scotland.gov.uk 

In order to be consistent with the other data sources in this publication, ISD have highlighted 

5-year trends in drug related deaths (2002 to 2006) within the following key points. The original 

GROS paper focused on trends from 1996. 


Overview 

■ In 2006 there were 421 drug-related deaths (Table C5.1). 

■ Most deaths (83%) were to persons aged under 45 years old, with 16% aged under 25 years old (Table 

C5.2). 

■ Men accounted for 79% of the 421 drug-related deaths in 2006 (Table C5.4). 

■ The majority of deaths (67%) were known or suspected drug abusers (280 people), with percentages 

broadly similar for males (67%) and females (63%) (Table C5.4). 

■ Of the 69 cases aged under 25 years, 68% (47 cases) were known, or suspected to be, drug-dependent. 

20% were accidental poisonings, 10% were undetermined and 1% were intentional self-poisonings 

(Table C5.4). 


Care should be taken when assessing the trends shown in Tables C5.1 and C5.2 because of the relatively small 

numbers involved, particularly for some health board areas, and the possibility that more complete information has 

been reported in recent years. 

■ In 2006 there were 85 (25%) more deaths than in 2005 (increasing from 336 to 421) and 39 more than 

in 2002 (Table C5.1). 

■ The number of deaths involving known or suspected drug abusers was the same in 2006 as in 2002 (280 

each year); the intervening years saw lower numbers (2003, 216; 2004, 232; 2005, 204). The number 

of deaths attributed to accidental poisoning has increased since 2002, from 17 to 51 in 2006 (Table 

C5.1). 

■ Between 2002 and 2006 there were decreases in the numbers of drug-related deaths in the younger age 

groups (under 30 years old) but increases in older age groups (over 30 years old). The total number of 

deaths in those aged under 30 years old was 191 in 2002 falling to 137 in 2006, whilst the deaths in 

those aged over 30 years old rose from 191 in 2002 to 284 in 2006 (Table C5.2). 

Health Impact 


Tables C5.5 and C5.6 give information on the involvement of selected drugs, either alone or, more commonly, 

in combination with other drugs. Since the tables record individual mentions of particular drugs they involve 

double counting of some deaths. It is believed that for the overwhelming majority of cases where morphine 

has been identified in post-mortem toxicological tests its presence is a result of heroin use. The tables therefore 

show a combined figure for ‘heroin/morphine’. In 2006 the drugs listed were known to be involved in 364 

(86%) of the 421 deaths 1 . 

■ In 2006 heroin/morphine was recorded in 260 (62%) of the deaths; alcohol was recorded in 131 (31%); 

methadone was recorded in 97 (23%) of the deaths and diazepam was recorded in 78 (19%) of the 

deaths (Table C5.5). 


151


■ Cocaine was found relatively infrequently in drug related deaths and was recorded in a similar number 

of deaths in 2006 (33 deaths) as 2002 (31 deaths). However, is should be noted that 2005 saw higher 

numbers of deaths where cocaine was recorded (44 deaths) (Table C5.5). 

■ The number of deaths where heroin or morphine is recorded have fluctuated over the last five years. 

However, the numbers in 2006 (260) were relatively close to those found in 2002 (248) (Table C5.5). 

■ Over four of the last five years the number of deaths recording methadone decreased (from 98 in 2002 

to 72 in 2005). However, 2006 saw deaths where methadone was recorded rising to 97. Deaths involving 

diazepam show the most dramatic reduction between 2002 (214) and 2006 (78) (Table C5.5). 


■ Of the 421 deaths in 2006, 162 occurred in the NHS Greater Glasgow and Clyde board area. The next 

highest totals were found in NHS Grampian (47), NHS Lothian (46), NHS Lanarkshire (40), and NHS 

Tayside (35) (Table C5.2). 

■ The areas that showed the largest increases in drug-related deaths between 2005 and 2006 were NHS 

Greater Glasgow and Clyde (from 111 to 162), NHS Grampian (from 23 to 47) and NHS Forth Valley 

(from 14 to 24) and NHS Ayrshire and Arran (from 15 to 25). NHS Lothian showed the largest decrease 

between 2005 and 2006 (from 57 to 46) (Table C5.2). 

■ There were some geographical differences in the reported involvement of certain drugs. For most NHS 

board areas, heroin/morphine was involved in a majority of the deaths (97 out of 162 in Greater Glasgow 

and Clyde, 42 out of 47 in Grampian, and 27 out of 35 in Tayside. However, a much lower proportion 

was recorded in Lothian (12 out of 46). Greater Glasgow and Clyde showed a relatively high proportion 

involving methadone (58 out of 162). This contrasts with the lower proportions in Grampian (4 out of 

47) and Lothian (9 out of 46) (Tables C5.3 and C5.6). 

Health Impact 


The GROS report from which this section is taken gives information about drug-related deaths in Scotland over 

the period 1996 – 2006 using the definition for baseline figures introduced in 2001. This definition was agreed 

by a working party set up following the publication, by the Advisory Council on the Misuse of Drugs (ACMD), 

of a report 2 on ‘Reducing drug related deaths’. The Office for National Statistics has also prepared data on drugrelated 

deaths in England and Wales using this new definition. The paragraph below gives some background 

on the collection of information on drug-related deaths in Scotland. Annex B5.1 gives background on the 

definition of drug-related deaths used. 

Drug-related deaths are identified using details from death registrations supplemented by information from a 

specially designed questionnaire, completed by forensic pathologists, for all deaths involving drugs or persons 

known or suspected to be drug-dependent. Additionally, GROS follows up all cases of deaths of people where 

the information on the death certificate is vague or suggests that there might be a background of drug abuse. 

A copy of the questionnaire currently used is given in Annex C5.2. A paper 3 published in June 1995 by GROS 

described this enhancement to the data collection system. 

References 

1 Drug-related deaths in Scotland 2006. GROS, 2007. 

2 The Advisory Council on the Misuse of Drugs. Reducing drug related deaths. Home Office, 2000. 

3 Arrundale J and Cole S K. Collection of information on drug-related deaths by the General Register Office 

for Scotland. GROS, 1995. 

HYPERLINK "http://www.gro-scotland.gov.uk" www.gro- 


Information on GROS statistics is available at 

scotland.gov.uk. 


152


Annex B5.1 Notes on the definition of 

‘drug-related’ deaths 

1. The definition of a ‘drug-related death’ is not straightforward. A useful discussion on the definitional 

problems may be found in an article in the Office for National Statistics publication Population Trends 3 . More 

recently, a report 1 by the Advisory Council on the Misuse of Drugs (ACMD) considered current systems used in 

the United Kingdom to collect and analyse data on drug related deaths. In its report, the ACMD recommended 

that 'a short life technical working group should be brought together to reach agreement on a consistent 

coding framework to be used in future across England, Wales, Scotland and Northern Ireland'. GROS was 

represented on this group and this paper presents information on drug-related deaths using the approach 

agreed. 

2. The new baseline covers the following cause of death categories (the relevant codes from the International 

Classification of Diseases, Tenth Revision (ICD10), are given in brackets): 

a) deaths where the underlying cause of death has been coded to the following sub-categories of ‘mental 

and behavioural disorders due to psychoactive substance use’: 

(i) opioids (F11); 

(ii) cannabinoids (F12); 

(iii) sedatives or hypnotics (F13); 

(iv) cocaine (F14); 

(v) other stimulants, including caffeine (F15); 

(vi) hallucinogens (F16); and 

(vii) multiple drug use and use of other psychoactive substances (F19). 

b) deaths coded to the following categories and where a drug listed under the Misuse of Drugs Act (1971) 

was known to be present in the body at the time of death: 

(i) accidental poisoning (X40 – X44); 

(ii) intentional self-poisoning by drugs, medicaments and biological substances (X60 – X64); 

(iii) assault by drugs, medicaments and biological substances (X85); and 

(iv) event of undetermined intent, poisoning (Y10 – Y14). 

3. Categories of death excluded: 

a) deaths coded to mental and behavioural disorders due to the use of alcohol (F10), tobacco (F17) and 

volatile substances (F18); 

b) deaths coded to drug abuse which were caused by secondary infections and related complications (for 

example the 20 or so deaths in 2000 caused by clostridium novyi infection); 

c) deaths from AIDS where the risk factor was believed to be the sharing of needles; 

d) deaths from road traffic and other accidents which occurred under the influence of drugs; and 

e) deaths where a drug listed under the Misuse of Drugs Act was present because it was part of a compound 

analgesic or cold remedy: specific examples are: 

Co-proxamol: paracetamol, dextropropoxyphene 

Co-dydramol: paracetamol, dihydrocodeine 

Co-codamol: paracetamol, codeine sulphate 

All three of these compound analgesics, but particularly co-proxamol, have been commonly used in 

suicidal overdoses. 

Health Impact 

Note: As it is believed that dextropropoxyphene is rarely if ever available other than as a constituent of a 

paracetamol compound, it has been ignored on all occasions (even if there is no mention of a compound 

analgesic or paracetamol). However, deaths involving codeine or dihydrocodeine without mention of 

paracetamol have been included in the baseline as these drugs are routinely available on their own and are 

known to be abused in this form. 


153


Annex B5.2 

Annex B5.2 

General Register Office for Scotland 

Crown Office 

Confidential form to be completed in all deaths involving drugs, solvents or poisons 

This information is essential for the correct coding and monitoring of drug-related deaths. 

If you have any queries about the form or its completion, please contact Graham Jackson, telephone 0131 314 4229. 

Please complete the form and return it, in the pre-paid addressed envelope provided, to: 

Vital Events & NHS Branch 

General Register Office for Scotland 

Ladywell House 

Ladywell Road 

Edinburgh EH12 7TF 

__________________________________________________________________________________________________ 

Name of deceased 

Date of birth 

Date of death 

Place of death 

Usual residence 

___________________________________________________________________________________________________ 

Questions 

(please tick) 

1 Was alcohol involved in this death? Yes No Not known 

If "Yes" what was the blood/alcohol level in mg/100ml? 

