Drug Rehab and Alcohol Rehab

Writing in The Lancet leading liver experts say poor alcohol regulation in the UK could lead to quarter of a million deaths in the next two decades. The doctors have suggested that if certain measures are put in place, including imposing a minimum price of 50p per unit of alcohol, the death rate could be reduced by a third.

The debate continues to rage about how much the coalition government is doing to address the huge issue of alcohol related deaths. Sir Richard Thompson, President of the Royal College of Physicians asked “how many more people have to due from alcohol-related conditions….before the government takes the situation as seriously as it took tobacco?”.

The doctors, lead by Professor Sir Ian Gilmore said “Alcohol is not an ordinary commodity like soap powder…It is a drug, it happens to be legal, but it is a drug and there are more the 1.5 million people addicted to alcohol. We think, like other areas of public health, like smoking, like seatbelts, there is a strong case for tougher regulation and the most effective regulation would be around price”.

The current situation in the UK has been compared to 1960s France when liver disease deaths were related to the consumption of cheap alcohol – changes in marketing and price regulation altered this situation. Can the same change happen here? Surely as well as a change in price there has to be a significant shift in the way that addiction is recognised and treated? What are your thoughts?

http://www.bbc.co.uk/news/health-11138535

Research is demonstrating that problem drinking is more prevelent in some parts of the country compared with others (see above link to BBC news article).   Recent research published by the North West Public Health Observatory has found some stark regional divisions, with two thirds of alcohol related harm occuring in the north. 

Health minister Lord Howe said the government was already taking action to stop the sale of alcohol below cost and to review alcohol taxation and price.  However he acknowledged that increasing the cost of alcohol alone will not tackle the huge amount of alcohol related health problems and crime our nation is experiencing:

“Supply and price are not the only factors fuelling misuse though, attitudes are crucial. We need to understand better the psychology behind why different groups of people drink too much. Legislation or initiatives will not work unless we have a better understanding of what drives people’s decisions.”

What are your thoughts?

Do you know how many units your usual pint contains or how many are in a high ABV% glass of wine?  How often do you drink more the recommended daily units?  Do you think you could accurately estimate how many units you drink in a week or would you be surprised by the real figure?…

Whilst different drinks vary in size and strength, below is a rough guide to how may units of alcohol are in what you are drinking:

Beer, Lager and Cider:

4% - 330ml Bottle = 1.3 units,  440ml Can = 1.8 units, 568ml Pint = 2.3 units

5% - 330ml Bottle = 1.7 units,  440ml Can = 2.2 units, 568ml Pint = 2.8 units

6% - 330ml Bottle - 2.0 uniits, 440ml Can = 2.6 units, 568ml Pint = 3.4 units

9% - 330ml Bottle - 3.0 units,  440ml Can = 4.0 units, 568ml Pint = 5.1 units

Spirits (40%):

25ml Small Measure - 1.0 units, 35ml Large Measure - 1.4 units (multiply by two for double measures)

Wine (red, wine, rose or sparkling):

10% - 125ml Small Glass = 1.25 units, 175ml Standard Glass = 1.75 units, 250ml Large Glass = 2.5 units

           Bottle = 7.5 units

11% - 125ml Small Glass = 1.4 units,   175ml Standard Glass = 1.9 units,   250ml Large Glass = 2.8 units

           Bottle = 8.3 units

12% - 125ml Small Glass = 1.5 units,   175ml Standard Glass = 2.1 units,   250ml Large Glass = 3.0 units

           Bottle = 9 units

13% - 125ml Small Glass = 1.6 units,   175ml Standard Glass = 2.3 units,   250ml Large Glass = 3.3 units

           Bottle = 9.8 units

14% - 125ml Small Glass = 1.75 units, 175ml Standard Glass = 2.5 units,   250ml Large Glass = 3.5 units

