Interim monitoring report on statutory-funded residential rehabilitation placements
Quarter ending 31 December 2021

About this release

This is the second report on Residential Rehabilitation within the Monitoring and Evaluation Programme led by Public Health Scotland. The report presents information on the number of Alcohol and Drug Partnership statutory funded placements, with estimated costs, that were approved between 1 April 2021 and 31 December 2021. Information is provided at a Scotland level, NHS board and each Alcohol and Drug Partnership.     

Main points

• All thirty Alcohol and Drug Partnerships (ADPs) responded to the data request. Out of the 30 ADPs, 73% approved placements in Q3. This is an increase compared to 50% in Q1 (n=15) and 57% in Q2 (n=17).
• The most common reason for ADPs submitting a nil return between Q1 and Q3 was developing new clinical pathways into residential rehabilitation. Other reasons included: no referrals being received within the timeframe; low staff capacity within NHS wards which manage detox and short stay rehabilitation, and the ongoing impact of restrictions during the COVID-19 pandemic.
• Between 1 October 2021 and 31 December 2021, 114 placements into residential rehabilitation were approved by Alcohol and Drug Partnerships (ADPs) using statutory funding. This equated to a total estimated cost of £794,861. This is an increase of 17 placements compared to Quarter 2.

Figure 1 Approved placements in Scotland, 1st April to 31st December 2021 A bar chart showing the monthly number of approved placements in Scotland. Overall, the average number of approved placements between April 2021 and December is 2021 is 36. The largest number of placements was 47 in April 2021, and the lowest number was 27 in July 2021. The trend decreases each month from April to July, then increases from August to November, and then decreases in December. The monthly numbers are : April 2021: 47 May 2021: 38 June 2021: 30 July 2021: 27 August 2021: 34 September 2021: 36 October 2021: 38 November 2021: 41 December 2021: 35

Close

Approved placements in Scotland, 1 April to 31 December 2021

• Overall, 326 placements in Scotland have been approved using statutory funding from 1st April 2021 to 31st December 2021. This equates to a total estimated cost of £2,240,045.
• Of the 114 placements in Quarter 3, 70% of placements were for males (n=80), and 30% of placements were for females (n=34). Overall, the split between males and females over the three quarters is 68% and 32% respectively.
• In Q3, 51% of placements (n=58), were for people with problematic alcohol use, 30 placements (26%) were for people with co-dependency, and 26 placements (23%) were for people with problematic drug use. The number of placements for people with problematic alcohol use and co-dependency, increased in Q3 compared to Q1 and Q2. However, the number of placements for problem drug use decreased from 49 in Q1, to 26 in Q3. 
• The largest number of funded placements in Q3 was Highland ADP (n=29), followed by Glasgow City ADP (n=23), then City of Edinburgh ADP (n=9). This order remains when aggregating the data over the three quarters.   Highland ADP funded the largest number of placements (n=77, 24%), followed by Glasgow City ADP (n=26, 23%), then City of Edinburgh ADP (n=41, 13%).

Background

Residential rehabilitation is a well-established intervention for the treatment of drug and alcohol problems and is recognised as an important option for some people requiring treatment.  As part of the National Mission, the Scottish Government has committed to invest £100M for residential rehabilitation over the next five years. In this current financial year, and for the next five years, the Alcohol and Drugs Partnerships have been allocated £13.5M, with £5M earmarked to support additional capacity and access Residential Rehabilitation services.

Further information

The next release of this publication will be 28 June 2022.