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The Missing Link Outreach Services & Cocaine

The Missing Link Outreach Services & Cocaine. Carla Ellis Crew 2000. What’s our Mandate. Jellytime Information, Advice & Crisis Intervention Clubs, Free parties & Festivals 5,000 people used the outreach in 2005/06. Changing Trends. Cocaine has never been cheaper

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The Missing Link Outreach Services & Cocaine

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  1. The Missing Link Outreach Services & Cocaine Carla Ellis Crew 2000

  2. What’s our Mandate • Jellytime • Information, Advice & Crisis Intervention • Clubs, Free parties & Festivals • 5,000 people used the outreach in 2005/06

  3. Changing Trends • Cocaine has never been cheaper • £30 - £55 a gram in Druglink survey • Cocaine never been so easily available • Used in pubs • Drink more • Don’t get to the club

  4. Knock On Effects • More aggression • Ecstasy drought summer 05 • Changing face of clubs & causing resurgence in free party scene

  5. Cocaine Surge • Edinburgh Stimulant Users’ Service • 2003 – Ecstasy main presenting issue • 2006 – 70% referrals cocaine or crack • 3,000% rise in numbers testing positive for cocaine over last 10 years (Medscreen in the Independent)

  6. Response • Outreach services need to respond • Pubs & publicans • Licensing board • New markets: colleges, taxi drivers, builders merchants, major employers, the Chamber of Commerce and Trade Unions

  7. Challenge the Stigma • Education around drug use & prevalence • Reframe getting help – increase productivity, retain employees • Education, education, education

  8. Integrated Model of Service Information and Advice harm reduction treatment services specialist services Youthful experimenter Regular Users Problematic drug users Information and Shop services One to one counselling Telephone helpline Referral to specialist services Outreach to youth groups Complementary therapies Outreach to bars, clubs and free parties Outreach to colleges, commerce & industry ESUS Services Crew 2000 Services Short Term interventions Longer term Interventions

  9. Assume Nothing • Last month assessed 5 people/week • Using between 7 and 14 grams a weekend • None had heard of cocaethylene

  10. Future Prospects • Cocaine is here to stay • Services for all not just focus on the biggest headline grabbers • Develop a practical, national response

  11. Outreach enables low threshold access into services • Cocaine use is rising

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