A NATIONAL RESOURCE OF EXPERTISE ON DRUG ISSUES
ANNUAL REPORT www.sdf.org.uk
2014/15
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Lo th ian
re Ca ley er v a W DP /A PC C k or tw Ne
Te am Pu bli cH ea lth
SOME OF THE PEOPLE WE HAVE WORKED WITH IN THE LAST YEAR
l na tio Na
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CHAIR'S REPORT The latest drug deaths statistics are a wake-up call for us all to improve our responses in Scotland. further five years funding from Big Lottery Scotland with matched funding from the Scottish Government. The project will support Alcohol and Drug Partnerships (ADPs) in the design and commissioning of service structures and the development of more effective systems of care. Workforce Development
GEORGE ALLAN SDF Chair The latest drug deaths statistics are a wake-up call for us all to improve our responses in Scotland. Each death is a life wasted and a family bereaved and, in respect of overdose, is preventable. We must examine why Scotland fails to prevent these deaths and continues to have one of the highest overdose death rates in Europe. Of course, this is partly explained by the scale of Scotland’s drug problem but there are countries in Europe with much lower overdose death rates per number of problem drug users. Countries with lower overdose mortality rates tend to have: a comprehensive range of services; swift access to treatment; a wide range of treatment options; high retention rates within services; a high proportion of people with a drug problem involved in drug services. These are the characteristics of the most effective service provision but achieving this is difficult with a stigmatised and marginalised group when the public purse is tightening. The way forward is to focus on quality improvement, service redesign and workforce development in line with the next phase of The Road to Recovery. SDF’s Strategic Plan 2015-18 commits resources to supporting change and improving care for the most vulnerable by prioritising: the enhancement of service systems; workforce development; death prevention strategies; and older drug users and naloxone supply. National Quality Development (NQD) SDF is delighted to have secured a
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The workforce development element of STRADA has transferred to SDF. Synergies with NQD provide a great opportunity to deliver a programme of work supporting the sector – from ADPs to frontline staff. The National Naloxone Programme SDF has been central to implementing this agenda which has been very successful in terms of kits distributed and lives saved – with 1200 overdose reversals to date. This should be borne in mind when considering the drug-related death figures. The fact that naloxone kits will no longer be centrally funded from April 2016 is a significant challenge. However, the recently reduced controls over the supply, under changes to the Human Medicines Act, bring more options for dissemination. This includes the potential for peer distribution to the highest risk populations. SDF’s support for peer training can now be built on further. Death Prevention Strategies Drug-related deaths have a range of causes other than overdose (blood borne viruses, bacterial infections and suicide, for example) and Ministers within the Health and Justice Departments have asked ADPs to develop death prevention strategies. SDF will continue to support ADPs to develop and implement these. Older Drug Users Working Group Improving engagement and support for older users is key to reducing drugrelated deaths. Since 1997, these deaths have increased from 50 to over 400 for people over 35. SDF has formed a working group, which will report next year, to explore how best to improve responses to this age group.
SDF believes that the debate must be widened to look at more radical options for attracting those who do not remain engaged with current services. For example, evidence from other countries points to the value of widening prescribing options, including Heroin-Assisted Treatment, and the need to pilot drug consumption rooms. Routes out of problematic drug use SDF will continue to support the development of innovative pathways out of problematic use. We will continue to deliver programmes of peer research through the recruitment of volunteers who have experienced difficulties themselves. We plan to develop a partnership with Volunteer Scotland to enhance volunteering opportunities for people with a history of substance problems.
36
48
We will seek partners to grow our Addiction Worker Training Project. This provides the opportunity for people with a history of substance problems to train as workers in the care field. Obtaining a formal qualification and a job transforms people’s lives as well as changing how others see them. We are keen to work with others to develop opportunities in fields beyond the care sector. Governance Criticisms and the collapse of certain charities mean it has not been a good year for the voluntary sector in the UK. SDF’s Board and senior staff are very conscious that effective management and financial controls are fundamental to delivering quality services and strive to ensure that these are maintained. Appreciations I would like to thank everyone at SDF, staff, volunteers and Board members, who continue to work tirelessly to deliver support to the sector. I would also like to thank our funders who see the value in the work we undertake.
