Interim monitoring report on statutory-funded residential rehabilitation placements
Placements approved by Alcohol and Drug Partnerships between 1 April 2021 to 30 September 2022

About this release

This is the fifth 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 (ADP) statutory funded placements into residential rehabilitation, with estimated costs, that were approved between 1 April 2021 and 30 September 2022. Information is provided at a Scotland level, NHS Board and each Alcohol and Drug Partnership. 

Main points

• In Q2 2022/23, 181 statutory funded placements were approved for residential rehabilitation in Scotland. This is an increase of 67 placements when compared to Q2 2021/22 (n=114), and an increase of 11 placements when compared to Q1 2022/23 (n=170). 
• Of the 181 placements approved in Q2 2022/23, 155 placements were approved by ADPs; 15 placements were approved by Ward 5 Woodland View in NHS Ayrshire and Arran, and 11 placements were approved on the new Prison to Rehab pathway. Figure 1 below shows the total number of ADP approved placements, and the yearly average, from 1 April 2021 to 30 September 2022.      
• The total estimated cost for 181 placements was £1,716,071. This cost is made up of £1,341,310 from 155 ADP approved placements, £225,180 for 15 placements in Ward 5 Woodland View, and £149,581 for 11 Prison to Rehab placements. 
• The highest number of ADP approved placements (n=63) since April 2021, occurred in August 2022.
• Information on the characteristics of individuals offered placements was available for the ADP approved placements (n=155), in Q2 2022/23, and this showed:
  • 64% of placements were for males (n=99), and 36% of placements were for females (n=56).
  • 59% (n=91) of the 155 ADP approved placements were for people with problematic alcohol use, 25% (n=39) was for people with problematic drug use, and 16% (n=25), was for people with co-dependency.
• The largest number of approved placements by Alcohol and Drug Partnerships was in Glasgow City (n=39,25%), followed MELDAP (Midlothian and East Lothian ADP) (n=15, 10%) then Highland (n=14,9%). Please note that the figure for Highland includes nine placements for a two-week treatment programme, and five placements for a 14-week treatment programme.  Caution must be made when comparing data between ADPs.
• MELDAP reported the highest estimated total cost for placements (£147,586), followed by Dumfries and Galloway ADP (£139,595), then Glasgow City (£130,500).   
• The most common reason for ADPs submitting a nil return during Q2 2022/23 was a lack of referrals for residential rehabilitation.
• Overall, between 1 April 2021 and 30 September 2022, 891 statutory funded placements (includes ADP, P2R and Ward 5 data) for residential rehabilitation were approved in Scotland. The total estimated cost was £6,659,289.

A bar chart showing the monthly number of approved placements in Scotland. Overall, the average number of ADP approved placements between 1 April 2021 and 31 March 2022 was 39. The average number of ADP approved placements between 1 April 2022 and 30 September 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 July 2022: 42 August 2022: 63 September 2022: 50

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Figure 1: Number of ADP Approved Placements in Scotland, 1 April 2021 to 30 September 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.  Since 2021/22, and for the next five years, the Alcohol and Drugs Partnerships in Scotland 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 21 March 2023.