Health Impact 

2 If any other drugs or solvents were involved in this death, please specify the principal drug or solvent found in a 

fatal dose:- IF NONE GO TO QUESTION 9 

3 Please specify any other drugs or solvents involved in this death. 

4 Was the deceased a known or suspected habitual drug or solvent abuser? Yes No Not known 

IF YES GO TO QUESTION 7 

5 Was the deceased a novice or experimenting drug or solvent abuser? Yes No Not known 

IF YES GO TO QUESTION 7 

6 Was there any evidence from the police report or autopsy of a long-standing drug or solvent-abusing history? 

Yes No Not Known NA 

7 Do you believe this overdose to have been:- 

accidental 

 

suicidal 

 

homicidal 

 

or unknown/uncertain? 

8 Were the drugs prescribed to the deceased? 

Yes No Not Known N/A 

9 Any other comments or information which may help in coding this death? 

ME4 

154 



C5.1 Drug-related deaths by cause of death: 1996 - 2006 

number of individuals monitored by NHS board of residence 

Cause of death category (ICD10 codes) 

Scotland Drug abuse Accidental Intentional Assault by Undetermined 

poisoning self-poisoning drugs, etc. intent 

(F11-F16, F19) (X40-X44) (X60-X64) (X85) (Y10-Y14) 

1996 244 175 10 41 - 18 

1997 224 142 14 42 - 26 

1998 249 179 16 32 - 22 

1999 291 227 12 19 1 32 

2000 292 220 11 34 - 27 

2001 332 227 19 34 - 52 

2002 382 280 17 30 - 55 

2003 317 216 15 40 - 46 

2004 356 232 32 32 - 60 

2005 336 204 31 43 - 58 

2006 421 280 51 40 - 50 

- (zero) 

Source: General Register Office for Scotland (GROS). 

Health Impact 


155


C5.2 Drug related deaths: 1996 - 2006 

NHS board, council area of residence and age 

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 


by NHS board 

Ayrshire & Arran 3 6 4 15 20 35 33 19 20 15 25 

Borders 2 1 1 - 1 1 - 2 2 7 2 

Dumfries & Galloway 4 7 4 7 7 8 9 9 7 7 5 

Fife 3 8 13 9 12 11 12 12 17 21 19 

Forth Valley - 4 2 8 4 9 24 12 16 14 24 

Grampian 29 22 26 38 31 46 47 37 39 23 47 


Highland 1 3 3 2 8 4 6 13 10 12 13 12 

Lanarkshire 11 12 21 23 29 24 37 25 33 40 40 

Lothian 58 48 37 39 37 54 39 40 36 57 46 

Orkney - - - - - - - - - - 1 

Shetland - - 1 - 1 1 1 - - 1 2 

Tayside 24 30 23 14 14 19 14 19 23 26 35 

Western Isles - - - 1 - 1 1 1 - 1 1 


Health Impact 

Aberdeen City 24 13 20 22 22 32 34 21 27 11 26 

Aberdeenshire 4 7 6 11 6 14 9 13 8 10 16 

Angus - 2 4 2 3 1 4 5 8 8 11 

Argyll & Bute 1 - 1 1 3 1 5 3 4 3 1 

Clackmannanshire - 1 2 - - - 7 2 5 3 7 

Dumfries & Galloway 4 7 4 7 7 8 9 9 7 7 5 

Dundee City 18 22 12 12 7 13 6 9 11 11 16 

East Ayrshire - 1 2 6 3 10 12 3 4 4 9 

East Dunbartonshire 2 3 5 2 4 3 1 6 5 1 2 

East Lothian 4 4 1 2 1 2 6 4 2 5 3 

East Renfrewshire 1 - 3 3 4 3 5 3 5 1 3 

Edinburgh, City of 44 33 29 25 28 39 27 26 17 41 30 

Eilean Siar - - - 1 - 1 1 1 - 1 1 

Falkirk - 2 - 5 1 7 8 6 7 8 10 

Fife 3 8 13 9 12 11 12 12 17 21 19 

Glasgow City 83 59 83 91 96 84 111 93 106 75 113 

Highland 2 3 1 7 1 5 8 7 8 10 11 

Inverclyde 8 5 9 12 11 12 8 7 9 7 9 

Midlothian 2 4 4 4 3 5 2 3 5 5 6 

Moray 1 2 - 5 3 - 4 3 4 2 5 

North Ayrshire 2 2 2 5 11 15 14 9 13 6 11 

North Lanarkshire 6 7 12 11 18 12 28 22 20 25 24 

Orkney Islands - - - - - - - - - - 1 

Perth & Kinross 6 6 7 - 4 5 4 5 4 7 8 

Renfrewshire 6 6 10 11 11 5 9 11 14 10 17 

Scottish Borders 2 1 1 - 1 1 - 2 2 7 2 

Shetland Islands - - 1 - 1 1 1 - - 1 2 

South Ayrshire 1 3 - 4 6 10 7 7 3 5 5 

South Lanarkshire 7 7 11 17 12 16 14 8 17 16 22 

Stirling - 1 - 3 3 2 9 4 4 3 7 

West Dunbartonshire 5 8 3 5 5 6 13 6 8 15 12 

West Lothian 8 7 3 8 5 8 4 7 12 7 7 

by age 

< 15 - - 1 - - 1 - - - 1 - 

15 - 19 19 21 23 26 20 23 23 18 14 13 19 

20 - 24 67 55 64 68 53 56 77 60 67 34 50 

25 - 29 47 49 62 76 68 67 91 51 76 53 68 

30 - 34 56 40 41 42 58 73 62 72 62 51 86 

35 - 39 18 22 22 39 42 44 55 59 62 76 86 

40 - 44 14 9 15 23 27 25 37 21 30 50 42 

45 - 49 8 10 7 4 8 22 20 9 22 22 30 

50 - 54 5 4 2 6 8 9 7 11 13 15 24 

55 - 59 3 3 2 3 1 6 6 10 2 6 9 

60 & over 7 11 10 4 7 6 4 6 8 15 7 

1. New NHS Board areas including parts of former Argyll & Clyde 

- (zero) 


156 



C5.3 Drug related deaths by cause of death: 2006 



Total Drug abuse Accidental Intentional Assault by Undetermined 

poisoning self-poisoning drugs, etc. intent 

(F11-F16, F19) (X40-X44) (X60-X64) (X85) (Y10-Y14) 

Scotland 421 280 51 40 - 50 

by NHS board 

Ayrshire & Arran 25 11 4 4 - 6 

Borders 2 1 - 1 - - 

Dumfries & Galloway 5 2 - 1 - 2 

Fife 19 12 5 2 - - 

Forth Valley 24 16 6 - - 2 

Grampian 47 44 2 - - 1 

Greater Glasgow & Clyde 1 162 108 17 12 - 25 

Highland 1 12 9 - 3 - - 

Lanarkshire 40 22 5 3 - 10 

Lothian 46 33 3 6 - 4 

Orkney 1 - - 1 - - 

Shetland 2 1 - 1 - - 

Tayside 35 20 9 6 - - 

Western Isles 1 1 - - - - 


Aberdeen City 26 25 - - - 1 

Aberdeenshire 16 14 2 - - - 

Angus 11 10 1 - - - 

Argyll & Bute 1 1 - - - - 

Clackmannanshire 7 5 2 - - - 

Dumfries & Galloway 5 2 - 1 - 2 

Dundee City 16 7 4 5 - - 

East Ayrshire 9 6 - - - 3 

East Dunbartonshire 2 2 - - - - 

East Lothian 3 3 - - - - 

East Renfrewshire 3 1 - - - 2 

Edinburgh, City of 30 21 2 5 - 2 

Eilean Siar 1 1 - - - - 

Falkirk 10 8 2 - - - 

Fife 19 12 5 2 - - 

Glasgow City 113 77 15 9 - 12 

Highland 11 8 - 3 - - 

Inverclyde 9 6 - - - 3 

Midlothian 6 4 - - - 2 

Moray 5 5 - - - - 

North Ayrshire 11 4 3 4 - - 

North Lanarkshire 24 13 2 2 - 7 

Orkney Islands 1 - - 1 - - 

Perth & Kinross 8 3 4 1 - - 

Renfrewshire 17 11 - 3 - 3 

Scottish Borders 2 1 - 1 - - 

Shetland Islands 2 1 - 1 - - 

South Ayrshire 5 1 1 - - 3 

South Lanarkshire 22 12 4 1 - 5 

Stirling 7 3 2 - - 2 

West Dunbartonshire 12 8 1 - - 3 

West Lothian 7 5 1 1 - - 

Health Impact 

1. New NHS Board areas including parts of former Argyll & Clyde 

- (zero) 



157


C5.4 Drug related deaths by cause of death: 2006 

age group and gender 


Total Drug abuse Accidental Intentional Undetermined 

poisoning self-poisoning intent 

(F11-F16, F19) (X40-X44) (X60-X64) (Y10-Y14) 

Scotland 421 280 51 40 50 

by age group 

under 15 - - - - - 

15 - 19 19 12 3 1 3 

20 - 24 50 35 11 4 

25 - 29 68 51 6 6 5 

30 - 34 86 60 8 11 7 

35 - 39 86 61 8 7 10 

40 - 44 42 27 7 4 4 

45 - 49 30 16 5 3 6 

50 - 54 24 13 2 5 4 

55 - 59 9 4 1 2 2 

60 & over 7 1 - 1 5 

by gender 

Health Impact 

Males 334 225 45 28 36 

Females 87 55 6 12 14 

- (zero) 


C5.5 Drug related deaths by selected drugs involved 1 : 1996 - 2006 

Heroin/ Methadone Diazepam 3 Cocaine Ecstasy Temazepam 3 Alcohol 

morphine 2 

1996 84 100 84 3 9 48 87 

1997 74 86 93 5 2 33 70 

1998 121 64 113 4 3 58 86 

1999 167 63 142 12 8 56 89 

2000 196 55 146 4 11 39 123 

2001 216 69 156 19 20 20 140 

2002 248 98 214 31 20 16 156 

2003 175 87 153 29 14 35 128 

2004 225 80 113 38 17 5 116 

2005 194 72 90 44 10 7 114 

2006 260 97 78 33 13 10 131 

1 Individual deaths often involved more than one of these drugs. The numbers given are mentions of the drug and should not be added to give total deaths. 

2 It is believed that that for the overwhelming majority of cases where morphine has been identified in post-mortem toxicological tests its presence is a result of heroin use. This table therefore shows a combined figure 

for 'heroin/morphine'. 

