Using SALSUS Data in Alcohol and Drug Partnerships Janice Thomson East Renfrewshire ADP

Using SALSUS Datain

Alcohol and Drug Partnerships

Janice ThomsonEast Renfrewshire ADP

ALCOHOL AND DRUG PARTNERSHIP

Key Role

• Implementing national drug and alcohol strategies

• Planning and delivering effective local strategies

• Contribution to the Single Outcome Agreement • National ADP Performance Framework

Focus National ADP Outcome

1. Health People are healthier and experience fewer risks as a result of alcohol and drug use

2. Prevalence Fewer adults and children are drinking or using drugs at levels or patterns that are damaging to themselves or others.

3. Recovery Individuals are improving their health, wellbeing and life chances by recovering from problematic drug and alcohol use.

4. CAPSM Children and family members of people misusing alcohol and drugs are safe, well supported and have improved life chances.

5. Community Safety

Communities and individuals are safe from alcohol and drug related offending and anti-social behaviour.

6. Local Environment

People live in positive, health promoting local environments where alcohol and drugs are less readily available.

7. Services Alcohol and drug services are high quality, continually improving efficient evidence based and responsive, ensuring people move through treatment and to sustained recovery.

UTILISNG SALSUS DATAALCOHOL AND DRUG PARTNERSHIP

• Vital Primary Source of Data on Substance Using Behaviours

• Informs development of ADP strategy and delivery plan

• Monitors progress against a number of ADP outcomes

• Core suite of national performance indicators

Focus National ADP Outcome

2. PREVALENCE Fewer adults and children are drinking or using drugs at levels or patterns that are damaging to themselves or others.

• % 15 year olds taking illicit drugs at least once in the last month

• % of 15 years reporting using illicit drugs in the last year

• % of 15 year olds reporting drinking on a weekly basis

6. ENVIRONMENT People live in positive, health promoting local environments where alcohol and drugs are less readily available.

% of 15 year pupils being offered drugs.


• Series of SALSUS Interactive Briefing Sessions planned across a range of partnerships and key stakeholders

• New three year ADP delivery plans in place by June 2015

• Timely opportunity to reflect and review the ADP delivery plan and prevention and education framework.


• New SALSUS reporting is welcomed

• Access to extended data sets

• Long term trend analysis

• Benchmarking

• Increased opportunity to engage with wider stakeholders

Thank you

Making the most of SALSUS in Fife

Clare CampbellHealth Intelligence TeamPublic Health DepartmentNHS Fife

• The Health Intelligence Team is responsible for:• ensuring access to current and reliable information• providing information to meet need• making information widely available• presenting information in a variety of ways • supporting the understanding and use of

information

• SALSUS provides us with information about young people that we cannot get from other sources

In Fife:

• We have used SALSUS or helped others to use SALSUS to:• describe health behaviours, needs associated with these

and changes to these over time; • to help create and monitor progress towards health

improvement targets and outcomes; • to help inform local strategies/plans;• to provide information for planning, delivering and

evaluating initiatives

• We have made information from SALSUS available from a variety of sources and in a variety of formats

• Examples of how we have used SALSUS include:

In Fife:

As indicators to support the monitoring of the progress of:

Fife’s Joint Health Improvement Plan 2007-10

SALSUS 2006Indicator: Regular

smokingIndicator: Weekly

drinkingIndicator: Monthly drug

use

Chapter 5: Teenage Transitions

Outcome: increasing the proportion of young people adopting a healthier

lifestyle

...and now indicators in:

Fife’s Health and Wellbeing Plan 2011-

14

...focusing upon ‘supporting healthier lifestyles’:

People have the personal skills, strengths, knowledge and opportunity to improve their health and wellbeing

Indicator Time periods Source

2002 2006 2010 Percentage of young people (aged 13 and 15) who are regular smokers

14 11 8SALSUS

FHWB Plan Indicator Template:

SALSUS 2002, 2006, 2010

Smoking

Drug Use

Alcohol Consumption

by age group

Fife and Scotland

As indicators within the KnowFife Dataset:

....provide population WEMWBS scores for teenagers in Fife to compare with scores collected from participants of ‘7 Habits of Highly Effective Teenagers’ programme running in Fife

To:

SALSUS 2010 WEMWBS 13 & 15 year olds

Fife Mean WEMWBS

Score

13 year olds

49.2

15 year olds

49.4

To create a Fife version of:

Children and Young People's Mental Health Indicators

Indicator MeasureSchool year/

AgeFife Scotland

Source/ Year

Engagement with Learning

School Attendance % of half day attendances in school yearPrimary 94.6 95 KnowFife

2010/11Secondary 90.1 91

Liking of School % who like school a lot or a bit at the momentS2 73 74 SALSUS

2010S4 65 63Peer and Friend Relationships

Close Friends % who have at least 3 or more close friendsS2 86 85 SALSUS

2010S4 86 84

Relationship with Best Friend% who find it easy to talk to their best friends about things that really bother them

