Interim monitoring report on statutory-funded residential rehabilitation placements
Placements approved by Alcohol and Drug Partnerships between 01 April 2021 to 30 June 2022

About this release

This is the fourth report on Residential Rehabilitation within the Monitoring and Evaluation Programme led by Public Health Scotland. The report presents information on the number of Alcohol and Drug Partnership statutory funded placements into residential rehabilitation, with estimated costs, that were approved between 01 April 2021 and 30 June 2022. Information is provided at a Scotland level, NHS Board and each Alcohol and Drug Partnership.  

15 November 2022 Revision:

The 2022/23 Q1 Interim Monitoring Report for Residential Rehabilitation Statutory Funded Placements has been re-published with corrected data from Glasgow City Alcohol and Drug Partnership.   

7 November 2022 Revision:

The Revision Statement published on 2nd November 2022 highlighted an error with the 2022/23 Q1 Interim Monitoring Report. Glasgow City Alcohol and Drug Partnership (ADP) incorrectly included 48 placements for a stabilisation service which decreased the total number of statutory funded placements from 218 to 170.  The Main Points section this summary page have now been updated in line with the correct data. The 2022/23 Q1 report will be amended and re-published on the PHS website on Tuesday 15th November.        

2 November 2022 Revision:

An error has been identified in the 2022/23 Q1 Interim Monitoring Report for Residential Rehabilitation Statutory Funded Placements Report which was published on Tuesday 27^th September 2022.  It became apparent after publication that Glasgow City Alcohol and Drug Partnership incorrectly submitted data for 48 placements.  These data were for a stabilisation service and therefore do not fall under the definition of a Residential Rehabilitation placement. The impact of this is that the overall number of a statutory funded Residential Rehabilitation placements in Q1 2022/23 has reduced from 218 to 170.  The cost of the placements has reduced from £1,746,986 to £1,491,986.  The Q1 2022/23 report will be amended and re-published on the PHS website on Tuesday 15^th November.    

Main points

• In Q1 2022/23, 170^R placements were approved for residential rehabilitation in Scotland. This is an increase of 30^R placements when compared to Q1 2021/22 (n=140).    
• Of the 170^R placements approved in Q1 2022/23, 152^R placements were approved by ADPs; 11 placements were approved by Ward 5 Woodland View in NHS Ayrshire and Arran, and seven placements were approved on the new Prison to Rehab pathway. Figure 1 below shows the monthly number and yearly average of ADP approved placements from 01 April 2021 to 30 June 2022^R.
• The total estimated cost for the ADP approved placements and the Prison to Rehab placements in Q1 2022/23 (n=159^R) was £1,491,986^R. This cost is made up of £1,381,906^R from 152^R ADP approved placements, and £110,080 for seven Prison to Rehab placements. 
• Information on the characteristics of individuals offered placements was available for the ADP approved placements (n=152^R), in Q1 2022/23, and this showed:
  • 68%^R of placements were for males (n=103^R), and 32%^R of placements were for females (n=48).
  • 46%^R (n=70^R) of the 152^R approved placements by ADPs were for people with problematic alcohol use, 34%^R (n=52^R) was for people with problematic drug use, and 20%^R (n=30^R), was for people with co-dependency.
• The largest number of approved placements by Alcohol and Drug Partnerships was in Glasgow City (n=41^R,24%^R), followed by Highland (n=25, 15%^R) and MELDAP (Midlothian and East Lothian ADP) (n=14, 8%^R). Please note that the figure for Highland includes 13 placements for a two-week treatment programme, and 12 placements for a 14-week treatment programme.  Caution must be made when comparing data between ADPs.  
• Highland ADP reported the highest estimated total cost for placements (£180,478), followed by MELDAP (£155,539), then City of Edinburgh ADP(£146,980)^R.   
• The most common reason for ADPs submitting a nil return during 2021/22 was ongoing work in developing new clinical pathways into residential rehabilitation.
• Between 01 April 2021 and 30 June 2022, 710^R placements for residential rehabilitation were approved in Scotland. The total estimated cost was £4,934,258^R. Figure 1 below shows the total number of ADP approved placements, and the yearly average, from 01 April 2021 to 30 June 2022.

Footnote:  All data marked ^R has been revised following the correction.

A bar chart showing the monthly number of approved placements in Scotland. Overall, the average number of ADP approved placements between 01 April 2021 and 31 March 2022 was 39. The average number of ADP approved placements between 01 April 2022 and 30 June 2022 increased to 51. The monthly numbers are: April 2021: 47 May 2021: 38 June 2021: 30 July 2021: 27 August 2021: 34 September 2021: 36 October 2021: 38 November 2021: 40 December 2021: 35 January 2022: 34 February 2022: 51 March 2022: 53 April 2022: 58 May 2022: 52 June 2022: 42

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Figure 1: Number of ADP Approved Placements in Scotland, 01 April 2021 to 30 June 2022

Background

Residential rehabilitation is a well-established intervention for the treatment of drug and alcohol problems and is recognised as an important option for some people requiring treatment.  As part of the National Mission, the Scottish Government has committed to invest £100M for residential rehabilitation over the next five years.  In this current financial year, and for the next five years, the Alcohol and Drugs Partnerships have been allocated £13.5M, with £5M earmarked to support additional capacity and access Residential Rehabilitation services. 

Further information

The next release of this publication will be 20 December 2022.