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DIRECTOR'S REPORT On reflection, the last year has shown both growth and consolidation at SDF. WHAT DO TRAINEES THINK ABOUT THE AWTP? "Every day there are reminders.. of the progress that can be achieved by, with and for people with substance use problems." DAVID LIDDELL SDF Director Like other voluntary sector organisations, SDF is used to funding being short-term; however, this year we have had a greater than usual degree of uncertainty. I am glad that this turbulence is now ended and pleased to report that SDF is hopefully on a firmer footing as a result. In the last year we have successfully managed to secure further funding for National Quality Development, Hepatitis Scotland and our sexual health work as well as diversifying our funding for the Addiction Worker Training Project and user involvement activity. I thank all our funders for their continuing support to SDF. The strategic development of work on older users and death prevention and the integration of the workforce development activity previously undertaken by STRADA have allowed the consolidation of SDF’s work. As happens, some of this was planned and other parts unexpected. At times, it represented a significant challenge and I thank the staff and management team for their help in delivering these changes. The outcome is that SDF is now able to offer a more cohesive set of services to service planners, commissioners, managers and staff that can ultimately improve services for people with substance use problems. The drug deaths figures published in August are but one reminder of the scale of the challenge. Every day there are reminders, too, of the progress that
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can be achieved by, with and for people with substance use problems. Our task is to ensure that services are designed and delivered in a way that maximises the difference they can make in people’s lives. This last year, SDF has continued to develop innovative joint working in response to new challenges - this has included work on chemsex - and to contribute to partnerships formed in the face of significant challenges including two bacterial infection outbreaks. Partnership working is key to delivering all of our work and I thank the many organisations who have worked with us in the last year. I also thank the Board for their continuing support to SDF and all staff and volunteers for their efforts over the last year. I would make particular mention of staff who have moved on from SDF. Norma Howarth, David Barbour, Biba Brand and Derek McCabe served SDF in a variety of roles and made their own contribution to SDF’s success. In particular, Biba undertook a range of roles, over eleven years, including innovative work in employability, drug death prevention and being the first head of our successful Quality Development work. We wish them well.
"I would encourage anyone who has been in recovery for 2 years or more to apply for this life changing project. I have since gained full time permanent employment thanks to the SDF staff, and my placement agency." "The various training opportunities were incredible, I have learned so much and my confidence has risen enormously - my 48 family and friends have all noticed a difference for the better."
WHAT DO PARTICIPANTS SAY ABOUT SDF TRAINING? “Great training. Very good facilitator with a lot of experience and knowledge.” “I found it all very beneficial. Set at a good level for different knowledge bases” “I have more information and am more confident in speaking to the young people in my care.” “I am more aware of how to deal with trauma and more aware of identifying underlying issues."
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ADDICTION WORKER TRAINING PROJECT Employment is a significant measure of progress. The Addiction Worker Training Project (AWTP) is a unique, multi-agency funded, award-winning employability and training scheme which prepares individuals with a history of problematic drug and alcohol use to work in social care whilst receiving an intensive package of support. SDF works in partnership with accredited learning providers and alongside frontline services to provide training and work experience for participants who have previously experienced multiple barriers to employment. 90% of those who have started the course since 2004 have completed the scheme, with over 85% of graduates moving in to further meaningful employment. In the last year the project has seen equally successful results.. With the geographical reach of AWTP expanding, the project continues to provide motivated and trained staff for the social care sector and an opportunity for people with direct experience of services to inform practice as project participants and ultimately as staff members. The first East of Scotland Graduation held at the Scottish Parliament was sponsored by John Finnie MSP, with awards presented by Community Safety Minister Paul Wheelhouse MSP. In Glasgow we celebrated the tenth anniversary of the AWTP by holding the West of Scotland Graduation at the Glasgow City Chambers, with the awards presented by then Glasgow City Council leader Councillor Gordon Matheson.
AWTP WEST (TOP) & EAST (BOTTOM) GRADUATIONS
14
21
Graduated
WEST 36
13
Into Jobs
30
32
Trainees
Partners worked with
across
6
Regions
11
Graduated
EAST
10
Into Jobs
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NALOXONE Community-based Naloxone is the frontline defence against overdose deaths and is a means to engage the most isolated drug users. SDF contributes to the co-ordination of the National Naloxone Programme and to the development of peer networks. In the last year, there were 18 two day sessions to train trainers who work locally to train staff in the supply of naloxone. Ultimately this will increase supplies and ensure that the people who are supplied use Naloxone appropriately and effectively. SDF also delivered 25 bespoke training and awareness sessions across Scotland. We are delighted to report that prisons have become a key work area and that this will continue into the next year.