P7 - 86HBSC2010

S2 - 88S4 - 92

Peer Relationship Problems% with borderline or abnormal score on the peer relationship problems scale of the SDQ

S2 16 15 SALSUS 2010S4 15 15

SALSUS 2010WEMWBS, Strengths and Difficulties Questionnaire, Friendship, Liking of school, Drug use, Smoking, Alcohol Consumption

To create an ‘infographic’ themed factsheet:

SALSUS 2010

SmokingAlcohol consumptionWEMWBSFriendship

• Smoking, Alcohol consumption and Drug use:• Extracted figures from Fife report and Scotland report

• WEMWBS, SDQ, Friendship, School:• A bit more of a challenge!• Downloaded SALSUS 2010 dataset from UK data archive to

SPSS • Used variable SPSS list and syntax to analyse data

(eventually!)• Produced figures for variables of interest – it was worth it!

How did we do it?

• Updating the indicators and the work described above

• Widening the range of SALSUS data available in KnowFife

• Looking in more detail at changes over time

• Exploring different ways of presenting SALSUS data

What will we be using SALSUS 2013 for ?

THANK YOU

[email protected] - https://knowfife.fife.gov.uk/

mailto:[email protected]

Scottish Schools Adolescent Lifestyle and Substance Use Survey

Education Resource

John HigginsDevelopment Officer

What did we hope to achieve with the Education Resource?

• Support, promote and complement SALSUS Survey

• Greater understanding of the importance of surveys

• How to use and Interpret Data• Challenge perceptions about Drinking, Smoking

and Drug use.• Promoting discussion about the issues young

people face in relation to drinking, smoking, drug use?

• Reinforce health messages• Recognise ways in which young peoples’ views

can contribute to decision making at school, local and national levels.

What is a learning journey?

• Framework for suggested learning activities• Template for planning• Links to Curriculum for Excellence Experience

and Outcomes / 3rd Level


• Framework for suggested learning activities• Template for planning• Links to CFE Experience and Outcomes / 3rd

Level• Key Learning within each learning journey



Level• Key Learning within each learning journey• Taking it further section



Level• Key Learning within each learning journey• Taking it further section• List of useful resources



Level• Key Learning within each learning journey• Taking it further section• List of useful resources• Delivered within PSE but opportunities for

Interdisciplinary learning.

Learning Journeys

1. What are surveys and why is SALSUS Important?

2. Working with Data – What does SALSUS tell us?3. How can we respond positively to the survey?4. What are the potential costs of drinking,

smoking, or drug use and how can we use the data to influence others?

John HigginsEducation Scotland

[email protected]

Cheryl DennyISD

[email protected]

Interventions to address multiple risk behaviours in

adolescents

Marion Henderson & Helen Sweeting

MRC/CSO Social & Public Health Sciences Unit, University of Glasgow

SALSUS Launch event – Edinburgh, 11.12.14

Why multiple risk behaviours?

• Increasing evidence (mainly US studies) that many risk behaviours cluster in youth.

• Especially in young people from the most deprived backgrounds.

• Evidence that early initiation of one behaviour (e.g. smoking, drinking), is associated with later uptake of other risk-taking behaviours (e.g. sexual risk taking, binge drinking, teenage pregnancy).

SPHSU (2011) data – clustering of smoking and drinking in Scottish S2, S3 & S4 pupils


• Ever smoking• Ever alcohol without parental knowledge

S2

Neither62%

Smoke1%

8%

Drink29%



S2

Neither62%

Smoke1%

8%

Drink29%

S3

Neither43% Smoke

2%

14%

Drink42%



S2

Neither62%

Smoke1%

8%

Drink29%

S3

Neither43% Smoke

2%

14%

Drink42%

S4

Neither28% Smoke

2%

19%

Drink50%



S2

Neither62%

Smoke1%

8%

Drink29%

S3

Neither43% Smoke

2%

14%

Drink42%

S4

Neither28% Smoke

2%

19%

Drink50%

Which means that almost all smokers are also secret drinkers = CLUSTERING.

SPHSU (2011) data – clustering of smoking and drinking by deprivation


Least deprived

Neither50%

Smoke3%

17%

Drink29%

Mid

Neither44% Smoke

4%

28%

Drink25%

Most deprived

Neither34% Smoke

4%

38%

Drink24%

SPHSU (2011) data – clustering of smoking and drinking by deprivation


Least deprived

Neither50%

Smoke3%

17%

Drink29%

Mid

Neither44% Smoke

4%

28%

Drink25%

Most deprived

Neither34% Smoke

4%

38%

Drink24%

Which means clustering is more likely in the most deprived pupils.