3 Each year there are also a small number of mentions of unspecified benzodiazepines. 



158


C5.6 Drug related deaths by selected drugs involved 1 : 2006 


Heroin/ Methadone Diazepam 3 Cocaine Ecstasy Temazepam 3 Alcohol 

morphine 2 


by NHS Board 

Ayrshire & Arran 12 9 5 1 - - 8 

Borders - - 1 - - 1 1 

Dumfries & Galloway 3 - 2 - - - 3 

Fife 15 3 2 - 1 1 3 

Forth Valley 17 1 9 - 4 1 6 

Grampian 42 4 18 10 1 2 19 


Highland 4 6 2 4 1 - 1 3 

Lanarkshire 26 7 3 6 3 - 14 

Lothian 12 9 16 4 1 1 21 

Orkney - - - - - - - 

Shetland 2 - 1 - - - 1 

Tayside 27 4 8 - - 1 7 

Western Isles 1 - - - - - - 


Aberdeen City 22 3 11 6 1 1 8 

Aberdeenshire 15 1 6 4 - - 7 

Angus 9 - 3 - - - 1 

Argyll & Bute 1 - - - - - 1 

Clackmannanshire 6 - 4 - 1 - 

Dumfries & Galloway 3 - 2 - - - 3 

Dundee City 11 4 1 - - 1 4 

East Ayrshire 5 2 3 - - - 4 

East Dunbartonshire 2 - - - - - - 

East Lothian 2 - 1 1 - - 2 

East Renfrewshire 1 - - 1 - - 1 

Edinburgh, City of 8 8 12 1 1 - 14 

Eilean Siar 1 - - - - - - 

Falkirk 8 1 2 - 1 - 4 

Fife 15 3 2 - 1 1 3 

Glasgow City 64 45 4 7 2 2 29 

Highland 5 2 4 1 - 1 2 

Inverclyde 6 4 2 - - - 3 

Midlothian 2 - 1 1 - 1 3 

Moray 5 - 1 - - 1 4 

North Ayrshire 5 5 2 - - - 3 

North Lanarkshire 16 6 3 1 1 - 8 

Orkney Islands - - - - - - - 

Perth & Kinross 7 - 4 - - - 2 

Renfrewshire 14 3 2 2 1 - 5 

Scottish Borders - - 1 - - 1 1 

Shetland Islands 2 - 1 - - - 1 

South Ayrshire 2 2 - 1 - - 1 

South Lanarkshire 13 2 - 5 2 - 7 

Stirling 3 - 3 - 2 1 2 

West Dunbartonshire 7 5 1 1 - - 6 

West Lothian - 1 2 1 - - 2 

Health Impact 

1 Individual deaths often involved more than one of these drugs. The numbers given are mentions of the drug and should not be added to give total deaths. 

2 It is believed that that for the overwhelming majority of cases where morphine has been identified in post-mortem toxicological tests its presence is a result of heroin use. This table therefore shows a combined figure 

for 'heroin/morphine'. 

3 Each year there are also a small number of mentions of unspecified benzodiazepines. 

4 New NHS Board areas including parts of former Argyll & Clyde. 

- (zero) 



159

Health Impact 


160

D 

Drugs and criminal justice 

D1 

Offences and court proceedings 

D2 

Criminal Justice Social Work interventions 

D3 

Drug misuse and treatment in Scottish prisons 

D4 

Seizures of controlled drugs 



161



162

Offences and Court Proceedings 

D1 Offences and Court proceedings 

Key Points 

Drug related offences 2006/07 

Overview 

■ In the financial year 2006/07 there were 42,422 drug-related offences recorded by Scottish police forces, 

which is a rate of 829 per 100,000 population (Table D1.1). 

■ Seventy-four percent (31,329) of drug-related offences were for possession. A further 25% (10,444) 

were for possession with intent to supply (Table D1.2) 


■ The annual number of drug-related offences recorded by Scottish police forces has risen by 4% over the 

5-year period from 40,938 in 2002/03 to 42,422 in 2006/07. The number of offences rose by 8% 

between 2002/03 and 2005/06 to peak at 44,247 and has since dropped 4% to 42,422 in 2006/07 

(Table D1.1). 

■ The rate of drug-related offences recorded rose from 810 offences per 100,000 in 2002/03 to 829 

offences per 100,000 in 2006/07 (Table D1.1). 


■ 

■ 

■ 

In 2006/07 the rate of drug-related offences recorded per 100,000 population was highest in Glasgow 

City (1,526 per 100,000), West Dunbartonshire (1,425 per 100,000) and Inverclyde (1,353 per 100,000) 

(Table D1.1) 

While a few areas saw an overall decrease in the rate of drug-related offences between 2002/03 and 

2006/07, Stirling was the only area to see a steady decrease over the 5 year period from 882 offences 

per 100,000 population in 2002/03 to 672 offences per 100,000 population in 2006/07 (Table D1.1). 

The largest decrease in rate of drug-related offences was seen in East Lothian from 619 offences per 

100,000 population in 2002/03 to 305 per 100,000 in 2006/07. The largest increase in rate was seen 

in West Dunbartonshire from 1,015 offences per 100,000 population in 2002/03 to 1,425 offences per 

100,000 population in 2006/07 (Table D1.1). 

Drug-Related Court Proceedings (2005/06) 

Overview 

Figures are given in Table D1.3 for all drug offences where the charge was proved in court (including where the drugs 

offence was a main offence or a secondary offence) and in Tables D1.4 to D1.8 for convictions where a drug offence 

was the main offence (see background information for further details). 

■ In 2005/06 there was a total of 9,656 drug offences where the charge was proved. Of these offences, 

2,635 related to Class A substances, 433 related to Class B substances and 2,681 related to Class C 

substances. There were a further 3,907 offences with a charge proved where the drug type is not 

recorded in the court proceedings database (Table D1.3). 

■ Of the drug offences with a charge proved, 2,344 related to cannabis, 1,503 to heroin, 633 to ecstasy 

and 403 to cocaine (Table D1.3). 

■ In 2005/06 there were 7,284 convictions for drug offences where it was the main offence. Of these 

convictions 2,288 had been convicted relating to Class A substances, 280 had been convicted relating 

to Class B substances and 1,711 had been convicted relating to Class C substances. There were a further 

3,005 convictions where the drug type is not recorded in the court proceedings database (Table D1.4). 



163


■ 

■ 

■ 

■ 

In 2005/06, men accounted for 86% of convictions for drug offences, where it was the main offence 

(Table D1.5). 

Sixty-three percent of the convictions for drug offences, where it was the main offence, were for people 

aged 30 years old or under (Table D1.6). 

Seventy-six percent of convictions for drug offences, where it was the main offence, were for possession 

(5,570) and 21% for possession with intent to supply (1,562) (Table D1.6). 

For convictions of possession, where it was the main offence, just over three quarters (77%) received a 

fine, while for convictions of possession with intent to supply, nearly half (47%) were given a custodial 

sentence (Table D1.5). 

Five year trends 2001/02 – 2005/06 

■ In the five year period from 2001/02 to 2005/06, the number of convictions of possession, where it was 

the main offence, increased by 23% from 4,540 to 5,570. The number of convictions for possession with 

intent to supply increased by 19% from 1,317 to 1,562 (Table D1.5). 

■ Between 2001/02 and 2005/06, there has been a decrease in the percentage of convictions for drug 

offences which involve people aged 30 years old and younger (from 71% to 63%) and a corresponding 

increase in the percentage of convictions which involve people over 30 years old (from 29% to 37%) 

(Table D1.6). 


The statistics dealing with recorded crime and court proceedings are not directly comparable as a person may 

be proceeded against for more than one crime involving more than one victim and there is the possibility that 

the crime recorded by the police may be altered in the course of judicial proceedings. Also, a crime may be 

recorded by the police in one year and court proceedings concluded in a subsequent year. 

Recorded crime 

Statistics on drug-related offences recorded by the police are available from quarterly statistical returns made 

by the Scottish police forces to the Scottish Government Justice Analytical Services. 

Offences such as possession of drugs, have no victim other than perhaps the perpetrator and are generally 

discovered and recorded as a result of police activity rather than by being reported to the police by the public. 

Hence the strength and deployment of the police forces mainly determine the numbers of such offences 

recorded. 


Criminal proceedings in Scottish Courts 

Statistics on persons convicted for drug-related offences are available from the Scottish Executive Justice 

Department's court proceedings database. The data is derived from information held on the police operational 

computer at the Scottish Criminal Record office (SCRO). 

Offences are recorded in the year in which the offender was sentenced, which may not necessarily be the year 

in which the offence was committed. Persons convicted refers to the number of convictions at separate 

proceedings, therefore an individual who has been proceeded against and convicted more than once in a year 

will be included more than once in the figures. Where a person is proceeded against for more than one crime 

or offence, the main offence is identified (i.e. the one with the severest penalty). Where a table refers only to 

the main offence there may be other offences which were included in the same proceedings but are not 

reported on. Figures referring to drug offences with a charge proved include all drug offences. Of the drug 

offences with a charge proved some will be the main offence and others will be a secondary offence to either 

another more serious drug offence, or to another more serious type of offence (e.g. serious assault). Where a 

person has more than one offence with a charge proved in the same proceedings this will count as one 

conviction, therefore the number of offences with a charge proved may not be equal to the number of 

convictions. 


