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1 IMS Quarterly Monitoring Report Quarter 1: INTRODUCTION: Issue: 1 Updated: 24/07/2017 Hi everyone. Welcome to the new format for the IMS Quarterly Monitoring Report which includes activity for the first quarter for year and all activity for the last four quarters, covering the 12 month period 1st July th June Figures shown for previous quarters have also been updated where retrospective data has been entered. For the first time, this report shows your IMS data in three distinct cohort groups: u 'Injecting Drug Users' (IDU) using Psychoactive drugs, v 'Injecting Drug Users' using Steroids or IPEDs (Image & Performance Enhancing Drugs), and w NonInjecting 'Brief Intervention' (BI) clients using either Alcohol or Other Drugs. We have also introduced a new Activity & Data Quality Report which will be published alongside this monitoring report. The new report details activity recorded each quarter together with the completion of the data items included within client assessments. We are keen to hear your feedback. Alongside our new format Quarterly Reports we have recently refreshed the IMSonline agency reports with a new 'Reports Dashboard', this allows you to visualise your own agency data with new graphs and charts as well as the usual inbuilt reports. More information can be found in our quick guide: We have also introduced an option within IMSonline for you to update your own details. After logging in to IMS you can check or change your details and update your subscription preferences. July2017.pdf As always thank you for your continued support of the Integrated Monitoring System. CLIENT COHORT SUMMARY: ST. HELENS Number of individuals who accessed syringe exchange services and nonstructured interventions in the last quarter, and for the full year to date (rolling 12 months). Shown for all individuals combined and separately for 'Injecting Drug Users' (IDU) using Psychoactive drugs, 'Injecting Drug Users' using Steroids or IPEDs (Image & Performance Enhancing Drugs), and for NonInjecting 'Brief Intervention' (BI) clients using either Alcohol or Other Drugs. 1,062 (2,332) 485 (1,007) 417 (965) 160 (360) All Individuals IDU: Psychoactive Drug IDU: Steroid & IPEDs BI: Drug or Alcohol CLIENT NUMBERS & PREVALENCE ESTIMATES: LOCAL AUTHORITY AREAS Comparison of client numbers and estimated prevalence (per 1,000 population) by each Local Authority area for the full year (rolling 12 month period). Shown for all individuals combined and separately for each client cohort group. Cheshire East Cheshire West & Chester Halton Knowsley Liverpool Sefton Warrington Wirral All Individuals 1,308 Rate per 1,000 popul 3.5 2, , , , , , , , IDU: Psychoactive Drugs Rate per 1,000 popul 3.5 1, IDU: Steroid & IPEDs , , , Rate per 1,000 popul 3.1 BI: Drug or Alcohol , Rate per 1,000 popul Cheshire & Merseyside 23, , , , IMS Monitoring Report Page 1

2 CLIENT COHORT SPLIT: LOCAL AUTHORITY AREAS ALL INDIVIDUALS SEEN THIS YEAR (ROLLING 12 MONTHS): SPLIT BY COHORT GROUP Client split shown as stacked bar graph for comparison CHE CHW HAL KNW LIV SEF SHL WAR WIR ALL IMS BI: Drug or Alcohol IDU: Drug IDU: Steroid INJECTING DRUG USERS (IDUs) SEEN THIS YEAR (ROLLING 12 MONTHS): SPLIT BY COHORT GROUP Client split shown as stacked bar graph for comparison, IDUs clients only CHE CHW HAL KNW LIV SEF SHL WAR WIR ALL IDU IDU: Drug IDU: Steroid IMS Monitoring Report Page 2

3 CLIENTS SUMMARY: BY AGENCY NUMBER OF INDIVIDUALS SEEN BY QUARTER: The number of individuals reported for all agencies each quarter, and the total number of individuals seen during the current year to date. The local authority figures are the total unique individuals. All Individuals by service IMS Agencies Q Q Q Q1 Full Year SHL10061 Hope House SHL10062 Hope Centre (Breathe) 14 *** SHL10063 Footsteps, St Helens SHL10075 YP Drug & Alcohol Team St Helens SHL30083 St Helens SES CGL SHL40063 Rowlands NewtonLeWillows SHL40119 Lloyds Duke Street, St Helens SHL40122 Lloyds Junction Lane, Sutton Oak SHL40141 Rowlands Thatto Heath SHL40143 St Helens Millennium Centre ,373 SHL Local Authority ,062 2, SHLa1 IDU: Psychoactive Drugs ,007 SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol Q Q Q Q1 Full Year IMS Monitoring Report Page 3

