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1. PURPOSE
Summarise the current thinking and latest research into NPS in the UK, to provide
background context for Medway NPS Need Audit. This will include:
Current policy position in UK on NPS
International policy in EU / USA & Australia
Key points from recent research conducted in UK with people who use NPS
about their
(i) Motivations
(ii) Patterns of use
(iii) Need for support
2. KEY POINTS
NPS DEATHS RISING AS DRUG DEATHS FALL
NPS accounts for 2% of drug related deaths in UK (2012) however NPS deaths
rose by 79% from 2011 whilst drug related deaths fell by around 7% over same
period1. Deaths involving new psychoactive substances (legal highs) such as
mephedrone increased by 79% from 29 in 2011 to 52 in 2012. The total number
of drug-related deaths in 2012 was 2,597.
the non-narcotic purpose of a substance, onto the seller for all new psychoactive
substances. It should also be specifically related to the new psychoactive
substances problem and not impinge on current legislation which controls illicit
drugs.
We take very seriously the global threat posed by new psychoactive substances
Government Response to Select Committee (May 2014)
Australia have banned specific substances with new ones being added to the list
and the specific substances vary from region to region.
Information on policy in Australia and New Zealand
http://www.adf.org.au/policy-advocacy
Same as above, more detail
Some UK data:
-
2010
2011
2012
2013
GBL
63
GBL = gamma-Butyrolactone
Only cathinones
including
mephedrone
4
3
11
6
34
Profile of users:
-
-
-
-
-
Building resilience: target risk factors e.g. truancy, offending and negative
home environments.
Treatment shall be individualised, and include health and psychological
support, rather than just treatment of drug misuse.
Local authorities should collect data on the usage of NPSs.
Further research into treatment effects, pattern of use, motivation,
pathways of use and setting of use.
5. References
Bowden-Jones, O. (2013). Legal highs and other club drugs: why the song and
dance? The Psychiatrist, 37(6), 185-187. doi: 10.1192/pb.bp.113.042713
Corazza, O., Simonato, P., Corkery, J., Trincas, G., Schifano, F. (2014). Legal
highs: Safe and legal heavens? A study on the diffusion, knowledge and
risk awareness of novel psychoactive drugs among students in the UK.
Rivista di Psichiatria, 49(2), 89-94.
DrugScope. Business as usual? A status report on new psychoactive substances
(NPS) and club drugs in the UK. May 2014.
http://www.drugscope.org.uk/Resources/Drugscope/Documents/PDF/Polic
y/BusinessAsUsual.pdf
Faculty if Addictions Psychiatry, Royal College of Psychiatrists: One new drug a
week: Why novel psychoactive substance and club drugs need a difference
response from UK treatment providers. FR/AP/02. 2014.
http://www.rcpsych.ac.uk/pdf/FR%20AP%2002_Sept2014.pdf
Fraser, F. (2014)The Scottish government. New psychoactive substances
Evidence Review. Scottish Government Social Research.
http://www.scotland.gov.uk/Resource/0045/00457682.pdf
Freeman, T.P., Morgan, C.J.A., Vaughn-Jones, J., Hussain, N., Karimi, K., Curran,
H. (2012). Cognitive and subjective effects of mephedrone and factors
influencing use of new legal high. Addiction, 107(4), 792-800. doi:
10.1111/j.1360-0443.2011.03719.x
Government. Drugs: New psychoactive substances and prescription drugs. May
2014.
https://www.gov.uk/government/uploads/system/uploads/attachment_data
/file/307865/New_psychoactive_substances_and_prescription_drugsPRINT.
pdf
Moore, K., Dargan, P.I., Wood, D.M., & Measham, F. (2013). Do novel
psychoactive substances displace established club drugs, supplement them
or act as drugs of initiation? The relationship between mephedrone, ecstasy
and cocaine. European Addiction Reserach, 19, 276-282. doi:
10.1159/000346678
Public Health England: New psychoactive substances: A toolkit for substance
misuse commissioners. Nov 2014. http://www.nta.nhs.uk/uploads/nps-atoolkit-for-substance-misuse-commissioners.pdf
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Van Hout, M.C., & Brennan, R. (2011). Plan food for thought: a qualitative study of
mephedrone use in Ireland. Drugs: Education, Prevention and Policy, 18(5),
371-381. doi: 10.3109/09687639.2010.537713
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health and social harms related to NPS by utilising professional networks and
other
early warning systems.
