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28 September 2006

(S2O-10704) Drug Rehabilitation (North-east Scotland)


8. Mrs Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive what the average waits are for drug rehabilitation and to enter a methadone programme in north-east Scotland. (S2O-10704)

The Deputy Minister for Justice (Hugh Henry): Average waiting times are not regarded as a particularly effective measure of the accessibility of drug treatment services. However, the most recent figures from the waiting times framework show that, in the north-east, more than 80 per cent of clients entered prescribed drug treatment within 14 days of being considered ready for that intervention. The figures for rehabilitation show that 79 per cent of those who entered rehabilitation did so within 14 days.

Mrs Milne: That is perhaps progress, but not enough. What action is being taken to improve the figures? Will the minister give a commitment to introduce an easily accessible online central directory of rehabilitation places like the one that is in use south of the border?

Hugh Henry: I suppose that grudging praise from the Tories is better than no praise at all. I am pleased that, despite her mean words, Nanette Milne admits that progress is being made. However, we have much more to do.

The issue of the central register has been raised on several occasions, and answers have been given on it. We are seeking to get as much information as we can about the facilities that are available throughout Scotland. Nonetheless, a much broader range of initiatives is required. We are trying to get behind the figures, and we need to ensure that there is better integration of services. Yesterday, along with Lewis Macdonald, I launched an initiative on improvements in quality standards. Better integration and understanding of services, better communication and better information all have a part to play.


Stewart Stevenson (Banff and Buchan) (SNP): I know that the minister shares my deep concern about drug problems in Scotland. Will he give further consideration to ensuring that residential places that draw people out of addiction in the long term—methadone is generally merely a method of parking the problem—are stepped up as a key part of the strategy? Will he ensure that places are not left vacant in too many parts of Scotland, given that, according to Professor Neil McKeganey, more than half of addicts want to get off drugs rather than go through harm reduction?

Hugh Henry: Stewart Stevenson has raised a more complex issue. In fact, in suggesting that we expand the number of places while at the same time pointing out that some of the existing places are lying vacant, he has highlighted one of the contradictions at the heart of the matter. One problem is that the decision about when to send an addict to residential rehabilitation must lie with the professionals who are responsible for that individual. They assess the person's needs at the time and decide on the most appropriate course of action.

We must ensure that when someone is offered the opportunity of residential rehabilitation not only are they ready for it but the support facilities are available when they come back out. Some of the stories that my officials have heard on this matter are heartbreaking. For example, one individual had been in residential rehabilitation seven times, which clearly indicates that, in their case, it had failed. Indeed, it is a very expensive failure, and that use of resources probably means that other people were denied the opportunity of treatment. I have even spoken to people in Stewart Stevenson's constituency who have been in residential rehabilitation two or three times. It is clear that other aspects of this very complex problem need to be taken into consideration.

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