164



Information on recorded crime and criminal proceedings is available from the Scottish Government website: 

http://www.scotland.gov.uk/Topics/Justice 

Further statistics on recorded crime are available from the Scottish Executive website: 

http://www.scotland.gov.uk/Topics/Statistics/Browse/Crime-Justice/PubRecordedCrime 

Further statistics on criminal proceedings are available from the Scottish Executive website: 

http://www.scotland.gov.uk/Topics/Statistics/Browse/Crime-Justice/PubCriminalProceedings 



165


D1.1 Drug-related offences recorded by Scottish police forces: 2002/03 - 

2006/07 

(mainly Misuse of Drugs Act 1971 offences) ; council area 1 , number and rate per 100 000 population 2 

2002/03 2003/04 2004/05 2005/06 2006/07 

Number Rate Number Rate Number Rate Number Rate Number Rate 



Aberdeen City 2 127 1 016 1 680 810 1 844 896 1 992 967 1 915 926 


Angus 467 432 574 534 617 569 678 623 658 602 

Argyll & Bute 544 598 608 666 579 635 655 721 690 755 

Ayrshire East 977 816 879 735 912 762 1 065 892 945 792 

Ayrshire North 1 046 771 1 140 838 1 256 923 1 361 1 002 1 235 912 


Borders 591 550 683 631 748 685 806 735 675 612 




Dunbartonshire West 942 1 015 1 178 1 276 1 014 1 103 1 089 1 191 1 300 1 425 

Dundee City 1 186 823 1 407 982 1 553 1 092 1 582 1 111 1 445 1 016 

Edinburgh City 3 729 832 3 220 718 3 274 722 3 550 775 4 304 929 

Eilean Siar 92 351 102 391 125 476 230 872 146 554 

Falkirk 880 605 987 676 989 671 1 016 681 908 607 

Fife 1 960 559 1 924 547 2 024 571 1 992 558 2 050 571 

Glasgow City 9 587 1 661 10 363 1 796 9 758 1 689 10 741 1 856 8 863 1 526 

Highland 1 436 690 1 671 799 1 442 682 1 856 869 2 367 1 099 

Inverclyde 1 126 1 347 1 057 1 273 1 218 1 478 932 1 135 1 103 1 353 

Lanarkshire North 3 162 984 3 129 972 2 878 892 3 067 948 2 420 747 

Lanarkshire South 1 823 603 2 602 859 2 580 845 2 589 845 2 298 747 

Lothian East 562 619 325 357 401 438 347 378 283 305 

Lothian West 1 084 678 1 198 744 1 034 635 1 089 665 931 562 

Midlothian 427 530 375 470 457 574 412 520 433 546 

Moray 347 400 380 436 402 463 432 499 347 400 

Orkney Islands 34 177 52 269 50 256 30 153 26 132 

Perth & Kinross 930 688 1 103 811 1 280 931 1 063 767 1 021 728 

Renfrewshire 1 321 768 1 142 668 1 036 607 1 140 671 1 759 1 037 


Shetland Islands 91 415 135 617 105 479 113 514 127 580 

Stirling 760 882 760 880 666 771 629 724 590 672 

1 Where the offence was detected or reported. 

2 GRO population estimates were used to calculate the rate per 100 000 population 

Source: The Scottish Government - DIRECTOR-GENERAL JUSTICE and COMMUNITIES - Recorded Crime series. 


166


D1.2 Drug-related offences recorded by Scottish police forces; type of 

offence: 2006/07 

(mainly Misuse of Drugs Act 1971 offences), council area 1 

Number Rate per 100 000 population 2 

Possession Possession Other 3 Total Possession Possession Other 3 Total 4 

with intent 

with intent 

to supply 

to supply 


Aberdeen City 529 1 347 39 1 915 256 26 1 926 

Aberdeenshire 140 498 21 659 59 10 0 279 

Angus 166 482 10 658 152 9 0 602 

Argyll & Bute 79 598 13 690 86 12 0 755 

Ayrshire East 251 683 11 945 210 13 0 792 


Ayrshire South 161 657 11 829 144 13 0 742 

Borders 243 417 15 675 220 8 0 612 

Clackmannanshire 161 266 8 435 329 5 0 890 


Dunbartonshire East 71 260 5 336 67 5 0 319 


Dundee City 325 1 107 13 1 445 229 22 0 1 016 

Edinburgh City 1 745 2 513 46 4 304 376 49 1 929 

Eilean Siar 29 115 2 146 110 2 0 554 

Falkirk 293 608 7 908 196 12 0 607 

Fife 619 1 367 64 2 050 172 27 1 571 

Glasgow City 1 651 7 081 131 8 863 284 138 3 1 526 

Highland 432 1 915 20 2 367 201 37 0 1 099 

Inverclyde 342 738 23 1 103 419 14 0 1 353 



Lothian East 79 202 2 283 85 4 0 305 

Lothian West 362 529 40 931 218 10 1 562 

Midlothian 103 324 6 433 130 6 0 546 

Moray 61 277 9 347 70 5 0 400 

Orkney Islands - 25 1 26 - 0 0 132 

Perth & Kinross 289 723 9 1 021 206 14 0 728 

Renfrewshire 617 1 124 18 1 759 364 22 0 1 037 


Shetland Islands 31 95 1 127 142 2 0 580 

Stirling 175 413 2 590 199 8 0 672 

1 Where the offence was detected or reported. 

2 GRO population estimates were used to calculate the rate per 100 000 population 

3 Includes illegal importation of drugs, production and manufacture of drugs, money laundering related offences and other drugs-related offences. 

4 Components may not sum to totals due to rounding. 

- (zero); 0 (>0.0 & < 0.5) 

Source: The Scottish Government - DIRECTOR-GENERAL JUSTICE and COMMUNITIES - Recorded Crime series. 



167


D1.3 Drug offences with a charge proved in Scottish courts, by drug type: 

2005/06 

Type of drug Number Percent 3 

Class A 2 635 41 

Cocaine 403 6 

Ecstasy 633 9 

Heroin 1 503 24 

Other Class A 1 96 2 

Class B 433 8 

Amphetamines 288 5 

Cannabis 1 123 2 

Other Class B 22 0 

Class C 2 681 51 

Cannabis 1 2 344 46 

Other Class C 337 5 

Unknown 2 3 907 

All drug types 9 656 100 

Total cannabis 1 2 483 49 

1. Cannabis and cannabis resin (previously Class B drugs) and cannabinol and cannabinol derivatives (previously Class A drugs) were reclassified as Class C drugs with effect from 29 January 2004. Offences involving 

these drug types are included in the table under Class A, B or C depending on the date the offence was committed. 

2. Cases where no information on drug type has been recorded. 

3. Includes estimates for cases where drug type is unknown. 

0 (>0.0 &


D1.4 Persons convicted of drug offences (where main offence) in Scottish 

courts, by drug type: 2005/06 

Type of drug Number Percent 3 

Class A 2 288 45 

Cocaine 343 6 

Ecstasy 557 11 

Heroin 1 312 26 

Other Class A 1 76 2 

Class B 280 7 

Amphetamines 191 4 

Cannabis 1 77 2 

Other Class B 12 0 

Class C 1 711 48 

Cannabis 1 1 512 44 

Other Class C 199 4 

Unknown 2 3 005 

All drug types 7 284 100 

Total cannabis 1 1 604 47 

1. Cannabis and cannabis resin (previously Class B drugs) and cannabinol and cannabinol derivatives (previously Class A drugs) were reclassified as Class C drugs with effect from 29 January 2004. Offences involving 

these drug types are included in the table under Class A, B or C depending on the date the offence was committed. 

2. Cases where no information on drug type has been recorded. 

3. Includes estimates for cases where drug type is unknown. 

0 (>0.0 &



courts: 1990/91, 1995/96, 2000/01, 2001/02 to 2004/05 

1990/91 1995/96 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 

All persons convicted (=100%) 3 190 5 912 5 277 5 910 6 095 7 246 7 472 7 284 

percentage 

Male 91 90 88 87 87 87 86 86 

Female 9 10 12 13 13 13 14 14 

Possession with intent to supply (=100%) 514 1 151 1 274 1 317 1 464 1 536 1 689 1 562 

percentage 

Admonition/ Caution 4 2 3 3 3 4 3 5 

Absolute discharge/ No order made 0 1 0 0 0 0 0 0 

Community Service 18 19 17 15 17 16 17 15 

Probation 8 9 13 12 13 13 15 14 

Fine 27 17 13 12 13 14 14 15 

Custody - Less than 6 months 6 11 10 11 11 11 12 11 

Custody - 6 months to 2 years 21 25 22 23 20 22 18 19 

Custody - Over 2 years 16 17 21 22 21 19 17 17 

Drug Treatment and Testing Order - - 0 2 1 1 1 2 

Other 1 - - 1 0 1 1 2 2 

Possession (=100%) 2 644 4 628 3 946 4 540 4 571 5 624 5 732 5 570 

percentage 

Admonition/ Caution 10 8 10 11 12 12 13 13 

Absolute discharge/ No order made 1 0 0 0 0 0 0 0 


Probation/ SAO 2 2 4 5 5 4 4 4 

Fine 82 84 79 76 76 78 76 77 

Custody - Less than 6 months 3 3 4 4 3 3 3 3 

Custody - 6 months to 2 years 0 0 0 1 0 0 0 0 

Custody - Over 2 years 0 0 0 0 0 0 0 - 

Drug Treatment and Testing Order - - 0 0 0 1 1 1 

Other 1 0 0 - 0 0 0 0 0 

Other 2 (=100%) 32 133 59 56 73 94 126 152 


percentage 

Admonition/ Caution 3 7 2 - 10 10 6 7 

Absolute discharge/ No order made - 1 - - - 1 - - 


Probation - 3 10 13 1 6 5 8 

Fine 81 59 53 57 56 51 50 61 

Custody - Less than 6 months 3 3 2 - 4 3 1 3 

Custody - 6 months to 2 years - 13 - 7 5 5 10 4 

Custody - Over 2 years - 2 8 11 7 6 5 1 

Drug Treatment and Testing Order - - - - - - 1 - 

Other 1 - - - - - - 2 1 

1 Other outcomes consist of remits to childrens' hearings, hospital and guardianship orders, insanity and compensation orders. 

2 Includes illegal importation of drugs, production, manufacture or cultivation of drugs, money laundering related offences and other drug offences. 

