Unmet need for substance misuse treatment

  • Research type

    Research Study

  • Full title

    Unmet need for substance misuse treatment

  • IRAS ID

    314597

  • Contact name

    Michael Robinson

  • Contact email

    michael.robinson@york.ac.uk

  • Sponsor organisation

    University of York

  • Duration of Study in the UK

    1 years, 1 months, 29 days

  • Research summary

    There are approximately 250,000 people using heroin and other opiates, 180,000 using crack cocaine and 600,000 people dependent on alcohol in England. However, only 50% of the opiate users, 40% of the crack users and 20% of the dependent drinkers are receiving treatment for their substance use. This substance use is associated with high levels of deaths, ill health, crime, homelessness and associated economic costs, and evidence shows that drug and alcohol treatment is effective – saving lives, improving health and reducing crime. It is therefore a high priority to get the untreated into treatment.
    We know remarkably little about these three groups (problem opiate, crack and alcohol users) and this study aims to address this gap by interviewing people in each group who have never been in treatment before or been out of treatment for at least one year and been admitted into hospital, asking them about:
    • current substance use
    • pathways into substance use
    • life circumstances
    • previous treatment
    • knowledge of treatment
    • barriers to treatment
    • impact of COVID-19
    • support they would like in future
    This 18-month study will include research in two hospitals: Homerton University Hospital, Hackney, London and James Cook University Hospital, Middlesbrough. Both areas have high levels of opiate and crack use, and dependent drinking. We will work with specialist substance abuse workers (Alcohol Health Workers) in these hospitals to identify patients with drink and/or drug problems but who are not in treatment, for interview. We aim to interview at least 15 dependent drinkers and 5 heroin and/or crack users in each site.

  • REC name

    Wales REC 6

  • REC reference

    22/WA/0331

  • Date of REC Opinion

    24 Nov 2022

  • REC opinion

    Favourable Opinion