Previous research demonstrates strong links between mental health and smoking, alcohol use and drug use. The co-existing substance misuse and mental health issues tool provides an overview of data around smoking, alcohol and drug use, in addition to mental health prevalence and service use.
Risk and related factors
Derby performs significantly poorer than the national average across a range of risk and related factors. These include the following:
Derby performs comparably with the national average across the following risk factors:
Substance misuse prevalence
There is evidence for a higher level of substance misuse prevalence at a local level. In Derby, the estimated prevalence of opiate and/or crack cocaine use (14.5 per 1,000) is almost double that of the national and regional average. This is mirrored in the recent increase in hospital admissions for mental and behavioural disorders due to alcohol, which rose to 144 per 100,000 in 2013/14. The prevalence of smoking amongst adults aged 18 and over (18.7%) is currently comparable with the national and regional average, although it is important to note that this is based upon self-reported data within the Integrated Household Survey.
Substance misuse treatment demand
Mental health problems are common amongst those in treatment for drug and alcohol use. The latest available data indicates that locally, the percentage of people in concurrent contact with mental health and substance misuse services for drug or alcohol use is significantly lower than the national and regional average.
Substance misuse treatment response
Client outcome data provides an important indication of the needs of the treatment population. Derby performs comparably with the national average for the successful completion of drug treatment amongst opiate users. In 2014, 8.6% of opiate users left drug treatment successfully and did not re-present to treatment within 6 months. The proportion of successful completions amongst non-opiate users (33.2%) and those in alcohol treatment (33.1%) is currently lower than the national average. Derby performs significantly better than the national average across the following treatment response indicators:
Mental health prevalence and services
Service usage provides an additional indication of mental health issues in the underlying population. Derby performs comparably with the national average across the following:
Derby performs significantly higher than the national average across the following service indicators:
Social care assessments are important in determining the additional care and support needs of clients with mental illness. These could be related to housing, employment or social inclusion. Locally, the rate of new social care assessments for mental health clients is the lowest in the region, and significantly below the national and regional average.