- (zero); 0 (>0.0 &



courts: 1990/91, 1995/96, 2000/01, 2001/02 to 2005/06 

type of offence and age of convicted person 

1990/91 1995/96 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 

All persons convicted (=100%) 3 190 5 912 5 277 5 910 6 095 7 246 7 472 7 284 

percentage 

Under 16 years 0 0 0 0 0 0 0 0 

16 - 20 years 31 27 21 22 22 21 18 19 

21 - 25 years 35 34 27 28 25 26 26 25 

26 - 30 years 19 20 23 21 22 20 21 19 

31 - 35 years 8 10 15 15 15 16 17 16 

36 - 40 years 4 5 8 8 9 9 10 11 

Over 40 years 3 4 6 6 7 8 9 10 

Average age 24 25 27 27 28 28 28 29 

Possession with intent to supply (=100%) 514 1 151 1 272 1 317 1 464 1 536 1 689 1 562 

percentage 

Under 16 years 0 0 0 0 0 0 0 0 

16 - 20 years 17 19 16 13 14 10 11 14 

21 - 25 years 36 32 20 24 23 22 24 22 

26 - 30 years 23 23 24 21 21 22 20 18 

31 - 35 years 11 11 18 19 19 19 18 18 

36 - 40 years 6 7 10 12 12 12 13 12 

Over 40 years 7 7 11 11 12 14 15 16 

Average age 27 27 29 30 30 31 31 31 

Possession (=100%) 2 644 4 628 3 946 4 540 4 571 5 624 5 732 5 570 

percentage 

Under 16 years 0 0 0 - - 0 0 0 

16 - 20 years 34 30 23 24 24 24 21 21 

21 - 25 years 34 34 29 30 27 28 27 26 

26 - 30 years 18 19 22 20 23 20 21 20 

31 - 35 years 8 10 14 14 13 15 16 15 

36 - 40 years 4 4 7 7 8 8 9 10 

Over 40 years 2 3 4 5 5 6 6 7 

Average age 24 25 26 26 27 27 27 28 

Other 1 (=100%) 32 133 59 56 73 94 126 152 

percentage 

Under 16 years - - - - - - - - 

16 - 20 years 13 13 7 4 14 4 3 1 

21 - 25 years 38 26 8 13 10 23 15 18 

26 - 30 years 28 20 22 23 16 16 18 18 

31 - 35 years 9 20 15 16 16 15 22 20 

36 - 40 years 3 8 14 18 14 19 17 18 

Over 40 years 9 13 34 27 30 22 25 24 


Average age 27 29 35 35 34 34 34 34 

1 Includes illegal importation of drugs, production and manufacture of drugs, money laundering related offences and other drug offences. 

- (zero); 0 (>0.0 &


D1.7 Persons convicted of drug offences (where main offence) in Sheriff 

Courts: 2005/06 

Table D1.7: Persons convicted of drug offences (where main offence) in Sheriff Courts: 2005/06 

Possession with intent to supply Possession Other1 

Number Percentage Percentage Percentage Number Percentage Percentage Percentage Number 

custodial aged aged custodial aged aged 

sentence under 21 over 21 sentence under 21 over 21 



Aberdeen 106 31 14 86 257 7 6 94 1 

Airdrie 34 41 3 97 111 8 32 68 4 

Alloa 13 15 - 100 34 15 6 94 3 

Arbroath 15 60 20 80 20 - 5 95 1 

Ayr 31 42 6 94 94 11 12 88 3 

Banff 3 33 - 100 15 7 - 100 - 

Campbeltown 7 71 14 86 10 10 40 60 1 

Cupar 6 - - 100 12 8 33 67 1 

Dingwall 6 50 17 83 33 - 18 82 1 

Dornoch - - - . 5 - 20 80 2 

Dumbarton 38 42 5 95 96 5 15 85 2 

Dumfries 33 64 18 82 39 - 13 87 1 

Dundee 37 30 11 89 177 8 16 84 3 

Dunfermline 21 52 10 90 48 6 17 83 6 

Dunoon 5 - 20 80 11 - 36 64 - 

Duns 9 22 - 100 10 - 30 70 - 

Edinburgh 165 39 10 90 320 10 12 88 7 

Elgin 12 17 33 67 54 7 11 89 - 

Falkirk 47 34 40 60 68 6 26 74 3 

Forfar 7 86 - 100 8 13 13 88 - 

Fort William 8 75 - 100 10 - 20 80 - 

Glasgow 275 30 15 85 749 4 13 87 22 

Greenock 31 32 32 68 107 6 16 84 2 

Haddington 12 8 8 92 31 - 13 87 6 

Hamilton 76 36 21 79 223 2 24 76 7 

Inverness 17 47 12 88 79 6 10 90 2 

Jedburgh 10 50 10 90 19 16 42 58 4 

Kilmarnock 58 59 7 93 146 5 14 86 5 

Kirkcaldy 28 36 4 96 52 4 6 94 13 

Kirkcudbright 5 20 40 60 10 - 40 60 2 

Kirkwall 2 100 - 100 7 - 43 57 - 

Lanark 1 - - 100 41 7 7 93 1 

Lerwick 9 11 11 89 8 - 13 88 - 

Linlithgow 29 34 14 86 71 6 11 89 18 

Lochmaddy - - - - - - - - - 

Oban 4 - 25 75 22 9 32 68 1 

Paisley 20 70 5 95 117 3 15 85 5 

Peebles 2 - - 100 13 - - 100 - 

Perth 67 57 21 79 64 11 23 77 4 

Peterhead 18 17 - 100 62 3 11 89 2 

Portree - - - - 5 - 20 80 1 

Rothesay 4 25 25 75 13 - 23 77 - 

Selkirk 8 50 38 63 18 6 33 67 3 

Stirling 18 44 - 100 77 10 23 77 - 

Stonehaven 6 50 17 83 4 - 50 50 - 

Stornoway 2 - 50 50 20 - 20 80 - 

Stranraer 22 73 32 68 31 6 23 77 1 

Tain 8 25 25 75 24 8 17 83 - 

Wick 5 20 20 80 8 - 38 63 2 

1 Includes illegal importation of drugs, production and manufacture of drugs, money laundering related offences and other drug offences. 

- (zero) 

Source: The Scottish Executive Justice Department court proceedings database. 

172 



D1.8 Persons convicted of drug offences (where main offence) in District 

Courts: 2005/06 

type of offence and age of convicted person 

Possession Other 1 

Number Percentage Percentage Percentage Number 

custodial aged aged 

sentence under 21 over 21 

Scotland 2 010 0 30 70 7 

Aberdeen City 73 - 16 84 - 

Aberdeenshire 20 - 45 55 - 

Angus 20 - 30 70 1 

Argyll & Bute 11 - 27 73 - 

Ayrshire East 48 - 35 65 1 

Ayrshire North 81 - 38 62 - 

Ayrshire South 26 - 27 73 - 

Borders 82 - 20 80 1 

Clackmannanshire 34 - 24 76 1 

Dumfries & Galloway 48 - 21 79 - 

Dunbartonshire East 6 - 50 50 - 

Dunbartonshire West 21 - 19 81 - 

Dundee City 49 - 20 80 1 

Edinburgh City 85 - 19 81 - 

Eilean Siar 4 - - 100 - 

Falkirk 44 - 36 64 - 

Fife 14 - 36 64 - 

Glasgow City 2 584 0 26 74 1 

Highland 121 - 28 72 - 

Inverclyde 20 - 25 75 - 

Lanarkshire North 283 - 40 60 - 

Lanarkshire South 246 - 36 64 1 

Lothian East 3 - 33 67 - 

Lothian West 55 - 35 65 - 

Midlothian 9 - 33 67 - 

Moray 14 - - 100 - 

Perth & Kinross 19 - 32 68 - 

Renfrewshire 36 - 25 75 - 

Renfrewshire East 5 - 60 40 - 

Stirling 54 - 46 54 - 

1 Includes possession with intent to supply, illegal importation of drugs, production and manufacture of drugs, money laundering related offences and other drug offences. 

2 Includes stipendiary magistrates court. 

- (zero); 0 (>0.0 &

Social Work Interventions 

D2 Criminal Justice Social Work Interventions 

Diversion from Prosecution is the referral of an accused to social work or other agencies where it 

is believed that formal criminal justice proceedings are not necessary. 

A Probation Order is a form of community sentence. The main purpose of probation is to work 

with offenders to prevent or reduce their re-offending. 

The DTTO is a high tariff disposal for drug-misusing offenders who might otherwise receive a 

custodial sentence. The intention is to tackle those people whose offending is a direct result of their 

drug-misuse. 

For further information on these Criminal Justice Social Work interventions please see the 

Background Information. 


Overview 

■ In 2005/06 54 diversion from prosecution cases were referred to drug treatment/education (Table D2.1). 

■ 573 probation orders with a condition of drug treatment / education were made (Table D2.1). 

■ 599 Drug Treatment and Testing Orders (DTTO) were commenced (Table D2.1). 

■ Of the DTTOs which were terminated in 2005/06, 40% were terminated on successful completion of the 

order. Thirty three percent were revoked due to a breach while 17% were revoked due to review (Table 

D2.2). 


Five year trend 2001/02 – 2005/06 

It should be noted that data on Drug Treatment and Testing Orders are only available from 2003/04 therefore trends 

are for the three year period 2003/04 to 2005/06. 

■ Between 2001/02 and 2003/04 the number of cases diverted from prosecution which were referred to 

drug treatment or education rose, from 143 to 211. The number fell to 54 cases in 2005/06, a decrease 

of 62% over the five year period (Table D2.1). 

■ The number of probation orders commenced with a condition of drug treatment / education fell from 

638 in 2001/02 to 554 in 2003/04. Numbers then rose to 601 in 2004/05 before falling again to 573 

in 2005/06. This was a decrease of 10% over the five year period (Table D2.1). 

■ The number of DTTOs has risen from 412 orders in 2003/04 to 599 orders in 2005/06. This is likely to 

be due in part to continued roll out of the scheme across Scotland over this time period (Table D2.1). 

■ The number of DTTOs terminated upon successful completion of the order has risen from 36% in 

2003/04 to 40% in 2005/06. The number revoked due to a breach has declined from 40% in 2003/04 

to 33% in 2005/06 while the number revoked due to review has increased from 10% in 2003/04 to 17% 

in 2005/06 (Table D2.2). 


■ A third of the cases which were diverted from prosecution in 2005/06 were in South Lanarkshire council 

area (19 cases) (Table D2.1). 

■ The areas with the highest number of probation orders in 2005/06 were Fife (103 orders) and Glasgow 

City (102 orders) council areas (Table D2.1). 

■ In 2005/06 Glasgow City council area had the highest number of DTTOs (100 orders), followed by 

Edinburgh (99 orders), North and South Lanarkshire (66 orders) and Dundee City (62 orders) council 

areas (Table D2.1). 


174



This section provides information on the number of individuals entering treatment through criminal justice 

interventions. Criminal Justice Social Work (CJSW) services in Scotland are provided by local authorities 

throughout the country. An aggregate return is submitted annually to the Scottish Government by each local 

authority, covering data on: Social Enquiry Reports, Community Service Orders, Probation Orders, Supervised 

Attendance Orders, Drug Treatment and Testing Orders, Diversion from Prosecution and Throughcare. 

