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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. Why am I here?.

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Norfolk drug alcohol action team daat
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


Why am i here
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.

Norfolk Drug & Alcohol Action Team 2008


What we will cover
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.

Norfolk Drug & Alcohol Action Team 2008


How we will do this
How we will do this

  • There will be powerpoint.

    BUT:

  • Interactive.

  • Small group work.

  • Workbooks.

  • Open to questions at any point.

  • Informal.

Norfolk Drug & Alcohol Action Team 2008


Alcohol
Alcohol

This section focuses on alcohol use and misuse.

We start with the context – what is the impact?

Norfolk Drug & Alcohol Action Team 2008


Alcohol costs
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

Norfolk Drug & Alcohol Action Team 2008


Units explained
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.

Norfolk Drug & Alcohol Action Team 2008


The units quiz
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?

Norfolk Drug & Alcohol Action Team 2008


The units quiz answers
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.

Norfolk Drug & Alcohol Action Team 2008


Binge drinking 6 to 8 units m and 4 to 6 units w
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)

Norfolk Drug & Alcohol Action Team 2008


Alcohol and the body quiz
Alcohol and the Body - quiz

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

Norfolk Drug & Alcohol Action Team 2008


Alcohol and the body quiz1
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.

Norfolk Drug & Alcohol Action Team 2008


Alcohol and the body answers slide devised by bbc three counties radio
Alcohol and the body - answers Slide devised by BBC Three Counties Radio.

Norfolk Drug & Alcohol Action Team 2008


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

Norfolk Drug & Alcohol Action Team 2008


Alcohol and the body answers
Alcohol and the body – answers workbook.

  • 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.

Norfolk Drug & Alcohol Action Team 2008


Alcohol & the brain workbook.

Slide devised by the SCA /SIPS

Movement

Speech

Five senses

Emotions

judgement &

balance

Sight

Reading

Hearing

Disinhibition

Cognitive impairment

Automatic functions, breathing,circulation

Norfolk Drug & Alcohol Action Team 2008


The healthy liver source www hubpages com
The healthy liver workbook.Source: www.hubpages.com

The liver processes the alcohol consumed at a constant rate

Norfolk Drug & Alcohol Action Team 2008


The stages leading up to cirrhosis
The stages leading up to cirrhosis workbook.

  • 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

Norfolk Drug & Alcohol Action Team 2008



Alcohol and fat
Alcohol and fat workbook.

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.

Norfolk Drug & Alcohol Action Team 2008


The big night out quiz
The big night out – quiz. workbook.

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)

Norfolk Drug & Alcohol Action Team 2008


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

Norfolk Drug & Alcohol Action Team 2008


Alcohol and fat so what
Alcohol and fat – so what? workbook.

  • 200 calories =

    • 25 – 30 min jog

    • 22 – 25 min swim or

    • 12 – 15 min skipping

  • Ability to work

  • Personal health

    http://www.dietandfitnessresources.co.uk/fitness_exercise/10_ways.htm

  • Norfolk Drug & Alcohol Action Team 2008


    Alcohol how to cut down
    Alcohol – how to cut down. workbook.

    • 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.

    Norfolk Drug & Alcohol Action Team 2008


    Drinks diary
    Drinks Diary workbook.

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

    Please refer to your workbook.

    Norfolk Drug & Alcohol Action Team 2008


    Illegal drugs
    Illegal drugs workbook.

    The next section focuses on drug use and misuse.

    We start with the context – what is the impact?

    Norfolk Drug & Alcohol Action Team 2008


    What is a drug
    What is a drug? workbook.

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

    Norfolk Drug & Alcohol Action Team 2008


    Classification of drugs
    Classification of drugs workbook.

    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.)

    Norfolk Drug & Alcohol Action Team 2008


    Offences under the misuse of drugs act
    Offences under the Misuse of Drugs Act workbook.

    • 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.

    Norfolk Drug & Alcohol Action Team 2008


    Sentences
    Sentences workbook.

    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.

    Norfolk Drug & Alcohol Action Team 2008


    Drug use in england
    Drug use in England. workbook.

    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.

    Norfolk Drug & Alcohol Action Team 2008


    Drug use in norfolk
    Drug use in Norfolk workbook.

    • 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 Drug & Alcohol Action Team 2008


    Norfolk prices indicative for court purposes may 2008
    Norfolk Prices – indicative for court purposes (May 2008) workbook.

    • 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

    Norfolk Drug & Alcohol Action Team 2008


    List of some drugs
    List of some drugs workbook.

    • Crack Cocaine

    • Ketamine

    • Solvents

    • Heroin

    • Benzodiazapines

    • Alcohol

    • Caffeine

    • Tobacco

    • LSD

    • Cannabis

    • Magic Mushrooms

    • Methadone

    • Ecstasy

    • Amphetamines

    • Cocaine

    Norfolk Drug & Alcohol Action Team 2008


    Effects of drugs
    Effects of drugs workbook.

    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

    Norfolk Drug & Alcohol Action Team 2008


    Range of effects exercise kevin flemen kfx
    Range of effects – Exercise. workbook.(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

    Norfolk Drug & Alcohol Action Team 2008


    Range of effects answers
    Range of effects - answers. workbook.

    The answers are in the back of your work book.

    Any thoughts?

    Norfolk Drug & Alcohol Action Team 2008


    Drug set and setting zinberg 1984
    Drug, Set and Setting – Zinberg 1984 workbook.

    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?

    Norfolk Drug & Alcohol Action Team 2008


    Indicators of drug use
    Indicators of drug use workbook.

    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….

    Norfolk Drug & Alcohol Action Team 2008


    Overdose
    Overdose workbook.

    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.

    Norfolk Drug & Alcohol Action Team 2008


    Source: NHS Wales workbook.

    Norfolk Drug & Alcohol Action Team 2008


    Drink spiking quiz
    Drink Spiking - Quiz workbook.

    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?

    Norfolk Drug & Alcohol Action Team 2008


    Drink spiking answers
    Drink spiking - Answers workbook.

    • 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.

    Norfolk Drug & Alcohol Action Team 2008


    Operation matisse
    Operation MATISSE workbook.

    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.

    Norfolk Drug & Alcohol Action Team 2008


    Treatment and motivation
    Treatment and motivation workbook.

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

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

    Norfolk Drug & Alcohol Action Team 2008


    Cycle of change
    Cycle of change workbook.

    Norfolk Drug & Alcohol Action Team 2008


    What is available in king s lynn
    What is available in King’s Lynn? workbook.

    • 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

    Norfolk Drug & Alcohol Action Team 2008


    Thank you for your time. workbook.

    Norfolk Drug & Alcohol Action Team 2008


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