Potential Pilot: to develop and pilot an alert system for clinicians on NPS and
drugsoutreach workers on NPS and drugrelated adverse reactions and
harms (similar to the MHRA yellow card system for medication adverse
reactions).
3.2.5 Understand local markets, including through headshops, retail outlets,
prisons and local police assessment.
Recommendation 3: Enhance the sharing of information on NPS
Sharing information at both local and national levels is essential in helping to
achieve a reduction in the demand and supply of drugs and in promoting
comprehensive and effective interventions. The sharing of information on NPS can
be enhanced through the following actions:
3.3.1 Local areas should already have a network of practitioners in place through
which information can be shared, and should establish one if not already in place.
Potential Pilot: Promote the development of local intelligence networks using
a model such as DrugWatch.
. 3.3.2 Develop a national network of professionals to help record health harms
and share information about NPS and other drugs (link to 2.2.3).
. 3.3.3 Local and national networks should be used to disseminate effective
practice, for example, project NEPTUNE information.
. 3.3.4 FEWS and DEWS should be used to support networks more widely,
where appropriate.
. 3.3.5 Ensure FRANK continues to develop as a trusted and sober brand,
through clear cooperation, partnership and joint learning with NGOs,
schools, local public health systems, festival promoters, local media and
other agencies.
. 3.3.6 Work with internet service providers to avoid internet filters that may be
developed to target NPS sales inadvertently blocking sites that provide
advice and support aimed at reducing harms.
Recommendation 3.4: Skills and Workforce: developing competence and
support
In order to tackle NPS and drug use effectively we need a competent and
confident workforce supported with appropriate, evidencebased tools for
assessment and intervention, including:
. 3.4.1 Develop an evaluated programme to ensure that every local area is able
to provide an identification and brief advice approach in line with evidence
of effectiveness. This will ensure that all staff that come in contact with
people using NPS, for example health, law enforcement and education,
have access to some basic skills to help identify problematic use and
provide brief advice.
. 3.4.2 Staff working in the drugs field should already have the competence to
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7. LOCAL INSIGHTS
Three areas of Kent were chosen to demonstrate the fragmentary nature of NPS
distribution and use:
Folkestone
There are two head shops; one is an old school hippy-style shop selling posters, tshirts, paraphernalia and so on. They dont sell to under 18s and are in dialogue
with KCA and are willing to share information. The second is less discerning and
does serve young people in consequence of which it is monitored by police and
trading standards. The current trend is now towards pills and powders as opposed
to synthetic cannabinoids, but there is also increased use by young people of
drugs more associated with adult use specifically, Blues (valium and
phenazepam), Gaba (gabapentin) and Trixies (trihexyphenidil).
Canterbury
Here there are two head shops: as in Folkestone, one is old school and does
demonstrate a degree of responsibility towards its customers, the other one is
Skunkworks. NPS use has been limited, although with the last year, there has been
an increase in synthetic cannabinoids, but also AMT (legal DMT) and NBOMe
(formerly legal LSD). The user reports gathered in this area concerning smoking
blends of various types are generally negative: chest pain, shortness of breath,
loss of consciousness, co-ordination problems, unpleasant visuals, intense anxiety,
fear of dying but theyre viewed as cheaper and legal. Some local drug
workers believe that media reports about synthetic cannabinoids being stronger
than cannabis could be tending to promote use.
Maidstone
The workers reported that this town has a proliferation of head shops; three
established (including Skunkworks) plus pop up shops, all in close proximity of
each other within the town centre. Like Canterbury, local workers report a steady
increase in reported use over the past 12 months. Initially this focused around
stimulant pills and powders such as Charley Sheen (a cocaine-like drug), but
recently smoking mixtures are dominating the conversations in sessions with some
groups of young people.
PROFILES
Three main user groups of NPS were identified: teenagers (13-18), students and
clubbers, and gay men (particularly gay clubbers). In addition to these there are
smaller user groups which include: older age groups (30 years plus), heroin users
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