Information is provided here on the CJSW interventions which direct drug misusers to treatment and includes 

data on diversion from prosecution schemes, probation orders with a condition of treatment and Drug 

Treatment and Testing Orders (DTTO). The format and content of the aggregate return continues to evolve, 

to reflect new demands for information and to clarify points of definition in relation to particular data items. 

Some caution should therefore be exercised when making comparisons over time. The statistics presented 

reflect the information as known to the Scottish Government Justice Department at January 2005 and may be 

subject to revision in future publications. Information presented here is based on data from the aggregate 

return made by local authorities to the Scottish Government and therefore may differ from information 

previously published relating to criminal justice interventions. 

Diversion from Prosecution is the referral of an accused to social work or other agencies where it is believed that 

formal criminal justice proceedings are not necessary. The accused is then dealt with through 'diversion 

schemes' which aim to address underlying causes of offending. Diversion is designed to prevent individuals 

being prematurely "up-tariffed" into a custodial sentence and to stop the cycle of offending/punishment before 

it starts. The decision as to whether or not an accused should be diverted is taken by the Procurator Fiscal. 

Social Work diversion from prosecution schemes aim to provide persons accused of minor offences with support 

and advice in relation to problems associated with their offending. In such cases prosecution is deferred, 

subject to successful completion of the scheme. 

Probation Orders provide one of the opportunities for Criminal Justice Social Work to focus on offending 

behaviour. The main purpose of probation is to work with offenders to prevent or reduce their reoffending. 

This is done by combining oversight and control with help to learn new behaviours and to deal with problems 

associated with offending. The Probation Order will have an Action Plan in which the offender agrees to 

address their offending behaviour and its underlying causes. Probation Orders can be used very flexibly by the 

courts and additional conditions can be attached regarding the offender undertaking unpaid work, their place 

of residence, curfew (including electronic monitoring), financial recompense to the victim or attendance at a 

specialist programme such as alcohol or drug treatment. 

The Drug Treatment and Testing Order (DTTO) is a high tariff disposal for offenders who might otherwise 

receive a custodial sentence. The Order contains features unique to a community disposal, including a 

requirement for regular reviews by the court and a requirement that the offender consent to frequent random 

drug tests throughout the lifetime of the Order. Drug Treatment and Testing Orders (DTTO) are a relatively 

new community sentence in Scotland, introduced for the first time in 1999. Due to the complex and resource 

intensive nature of the DTTO, the Order was rolled out across Scotland in phases. Between 1999 and 2002 the 

Order was rolled out to Glasgow, Fife and Aberdeen. In 2002/03 the Order became available in Edinburgh, 

Renfrewshire/Inverclyde and Tayside. By 2004/05 the DTTO Drug Treatment and Testing Order (DTTO) was 

available to the High Court and to Sheriff Courts for offenders resident in most local authority areas (with the 

exception of Argyll & Bute, Clackmannanshire, Dumfries & Galloway, East Lothian, East Dunbartonshire, Eilean 

Siar, Falkirk, Highland, Moray, Orkney Islands, Scottish Borders, Shetland Islands, Stirling, West Lothian and 

West Dunbartonshire). From 2005/06 the Order has been available to almost every court in Scotland with the 

remaining one or two courts (where rurality and health provision issues mean there are particular difficulties in 

servicing the order) expected to come on stream shortly. Data on DTTOs began to be collected through the 

aggregate return in 2003/04. 


Information on Criminal Justice Social Work is available at the Scottish Government website: 

http://www.scotland.gov.uk/Topics/Justice/criminal/16910 

Further statistics on Criminal Justice Social Work are also available from the Scottish Government website: 

http://www.scotland.gov.uk/Topics/Statistics/Browse/Crime-Justice/PubSocialWork 

Further information on Drug Treatment and Testing Orders (DTTO) is available at: 

http://www.scotland.gov.uk/Topics/Justice/criminal/16906/6826 



175


D2.1 Criminal Justice Social Work Services: 2001/02 - 2005/06 

Cases and Orders which include treatment programmes by council area 

2001/02 2002/03 2003/04 

Diversion from 

Prosecution 

Cases 

Referred to 

Drug 

Treatment / 

Education 

Probation 

Orders 

Commenced 

with a 

Condition of 


Treatment / 

Education 


Prosecution 

Cases 

Referred to 


Treatment / 

Education 

Probation 

Orders 

Commenced 

with a 

Condition of 


Treatment / 

Education 


Prosecution 

Cases 

Referred to 


Treatment / 

Education 

Probation 

Orders 

Commenced 

with a 

Condition of 


Treatment / 

Education 


Treatment 

and Testing 

Orders 

Commenced 




Aberdeen City 1 1 2 4 - 5 - 20 

Aberdeenshire 2 3 9 8 16 - - 

Angus - 31 - 21 - 13 11 

Argyll & Bute - 8 - 6 1 6 - 

Clackmannanshire - 10 5 19 5 26 - 

Dumfries & Galloway - 2 - 2 - 2 - 

Dundee City 2 - 19 - 23 - 18 29 

East Ayrshire 3 13 1 16 - 17 6 

East Dunbartonshire - 3 - 3 - 1 - 

East Lothian 1 2 3 6 - 4 - 

East Renfrewshire - 4 - 2 - 2 4 

Edinburgh, City of 3 - 51 - 62 - 29 90 

Eilean Siar - - - - - 1 - 

Falkirk - 61 - 54 - 51 - 

Fife 1 38 14 61 10 80 71 

Glasgow City 4 25 200 24 151 74 137 74 

Highland 3 - 7 - 10 - 12 - 

Inverclyde 2 9 2 7 - 10 27 

Midlothian 5 - 5 - 5 - 4 16 

Moray - 2 14 1 - 5 - 

North Ayrshire 6 9 2 19 2 4 8 

North Lanarkshire - 44 1 15 - 13 - 

Orkney Islands - - - - - - - 

Perth & Kinross 4 11 3 7 10 22 12 

Renfrewshire - 26 - 23 1 14 36 

Scottish Borders 2 5 - 4 - 5 - 

Shetland Islands - - - 1 - - - 

South Ayrshire 1 13 1 13 - 15 8 

South Lanarkshire 6 82 14 104 29 82 24 - 

Stirling 1 23 1 28 - 21 - 

West Dunbartonshire 4 15 11 26 - 8 - 

West Lothian 8 8 - 9 5 10 - 

1. Figures for DTTOs in 2004/05 include Aberdeenshire. Figures for DTTOs in 2005/06 include Aberdeenshire, Moray and Highland. Aberdeen City is lead authority. 

2. Dundee City is the lead authority and, in 2004/05 and 2005/06, provided DTTO figures for the Dundee, Perth and Angus partnership. 

3. Information is not available from Edinburgh and Highland on the number of diversion from prosecution cases which were referred to drug treatment / education. 

4. Figures for Glasgow City on diversion cases referred to drug treatment or education in 2002/03 are estimated based on the number of referrals and cases commenced. 

5. There is no sheriff court in Midlothian, who buy into Edinburgh for diversion from prosecution. 

6. DTTO information for 2004/05 includes North Lanarkshire. 

- (zero) 

Note: Information on Drug Treatment and Testing Orders is only available from from 2003/04. 

Source: Aggregate statistical returns of criminal justice social work (CJSW) information to the Scottish Government by local authorities. 

176 



Criminal Justice Social Work Services: 2001/02 - 2005/06 D2.1 

continued 

2004/05 

2005/06 


Prosecution 

Cases 

Referred to 


Treatment / 

Education 

Probation 

Orders 

Commenced 

with a 

Condition of 


Treatment / 

Education 


Treatment 

and Testing 

Orders 

Commenced 


Prosecution 

Cases 

Referred to 


Treatment / 

Education 

Probation 

Orders 

Commenced 

with a 

Condition of 


Treatment / 

Education 


Treatment 

and Testing 

Orders 

Commenced 

148 601 549 54 573 599 Scotland 


2 5 21 4 3 37 Aberdeen City 1 

13 - - 9 - - Aberdeenshire 

- 27 - - 19 - Angus 

- 5 - - 8 - Argyll & Bute 

8 27 - 3 22 3 Clackmannanshire 

- - - 12 2 13 Dumfries & Galloway 

2 19 50 - 39 62 Dundee City 2 

- 9 13 - 12 7 East Ayrshire 

- 9 - - 6 - East Dunbartonshire 

4 4 - - 1 7 East Lothian 

- 1 1 - 5 2 East Renfrewshire 

- 28 91 - 35 99 Edinburgh, City of 3 

- - - - - - Eilean Siar 

- 56 - 1 67 4 Falkirk 

14 64 80 1 103 64 Fife 

- 165 88 - 102 100 Glasgow City 4 

- 4 - - 11 - Highland 3 

1 7 17 1 3 14 Inverclyde 

- 3 12 - 4 - Midlothian 5 

4 3 - - - - Moray 

- 21 34 - 9 31 North Ayrshire 

- 21 - - 14 - North Lanarkshire 

- 1 - 1 - - Orkney Islands 

- 11 - - 29 - Perth & Kinross 

- 11 52 1 18 20 Renfrewshire 

- 8 - - 6 8 Scottish Borders 

- 1 - - - - Shetland Islands 

3 6 12 1 10 4 South Ayrshire 

83 32 78 19 22 66 South Lanarkshire 6 

4 23 - - 6 2 Stirling 

- 22 - - 14 6 West Dunbartonshire 

10 8 - 1 3 50 West Lothian 



177

Criminal justice 

D2.2 Terminations of Drug Treatment and Testing Orders 

2003-04 to 2005-06 

reason for termination and gender 

Reason 

Number of Orders 

Per cent of Orders 

2003-04 2004-05 2005-06 2003-04 2004-05 2005-06 

All 

Total 205 315 465 100.0 100.0 100.0 

Order Successfully Completed 74 120 186 36.1 38.1 40.0 

Revoked due to Review 21 32 81 10.2 10.2 17.4 

Revoked due to Breach 82 133 154 40.0 42.2 33.1 

Transfer out of area 2 - 4 1.0 - 0.9 

Death - 1 4 - 0.3 0.9 

Other 1 26 29 36 12.7 9.2 7.7 

Males 

Total 188 258 387 100.0 100.0 100.0 




Transfer out of area 2 - 3 1.1 - 0.8 

Death - - 4 - - 1.0 

Other 1 23 24 30 12.2 9.3 7.8 

Females 

Total 17 57 78 100.0 100.0 100.0 




Transfer out of area - - 1 - - 1.3 

Death - 1 - - 1.8 - 

Other 1 3 5 6 17.6 8.8 7.7 

1. Other includes new orders given, change in circumstances and admonished. 

Source: Aggregate statistical returns of criminal justice social work (CJSW) information to the Scottish Government by local authorities. 