SALSUS 2013 - clustering




So … 19%regularly used one or more substance



And … 8%regularly used twoor more substances



And … 8%regularly used twoor more substances

Which means that of those who DID regularly use substances,

around 40% used two or more.

SPHSU (2003) data – odds of 3+ sexual partners in late adolescence according

to current substance use

Males Females

Smokers 2.6 4.3

Heavy drinkers 3.4 3.6

Ever drugs 2.7 6.7



Males Females

Smokers 2.6 4.3


Ever drugs 2.7 6.7



Males Females

Smokers 2.6 4.3


Ever drugs 2.7 6.7



Males Females

Smokers 2.6 4.3


Ever drugs 2.7 6.7

Which means a clear link between adolescent substance use and sexual risk behaviours

Risky sexual behaviour

Average daily school attendance

Perceived parent disapproval of adolescent sex

More parental-adolescent activities

Low parental aspirations

Low school attendance/truancy

Overlap in risk and protective factors for risky sexual behaviour and substance use


Smoking, drinking and cannabis use


Parental presence

Household access to substances

Self-esteem




Community norms pro drug use

Perceived high availability of drugs

Family history of substance use

Favourable attitudes towards antisocial behaviour

Sensation seeking


Low school attendance/truancy


Smoking, drinking and cannabis use

School connectedness

Family-parent connectedness

Academic achievement


Parental presence

Household access to substances

Self-esteem

Appears older than most




Community norms pro drug use

Perceived high availability of drugs

Family history of substance use

Favourable attitudes towards antisocial behaviour

Family history of problem behaviour

Availability of drugs

Sensation seeking

Low income & poor housing

Experience of authority care


Low school attendance/truancyAntisocial behaviour

Review of adolescent and young adult health in Scotland

Jackson C, Frank J, Haw S; 2010. Available at: www.scphrp.ac.uk

• Focused on tobacco, illicit drug and alcohol use and risky sexual behaviour

• Aimed to provide a synthesis of what works to prevent multiple risk behaviour, for policy-makers, practitioners and academics

Peer reviewed article: Jackson CA, Henderson M, Frank J, Haw S. An overview of prevention of multiple risk behaviour in adolescence and young adulthood. Journal of Public Health 2012;34:i31-i40

http://www.scphrp.ac.uk/

1st review method

Literature search to identify (post 2000) reviews of intervention studies on multiple risk behaviour outcomes, including substance use and sexual risk behaviour.

Identified no such reviews

2nd review method

Searched published and grey literature for reviews (or reviews of reviews) focused on single risk behaviours.

Aim = to identify effective intervention approaches across risk behaviours.

Risk behaviour

Intervention type Alcohol Smoking Illicit drug use

Sexual behaviour

Pricing - -

Overview of current evidence for effectiveness of interventions across risk behaviours

Good evidence for effectiveness Mixed evidence for effectiveness

Limited data (largely due to lack of studies)*includes community interventions (which generally included school elements etc)

Risk behaviour


Sexual behaviour

Pricing - -

Controlling availability - -




Risk behaviour


Sexual behaviour

Pricing - -


Mass media/advertising




Risk behaviour


Sexual behaviour

Pricing - -



School-based intervention




Risk behaviour


Sexual behaviour

Pricing - -



School-based intervention

Parenting/family-based programmes

Multi-domain intervention *




3rd review method

Performed a primary systematic review of experimental evaluations of interventions where both substance use and sexual risk behaviour outcomes were reported.

Found:Types of intervention very mixed (programme, setting,

populations).Results generally mixed (some behaviours not others;

one gender or the other; short-term results).

Significant effects found in ...

4 of 9 studies reporting on smoking2 of 11 studies reporting on alcohol3 of 10 studies reporting on illicit drug use5 of 13 studies reporting on sexual risk behaviour

3 studies had a significant +ve effect on at least one substance use outcome and one sexual risk behaviour outcome

Example of a promising intervention approach

Seattle Social Development Project

• Primary schools.• Aimed to promote family and school connectedness/bonding.• Included school (teacher training), individual (social and emotional skills) and parenting components.

At age 18:• reduced heavy drinking, • reduced lifetime sexual activity and history of multiple partners

At age 21:• increased condom use at last intercourse (among single people);• reduced pregnancy and childbirth among women;• reduced the prevalence of having multiple partners.

Conclusions of review

Most effective or promising interventions for multiple risk behaviour:• target underlying risk and protective factors of risk

behaviours;• target more than one domain of risk and protective factors

(individual, school, family, community);• promote family- and/or school-connectedness;• intervene early (pre-adolescence) and continue through

adolescence.

Any cross-domain approach will require effective cross-sector engagement and collaboration, particularly between the education and health sectors.

Social context very important – e.g. availability and pricing of substances; cultural attitudes and social norms; marketing & media; access to attractive leisure and social facilities.

Documents

Using SALSUS Data in Alcohol and Drug Partnerships Janice Thomson East Renfrewshire ADP