Scotland continues to grapple with alarmingly high rates of drug and alcohol-related deaths, topping European charts despite substantial investment and leadership efforts. The figures for 2023 paint a concerning picture: 1,277 alcohol-specific deaths mark the highest number since 2008, and while drug misuse deaths have decreased slightly, they remain a significant issue. As reported, “Scotland’s drug-induced death rate is the highest in Europe based on the latest available data. At 27.7 per 100,000, it is almost three times higher than the next highest country, Ireland.” See more

Challenges and Barriers in Support Access

Individuals seeking help for drug and alcohol issues face numerous barriers, exacerbated by a strained workforce and the disproportionate focus on drug harm at the expense of alcohol issues. The local Alcohol and Drug Partnerships, tasked with coordinating services, struggle with limited influence and funding, which is further diminished by inflation.

The Need for Preventative Strategies

A critical gap exists in preventative measures, which could stop individuals from reaching crisis points. While most funding is directed towards NHS specialist services for crisis intervention, there is a pressing need to redirect efforts towards early intervention and prevention, as highlighted by Stephen Boyle, Auditor General for Scotland.

Strategic Planning and Funding

Ministers are urged to develop a comprehensive understanding of cost-effective services and devise a sustainable funding plan post-2026, when the National Mission concludes. This strategic foresight is crucial as public finances face increasing pressure.

Collective Accountability and Tailored Services

Christine Lester from the Accounts Commission stresses the importance of collective accountability among service providers. Improved data is essential for planning and prioritising funding, ensuring services are tailored to meet individual needs. Current challenges include accessibility issues, particularly for disadvantaged groups, necessitating a more inclusive approach.

Towards a Unified Approach

Scotland’s path to tackling drug and alcohol harm needs a new way of thinking and everyone working together. By focusing on prevention and helping those most in need, we can create safer, healthier communities.

Source: Audit Scotland