norfolk drug & alcohol action team (daat). drugs, alcohol and licensed premises. sgt paul graves...

Norfolk Drug & Alcohol Action Team (DAAT).

Drugs, Alcohol and Licensed Premises.

Sgt Paul Graves - Norfolk Constabulary

Mike Hutchinson and Daniel Harry – Norfolk Drug and Alcohol Action Team.

Version: 18 November 2008

Norfolk Drug & Alcohol Action Team 2008

Why am I here?

As a licensee, bar person or server you are an enforcer of licensing law

You have legal responsibilities and rights Successful completion of this course enables you to

demonstrate an ongoing commitment to your professional development

We will issue everyone with an attendance certificate as evidence of this commitment for your training records.


What we will cover

At the end of this session you will be able to describe and explain:– the responsibilities that licensees and door

supervisors have;– the law relating to drugs and alcohol;– search and seizure techniques;– the range of effects of drugs and alcohol;– overdose risks;– the treatment options available.


How we will do this

There will be powerpoint.

BUT: Interactive. Small group work. Workbooks. Open to questions at any point. Informal.


Alcohol

This section focuses on alcohol use and misuse.

We start with the context – what is the impact?


Alcohol – Costs

Cost to health service £1.7bn. Loss productivity £6.4bn per annum. 1.2 million violent incidences. 360,000 incidences of domestic violence. Between 780,000 and 1.3 million children affected by parental

alcohol problems. 1.2 million males, 0.6 million women drink at levels in excess of

50(M) and 35(W) units per week 20% of industrial accidents involve workers who have been

drinking. Statistical Handbook of the Brewers Society 1998


Units explained.

A unit is a standard measure that can apply to all forms of alcohol.

There is a quick and easy way of calculating units:

Volume x ABV

1000

Alternatively, look at the label.


The units quiz.

What is a unit of alcohol? Which has the most units: four pack of stella or a bottle

of wine. If a 500 ml can of lager is 9% ABV how many units are

there in the can? Where will units be listed? What are the sensible drinking limits? Can you save up your limits during the week? How many units can you drink and still be safe to

drive?


The units quiz – answers.

A unit is 10 ml of pure alcohol. The four pack (12) – wine (9). Answer 4.5 units. Most drinks have the units on the bottle or can. Men 3-4 per day, women 2-3 per day. No. Uncertain.


Binge drinking – 6 to 8 units (M) and 4 to 6 units (W)

People who enjoy drinking: findings from a survey of British adults – Plant & Mason (2002)


Alcohol and the Body - quiz

Do you know which parts of the body alcohol can damage?


Alcohol and the Body - quiz

Take 5 minutes to complete this quiz to find out how alcohol affects the body.

In your groups - please turn to your workbook.


Alcohol and the body - answers Slide devised by BBC Three Counties Radio.


Alcohol and the body – answers in the back of your workbook.

Brain - Bad judgement, poor memory, concentration and co-ordination, brain damage, depression, insomnia, depression, anxiety, psychosis.

Liver - Alcoholic hepatitis. Kidneys - Kidney and urinary infections. Stomach - Vomiting, diarrhoea, inflammation of the stomach,

vitamin deficiency, internal bleeding, ulcers. Lungs - Lowered resistance to infection. Bones - Brittle bones. Feet - Lack of co-ordination: stumbling and falling over, numb

tingling toes.


Alcohol and the body – answers

Face - Impaired vision and hearing, dulled smell and taste, slurred speech, "drinker's nose".

Throat - Cancer of the throat, voice box and oesophagus. Heart - Raised blood pressure, strokes, coronary heart disease. Muscles - Weakened muscles. Pancreas - Inflammation. Hands - Lack of co-ordination, DTs, loss of feeling, trembling

hands. Sex organs - Impaired sexual performance, low sperm count,

brewer's droop, shrinking of the testes, reduction in size of penis. Unprotected sex - HIV, Chlamydia, hepatitis B, pubic lice, genital

warts, syphilis, herpes, gonorrhoea.


