EU Drugs Strategy: EUC Report

Baroness Uddin Excerpts

Thursday 19th July 2012 Lords Chamber

[Baroness Uddin]

My Lords, I thank the noble Lord, Lord Hannay, for his instructive contribution and leadership. I welcome this report on the EU drugs strategy. It is a comprehensive effort and will afford us an opportunity for further debate on the points relevant to the UK. The report enhances our current knowledge and enlivens us to the common challenges we all face. Mostly, it reinforces the need for co-operation within and between countries in order for us to deal with matters of trafficking, supply and money-laundering as stated in Chapter 4, as well as sharing examples of good practice in Europe.

With your Lordships’ indulgence, I will concentrate on the situation closer to home in the UK, more specifically the experiences of those on the front line in Tower Hamlets. As the committee is aware, according to the NTA there about 306,000 heroin and crack users in England. We have high numbers who receive drugs treatment in the community or in prison, suggesting a considerable impact on addiction. Although the UK is leading internationally on drug treatment, findings indicate that drug-related deaths are higher in England than in most other European countries. I take this opportunity to pay tribute to the work of the NTA under the leadership of my noble friend Lady Massey, and bow to her and others’ experience, and that of those who have contributed to today’s debate.

Nationally, in the UK, a number of well respected voluntary organisations are providing a variety of programmes, although there is clearly a need for greater co-operation between voluntary and statutory agencies to minimise the risk of services and care provided being patchy or inconsistent. I declare an interest as I was privileged to have led the “Breaking the Cycle” three-year pilot project initiated by Addaction in partnership with the Zurich Community Trust. It provided 400 families with a holistic response where families from Derby, Tower Hamlets and Cumbria were supported. This service was based on the principle that most individuals want to change if support is available to them. It targeted the needs of the whole family, providing a range of motivational and individual interventions. These included counselling, family mediation and therapies, with regular monitoring and home visits, working in collaboration with partner agencies including schools and others. So successful was the outcome for significant numbers of the families, that this model has since been implemented across many parts of the UK by Addaction.

The work was begun in Tower Hamlets more than three decades ago by a handful of brave individuals when most of us felt that this was a taboo subject—while, in some quarters it remains prohibitive, as more families face the anguish, frustration, stigma, pain and isolation which characterises the experience of many families with a member using drugs. There is more open discourse as well as demand for services; that conversation is taking place largely due to organisations such as NAFAS, the Osmani Trust and the Jagonari Centre, which I believe receives funding from the MoJ.

The total number of people accessing structured drugs treatment in Tower Hamlets at the end of March 2012 was 1,853 and 545 were Bangladeshis. There are growing concerns among the community about the use of cannabis by the under 20s, as has already been alluded to; and a rise in alcohol and drugs use among girls, who are sometimes coerced into prostitution to support their habit. Organisations such as NAFAS, which has built up 20 years of expertise, say that there is a need for further research as well as specialist provision to work with families where stigma is still a deterring factor in seeking initial services. A website called londonstreetgangs describes Tower Hamlets as a “heroin capital”, though that is not my personal experience. A film made by Rageh Omar, of Al-Jazeera, refers to £300 million of deals being done in a few days. This was a staggering sum. The total funding for both drugs and alcohol treatment and drugs intervention projects in Tower Hamlets is a mere £8.7 million. It is a frightening reality and the value of the fight we have on our hands.

The cost of family grief, suffering and loss is beyond words. Every parent whom I have spoken to has shared their fear, hopelessness, helplessness, trauma as well as shame. While there are no apparent London-wide targets to tackle drugs dealing on our streets, Tower Hamlets Council has led a local campaign, responding to the community’s demands, called “Dealer a Day”. The programme successfully involved the community and last year secured 400 arrests for drugs supply offences. Despite the efforts made by these and other organisations, significant gaps remain in services, which need further consideration by your Lordships’ House. Frequently those seeking help have hidden their addiction from their families for years before seeking services, as is also known with survivors of domestic violence and child abuse. There is little or no sympathy for addicts seeking help, because drugs addiction is seen as a lifestyle choice.

