Category Archives: Alcohol facts and figures

Alarming scale of addiction in over-50s

So this post was actually published by The Guardian last summer but I’m posting it today to catch those at the end of their January abstensions and relates to the scale of addiction in over 50’s.  This would have been me as I turn 50 this year so hits a particular resonance.

Alcohol and substance abuse, and their detrimental health effects, have reached worrying levels among baby boomers in Britain. Katherine Brown from the Institute of Alcohol Studies sums it up: “This is the first generation of home-drinkers who are far more likely to buy cheap supermarket alcohol than visit their local pub. They are drinking more than their parents and it’s no surprise that their health is starting to suffer as a result.”

Tabloid imagery of inebriated young people lolling in the gutter couldn’t be more misleading. The hard core of the drinking problem is those aged 55 to 74, who outstrip any other age group including millennials for alcohol-related injuries, diseases and conditions.

The phenomenon is being seen in other countries as well – by 2020 the number of people receiving treatment for substance misuse problems is expected to double in Europe, and treble in the US, among those aged over 50. Cannabis, opioids and prescription medications are increasingly part of the picture.

In the UK there are calls for tailored addiction programmes for older people. Karen Tyrell, from charity Addaction, said: “[Older adults’] drinking and drug use tends to be around age-related issues, so things like retirement, bereavement [and] being quite lonely.” Screening for alcohol dependency and other drug issues during visits for health problems such as dementia or liver disease is also being proposed. On a practical level, older people should limit their standard drinks to a maximum of 11 a week rather than the government guideline of 14, says Dr Tony Rao, an old-age psychiatrist with expertise on the issue.

And this piece was followed up the next day with this:

‘Alcohol was my go-to friend’: substance misuse in the over-50s

More than half a million adults aged between 55 and 74 were admitted to English hospitals with alcohol-related injuries, diseases or conditions in 2015-16 – more than for any other age group, according to NHS Digital data.

While risky drinking is on the wane in the UK and Australia, those in the over-50 age bracket buck the trend. By 2020 the number of people receiving treatment for substance misuse problems is expected to double in Europe, and treble in the US, among those aged over 50.

We asked people over 50 to share their experiences and thoughts on the trend.

‘What started out as a hobby became a problem’ – Adrienne, 62, Wellington, New Zealand

My experience was drinking too much wine for years, over a bottle pretty much every night for maybe three to four years before I stopped altogether eight years ago. I was a wine aficionado and really knew my vintners, wineries and wines. What started at as a hobby became a problem.

Wine is alcohol, but I really thought of it as a food group. I loved the mystic, the people and places and the taste of wine. Alcohol addiction is a progressive condition. I was in my early 5os before it became a problem.

I received private addiction therapy for about six months. I had few bad physiological effects from stopping drinking, just a long process to undo a life centred around wine and entertainment. Normalising alcohol addiction in private was critical to developing a bit more self esteem and more emotional honesty. I became a much nicer more grateful person when I stopped feeling ashamed of myself and hiding bad hangovers. I went to AA a couple of times and made lots of people laugh with my stories of self deception. That was good too, but I didn’t feel the need to go regularly.

I am a very high-profile person in NZ, and most people would be astonished to know I was once addicted to alcohol.

‘If you use a poison as an antidote to life you are in real trouble’ – Phil, 61, London

Heavy drinking over decades slipped into dependency and on to addiction, where everything I did revolved around where to find the next drink, notwithstanding that I held down a job and was successful. I used substances to negate fear and anxiety with life and numb emotions, which in my experience is the a common element among addicts. Alcohol was my go-to friend to cope with life – and if you use a poison as an antidote to life, you are in real trouble.

Addiction is an illness and the most selfish of conditions. Nothing, including family, could stop me in my quest for oblivion on a nightly basis. Sure, there were good times along with the bad, but there came a point where despite knowing I had a problem I continued to drink and put at risk material success and relationships.

It is unfortunate that we addicts have to reach a real crisis point physically or mentally, a rock bottom, before we decide to change. That was three years ago, and I have been sober since then.