Alcohol & the brain

Automatic functions, breathing,circulation

Hearing

Emotionsjudgement & balance

SpeechMovement

Five senses

Sight

Reading

Slide devised by the SCA /SIPS

DisinhibitionCognitive impairment


The healthy liver Source: www.hubpages.com

The liver processes the alcohol consumed at a constant rate


The stages leading up to cirrhosis

The three main causes of cirrhosis in the UK are excessive alcohol consumption, hepatitis C virus infection and obesity.

Almost everyone who drinks excessively will develop a fatty liver (caused by excess fat building up in the liver).

Somewhere between a quarter and a third of those people will go on to develop liver damage – this is called alcoholic hepatitis – which causes some scarring (fibrosis) in the liver.

Cirrhosis is the final stage. This is when extensive scarring begins to block parts of the liver from neighbouring cells.

The scar tissue interferes with the way your liver functions, preventing it from regenerating properly.

http://www.nhs.uk/Conditions/Cirrhosis/Pages/Questionstoaskpg.aspx?url=Pages/Questionstoasktab.aspx


Alcohol and fat

Alcohol has a high calorific value. These are empty calories – they have no nutritional value.

a 175ml glass of white wine has 130 calories. a pint of a 4% ABV beer or lager has 170

calories. a 25ml shot of tequila has 160 calories.


The big night out – quiz.

Do you know how many calories you may consume on a big night out?

Take 5 minutes to complete this quiz in your workbook.

(1 chicken tikka masala & rice = 680 calories)


The big night out – answers in the back of your workbook.

Getting ready:2 pints 4% ABV beer = 340 calories (2x170).Out on the town:4 pints 4% ABV beer = 680 calories (4x170).2 shots 25ml = 320 (2x160).Hungry:1 chicken tikka masala & rice = 680 calories.1 pint 4% ABV beer = 170 calories.

TOTAL = 2,190 calories. (www.weightlossresources.co.uk/calories-in-food.)


Alcohol and fat – so what?

200 calories = 25 – 30 min jog 22 – 25 min swim or 12 – 15 min skipping

Ability to work Personal healthhttp://www.dietandfitnessresources.co.uk/fitness_exercise/10_ways.htm


Alcohol – how to cut down.

Make a plan – DON’T JUST STOP. Set yourself a limit and keep to it. Stick to lower strength beers, wine and spirits. Stick to smaller measures. Try to avoid drinking every night, have a few nights off. Alternate alcohol and non-alcoholic drinks. Find alternative ways of socialising. DRINKS DIARY.


Drinks Diary

A drinks diary enables you to: track what you are drinking; when; who with and how much.

Please refer to your workbook.


Illegal drugs

The next section focuses on drug use and misuse.

We start with the context – what is the impact?


What is a drug?

“A drug is any substance that by its chemical nature alters the structure or functioning of a living being” Andrew Tyler, Street Drugs (1995).


Classification of drugs

Some drugs are given a legal classification under the Misuse of Drugs Act 1971:

A – heroin, ecstasy, LSD, cocaine, crack, methylamphetamine;

B – amphetamine, Ritalin;

C – cannabis, ketamine, tranquilisers.

(This is an indicative list only.)


Offences under the Misuse of Drugs Act

• Possession of a controlled substance unlawfully;• Possession of a controlled substance with intent to supply it;• Supplying or offering to supply a controlled drug (even where

no charge is made for the drug);• Allowing premises you occupy or manage to be used for the

purpose of drug taking;• Allowing premises you occupy or manage to be used for the

supply or production of any controlled drug;• Import or export of controlled drugs.

It is not illegal to use drugs.


Sentences

Class A drugs Possession: Up to 7 years in prison or an unlimited fine. Or both Dealing: Up to life in prison or an unlimited fine. Or both.

Class B drugs Possession: Up to 5 years in prison or an unlimited fine. Or both. Dealing: Up to 14 years in prison or an unlimited fine. Or both.

Class C drugs Possession: Up to 2 years in prison or an unlimited fine. Or both. Dealing: Up to 14 years in prison or an unlimited fine. Or both.


Drug use in England.

Illegal drugs are in widespread use & a feature of modern life in England.

• 4 million people use illegal drugs in England.

