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Whilst there has been some decreases for Ceredigion and Pembrokeshire in alcohol related hospital admissions, in Carmarthenshire there has been an overall increase of 6.7% between 2014/15 and 2015/16. Similarly, for alcohol attributable hospital admissions both Pembrokeshire and Carmarthenshire have seen rises of 1.3% and 1.7% respectively since 2014/15. (Public Health Wales, 2016)
In 2015/16 there were 1137 referrals for alcohol treatment with 82% successfully completing treatment. In the same year there were 713 referrals for drug treatment with 79% completing treatment. The figures for those successfully completing treatment are above the Welsh baseline.
Of those accessing drug treatment 65% were male and the largest number of referrals were in the 30-39 years age group (27%), followed by 24% in the 40-49 year age group and 13% in the 50-59 year age group.
There are considerable variations between local authorities in the proportion of Children in Need cases where parental substance misuse is a factor. The figures for the West Wales region are below the Welsh average and Ceredigion and Pembrokeshire have the lowest proportions in Wales. These areas have dedicated Hidden Harm services and Integrated Family Support Services (IFSS) which may account for the lower figures.
West Wales area data for school exclusions due to substance misuse are not available, but Welsh data (Public Health Wales, 2016) indicates that permenent exclusions as a result of drug or alcohol related incidents across Wales was 20.2% in 2015/16. Exclusion from school is a key vulnerability for young people and can result in lack of meaningful daily learning and activities.
There has been an increase in drug related deaths during 2016 compared to 2015/16 and a similar increase is being experienced elsewhere in Wales and in England.
14.3. Current and Future Care and Support Needs
The Dyfed Area Planning Board for Substance Misuse are developing their commissioning strategy in order to address the following population outcomes:
• Tostoppeoplefromstartingtotakedrugs,andtoreduceharmfromalcoholthrough ensuring the whole population is informed of the risk and side effects of drug and alcohol misuse
• To minimize the impact of drug and alcohol use on the health and wellbeing and safety of children, young people and families
• To support people with substance misuse issues to achieve a good quality, meaningful life and to make a positive contribution to the community
• To reduce health related harm as a result of drug and alcohol misuse and make communities safer through tackling issues created by drug and alcohol misuse within communities
West Wales Population Assessment March 2017 Substance misuse