Lets be clear: this is not social heavy drinking – it is a need to be alone with a bottle and no one in the way. After a particular bad binge, it was clear that the drink was no longer working and I was so desperately miserable and unhappy (mostly with myself) that I had to take action for myself and not anyone else, or end up dead or in a mental hospital. I was reluctantly ready to do what no one else could make me do: go to rehab and begin a total rethink around alcohol.

One-on-one therapy became a weekly story of my drinking and unhappiness but with no solution. Residential rehab for three weeks where for the first time in years I had the opportunity with help to look at how I was destroying myself and those around me allowed me to understand I was trapped in addiction and the freedom that might be on offer if I could recover. I regularly attended AA, despite being an atheist. Do not be put off by the religious element. Freedom from addiction is far too important not to discuss it. The fellowship is full of interesting people ready to help.

 

In the UK, the Samaritans can be contacted on 116 123. In the US, the National Suicide Prevention Hotline is 1-800-273-8255. In Australia, the crisis support service Lifeline is on 13 11 14. Hotlines in other countries can be found here.

There is huge evidence building about this age group and the issue and I’ve written about it too and you can read here where I have collated all news sources into one post:

Overage drinkers

It goes without saying that if you are reading this and you think this describes you then please seek help before you pick up a drink again now February is here.

Drugsland

So although this blog is primarily about alcohol addiction, substance abuse and misuse isn’t that neat and tidy and many of us have/had multiple addictions to many substances and behaviours.  I recently watched the BBC series Drugsland which I was really impressed with and learnt a great deal hence wanted to share here for those of you who may also be interested.

The image on this blog post comes from an organisation called The Loop:

The Loop is a not for profit Community Interest Company established in 2013 which provides drug safety testing, welfare and harm reduction services at nightclubs, festivals and other leisure events.

We also provide staff training on drugs awareness, in-house welfare service delivery, the prevention of drug related harm at events, and the delivery of ethical ‘front of house’ drug safety testing services.

This part of their service really struck me as vital:

To provide an opportunity to engage with hidden and hard to reach user populations who are predominantly not in touch with drugs services and who are unlikely to get the opportunity to have any other advice or brief interventions

Such a brilliant organisation and much needed service.

Here is the link to the episode of Drugsland which features Prof David Nutt and Dr Ben Sessa talking about the 1971 Misuse of Drugs Act which at over 45 years old still governs the legal, and therefore criminal processes, here in the UK.  There is also an interesting discussion about how alcohol and tobacco should be made illegal if there are no changes to current drugs laws!

Drugsland: The Fix

And this one is also well worth a watch:

Drugsland: Dying to Get Clean

To be honest all four episodes are excellent although at times I found them hard to watch.  I agree with all that David Nutt and Dr Sessa say and believe it is time to review and revise the policy around drugs including decriminalisation so that drug testing and harm reduction services could be more widely expanded to support public health and safety.  I would have happily used the services of The Loop if they had been available in my past and would encourage anyone to use them if they are present at an event you are attending.  New Years Eve used to be a big night out back in the day so sharing this felt timely as we approach just that night.

If you’re concerned about your drug taking and need advice and support the Drugsland website also provide an excellent list of resources:

Information and Support

 

Minimum unit pricing to go ahead in Scotland after 5 year legal battle

MUP is a more effective means of reducing socioeconomic inequalities in health than taxation ( Colin Angus‏ @VictimOfMaths)

From Alcohol Policy UK today:

Today the UK Supreme Court delivered the final verdict on Scotland’s long running legal challenge to introducing Minimum Unit Pricing (MUP). The Scottish Government first passed legislaton in 2012 but a number of industry bodies spearheaded by the Scotch Whisky Association (SWA) forced a series of challenges under EU which some public health figures have described as ‘delaying tactics’.

The legal challenge rested on the argument that MUP contravened EU competition law, arguing instead that taxation would be a more appropriate means of achieving its aims. However the Supreme Court disagreed stating health objectives and the free market were “two incomparable values” and declaring MUP a “proportionate means of achieving a legitimate aim”. The court also rejected the appeal’s claim that the Scottish Government should have committed to going further in assessing market impact as unreasonable, acknowledging its commitments to evaluating the impacts and the five year sunset clause. 