There is clearly an enormous amount of progress and information available, but there is still a long way to go in creating awareness of addiction and identifying potential drugs use, particularly among family members. Many families that I have spoken to will testify that this is their initial barrier. Work by Addaction also suggests that addicts cannot just be treated medically, but require a holistic intervention involving a range of therapies, support, counselling, housing, and family involvement. Funding should and must be targeted to working with families of addicts to educate them, although I take the point of the noble Baroness, Lady Hamwee, about education. However, it gives families the necessary tools to cope. During the work with Addaction, it became evident that many involved in this field are the least skilled professionals. Therefore professional training needs to be strengthened to equip those who deal with the most vulnerable in our society. They also need to be enabled to work in a multifaceted and multidisciplinary way, which is now required by social workers and police officers when dealing with crimes of domestic violence and child protection cases.

The role of GPs is also critical. They are in an ideal position to promote and embrace a holistic approach, including controlling and limiting substitution drugs, to which many become further dependant, as has been alluded to by the noble Lord, Lord Judd, and others. There ought to be consistency in practices, so that someone living in Rochdale can access similar standards of care as those available to people living in Redbridge. I understand that this is not the case. For example, some authorities in the south-west operate a system of “dry house”, which promotes total abstinence and independent recovery. This support system means a higher rate of recovery. It seems logical that this should be considered by other local authorities, if necessary by pooling resources, yet this is not the case in many parts of London. Why the success rate of programmes such as Alcoholics Anonymous and SMART recovery is higher than that of standard treatments should also be looked into.

I could go on listing the countless great services that have done amazing work over a long period and others that sell families short and leave them crumbling. I speak from personal experience of watching a family member with a severe dependency on drugs. I witnessed drug-induced psychosis, the cycle of recovery and relapse, hospital admissions and that family member being systematically and repeatedly failed by institutions as their choice of drug was simply replaced by an ongoing high dosage of anti-psychotic and anti-depressant drugs. These surely create another, equally dangerous addiction, to which several noble Lords have alluded.

Drugs are the fifth column in many communities. At a time of austerity, this may be the last priority for funding. Given that resources are shrinking, we need a more co-ordinated response to the devastating impact on families and society in general. Currently, very few structured daycare programmes address challenging addictive behaviour. Some have referred to structured daycare programmes as being almost like babysitting. I apologise; I do not intend to offend any particular organisations or methods of work.

Appearing before a Select Committee in the other place recently, Russell Brand called for,

“an authoritative, truthful, honest debate and some funding for abstinence-based recovery”.

He claimed that this would help to,

“neutralise the toxic social threat”,

that addicts pose as criminals and to ensure that they are not simply put on methadone programmes for years at a time, which leaves them written off on the sidelines of society. The harm to individuals, families, communities and society at large is all-encompassing. The examination of drugs cannot be conducted dispassionately, as is suggested by the report. Collective responsibility to tackle this issue is a must so that generations of families are not destroyed in the process, leaving society to pick up the burden of our failures. Mitch Winehouse recently said that he needed help to speak about the death of his daughter. This is borne out by parents to whom I have spoken. I can say only that I am glad that he has done so and agree entirely with his assertion that a grass-roots response is required. Indeed, I would welcome it if parents, individuals and organisations made contact to share their experiences with us all.

Drugs have permeated our young and their social culture. The graveyards of our country claim many of the talented and those children whose names we will never come to know. Surely it is time that we looked at the suggestions detailed in the report, which refers to the Swedish experience in paragraph 30. Here, I note that I am perhaps alone in this; none the less, I shall pursue the point. The report says that Sweden has long been viewed as operating a relatively tough national drug policy. The approach is one of zero tolerance, in an effort to achieve the national aim of a drug-free society. While I acknowledge that there is no consensus on this, I ask the Minister how he views the suggestions of zero tolerance and abstinence-based programmes. Also, will he undertake further work to establish greater understanding of the plight and drug habits of girls and young women in inner-city areas?