           Bottle = 10.5 units

(http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_084637.pdf)

http://www.allheadlinenews.com/articles/7018190670?Researchers%20In%20Spain%20Validate%20Scale%20To%20Judge%20Work%20Addiction

The above link takes you to a news article about the development of the DUWAS (Dutch Work Addiction Scale) created by researchers in Spain.  It is estimated that work addiction currently effects up to 12% of the population of Spain.

http://www.telegraph.co.uk/news/newstopics/politics/scotland/6262963/Two-thirds-of-Scottish-ambulance-weekend-call-outs-linked-to-alcohol.html

The above link refers to an article published in the Telegraph regarding the number of Scottish ambulance weekend calls out that are related to alcohol. The article discusses the statistics that suggest that two thirds of weekend ambulance call outs are directly related to alcohol.

The Scottish Ambulance Service complained that these cases were delaying medics’ response times to real emergencies and gave it’s backing to ‘any initiative’ that would see the numbers drop.

“SNP ministers hailed the figures as support for their controversial plan to introduce a minimum price for alcohol, mooted at 40p per unit”.

“This would increase the price of cheap lager and cider brought in shops and supermarkets, but most beverages purchased in pubs and clubs already cost more than this threshold”.

“Cathy Jamieson, the Scottish party’s health spokesman, said: “This situation cannot be allowed to continue because if ambulance crews are attending to drunks they may not be available for a genuine emergency.”

http://news.bbc.co.uk/1/hi/health/8225029.stm

“English holidaymakers are turning to drink on their breaks with the average adult consuming eight alcoholic drinks a day, a survey suggests. That equates to 80 drinks over the course of an average holiday, to well over 200 units of alcohol. More than a quarter said they ended up drinking three times more than normal. But 70% of the 3,500 adults questioned by the Department of Health said they plan to make September the ‘new January’ by cutting back.”

Above is a section of an article published on the BBC website. The article mainly discusses how the English population over indulge when they go on their summer holidays and plan to cut back in September (the ‘new January’).

The advice is:

“Cutting back on alcohol for September is a great place to start; if you find yourself drinking all or most days of the week, start by taking at least two days off each week.”

The basic notion of the article is to find a healthy balance – which in my mind, with all the recent reports about the dangers of binge drinking, does not equate to binging for the whole of your summer holiday and then take a few days off in September. This is a cynical and one dimensional interpretation of a generally good piece of advice, however I am wondering how this sort of information is interpreted by those who do drink 200 units (or more) during their summer break? The article advises that a quarter of the 3,500 involved in the survey stated that they consume three times as much alcohol when on holiday compared to when at home. Although statistics can be misleading, taking the figures from this article, that is suggesting that even when at home some people are drinking 67 (200/3) units per week, which is still way over what the NHS advise is good for us:

So, should we be more concerned about people who overindulged on holiday where booze is likely to be cheap and free flowing or the 10 million people who regularly exceed (and often quadruple) the recommended daily amount of alcohol from the comfort of their own homes?

http://www.yorkshirepost.co.uk/features/Plight-of-the-pensioners-who.5458745.jp

The above link refers to an article published in the Yorkshire Post: ‘Plight of the Pensioners who are Driven to Drink in Retirement.’ This article highlights two things: firstly, that our misconception that only young people abuse alcohol could not be further from the truth and secondly that there is no more readily available NHS help for older alcohol abusers than there is for young alcohol abusers.

When did we first decide to ignore the older generation of substance abusers and just concentrate on streets full of binge drinking teenagers? I’m not saying that young people dying before they are 25 due to drink related illnesses is not a huge problem, but what about those who are shut indoors, ordering alcohol with their weekly shopping, who are not exposed by the media, but need help nonetheless?

The implication is that it is not only drunk 20 year olds who are getting behind the wheel causing accidents or teenagers jamming up A&E departments, the figures in this article suggest that the older generations are contributing to these problems just as much as the younger generation. If you know someone who needs help don’t hesitate to get in touch and find out what help is available – whilst government funded services may be scarce there is immediate help available, treatment might not be inexpensive, but it is life saving, no matter how old you are.