4 CLIENTS SUMMARY: BY AGENCY GENDER: Number of individuals by gender for the last quarter, and during the current year to date. IMS Agencies Male Qtr Female Qtr Male Full Year Female Full Year SHL10061 Hope House SHL10062 Hope Centre (Breathe) SHL10063 Footsteps, St Helens SHL10075 YP Drug & Alcohol Team St Helens SHL30083 St Helens SES CGL SHL40063 Rowlands NewtonLeWillows SHL40119 Lloyds Duke Street, St Helens SHL40122 Lloyds Junction Lane, Sutton Oak SHL40141 Rowlands Thatto Heath 13 *** SHL40143 St Helens Millennium Centre , SHL Local Authority , SHLa1 IDU: Psychoactive Drugs SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol Gender split by client cohort group for the last quarter, and full year (rolling 12 months) IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol Male Qtr Female Qtr IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol Male Full Year Female Full Year IMS Monitoring Report Page 4

5 CLIENTS SUMMARY: BY AGENCY AGE GROUPS: Total individuals for the current year to date, shown by age group. IMS SHL10061 SHL10062 SHL10063 SHL10075 SHL30083 SHL40063 SHL40119 SHL40122 SHL40141 SHL40143 SHL Agencies Hope House Hope Centre (Breathe) Footsteps, St Helens YP Drug & Alcohol Team St Helens St Helens SES CGL Rowlands NewtonLeWillows Lloyds Duke Street, St Helens Lloyds Junction Lane, Sutton Oak Rowlands Thatto Heath St Helens Millennium Centre Local Authority *** *** 9 6 *** 7 5 *** *** 0 *** *** *** *** *** *** *** *** *** *** *** 0 *** 0 *** *** *** *** SHLa1 IDU: Psychoactive Drugs SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol 0 *** *** *** *** *** IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol IMS Monitoring Report Page 5

6 CLIENT REVIEW DATA: BY AGENCY PRIMARY SUBSTANCE: Total individuals for the current year to date, shown by the last recorded primary substance. IMS SHL10061 SHL10062 SHL10063 SHL10075 SHL30083 SHL40063 SHL40119 SHL40122 SHL40141 SHL40143 SHL Hope House Agencies Hope Centre (Breathe) Footsteps, St Helens YP Drug & Alcohol Team St Helens St Helens SES CGL Rowlands NewtonLeWillows Lloyds Duke Street, St Helens Lloyds Junction Lane, Sutton Oak Rowlands Thatto Heath St Helens Millennium Centre Local Authority Heroin Methadone & Other Opiates Amphetamines (excl Ecstasy) Cannabis Cocaine (excl Crack) Crack Cocaine Other Drugs 53 8 *** 26 *** *** *** *** *** *** *** *** *** 0 *** *** , ,705 1, Alcohol Steroids & PIEDS Not Stated IDU: Drugs IDU: Steroids BI: Drug or Alcohol SHLa1 IDU: Psychoactive Drugs SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol *** 0 8 *** 13 *** *** *** *** *** IMS Monitoring Report Page 6

7 CLIENT REVIEW DATA: BY AGENCY ACCOMMODATION NEED: Total individuals for the current year to date, shown by the last recorded accommodation status. IMS Agencies NFA Urgent Housing Problem Housing Problem No Housing Problem SHL40063 Rowlands NewtonLeWillows Not Known SHL10061 Hope House SHL10062 Hope Centre (Breathe) 0 *** SHL10063 Footsteps, St Helens SHL10075 YP Drug & Alcohol Team St Helens SHL30083 St Helens SES CGL SHL40119 Lloyds Duke Street, St Helens *** SHL40122 Lloyds Junction Lane, Sutton Oak SHL40141 Rowlands Thatto Heath SHL40143 St Helens Millennium Centre *** 0 *** 1,368 SHL Local Authority ,992 SHLa1 IDU: Psychoactive Drugs SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol *** *** NFA Urgent Housing Problem Housing Problem No Housing Problem *For those clients where accommodation status recorded: IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol IMS Monitoring Report Page 7

8 CLIENT REVIEW DATA: BY AGENCY EMPLOYMENT STATUS: Total individuals for the current year to date, shown by the last recorded employment status. IMS SHL Local Authority SHLa1 Agencies Pupil / Student Regular Employment Unemploy & Retired from seeking work paid work SHL10063 Footsteps, St Helens SHL40119 Lloyds Duke Street, St Hele SHL40122 Lloyds Junction Lane, Sutto SHL40143 St Helens Millennium Centre ,373 0 IDU: Psychoactive Drugs 0 *** *** *** ,092 SHLa3 IDU: Steroid & IPEDs 0 7 *** 0 *** SHLb4 BI: Drug or Alcohol *** LT sick or disabled SHL10061 Hope House SHL10062 Hope Centre (Breathe) *** 13 *** 7 SHL10075 YP Drug & Alcohol Team St SHL30083 St Helens SES CGL 0 11 *** 0 *** 0 SHL40063 Rowlands NewtonLeWillo SHL40141 Rowlands Thatto Heath Other Not Stated For those clients where an employment status was recorded: IMS Monitoring Report Page 8