178

Drug Misuse and Treatment in Scottish Prisons 

D3 Drug misuse and treatment in Scottish prisons 

The Addictions Testing Measure (ATM) was introduced in 2005, replacing Mandatory Drug Testing 

(MDT). Figures relating to ATM are not comparable with those previously published for MDT (see 

Background information for further detail). 

A new Enhanced Addictions Casework Service (EACS) was introduced in 2005. EACS figures are 

not comparable with previously published figures on drug strategy outputs (see Background 

Information). 

In 2006/07 the average daily population of Scotland’s prisons was 7,183 prisoners. There were 

26,195 recorded entries into prison in 2006/07 (Table D3.2). 


Overview 

■ Of 1,784 Addictions Testing Measure (ATM) tests carried out in 2006/07 28% were positive for drug use 

where the drug misuse occurred while in prison. A further 13% were positive tests where the prisoner 

may have misused the drugs for which they tested positive before entry to prison (Table D3.1). 

■ 4,546 prisoners, nearly a fifth (17%) of the total recorded entries into prisons (26,195) were offered an 

addictions assessment. It should be noted that assessment is only offered to prisoners with a sentence 

of 31 days or longer (Table D3.2). 

■ 4,051 prisoners undertook an addictions assessment in 2006/07 (Table D3.2). 

■ 12,298 one-to-one motivational support sessions were delivered (Table D3.2). 

■ 1,228 prisoners across Scotland were being prescribed methadone according to a census taken on the 

8th December 2006. This equated to 17% of the prison population on that day. Data from a census 

the previous year, taken on 30th December 2005 showed 984 prisoners (16% of the prison population) 

were being prescribed methadone on that day while the census taken on 17th December 2004 showed 

845 prisoners (14% of the prison population on that day) were being prescribed methadone (Table 

D3.3). 

■ Thirty percent of respondents to the 2007 Prison Survey reported use of illegal drugs in prison in the 

previous month (Table D3.4). 

■ Two percent of respondents to the 2007 Prison Survey who provided information on injecting reported 

injecting drugs in prison in the previous month (Table D3.4). 

■ Of those who had provided information on sharing injecting equipment in the last month (87 prisoners) 

80% reported sharing injecting equipment in prison in the previous month (Table D3.4). 

Drugs Recorded 

■ Opiates were detected in 16% of the 1,784 ATM tests, benzodiazepines in 14% and cannabis in 5% 

compared with 13%, 12% and 11% respectively in 2005/06 (data not shown). Buprenorphine, 

amphetamines and methadone were detected in 1% of tests (Table D3.1). 

■ Of the prisoners reporting use of illegal drugs in prison in the 2007 Prison Survey 70% reported use of 

heroin in the previous month, 64% reported use of cannabis and 45% use of benzodiazepines. Over a 

quarter (25%) reported using other opiates (other than heroin and methadone) while smaller 

proportions reported cocaine (17%), methadone (without prescription) (18%), temazepam (12%), 

ecstasy (9%) and amphetamines (5%) (Table D3.4). 



179



Addictions Testing Measure 

The Addictions Testing Measure (ATM) was introduced in 2005, replacing Mandatory Drug Testing (MDT). 

ATM is carried out on 5% of the prison population, three times per year. The results are anonymous and cannot 

be attributed to the individual tested. This contrasts with the previous system of MDT for which tests were 

carried out monthly on 10% of the prison population and were attributable to specific prisoners, with penalties 

for positive results. By making the results of the new measure anonymous prisoners who had taken drugs did 

not attempt to conceal the fact. This measure is designed to better inform the interventions required for 

prisoners, rather than penalising. Participation in the ATM tests is voluntary for all prisoners. For these reasons 

the results of ATM are not comparable with previous figures published which were obtained through MDT. 

Addiction Service Outputs 

A new Enhanced Addictions Casework Service (EACS) was introduced in August 2005. New interventions 

include alcohol assessment, one-to-one, group work and smoking cessation support. The aims of the EACS are 

to: 

■ Encourage current and former substance misusing prisoners to access addictions treatment within the 

prison. 

■ Provide addictions assessment relevant to the needs of the prisoners and the substance of misuse. 

■ Include prisoners and other relevant support providers in devising and agreeing individualised care plans. 

■ Give prisoners access to a relevant range of interventions (treatment and care activities relevant to their 

sentence length). 

■ Emphasise the importance of consistency and continuity of care, both in the prison setting and in the 

period immediately around release. 

■ To minimise the dangers of reduced tolerance levels on release from prison. 

An addictions assessment is offered to prisoners with a sentence of 31 days or longer. Prisoners who are serving 

a sentence of less than 31 days are not offered the assessment due to the short length of their stay, but are 

referred to either voluntary throughcare or national throughcare addictions services, depending on criteria. 

Table D3.2 outlines key outputs delivered by the EACS. This is not comparable with drug strategy outputs 

published prior to 2006. 


Methadone prescribing in prison 

This data is a count of the number of prisoners recorded as receiving a methadone prescription on a single day. 

The data has now been collected on three occasions, on the 17th December 2004,on the 30th December 2005 

and on the 8th December 2006. Kilmarnock was added for the first time in the 2006 census. Kilmarnock prison 

submitted information for the census for the first time in 2006. 

Scottish Prison Survey 2007 – 10th Survey 

The Survey, which is undertaken in each of the 15 Scottish prisons, involves all Scottish prisoners. The Survey 

is designed to achieve a number of objectives: 

■ To make use of prisoners’ perceptions of service-delivery and service-quality in its business planning. 

■ To provides prisoners with an opportunity to comment on a range of issues that impact on their 

experience in prison. 

■ To allow staff to get a better understanding of how the halls or areas they manage compare to equivalent 

areas and halls and in so doing to provide a tangible way to help share items of ‘best practice’. 

■ To allow the Prison Service, through annual repeats of the same questions, to track progress (or the lack 

of it) across the various dimensions that are included in the Survey. 

The annual prison survey 2007 took place between May and June 2007. It is a self-completion, anonymous 

questionnaire (tick box response) which is hand delivered to each prisoner on site in the establishment on the 

day the survey takes place. It therefore provides a one-day snapshot of prisoner views in each establishment. 


180



Research reports with further information on drug misuse and treatment in prison and methadone maintenance 

in prisons are available from the SPS website at: http://www.sps.gov.uk/Default.asp?menuid=214 

References 

1 Prison Statistics Scotland 2006/07, Scottish Government. 

2 The 2006 census included prisoners in Kilmarnock prison for the first time. 



181


D3.1 SPS Addictions Testing Measure (ATM): Voluntary Prevalence Testing 

2006/07 

results of random tests of 5% of prison population, by establishment 

Number Percentage positive Drugs detected as percentage of all tests taken 1,2 

tested 

All In- Cannabis Benzo- Opiates LSD Meth- Amphet- Barbit- Cocaine Buprenorphine 

tests prison 3 diazepines adone amines urates 

Scottish Prison 

Service Total 1 784 41 28 5 14 16 0 1 1 - 0 1 

Aberdeen 71 65 53 20 34 35 - 3 1 - - - 

Barlinnie 331 37 24 2 17 9 - 1 2 - 1 - 

Castle Huntly 60 47 38 2 8 30 - - 5 - 5 3 

Cornton Vale 98 49 33 - 21 19 - 1 - - - - 

Dumfries 50 10 4 - 4 2 - - - - 2 - 

Edinburgh 207 49 40 12 14 23 - 1 2 - 1 - 

Glenochill 120 35 16 1 3 10 - 2 - - - 2 

Greenock 71 49 41 18 18 25 - 1 1 - - 6 

Inverness 40 52 50 10 25 22 - 5 - - - - 

Kilmarnock 172 48 34 2 24 21 - 2 - - 1 2 

Low Moss 53 38 24 4 7 24 - - - - - 2 

Noranside 35 34 17 - 3 11 - - 3 - 3 - 

Perth 127 47 36 9 20 24 - - - - - - 

Peterhead 86 7 6 1 2 2 1 1 1 - - - 

Polmont 116 9 8 8 3 0 - - - - - - 

Shotts 146 56 28 5 2 17 2 3 - - - 7 

1 Drug percentages do not add up to the total percentage due to poly-drug misuse. 

2 Excludes drugs prescribed as part of a treatment programme. Includes illicit use of prescribed drugs. 

3 In-prison rate excludes those who may have misused the drugs for which they tested positive before entry to prison. 

4 Participation was voluntary for all prisoners. 

- (zero); 0 (>0.0 &


D3.3 Number of prisoners being prescribed methadone on a given day; 

2004 - 2006 

by establishment 

Number of prisoners being prescribed 

methadone on the given day 

17 December 2004 30 December 2005 8th December 2006 

Scottish Prison 845 984 1 228 

Service Total 1 

Aberdeen 44 57 62 

Barlinnie 286 321 349 

Cornton Vale 19 60 75 

Dumfries 24 12 24 

Edinburgh 85 101 141 

Glenochil 59 87 96 

Greenock 65 59 48 

Inverness 3 12 13 

Low Moss 60 64 72 

Open Estate 2 12 32 45 

Perth 84 55 40 

Peterhead - - - 

Polmont 1 2 4 

Shotts 103 122 142 

Kilmarnock 1 ** ** 117 

Percentage of prison population 14 16 17 

receiving Methadone 

1 2004 and 2005 figures exclude HMP Kilmarnock for which data is not available. Data for NMP Kilmarnock is included for the first time in the 2006 figures. 

2 Open Estate refers to Castle Huntley and Noranside 

- (zero) 

**Not available 

Source: The Scottish Prison Service (SPS). 