Different Health Boards Peers trained in
8
SDF are building the capacity of peer education networks across all 13 health boards involved in the national programme. The National Naloxone Peer Education Programme is funded by the Scottish Government and has to date trained over 140 peer educators across eight Health Boards. There have been 24 peer networks trained - 18 community-based networks and six prison based networks. This is to enable supplies to those most at risk of overdose. Already, peers have devoted over 2500 hours of their own time to this initiative which has resulted in peers training over 850 people, of whom 750 have been supplied by professionals. Changes to the Human Medicines Act should make peer supply possible and SDF’s work in establishing and building the capacity of peer networks forms a solid foundation on which significant increases in supplies to the people most vulnerable can be made. In August, SDF organised a peer-led event, to mark International Overdose Awareness Day which highlighted the work of peer networks and their contribution to Scotland’s national programme. Peers were recognised for the work carried out in their communities and Paul Wheelhouse, Community Safety Minister spoke of his continuing support for the programme. He also presented peer educators with excellence awards. Peer educators spoke about how participating in peer education networks had allowed them to make positive changes in their own lives. Some peers have moved on to further volunteering, education and employment including onto SDF’s Addiction Worker Training Project (AWTP).
140
Naloxone Peer Educators
24 Peer networks trained
Hours of own time given by Peers
2500
850
NALOXONE PEER EDUCATOR EVENT & TRAINING
People trained
750 Supplied Naloxone SDF ANNUAL REPORT | 6
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SEXUAL AND REPRODUCTIVE HEALTH The sexual and reproductive health of people who use drugs is a focus of national strategy. SDF's work in this area is funded under the Sexual Health and Blood-borne Virus Framework. Work undertaken under the first phase of the Framework (2012 - 2015) was very successful with over 1000 workers, in substance use and sexual health services, trained in sexual health and drug issues. SDF has taken a strategic approach with Alcohol and Drug Partnerships and Managed Care Networks to widen the reach of the work and engender a concerted approach across all relevant services. In the last year a national conference brought together a wide and varied group of professionals to examine areas of mutual concern. Unique resources were developed in collaboration with various partners for use in different locations to support training and awareness-raising events. SDF has now secured an additional three years of funding to further develop the work, and expand into new areas supported by the updated national framework. These are: - Looked-after and accommodated children and young people, especially those at risk of sexual exploitation - The prison population, especially those with literacy problems - People, in particular men who have sex with men, who are involved in chemsex - Woman drug users involved in prostitution, have unintended pregnancies or who experience gender based violence - Young people involved in polysubstance use including alcohol, New Psychoactive Substances and benzodiazepines SDF continue to work with partners to produce new resources, including on looked-after young people and vulnerable women.
TRAINING FOR TRAINERS
3 Chemsex conversation cafes delivered in major cities across Scotland
10 Trainers trained in the Central Belt region, who are being resourced and supported to train in their areas People this year who have had Sexual Health training
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300
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BACTERIAL, VIRAL INFECTION AND EMERGENCY RESPONSE Bacterial and viral infection continues to cause harm to the health of people who inject drugs in Scotland.
340
Funded by the Scottish Government’s Drug Policy Unit and Health Protection Team and under the Sexual Health and Blood-borne Virus Framework, SDF's Harm Reduction and Emergency Response activity aims to prevent transmission of blood-borne viruses and improve responses to bacterial infections among drug users. Through developing and delivering training, producing staff and user resources and establishing dissemination pathways to frontline staff and user groups, the quality and effectiveness of interventions with drug users at risk of infection has been improved. SDF’s training helps improve frontline staff’s understanding of the injecting process and user perspectives and perceptions. Staff are equipped with the insight necessary to effectively communicate better practice to users to protect them from bacterial and blood-borne viruses. This year, SDF has worked closely with Health Protection Scotland, NHS Public Health Teams, and other partners to respond to two outbreaks of bacterial infection - a national outbreak of botulism and a local outbreak of group A streptococcus and staphylococcus aureus in New Psychoactive Substance (NPS) injectors in Lothian. The Scottish Needle Exchange Workers Forum (SNEWF) continues to be a vital exchange of information and support for those working in the field. The Forum’s work resulted in two reports, on chemsex and naloxone, being produced in the past year. Both of these reports are available on the SDF website under resources.