Public health groups and academics involved in MUP took to Twitter to express relief and comment on the judgement and next steps. The SWA have issued a brief statement on the decision whilst a Spectator article by veteran ‘anti-nanny state’ commentator Christopher Snowden says MUP ‘won’t end alcoholism’. However James Nicholls suggested this was a ‘straw man’ argument and has written a response to the ruling outlining MUPs aims and key considerations. The news has also been covered by the BBC, Telegraph, The Scotsman and Guardian, with further coverage and comment likely throughout the week.

Absolutely delighted that minimum pricing has been upheld by the Supreme Court. This has been a long road – and no doubt the policy will continue to have its critics – but it is a bold and necessary move to improve public health.

— Nicola Sturgeon (@NicolaSturgeon) November 15, 2017

Where next?

The Scottish Government will no doubt hope to see MUP come into effect as soon as possible; indeed the likely impact (see latest Sheffield modelling here) of the 50 pence per unit floor price will be significantly lower than had it been introduced in 2012, though its level can be addressed as part of the legislation. Wales and Ireland will also be welcoming the ruling having taken their own legislative steps to introduce MUP.

As for England, further pressure will no doubt be placed on the Westminster Government who, after David Cameron’s infamous 2012 u-turn, have committed only to monitoring Scotland’s proceedings. Watch this space.

Absolutely bloody brilliant news!!!

Edited to add:

Scottish Government minimum pricing consultation & evaluation details
Wales MUP evidence heard as consultation closes

Edited to add: 30/01/2018

Minimum pricing back in the spotlight following House of Commons Committe and IFS report

Ever present alcohol

This was an excellent guest post for Alcohol Policy UK in May which I am sharing again here about alcohol availability in England – or as I see it ‘ever present’.

In this guest post, Colin Angus, a Research Fellow at the University of Sheffield, explores recent research on alcohol availability in England and considerations for policy.

A recent study from the Sheffield Alcohol Research Group highlights how widely available alcohol is in England, and how this has changed in the last decade. The study explores the availability of alcohol through measuring travel distances to the nearest outlet selling alcohol and counting the number of places where alcohol could be bought within walking distance (1km). Researchers looked at how availability had changed between 2003 and 2013, particularly changes in the type of outlets where alcohol was sold, and how availability was related to socioeconomic deprivation.

The key findings include:

  • The average distance from the centre of each postcode to somewhere selling alcohol was 323m, with 85% of postcodes being within 500m of an alcohol outlet.
  • The average English postcode has 31 outlets selling alcohol within walking distance (1km) of its centre
  • Alcohol is more available in the on-trade (places like pubs and restaurants where alcohol is sold for consumption on the premises) than the off-trade (shops where alcohol is sold for consumption elsewhere) based on numbers of licensed premises
  • The most deprived 20% of postcodes have around 3 times as many outlets selling alcohol within walking distance of their centre as the least deprived 20%
  • A rapid proliferation of convenience stores and metro supermarkets since 2003 has meant that access to pubs and bars has decreased by 8%, while access to off-trade alcohol has increased by over a third.
  • Pub closures have been far more common in deprived areas while pub access has increased slightly in other areas.

There are many possible explanations for these findings. Significant changes to licensing were introduced in the 2003 Licensing Act, which came into force in 2005 and made it substantially easier to apply for new off-trade licenses. It is also likely that the economic pressures of the recession have had a major part to play in the economic viability of many pubs, as well as the effects of the 2007 smoking ban. This may explain the more acute declines in deprived areas where the recession has hit harder and smoking rates are higher.

What does this mean for public health?

The physical availability of alcohol is clearly not a barrier to obtaining alcohol in this country. Whilst there is a strong body of evidence showing that reducing the availability of alcohol reduces alcohol-related harm, this evidence is overwhelmingly from countries such as Australia and the USA where there are substantially fewer places to buy alcohol from in the first place. Although a steady reduction in the number of UK alcohol outlets may yield benefits in the long-term, it seems less likely that the closure of a small number of outlets will result in significant reductions in harm as long as alcohol is still widely available.

Declining availability in the most deprived areas, which suffer the most alcohol-related harm, may be seen as a good thing. However, shop-bought alcohol is generally substantially cheaper than that bought in pubs and bars, and access to shops selling alcohol has increased. Some have also expressed concern that a shift from drinking in pubs to drinking at home may bring increased risks to health; pubs may potentially offer a more controlled drinking environment where bar staff and patrons act as a moderating influence on levels of consumption.   