9 CLIENT REVIEW DATA: BY AGENCY PARENTAL STATUS: Total individuals for the current year to date, shown by the last recorded parental status. IMS SHL Agencies Local Authority All of the children live with client Some of the children live with client None of the children live with client Client declined to answer SHL10062 Hope Centre (Breathe) 10 0 *** 0 SHL10075 YP Drug & Alcohol Team St Helens SHL40063 Rowlands NewtonLeWillows SHL40122 Lloyds Junction Lane, Sutton Oak Not a parent SHL10063 Footsteps, St Helens SHL40119 Lloyds Duke Street, St Helens SHL40141 Rowlands Thatto Heath SHL40143 St Helens Millennium Centre *** 0 1,372 Not Stated SHL10061 Hope House *** *** 48 *** SHL30083 St Helens SES CGL *** *** , SHLa1 IDU: Psychoactive Drugs SHLa3 IDU: Steroid & IPEDs SHLb4 BI: Drug or Alcohol 0 *** 11 0 *** *** *** *** *** 956 *** 35 *** Where clients stated that they are a parent (of children under 18) All children live with the client Some children live with the client No children live with the client IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol IMS Monitoring Report Page 9

10 CLIENT CHARACTERISTICS : LOCAL AUTHORITY AREA COMPARISON IDU: PSYCHOACTIVE DRUG CLIENTS GENDER Male Female Cheshire East Cheshire Halton Knowsley Liverpool Sefton Warrington Wirral * Includes individuals for the current year (rolling 12 months). 85 IDU: PYSCHOACTIVE DRUG CLIENTS ACCOMMODATION STATUS 15 NFA Urgent Housing Problem Housing Problem 91 No Housing Problem Cheshire East Cheshire West & Chester * Includes individuals for the current year (rolling 12 months), percentages are of those clients where an accommodation status was recorded. IDU: PYSCHOACTIVE DRUG CLIENTS PARENTAL STATUS Halton Knowsley Liverpool Sefton Warrington Wirral All of the children live with client Some of the children live with client None of the children live with client Cheshire East Cheshire West & Chester Halton Knowsley Liverpool Sefton Warrington Wirral * Includes individuals for the current year (rolling 12 months), percentages are of those clients who stated that they are a parent (of children under 18). IMS Monitoring Report Page 10

11 CLIENTS COHORT SUMMARY: BY POSTCODE AREA OF RESIDENCE IDU: PSYCHOACTIVE DRUG CLIENTS POSTCODE AREA Number of clients in each cohort group by postcode area of residence. Postcode area as recorded at clients latest assessment. Excludes any clients who do not have a postcode recorded. Maps are available for IMSonline users here: IDU: STEROID & IPEDs POSTCODE AREA BI: DRUG OR ALCOHOL POSTCODE AREA Map Key: IMS Monitoring Report Page 11

12 ADDITIONAL NOTES The figure for those accessing services includes all individuals who had an intervention, an onward referral, a well being review, a health screening, or a syringe exchange transaction during the quarter. The number of individuals shown Year to Date (YTD) is not necessarily a sum of the quarterly figures as the same individual may have presented in more than one quarter, but they will only be counted once in the YTD number. Likewise the Local Authority total is less than a sum of the agency figures where an individual has presented at multiple services during the period. The activity summary shows the number of activities delivered by each service. The Year to Date (YTD) activity figure is cumulative and should represent the sum of each quarterly figure, unless any retrospective changes are made to the data by the agency following their quarterly data submission. The client review data section includes all clients who have accesses services at any time during the current year to date, and details information that is collected in the client assessment review, such as Primary Substance of use, Accommodation status, Employment Status, and Parental status. Where the client has multiple assessments completed, only the last completed assessment has been used. Needle and syringe programme data includes all clients who have had a needle and syringe exchange transaction or exchange return recorded at any time during the quarterly period or current year to date. Report prepared by the PHI Monitoring Team, Public Health Institute, Liverpool John Moores University, Henry Cotton Building, 1521 Webster Street, Liverpool, L3 2ET. Tel: (0151) IMS Monitoring Report Page 12

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