Frontline staff who received bacterial infection & drug use training
37
Training sessions completed
2
BOTULISM RESOURCES
Scottish Needle Exchange Workers Forum reports on Chemsex & Naloxone Resources featured in EMCDDA communications
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2
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HEPATITIS SCOTLAND Hepatitis Scotland plays a key role in leading third sector involvement in issues relating to viral hepatitis.
33,000
Funded by the Scottish Government Public Health Directorate, Hepatitis Scotland was established to make a contribution at a number of levels by providing: - Strategic input and partnership working - Information dissemination and awareness-raising - Patient engagement and involvement - Training, education and capacity building The current environment is hugely exciting as there are new, highly effective treatments with the potential to make a significant impact on prevalence of Hepatitis C. The challenge is the cost of these new treatments which threatens to prevent access for all who could benefit. Hepatitis Scotland has had significant input in developing and leading a national project group comprised of local and national HIV, sexual health and substance use charities, and four NHS boards to highlight issues and potential solutions regarding the problematic use of substances to enhance sex amongst men who have sex with men, otherwise known as chemsex. This group has key input and support from SDF staff in other workstream areas, such as Sexual Health, New Psychoactive Substances and Harm Reduction. In the last year, with input and assistance from partners, we hosted three regional events aimed at professionals which attracted a wide range of key staff working in sexual health, primary care, Alcohol and Drug Partnerships, addiction services and government. These events were accompanied by men's conversation cafĂŠ events that got key messages and advice to men at risk. Through our widely read e-bulletin we continue to highlight significant events and research for the Viral Hepatitis audience, with the key issues being awareness of treatment access issues and patient welfare needs.
Views #EweAtRisk animated youtube campaign raised awareness in younger audiences
C World Hepatitis Day
HepCScot redesign & launch of website
28 July
EVER INJECTED? GET TESTED LAUNCH
Sold Out
125
Fully booked conference about Hepatitis & Alcohol
Interviews for patient satisfaction survey
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NATIONAL QUALITY DEVELOPMENT
Funded by the Big Lottery Fund
The quality of services is key to improved responses to problem drug use in Scotland. National Quality Development (NQD) supports the improvement and development of quality in services working with people affected by drug and alcohol problems across Scotland, with a view to improving outcomes for service users. The first phase of NQD, funded by the Big Lottery Fund delivered a programme of quality improvement to over 120 treatment and care services to improve the lives of people with drug problems and enhance their ability to recover. The programme developed an inclusive approach to quality assessment and improvement, engaging with and hearing the views of people receiving the service, alongside surveys and engagement with frontline workers, service managers and other stakeholders. As part of this process NQD consulted with over 1800 service users and 600 staff. Action plans were developed in collaboration with services and staff to drive and inform improvements. Typical examples of these include development and integration of outcomes measures, implementation of user involvement processes and cycles and increased engagement and access to treatment options, ultimately improving the recovery outcomes of people using drugs. Through this model of internal and external review of services NQD identified significant issues in the system of care characterised by: - Fragmentation across systems of care - A lack of effective care pathways - A lack of partnership between services - A lack of co-production of services necessary to deliver intended outcomes Big Lottery Fund agreed funding for five years to extend the programme and develop a more strategic focus to address these and other issues by supporting the development and strengthening of Recovery Oriented Systems of Care (ROSC) in ADP localities, to help them deliver relevant national and local outcomes and priorities. The second phase of NQD has a two-tiered approach which will effect improvements, both across whole systems of care and with the component services in drug, alcohol and other related fields. The team are currently working with six ADPs and an additional seven services providing consultancy and support in a number of areas including ROSC development, needs analysis, development of outcome measures, information management systems and quality audits.
PHASE ONE 1800 Service user's opinions sought
6
0
0
Service staff consulted Treatment and care services worked with
120
PHASE TWO
5
Years the programme has been extended by
6
ADPs working with
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USER INVOLVEMENT Peer research is informing improvement to services and improving volunteers’ lives.
52
SDF has an excellent track record of peer research and is regularly commissioned by Alcohol and Drug Partnerships (ADPs), NHS Health Boards and others informing strategic and managerial decisions on improving services. In the last year user involvement peer research was funded by Fife Council, Fife ADP, NHS Fife, East Dunbartonshire ADP, East Ayrshire ADP and HMP Addiewell. Completed studies include: - Priorities for provision of services within Fife for ADP Delivery Plan - The needs of people diagnosed with hepatitis - Service user experience surveys in East Dunbartonshire - Focus groups on prescribing, worker relationship and confidentiality - Kilmarnock town centre survey - Kilmarnock Employability Survey - Client satisfaction survey of needle exchanges in Lanarkshire - Welfare Reform Tracker In this reporting period, the Scottish Prison Service has agreed that SDF deliver a Prison Peer Researcher Programme. Also HMP Addiewell will launch an innovative peer research training programme for prisoners.