• 24% of young people aged 16 to 24 have used an illegal drug in the last year.

• 10% of people aged 16 to 59 have used an illegal drug in the last year.

For many people use is solely recreational, and often with alcohol.


Drug use in Norfolk

Estimated 8,200 problem drugs users in Norfolk. 2,559 in treatment year to date. 74% retained in treatment for more than 12 weeks. Adults key concerns heroin and crack cocaine (but

most present with poly drug use). Young People key concerns alcohol and cannabis (but

most present with poly drug use).


Norfolk Prices – indicative for court purposes (May 2008)

Herbal Cannabis (oz) £5 Amphetamine (g) £8 to £10 Heroin (0.1g & 0.2g bag) £10 Crack Cocaine (0.2g rock) £20 Cocaine (g) £45 to £55 Ecstasy (tab) £3 to £5 Ketamine(g) £10 to £20


List of some drugs

Crack Cocaine Ketamine Solvents Heroin Benzodiazapines Alcohol Caffeine Tobacco

LSDCannabis Magic MushroomsMethadone EcstasyAmphetaminesCocaine


Effects of drugs

All drugs can be loosely fitted into three main categories: -

Stimulants: - drugs that act on the central nervous system and increase brain activity.

Depressants: - drugs that act on the central nervous system and slow down brain activity.

Hallucinogens: - drugs that act on the mind, distorting the way users see and hear things


Range of effects – Exercise.(Kevin Flemen – KFX)

Turn to your work books - in pairs, can you place the drugs listed on the scale of effects diagram? Stimulant

Hallucinogen

Depressant


Range of effects - answers.

The answers are in the back of your work book.

Any thoughts?


Drug, Set and Setting – Zinberg 1984

Drug – Purity and strength? – Dosage, frequency and tolerance? – Risks associated with the method of use? – Used in combination?

Set – Mindset? – Moods or previous experiences? – Expectations?

Setting – Where?– Who with?


Indicators of drug use

There is no cast iron guide. Drugs and alcohol have a wide range of

effects. Complex interactions. Easy to confuse. Too generalised: confused, lack of

coordination, slow reactions, high levels of confidence, heightened awareness….


Overdose

If someone overdoses on alcohol and/or drugs:– Put them in the recovery position.– Make sure that their mouth is clear.– Dial 999 and ask for an ambulance.– Stay with them until an ambulance arrives.– Keep them warm.– Find out what they have drunk and if they have used

any drugs – tell the ambulance crew.


Source: NHS Wales


Drink Spiking - Quiz

Some quick fire questions on drink spiking: What is it? How widespread is it? Why do people do it? What do they use to spike drinks? What do you need to do if you think you’ve

been spiked? How do you prevent it happening?


Drink spiking - Answers

Covert use mind altering substances. Uncertain but less than media suggests. Why? joke, theft, sexual offences/exploitation. 60 + drugs can be used (alcohol most used). response – alert police report to medical centre

and line manager. Safer drinking.


Operation MATISSE

Operation MATISSE - Investigating Drug Facilitated Sexual Assault (ACPO 2006)

120 cases were submitted for examination. 119 had reportedly been drinking alcohol. 22 estimated over 2-3 times the driving limit. 57 controlled or prescribed drugs were detected. Cannabis and cocaine most commonly detected. Rohypnol not detected in any of the submitted cases. GHB was detected in two cases.


Treatment and motivation

The key to successful treatment outcomes is to engage people’s motivation.

Prochaska and DiClemente developed a model known as the “Cycle of Change”.


Cycle of change


What is available in King’s Lynn?

GPs. Community Alcohol and Drug Service – 01553 815171. NORCAS Homeless Outreach – 01603 766993. Matthew Project – 0800 764754. IMPACT (U18) – 01603 877480. T2 – (U18) – 01603 877498. FRANK – national helpline – 0800 776600


Thank you for your time.

norfolk drug & alcohol action team (daat). drugs, alcohol and licensed premises. sgt paul graves...

Documents

body alcohol

unit of alcohol

alcohol overdose

alcohol search

alcohol use

forms of alcohol

pure alcohol

alcohol costs cost