{"id":7148,"date":"2016-12-12T16:40:29","date_gmt":"2016-12-12T16:40:29","guid":{"rendered":"https:\/\/drogriporter.hu\/?p=7148\/"},"modified":"2022-07-04T14:19:36","modified_gmt":"2022-07-04T12:19:36","slug":"daveliddel","status":"publish","type":"post","link":"https:\/\/drogriporter.hu\/en\/daveliddel\/","title":{"rendered":"\u201cMore Needs To Be Done To Reach The Most Vulnerable\u201d – An Interview With David Liddell, Head Of The Scottish Drugs Forum"},"content":{"rendered":"

Scotland has witnessed a dramatic increase in overdose deaths and HIV infections among injecting drug users. Policy-makers in Glasgow are reported to be considering a proposal to open the first supervised injection site<\/a>, in response to the epidemics. We interviewed David\u00a0Liddell, the director of the Scottish Drugs Forum<\/a>, to learn more about the situation!<\/p>\n

Drugreporter<\/strong>: How many people have died of drug overdose in Scotland?<\/p>\n

Dave Liddell:<\/strong> 706 people died of an overdose in 2015 \u2013 an alarmingly high figure, which is the highest on record.\u00a0 It is linked to the scale of the drug problem in Scotland \u2013 61,500 users, among a population of five million, and an aging population of problematic drug users.<\/p>\n

The \u00a0average age was 42 years, 69% male, with the majority of those who died coming from the poorest communities in Scotland. The drugs used were heroin, other opioids and benzodiazepines. Alcohol was also a drug implicated in over 100 of the deaths.<\/p>\n

Drugreporter<\/strong>: What about the prevalence of infectious diseases among injecting drug users? Is that increasing too?<\/p>\n

Dave Liddell<\/strong>: There have been reported increases in HIV among injectors recently, with a total of 75 cases in Glasgow.\u00a0 This outbreak is ongoing and very few are so far receiving HIV treatment.<\/p>\n

Drugreporter<\/strong>: In your view, what factors are behind the negative trends?<\/p>\n

Dave Liddell<\/strong>: The trend in rising drug deaths has several causes.\u00a0 Some older drug users have generally poor physical health and are therefore more likely to die as a result of overdose.\u00a0 But in a wider picture, we have a problem keeping people in treatment services, and we have a problem stopping people needing to use street drugs as well as their medication.\u00a0 There may be several reasons for this, but a significant issue is under-prescribing of OST \u2013 people are not getting large enough doses of their medication.\u00a0 Also, there is an issue about the transition of people from prisons and hospitals into the community-based treatment services.<\/p>\n

Drugreporter<\/strong>: Are there any effective interventions to prevent overdose deaths?<\/p>\n

Dave Liddell<\/strong>: We have a very well-developed naloxone programme, which has undoubtedly saved lives, but more needs to be done to reach the most vulnerable populations. We also need to improve access to, and retention in, ORT.<\/p>\n

Drugreporter<\/strong>: Since 2008, drug policy in Scotland has shifted to a recovery-oriented approach. Do you think that has played a role in access to harm reduction?<\/p>\n

Dave Liddell<\/strong>: We do not know.\u00a0 It may be that our focus has been taken away from harm reduction and responding to the needs of the most vulnerable.\u00a0 There is now a more balanced approach in place, to ensure that no-one is written off.\u00a0 We also have to be careful to ensure that underlying issues, such as trauma, are dealt with alongside the drug problem. We also certainly have deaths during \u2018early recovery\u2019 ie overdose deaths among people who have resolved to be abstinent, relapsed, and unfortunately overdosed and died.<\/p>\n

Drugreporter<\/strong>: What do you recommend to policy makers, what steps should be taken?<\/p>\n

Dave Liddell<\/strong>: We must improve the quality of treatment and build services that are more flexible and person-centred, \u00a0so that therapeutic relationships can be put in place over the long term.\u00a0 As part of this, we need to improve access to services and then retain people in treatment. We should include introducing new models of care, including safer injecting facilities and heroin-assisted treatment.<\/p>\n

An interview by Peter Sarosi<\/p>\n","protected":false},"excerpt":{"rendered":"

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We interviewed David\u00a0Liddell, the director of the Scottish Drugs Forum, to learn more about the situation!<\/p>\n","protected":false},"author":1005,"featured_media":6945,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[2900],"tags":[],"countries":[2728],"section":[],"video-author":[],"drug":[],"archive":[3222,3229,3230,3228],"video-series":[3232],"class_list":{"0":"post-7148","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles","8":"countries-uk-en","9":"archive-harm-reduction","10":"archive-hepatitis","11":"archive-hiv-aids","12":"archive-overdose-prevention","13":"video-series-written-interviews","14":"entry"},"featured_image_src":"https:\/\/drogriporter.hu\/wp-content\/uploads\/sites\/8\/2017\/08\/dave.jpg","author_info":{"display_name":"P\u00e9ter S\u00e1rosi","author_link":"https:\/\/drogriporter.hu\/en\/author\/sarosip-2\/"},"yoast_head":"\n\u201cMore Needs To Be Done To Reach The Most Vulnerable\u201d - An Interview With David Liddell, Head Of The Scottish Drugs Forum - Drugreporter<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drogriporter.hu\/en\/daveliddel\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cMore Needs To Be Done To Reach The Most Vulnerable\u201d - An Interview With David Liddell, Head Of The Scottish Drugs Forum\" \/>\n<meta property=\"og:description\" content=\"Scotland has witnessed a dramatic increase in overdose deaths and HIV infections among injecting drug users. 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