Volunteers who have carried out studies Creating pathways from
It is hoped that the HMP Addiewell programme will give participating prisoners a sound base on which to move on post-release, to further participate in meaningful employment as well as allowing prison management to review service delivery.
prison to
SDF is keen to develop synergies between volunteering and other employment including participation in the Addiction Worker Training Project creating a pathway to employment for people who have experienced drug problems and may have significant barriers to employment in terms of their education, past work experience, health, involvement with criminal justice and understanding of employment markets.
employment
GARY, USER INVOLVEMENT VOLUNTEER
8
SDF ANNUAL REPORT | 11
Studies completed
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WORKFORCE DEVELOPMENT PROGRAMME Developing and supporting the workforce that delivers services to people who use alcohol and other drugs, is crucial to improving Scotland's response to problematic substance use. The SDF Workforce Development Programme (WDP) started in July 2015 and is charged with delivering what was STRADA 's 2015-16 workplan following the closure of STRADA. Key tasks include providing strategic workforce development support to ADPs, national delivery of learning and development events, and managing the training element of the Big Lottery-funded Drink Wise Age Well programme in conjunction with Addaction. The programme receives funding from the Scottish Government, and also income generates via bespoke training, event facilitation and consultancy services. There are significant opportunities associated with working alongside colleagues in National Quality Development. In the last year, WDP has developed an online New Psychoactive Substances e-learning module in conjunction with SDF colleagues, which will be freely available to the workforce, increasing knowledge and confidence in this area. WDP has been commissioned by a service to design and deliver a programme of Motivational Interviewing (MI) training and coaching. After initial training, participants attend monthly half-day coaching sessions, tailored to the requirements of the individuals taking part, based on their experiences of using MI in practice settings. This approach is consistent with the view that stand-alone, one-off training courses in skills-based interventions such as MI are less effective in developing practitioners who can confidently and competently practice such interventions. This will inform SDF thinking when looking at how MI learning and development should be delivered in future.
YOUNG PEOPLE AND SUBSTANCE USE TRAINING
This course, from beginning to end was very inspirational. It was great to listen and talk with [the trainer] throughout the two day training course. I have walked away feeling confident that I am applying the correct positive outlook onto others.
Number of organisations represented at training events
10
60
ADPs where training events have run
92.3 Percentage of people reporting increased knowledge as a result
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DEVELOPING AND DELIVERING TRAINING Training commissioners, managers and staff in drug and related services is a key part of improving Scotland’s response to problem drug use.
Attendees report increased knowledge
98%
As well as the training mentioned elsewhere in this report we developed and delivered 66 training sessions and trained over a thousand people in the last year. Much of this training was commissioned and developed as bespoke courses tailored to individual requirements. Topics covered included: New Psychoactive Substances (NPS); Drugs Awareness; Drugs and Mental Health; Essential Skills for Working with Drugs Users; Cannabis Awareness; Drugs and Young People; Introduction to Working with Trauma; Peer Education; Treatment- What Works? This training evaluated highly with 98% reporting increased knowledge and 94% reporting increased confidence in supporting people as a result of training. We are developing new training including: Homelessness and Drug Use; Challenging Stigma; Introduction to Working with Drug-using Women; Engaging Drug Users in Health or Social Care Services and Let’s Talk about Chemsex, SDF is delighted to have been commissioned to conduct research on the prevalence, motivations and harms of NPS use in Scotland. This is a project delivered in partnership with the University of Glasgow and is funded by the Scottish Government. A final report will be completed in 2016. The findings of this research will inform Scottish Government policy and SDF’s future work in this rapidly developing area.