183


D3.4 Drug use in prison: results from the tenth prison survey: May - June 

2007 

Prisoners 

Number 

Total number of questionnaires issued 6 376 

No. of completed questionnaires returned 4 692 

Use of illegal drugs in prison in the month prior to survey 

No. providing information on illegal drug use in the last month 4 170 

Percentage 

Not used any illegal drug in the last month 70 

Used illegal drug(s) in the last month 30 

Most common drugs reported by those who have used illegal drug(s) in prison, in the month prior to survey 

Number 

No. providing information on the most common drugs reported 1 249 

Percentage reporting each drug: 

Percentage 

Amphetamines 5 

Ecstasy 9 

Benzodiazepines (e.g. Valium, Ativan) 45 

Cannabis 64 

Cocaine 17 

Methadone (not on prescription) 18 

Heroin 70 

Temazepam 12 

Other opiates (e.g. Buprenorphine, Dihydrocodeine) 25 

Injected drugs in prison in the month prior to survey 

No. providing information on injecting in last month 3 751 

Percentage injecting drugs in the last month 2 

Shared injecting equipment in prison in the month prior to survey (for those who have injected in the last month) 

No. providing information on sharing injecting equipment in the last month 87 

Percentage sharing injecting equipment in the last month 80 


Source: The Scottish Prison Service (SPS). 


184


D4 Seizures of controlled drugs 


Overview 

■ There were 24,941 seizures of controlled drugs in Scotland (Table D4.1). 

■ There were 5,270 seizures of Class A drugs, 1,205 seizures of Class B drugs and 20,353 seizures of Class 

C drugs (Table D4.3). 

■ The largest number of seizures for Class A drugs were for heroin. For Class B drugs the largest number 

of seizures related to amphetamines, while for Class C drugs the largest number of seizures were of 

cannabis resin (Table D4.3). 


■ Strathclyde police made 58% (14,479) of the drug seizures in Scotland (Table D4.1). 

■ Of 97.5kg of heroin seized in Scotland, 63% was seized in Strathclyde, 9% in Tayside and 8% in Fife 

(Table D4.2). 

■ Of 148 seizures of crack cocaine in Scotland, 85% (126) were made in Grampian. The crack cocaine 

seized in Grampian represents 88% (2.3kg) of the total amount seized in Scotland (2.6kg) (Table D4.2). 


■ Since 2001/02 the number of drug seizures in Scotland increased by 29% from 19,350 to 24,941 (Table 

D4.1). 

■ The number of Class A seizures increased by 3% overall (5,124 to 5,270), however, there was an increase 

of 128% in seizures of cocaine (541 to 1,233) and an increase of 190% in seizures of crack cocaine (51 

to 148) over the same period (Table D4.3). 

■ The number of Class B seizures increased by 20% (995 to 1,205) (Table D4.3). 

■ The number of Class C seizures, the majority of which was cannabis, increased by 34% (15,153 to 

20,353). Total seizures of cannabis saw an increase of 32%, however, seizures of herbal cannabis 

increased by 289% (574 to 2,231). It should be noted however that the rise in seizures of herbal 

cannabis did not have a corresponding rise in quantity seized, with the quantity seized in 2005/06 

(750.3kg) being the lowest weight over the 5 year period (Table D4.3). 


This section provides a selection of information on seizures of drugs controlled under the Misuse of Drugs Act 

1971 by both Police and Customs & Excise. Data on seizures of controlled drugs was published by the Scottish 

Government for the first time with the 2004/05 and 2005/06 figures. Previously the data had been collected 

and published by the Home Office. Comparisons to previous Home Office publications show difference in 

quantity seized, especially in some Class A drugs. This was the result of duplicate records which were 

discovered during the Scottish Government’s data analysis. Confirmation of the correct data were sought from 

police forces and the duplicate records were removed. 

From 29th January 2004 cannabis was reclassified as a Class C drug. For the purposes of this publication 

cannabis is shown as a Class C drug for all years. 

It is important to note that large seizures can disproportionately affect the quantities seized, leading to large 

changes from year to year. Also, the number of seizures of different drug types does not appear to be 

necessarily related to the number of inhabitants in a police force area. 



Further statistics on seizures of controlled drugs in Scotland are available at: 

http://www.scotland.gov.uk/Topics/Statistics/Browse/Crime-Justice/DrugSeizures 


185

Seizure of Controlled Drugs 

D4.1 Seizures of controlled drugs: 1995/96, 2000/01, 2001/02 - 2005/06 

police force area 

Police force 

1995/96 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 


Central 667 343 771 677 1 032 812 859 


Fife 616 450 589 593 586 687 852 

Grampian 1 178 1 100 1 369 1 455 1 448 1 448 1 746 

Lothian & Borders 816 2 726 2 625 3 199 2 250 2 798 3 245 

Northern 455 522 775 901 799 809 1 023 

Strathclyde 8 319 9 691 11 708 13 133 13 379 15 916 14 479 

Tayside 804 903 1 168 1 354 1 774 1 908 2 062 

Source: Scottish Government 



186




187


D4.2 Seizures 1 of controlled drugs (number and quantity seized): 2005/06 

police force area; drug type 


1 As seizure can involve more than one drug, figures for individual drugs cannot be added to produce totals. 

2 All quantities are in kilograms except for Methadone (litres), LSD and Ecstasy-type (doses), and Cannabis plants (numbers). 

3 In thousands of doses. 

** Not available. 

Source: Scottish Government 

188 



Seizures 1 of controlled drugs (number and quantity seized): 2005/06 D4.2 

continued 



189


D4.3 Number and quantity 1 of seizures 2 of class A, B and C drugs: Scotland 

1995/96, 2000/01, 2001/02 - 2005/06 

drug type 

Number of seizures 

1995/96 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 

All class A 1 729 4 589 5 124 4 529 3 984 4 995 5 270 

Cocaine 86 444 541 693 709 870 1 233 

Crack cocaine 1 36 51 85 68 75 148 

Heroin 863 2 939 3 205 2 598 2 224 2 816 3 175 

Methadone 60 110 133 137 127 117 173 

LSD 105 29 8 7 7 19 12 

Methylamphetamine 3 7 40 71 11 1 - - 

Ecstasy-type 4 613 1 248 1 428 1 328 1 081 1 279 829 

Other Class A 98 89 63 58 68 107 69 

All Class B 1 811 874 995 1 301 1 094 1 149 1 205 

Barbituates 3 2 3 5 - 1 1 

Amphetamines 1 699 633 784 1 066 911 985 1 052 

Other Class B 118 259 221 243 203 170 157 

All Class C 11 098 12 447 15 153 18 040 18 471 20 546 20 353 

Total Cannabis 5 10 563 12 077 14 519 16 758 17 485 19 215 19 148 

Cannabis(herbal) 5 572 425 574 1,158 1,387 1,747 2,231 

Cannabis plants 5 268 93 97 145 183 163 189 

Cannabis resin 5 10 086 11 808 14,136 15,987 16,527 17,823 17,397 

Cannabis oil 5 14 3 4 5 7 2 1 

Temazepam 429 90 174 198 291 140 79 

Benzodiazepines 298 571 805 1 700 1 176 1 658 1 552 

GHB - - - - 2 1 2 

Anabolic Steroids - 3 5 10 6 8 10 

Other class C 145 38 24 24 21 29 18 

Quantity seized (kgs 1 ) 

Class A 

1995/96 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 


Cocaine 1.4 25.3 23.9 46.3 18.3 44.2 74.5 

Crack cocaine

Contact names for data sources 

E 

Contacts 

A 

A1 

A2 

B 

B1 

Prevalence 


Scottish Government Justice Department 

St Andrews House 

Regent Road 

Edinburgh, EH1 3DG 

Telephone: 0131 244 2053 

www.scotland.gov.uk 

Scottish Schools Adolescent Lifestyle and 

Substance Use Survey 

Drug Misuse Information Strategy Team 


Gyle Square, 1 South Gyle Crescent, 


Telephone: 0131 275 6794 

www.drugmisuse.isdscotland.org 

Services and Treatment for Drug 

Misusers 


Drug Misuse Information Strategy Team 




Telephone: 0131 275 6794 


C2 

C3 

C4 

C5 

D 





Telephone: 0131 275 6794 

www.isdscotland.org/ 





Telephone: 0131 275 7099 

www.isdscotland.org/ 


Health Protection Scotland 

Clifton House,Clifton Place 

Glasgow, G3 7LN 

Telephone: 0141 300 1100 

www.hps.scot.nhs.uk 

Drug-related deaths 

General Registers Office for Scotland 

Ladywell House 

Ladywell Road 

Edinburgh, EH12 9HW 

Telephone: 0131 314 4229 

www.gro-scotland.gov.uk 

Drugs and Criminal Justice 

B2 

C 

C1 

Prescription statistics 




Telephone: 0131 275 6879 

www.isdscotland.org/prescribing 

Health Impact Of Drug Misuse 





Telephone: 0131 275 6794 

www.isdscotland.org/acute_activity 

D1 

D2 

Drug-related offences and court 

proceedings 

Analytical Services Division 



Regent Road 


Telephone: 0131 244 2752 


Criminal Justice Social Work interventions 




Regent Road 


Telephone: 0131 244 2752 


Drug Misuse Statistics Scotland 2006 

191

Contact names for data sources 

D3 

D4 

Drug misuse and treatment in Scottish 

prisons 

Scottish Prison Services 

Calton House 

5 Redheughs Rigg 

Edinburgh, EH12 9HW 

Telephone: 0131 244 8635 

www.sps.gov.uk 

Seizures of controlled drugs 




Regent Road 


Telephone: 0131 244 3079 


Drug Misuse Statistics Scotland 2006 

192

Court proceedings Criminal Justice Social Work interventions P 

e Social Work interventions Prisons Seizures Scottish Drug Mis 


Scottish Drug Misuse Database Prescriptions Hospital discharg 

Scottish Drug Misuse Database Prescriptions Hospital discharge 

Hospital discharges Psychiatric discharges General Practice Blo 

es Psychiatric discharges General Practice Blood-borne viruses 

s General Practice Blood-borne viruses Drug-related deaths Of 

orne viruses Drug-related deaths Offences Court proceedings 

hs Offences Court proceedings Criminal Justice Social Work int 

eedings Criminal Justice Social Work interventions Prisons Seiz 

Social Work interventions Prisons Seizures Scottish Drug Misu 




Scottish Drug Misuse Database Prescriptions Hospital discharge 







Social Work interventions Prisons Seizures Scottish Drug Misu 




charges General Practice Blood-borne viruses Drug-related dea 






This is an ISD Scotland National Statistics release 


Social Work interventions Prisons Seizures Scottish Drug Misu

Drug Misuse Statistics Scotland 2007 - Drug Misuse Information ...

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