Two recent studies have found an association between higher levels of licensing activity in local authorities (in terms of challenging license applications and introducing cumulative impact policies) and greater reductions in alcohol-related hospital admissions and crime. Our findings suggest that unless a radical change in levels of availability can be achieved, local licensing boards may be more likely to have a greater impact on harm if they focus on particular problem outlets. Seeking to address other aspects of availability may also be more fruitful, such as opening hours or the selling of high strength low price products, rather than seeking to reduce the overall number of outlets in an area.

The findings also suggest that licensing actions and government legislation over the past decade or so has done little to directly address the shift in availability from on- to off-trade. Indeed, recent cuts to alcohol duty rates, whilst portrayed by some groups as a boost for the pub industry, have increased the relative gap in prices between the on- and off-trades, potentially accelerating this trend. Whatever the underlying causes of this shift may be, cheap alcohol is easier to access now than at any point in recent history.  

This research was part-funded by Alcohol Research UK (R 2014/03).

I find some of those statistics staggering particularly these two: 85% of postcodes being within 500m of an alcohol outlet & the average English postcode has 31 outlets selling alcohol within walking distance (1km) of its centre.

Both shocking and unsurprising to me, how about you?

 

Statistics on Alcohol England 2017

An excellent blog post as always from Alcohol Policy UK in May looking at the latest statistics on Alcohol England for 2017 & Opinions and Lifestyle Survey (OPN) drinking figures.

Over to James:

The annual Statistics on Alcohol for England 2017 has been released, detailing national data for key alcohol-related indicators and health harms.

Mainly bringing together recent alcohol data releases, the overall trend remains one of falls in drinking amongst younger people, whilst many measures of harm including the latest alcohol-related hospital admissions continue to rise, largely driven by heavier drinking mid and older age adults. See here for Guardian and BBC reports.

Key headlines from the release include:

Hospital admissions – broad measure
  • There were 1.1 million estimated admissions related to alcohol consumption in 2015/16. This is 4% more than 2014/15.
  • This represents 7.0% of all hospital admissions which is similar to 2014/15 and 2013/14.
  • Blackpool had the highest rate at 3,540 per 100,000 population. Isle of Wight had the lowest rate at 1,400.

Hospital admissions – narrow measure

  • There were 339 thousand estimated admissions related to alcohol consumption in 2015/16. This is 3% higher than 2014/15 and 22% higher than 2005/06.
  • This represents 2.1% of all hospital admissions which has changed little in the last 10 years.

See here for the LAPE statistical commentary [pdf] on the latest alcohol-related hospital admission figures.

Drinking Prevalence

  • 57% of adults reported drinking alcohol in the previous week in 2016 which is a fall from 64% in 2006.
  • This equates to 25.3 million adults in England.
  • Those who drank more than 8/6 units on their heaviest day in the last week fell from 19% to 15%.

Deaths

  • In 2015, there were 6,813 deaths which were related to the consumption of alcohol. This is 1.4% of all deaths.
  • The number of deaths is similar to 2014 but is an increase of 10% on 2005.

[NB Age standardised death rates show a relatively stable trend since 2012].

Prescriptions

  • The number of prescription items dispensed in 2016 was 188 thousand which was 4% lower than 2015 but 63% higher than 2006. This breaks the recent trend of successive year on year increases.
  • The total Net Ingredient Cost (NIC) was £4.87 million. This is 24% higher than in 2015 and more than double the level ten years ago.

Consumption confounders?