Addiction knows no boundaries, it does not discriminate, it is not dictated by age or race or class or sex – it ruins hundreds of thousands of lives – people from all different walks of life.

http://www.guardian.co.uk/society/2009/jun/17/young-people-alcohol

Above is a link to an article published in The Guardian that explores young people’s perspectives of teenage drinking – if it’s going to be talked about so much in the media then we might as well know what the actual people the media is discussing think about their national portrait ‘as a bunch of booze-addled louts’?

The key points raised by the group of 17 young people that were invited to share their opinions by The Guardian and Drinkaware at a youth roundtable, included:

• Young participants thought the media portrayal of young people and alcohol was exaggerated. Nevertheless, many worried about friends, and how much some of them were drinking.

However, perhaps the most salient thing about the opinions of these young people, is the fact that they have all had vastly different experiences of alcohol consumption and hold varied opinions on what would work to improve the stigma of teenage drinking, and moreover and how new schemes to reduce alcohol related problems in our youth population could be implemented. This emphasises the need for a more modern strategy to deal with teenage drinking – as the policeman quoted by Jack, one of the young people involved in the debate stated, ‘We know you are going to drink and take drugs but do it somewhere quiet, do it nicely. If you do get drunk, call us. We will help’.

We can’t ignore the fact that our young people are started to drink earlier and earlier and that more than just a pint is consumed, but we can start to do is face facts and talk honestly to work out what help young people need – whatever it is, it certainly isn’t more stereotypes.

http://www.guardian.co.uk/society/2009/jun/15/health-drugs

The above links refers to an article published in The Guardian that discusses the potential closure of Middlegate – Britain’s only specialist residential drug and alcohol unit for young people. Whilst the article makes points about the development of new and alternative services to units like Middlegate, it remains a travesty to our society that our only facility geared up solely to deal with severe substance abuse problems in our young population is facing closure – and why? It seems to come down to finances. Treatment is not inexpensive, but it is life saving and whilst intense residential treatment is not needed by everyone, we are kidding ourselves if we think that losing a specialist facility like Middlegate is anything but a crying shame. We need to wake up and stop ignoring the fact that children as young as 11 and 12 are using hard drugs – having a place for young people to get the help they really need, and not just a few counselling sessions a month, is vital for the recovery of many young people; what we need is more places like Middlegate, not to rid our country of the only unit of it’s kind.

This week sees Radio 1 launch Drug Week – offering an accessible and informative debate about drug use in the UK. The link below refers to a Newsbeat page discussing the shift in young people’s drug habits. Whilst the article advises that there has been a drop in the use of hard drugs (i.e. heroin and crack) and that more young people than ever are getting addiction treatment, it also emphasises that party drugs (i.e. cocaine, ecstasy and cannabis) are getting stronger and taking them is increasing risky, especially when mixing multiple drugs together. This implies that whilst one problem is decreasing a bigger one is increasing.

 “Alcohol is cheaper and more available, cannabis is far stronger, cocaine is half the price it used to be and you can get half a dozen ecstasy tablets for £10,” according to Howard Parker, Professor Emeritus at Manchester University, who coined the term ‘ACCE’ last year.

Not to mention the fact that alcohol abuse is at record levels across the population and that the statistics publish recently quite possibly do not include thousands of young people who abuse legal prescription drugs, albeit attained by illegal means.

The facts are that drug use in this county, whether legal or illegal, is a big problem and we need a new approach to support our young people – ‘just saying no’ is no longer a valid preventative measure. It seems that taking drugs is part of the teenage culture and we need more understanding if we are going to nurture our young people to make more informed decisions about what drugs they use and how they use them.

http://news.bbc.co.uk/newsbeat/hi/the_p_word/newsid_8084000/8084968.stm