6
6
Training sessions developed & delivered
1000+
NEW PSYCHOACTIVE SUBSTANCES TRAINING
Number of people trained in the last year
94% Trainees report increased confidence in supporting people
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FINANCIAL STATEMENT SUMMARY OF ACCOUNTS - YEAR TO MARCH 2015 Scottish Drugs Forum would like to thank the following organisations for their financial support during the year:
2015 General Funds £
2014
Designated Restricted Funds Funds £ £
Total £
£
Big Lottery Fund
Income
414,745
-
1,297,837
1,712,582
1,577,395
Partnership
Expenditure
(318,195)
(27,328)
(1,364,210) (1,709,733) (1,572,065)
Transfers
(13,799)
20,924
(7,125)
-
-
Increase/Decrease
82,751
(6,404)
(73,498)
2,849
5,330
Drug Partnership
Funds At Start of Year
316,102
142,677
375,398
834,177
828,847
Glasgow City Council Integrated
Funds at End of Year
398,853
136,273
301,900
837,026
834,177
Borders Alcohol and Drug Capability Scotland East Ayrshire Alcohol and Drug Partnership East Dunbartonshire Alcohol and Fife Alcohol and Drug Partnership Grants Fund Inverclyde Council Mid and East Lothian Alcohol and Drug Partnership
The General Fund represents the free reserves of the charity, which are available for the immediate support of the organisation. These funds are held to protect the organisation against future financial risks. These currently stand at £398,853. SDF’s long-term aim is that the General Fund should broadly equate to three months’ running costs for the organisation (currently £428,000)
NHS Greater Glasgow and Clyde Renfrewshire Alcohol and Drug Partnership Renfrewshire Council The Robertson Trust
Funding of sums of up to £3,000 were gratefully received from organisations in sponsorship of our Drug Projects Fair event in October 2014. These organisations were AbbVie Ltd, Aberlour Childcare Trust, Addaction, Crossreach, Gilead Sciences UK, Martindale Pharma, Reckitt Benckiser Pharmaceuticals, Pasante Healthcare, Phoenix Futures and Turning Point Scotland.
The Scottish Government The Shaw Trust West Lothian Alcohol and Drug Partnership
BOARD MEMBERS AND STAFF SDF BOARD MEMBERS 2014/15
SDF STAFF AT OCTOBER 2015
George Allan - Chair Jim Stephen - Vice Chair John Preston - Treasurer April Adams Oliver Aldridge (resigned 10/06/15) Stephen Birrell Ali Gilmour Mary Hepburn George Hunter Peter Kelly Stephanie Morrison Audrey Park Hazel Robertson George Thomson Sandra Wallace Liam Wells
Lesley Bon Louise Bowman Lisa Bradley George Burton Ken Butler Carissa Chan Andy Coffey Joan Currie Suzanne Davidson Catherine Forrest Michael Griffin Emma Hamilton Adrienne Hannah John Honey Kirsten Horsburgh Katey Jamieson Lauren Johnston
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ADDICTION WORKER TRAINING PROJECT TRAINEES Amy Kirkpatrick David Liddell Katy MacLeod Tricia McCabe Sean McCollum Alan McRobbie Chris Messenger Michelle O'Loughlin Katherine Ronald Austin Smith Neil Stewart Bruce Thomson George Waddell Jason Wallace Caroline Wilson Leon Wylie
WEST
EAST
Louise Aitken Alan Daly John Doorly Gerry Duffy Pauline Farrow Jean Hamilton Kelly Haveron Gerard Kelly David McAllister Nicola McLelland Alexander McNally Nicola Middleton Lea-Anne Smith
Catriona Herd Kirsten Holland Katie Hutcheson Jamie Kelly Marlene Millar Julie Reid Jamie Steele Derek Ward
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THE BOARD AND STAFF OF SCOTTISH DRUGS FORUM THANK MEMBERS FOR THEIR CONTINUING PARTICIPATION AND SUPPORT
Scottish Drugs Forum Glasgow Office 91 Mitchell Street Glasgow G1 3LN t: 0141 221 1175 f: 0141 248 6414 e: enquiries@sdf.org.uk Edinburgh Office 139 Morrison Street Edinburgh EH3 8AJ t: 0131 221 9300 f: 0131 221 1556 Website: Facebook: Twitter:
www.sdf.org.uk facebook.com/scottishdrugsforum @SDFnews
Hepatitis Scotland Website: Facebook: Twitter:
www.hepatitisscotland.org.uk facebook.com/hepatitisscotland @hepscotland
Naloxone Website: Facebook: Twitter:
www.naloxone.org.uk facebook.com/naloxoneuk @NaloxoneUK
Find help from a service in your area www.scottishdrugservices.com
Scottish Drugs Forum (SDF) is a company limited by guarantee, registration no. 106295 with charitable status and is also a registered Scottish charity registered SC 008075.