The national statistics release includes the latest Opinions and Lifestyle Survey (OPN) data on alcohol consumption, albeit that Heaviest Drinking Day (HDD) in the last week is not well regarded as an accurate indicator of consumption. Health Survey for England (HSE) data may be considered better for consumption trends as it also includes questions on mean weekly or daily consumption.
Recent sets of both data though show similar findings in terms of identified trends and socio-economic or geographical variations. However a small decline in the OPN’s proportion of adult drinkers in Britain to 56.9% based on reported drinking in the last week is the lowest since 2005 when the survey began. This time point has however been described as ‘peak booze’ following several decades of steep increases before the turn of the century. As well as the many important demographic differences behind these overall trends in reported consumption, more detailed research has continued to highlight the ‘rich tapestry’ behind the various drinking groups and the extent of under-estimation in self-report data.
Prescriptions: an unexpected drop?
Whilst the ten year trend for prescriptions to treat alcohol dependency has risen significantly, a 4% drop on 2015 may be notable, though largely due to a significant fall in Disilfiram prescriptions. The release however notes a sharp rise of £22 for the Net Ingredient Cost for Disilfiram giving a likely indication as to why. Also of interest, prescription items for Nalmefene fell by 1,000 from 4,400 in 2015 to 3,400 in 2016 which may reflect the apparent decision by its producers Lundbeck ceasing promotion activity in the UK, but also potentially linked to questions raised over the evidence and licensing process.
Alcohol-related cancers: a further harm measure
The latest LAPE statistical commentary [pdf] also includes estimates of alcohol-related cancer based on the six cancer types which are known to have an alcohol link; mouth, throat, breast, stomach, liver and bowel cancer. The release suggests approximately 19,000 new cancer cases each year attributed to alcohol. Since 2004 these rates have been rising, but a recent small drop in alcohol-related cancer rates for men has not yet been followed by the rates for women.
Looking ahead: sales and pricing?
For those keen on assessing the potential future for harm and consumption trends, interest will no doubt be focused on forthcoming sales data which indicated a return to rising total UK alcohol consumption last year, largely driven by the continued growth in off-sales. As such, health advocates wish to see Minimum Unit Pricing (MUP) to curb the availability of the cheapest alcohol – a final conclusion to Scotland’s long running bid is expected imminently.
There has been a great deal of talk recently about JAM (just about managing) or “squeezed middle” in the UK and this share of expenditure being spent on booze can’t be helping financially or otherwise.

Alcohol Pricing

An excellent blog post from Alcohol Policy UK discussing the Institute of Alcohol Studies updated fact sheet on alcohol pricing published in March.

Over to James:

The Institute of Alcohol Studies (IAS) have updated its factsheet on alcohol pricing as health groups seek to continue highlighting the importance of price in addressing alcohol harms.

Download ‘The price of alcohol’ [pdf] here or see a collection of pricing documents and research here.

Chapters covered in the report include:

Pricing, policy and the future of MUP?

Of central important to pricing debates is the relationship between price and consumption. Price, or more precisely affordability, influences the level of population consumption as has been shown by a wide literature. In the UK, attention has been on rising affordability and consumption during the second half of the 20th century, followed by the more recent decline since 2004. Rises in consumption over the last two years have indicated a possible return to an upward trend, whilst the price and sales gap between off-trade and on-trade prices has continued to widen. As such, attempts to see Minimum Unit Pricing (MUP) have been central to public health policy calls in England, while Scotland’s passing of MUP legislation in 2012 has yet to overcome industry-led challenges. A final verdict is expected this year.

Undoubtedly there are many complexities, with debates particularly focused on how pricing changes affect drinkers of different incomes and consumption levels. Whilst the well cited Sheffield Alcohol Research Group’s (SARG) various modelling has undoubtedly applied advanced and detailed methodologies, predicting the exact impacts is never possible. Indeed the factsheet acknowledges that ‘lower alcohol consumption generally reduces health risks’ and so there is ‘strong reason to expect that higher alcohol prices should improve health outcomes.’ Indeed the recent PHE evidence review found strong favour for pricing as a key desired policy, albeit complicated by issues such as the alcohol harm paradox and complexities in identifying longer term health impacts of harmful drinking.

Secondary to MUP, public health opportunities for taxation policy arise with each budget, though of course also facing strong opposing calls from some industry groups. Over the last decade duty changes have arguably gone both ways, with positive public health impacts reportedly seen as a result of the 2008-2014 duty escalator, but opponents subsequently seeing its end and cuts on certain drinks. This year’s budget ‘froze’ duty which would rise with inflation, although a tax consultation aimed mainly at ‘white ciders’ – typically one of the cheapest drinks per unit – is currently underway.

