National and Regional Estimates of the Prevalence of Opiate

and/or Crack Cocaine use 2008-09: A summary of key findings (original) (raw)

Hay, G., Gannon, M., Casey, J. and Millar, T.(2010) National and Regional Estimates of the Prevalence of Opiate and/or Crack Cocaine use 2008-09: A summary of key findings. Project Report. National Treatment Agency for Substance Use.

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Abstract

This report summarises the results of a follow-up study to a three year project to estimate the prevalence of ‘problem drug use’ (defined as use of opiates and/or crack cocaine) nationally (England only), regionally and locally. The follow-up was carried out two years after the final sweep of the original project, so could therefore be considered as ‘sweep 5’. An overview of the national and regional estimates are presented in this report, as are comparisons with the estimates produced by the third (2006-07) sweep of the study. Estimates for 2007-08 are not available as a study was not commissioned for that year.

Information about the number of people who use illicit drugs such as heroin, other opiates or crack cocaine is key to formulating effective policies for tackling drug-related harm as these drugs are associated with the highest levels of harm. It also helps inform service provision at the local level and provides a context in which to understand the population impact of interventions to reduce drug-related harm.

Direct enumeration of those engaged in a largely covert activity such as the use of class A drugs is difficult and standard household survey techniques tend to underestimate the extent of such activity. Indirect techniques making use of various data sources offer a more reliable way of calculating prevalence estimates for the use of opiates and/or crack cocaine. The estimates presented in this report are derived using two indirect measurement techniques: the capture-recapture method (CRC ); and the multiple indicator (MIM ) method. These methods are described in detail in Hay et al., 2006 and Hay et al., 2007a. Methodological developments throughout the course of the previous three sweeps are discussed elsewhere (Hay et al., 2007b, Hay et al., 2008). The individuals covered by this study were people aged 15 to 64 and resident in each DAT area, and known to be using heroin, methadone, other opiate drugs or crack cocaine.

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