Substance Misuse

Executive Summary

Birmingham Public Health - Substance Misuse ensures that the work of local agencies is brought together effectively and that cross-agency projects are co-ordinated successfully. Public Health makes strategic decisions on expenditure and service delivery within the three themes of the National Drug Strategy 2010 which are:


  • Reducing Demand

  • Restricting Supply

  • Building recovery in communities

The first annual review of the National Drug Strategy 2010 was released in May 2012. To view it please click here


To support strategic decisions around expenditure and service delivery around Alcohol, Birmingham also has an Alcohol Strategy 2012 - 2016 which can be found here.

Birmingham also has a Drugs & Alcohol Needs Assessment which can be found HERE

The National Alcohol Strategy can be found here


Key Outcomes

Birmingham Public Health delivers a range of programmes in response to this strategy. Our primary role is to commission services appropriate to the needs of local communities, monitor and report on performance and communicate plans, activities and performance to stakeholders.

Birmingham commissions a range of services across the Birmingham area, aimed at supporting problem drug and alcohol users.


These include:


  • Shared care for substance misuse (GP Prescribing)

  • Community drug and alcohol treatment teams and other specialist treatment provision

  • Blood borne virus service

  • Detoxification and rehabilitation (including in-patient services)

  • Structured day care

  • Specialist and community needle exchange and pharmacy provision

  • Outreach work with homeless and vulnerable groups

  • Young people’s services


A variety of support and follow on services are also available including:


  • Tenancy support

  • Education and employment services to back up treatment and sustain recovery

  • Aftercare support

  • Relapse prevention

  • Training opportunities

  • Volunteer opportunities

Over the last few years, substantial developments have been made through the Drug Interventions Programme. The programme provides clear pathways through drug treatment and other services for those with offending and drug related problems. There has also been increased investment in the expansion of services within the primary care sector, aiming to improve involvement of users and carers in service development. Most services deal with mainly Class A drug users but some offer services for problematic use of other substances including cannabis and alcohol.


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