Affordability

Pricing debates as such are going nowhere, but the policy decisions are hard to call. The former coalition Government infamously u-turned on its 2012 MUP pledge, largely thwarted by the current Prime Minister as then Home Secretary. It was insisted MUP though was not being ‘ruled out’, rather than waiting for more conclusive evidence. Waiting to see what happens in Scotland arguably makes for sensible politics, albeit health groups argue that dealying MUP comes at the expense of lives. Wales and Ireland are also pursuing MUP, and with Brexit in the mix, the future of alcohol pricing policy is likely to remain uncertain.

Valuable research indeed.

NICE focuses on improving treatment and diagnosis of liver disease

I have to thank the lovely Prim for forwarding this link to me about NICE and new draft guidance on treatment and diagnosis of liver disease (cue obligatory pictures of liver disease!)

Here’s the NICE report:

People who drink too much should be sent for scans to detect early liver disease, says NICE

Almost 1.9 million harmful drinkers in England could be sent for scans for cirrhosis by their GPs to detect disease early so treatment and lifestyle changes are more effective.

A draft quality standard out for consultation advises GPs to send people for scans for cirrhosis if men are drinking more than 50 units per week or 22 pints and women are drinking more than 35 units per week or 3 ½ bottles of wine.

Access to the two recommended tests, transient elastography and acoustic radiation force impulse imaging is currently varied across England, whilst the first is available in at least 120 UK hospitals, the latter is a newer technology that is not as widespread.

Dr Andrew Fowell, consultant hepatologist at Portsmouth Hospitals NHS Trust and specialist committee member, said: “Identifying people who are at risk of liver disease and offering them non-invasive testing to diagnose cirrhosis is key to ensuring they are given the treatment and support they need early enough to prevent serious complications.”

“Ten years ago diagnosis of cirrhosis would often require a liver biopsy, but now with advances in non-invasive testing it is much easier for patients and health professionals to make a diagnosis.”

Draft guidance also calls for all those diagnosed with non-alcoholic fatty liver disease to be regularly tested for advanced liver fibrosis – so they can manage their condition and prevent it developing into cirrhosis.

Professor Gillian Leng, deputy chief executive of NICE, said: “Many people with liver disease do not show symptoms until it is too late.

“If it is tackled at an early stage, simple lifestyle changes or treatments can be enough for the liver to recover. Early diagnosis is vital, as is action to both prevent and halt the damage that drinking too much alcohol can do.

“This draft quality standard makes a number of important suggestions to improve care for those with liver disease from offering advice to less invasive testing.

NICE is calling for all adults and young people with cirrhosis to go for ultrasound scans every 6 months for hepatocellular carcinoma, in a bid to improve earlier diagnosis.

The draft quality standard also supports improvements in treatment to prevent vein bleeds in some adults and young people with cirrhosis. An estimated 2,687 people could be eligible for treatment each year.

Liver disease is the fifth largest cause of death in England and Wales. It is estimated over 4,000 people die from cirrhosis every year and 700 will need a transplant.

Consultation on the draft quality standard for liver disease is open until 2 February 2017.

I look forward to the new guidelines being published and if you are wanting to find out about liver scans prior to this please go to this blog post.

Edited to add: 7th Nov 2017

Alcohol-related Liver Disease: Guidance for Good Practice

A retrospective on 2016 (Friday sober jukebox: some riot)

So as I have pared down my blog activity and news sources the one I repeatedly return to is Alcohol Policy UK.  They wrote an excellent retrospective piece about 2016 which you can read here:

 

Alcohol policy in 2016 & what’s in store for 2017?

But what really struck me about this blog were the images featured at the end entitled: Selected alcohol slides from the ‘most interesting things about drugs and alcohol in 2016’ from Andrew Brown:

The top image was the first which highlighted how over half (54%) of strong ciders sold in the off-trade in England and Wales in 2015 were sold at below 20p a unit  <pauses to let that sink in for a minute>  so for less than the cost of a pint of milk! 🙁

Below I share the other three because visual images can be so much more impactful than words.  They all tell a compelling story which as yet is not being addressed by our govt sufficiently to change the trajectory of the graphs.

Association between the experience of physical and sexual abuse in the lives of women and dependence to drugs and alcohol …..

 

 

The number of offences committed pre and post treatment for alcohol use disorders ……

 

 

 

Graphic confirmation that those with the most problems with alcohol are more likely to use the NHS …..

 

 

 

I’ll finish with a haunting performance from Elbow and the BBC Concert Orchestra of Guy Garvey’s ode to a friend lost to alcohol addiction  – some riot.

The impact of alcohol is all too plain to see and hear to those who have eyes and ears.  Shame our govt is looking the other way with its collective fingers in its ears (except perhaps Liam Byrne) …..

PS Yesterday was day 1250!

Alcohol misuse most often treated in middle age

This report featured in the Institute of Alcohol Studies report in November 2016.  This report struck me because I stopped drinking just before my 45th birthday.

Average age of alcohol only clients seeking treatment is 45 years (04 November)

Drinkers in their forties make up the most number of alcohol only treatment users for substance misuse in England, according to new figures published by Public Health England (PHE).

The National Drug Treatment Monitoring System (NDTMS) report ‘Adult substance treatment activity in England 2015-16’ shows that in the 12 months to 31st March 2016, clients exhibiting problematic or dependent drinking represented a total of 144,908 individuals, the second largest group in treatment (see pie chart, illustrated right). Of these, 85,035 were treated for alcohol treatment only and 59,873 for alcohol problems alongside other substances.

The overall number of individuals in treatment for alcohol fell by 4% compared to 2014-15, with the numbers for alcohol only decreasing by 5% since then, to reach its lowest total since 2009-10 (illustrated below). However, this figure still represents more than double the annual number of alcohol only clients recorded since records began in 2005-06 (35,221 clients).

The report noted that those in treatment for alcohol only and opiates tend to be much older than individuals who have presented for problems with other substances. The median age of alcohol only clients was 45 years, with 68% aged 40 or over and 11% aged 60 years and over.

Roughly three-fifths of alcohol only clients were male (61%) although this was a lower proportion than those representing the entire treatment population in 2015-16 (70%). The report’s authors suggested that this finding is “likely (to) reflect the differences in the gender prevalence of problematic alcohol and drug use.” PHE will be releasing estimates of alcohol dependency late 2016.

Individuals starting treatment in 2015-16 were most likely to present with problematic alcohol use (62%, or 84,931 new clients) (illustrated, below). But alcohol only clients also had the highest rates of successful exits of all clients presenting for treatment, with just under two-thirds (62%) successfully completing treatment, up on 61% in the previous year.

However, there were also more deaths among those accessing treatment for alcohol only problems; there were 817 deaths in 2015-16, 3% more than the previous year.

The report also noted that since alcohol service providers started reporting to NDTMS in 2005-06, alcohol citations have remained relatively stable, although the gathering of information on alcohol treatment service providers since 2008-09 may have been one of the main drivers of an overall increase in clients seeking treatment for substance use in general over the last decade.

Responding to the latest figures, Rosanna O’Connor, Director, Alcohol, Drugs & Tobacco within the PHE Health and Wellbeing Directorate, said:

“It is clear from the data that there is an increasing need for services to meet the complex needs of older more vulnerable drug and alcohol users in treatment as well as finding ways of helping those accessing services for the first time to get the treatment they need and move on with their lives.

“Within the data there is much to be hopeful about… But we certainly can’t be complacent – PHE, national and local government and providers, all need to enhance our efforts to ensure that treatment is a safe platform from which to achieve recovery.”

Before you pick up a drink again maybe reflect on this data and if you are in this age range perhaps ask yourself the question whether you really want to go back to that cycle of drinking or whether a longer period of abstinence might be helpful to evaluate your relationship to drinking further?  Just a thought 🙂

Do I Drink Too Much?

So it’s the last day of January and to those of you taking part in Dry January congratulations if you made it this far.  Have you been reflecting on whether you drink too much as part of that month off?  Perhaps on your last night of sipping sparkling water you might want to watch this documentary which aired in December on BBC Wales.  Thanks to my friend Libby for bringing it to my attention!

Lib featured it as part of her News and Update round-up for December on Alcohol Policy UK and if you wish to read all of it you can find it here:

News & updates December 2016: middle-age health, drink-driving, the rise of alcohol-free & the return of benchgirl