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Drug treatment in England and the BBC
On Tuesday 30 October, the BBC
broadcast a series of news items throughout the day claiming that
despite an extra £130m in funding for drug treatment through the
Pooled Treatment Budget between 2004/5 and 2006/7, only 70 more
people successfully completed treatment drug free, suggesting that
each additional successfully treated individual had cost the
taxpayer £1.8m. This is factually wrong.
Below is a letter written to the
national newspapers that repeated the BBC’s inaccurate and
misleading story yesterday with an explanation of how the error
occurred.
However, much more significantly, in
focusing the public’s attention exclusively on ‘treatment drug
free’ as the only benefit to be derived from investment in
treatment, the BBC has dramatically under-represented the value
treatment delivers to taxpayers and service users through saving
lives, improving health and social functioning, and reducing
crime.
Letter to national newspapers
Dear Sir
Sadly, the BBC got its numbers
wrong. More than 5,800 individuals completed treatment free of
illicit drugs in 2006/7, 2,200 more than 2004/5, not the 70
claimed by the BBC. This misunderstanding arose because the BBC
misinterpreted 2004/5 data on the NTA website and failed to check
their figures prior to broadcast.
This error, and the undue emphasis
on drug free completions as the only benefit that the community
derives from its investment in drug treatment, misleads the public
into believing that what is actually a successful system is
failing.
Drug treatment in England offers a
good return on investment and the evidence is substantial, from
international sources to the reports of the National Institute for
Health and Clinical Excellence and the Audit Commission.
All individuals who misuse drugs are
different but it can take seven or eight years before they finally
overcome their addiction. The good news is that most of them will
do so eventually and until then, as long as they receive
treatment, are much less likely to take illegal drugs.
The £400 million the government
invested in drug treatment last year has to be judged against
180,000 individuals whose treatment has protected them from early
death, reduced their criminality and provided the opportunity to
rebuild their lives in the future.
To judge treatment solely on the
small numbers that finally leave the treatment system in a given
year as the BBC has done is misleading and dangerous to the drug
users, their families and society.
Yours sincerely
Paul Hayes
NTA Chief Executive
Hercules House
Hercules Road
London
SE1 7DU
How the BBC got the numbers wrong
The BBC requested figures on
individuals completing treatment drug free in 2006/7, which were
supplied. The BBC then subtracted some completely different
figures relating to treatment episodes in 2004/5 from an online
National Drug Treatment System report and came up with the figure
of 70 more people completing drug free in 2006/7.
The difference between treatment
episodes and individuals treated
An individual may have more than one
episode of treatment within the financial year, either by starting
and stopping treatment more than once in the year, or during a
single contact with the treatment system they may have attended
more than one treatment agency, which would also count as another
episode.
When data is reported at an episode
level all of the occasions that an individual may have been in and
out of treatment or at more than one treatment agency are counted.
When data is reported at an
individual level an individual client is only counted once no
matter how many episodes of treatment they may have had in the
year. The number of episodes will always be higher than the number
of individuals.
How the BBC should have compared the data
The BBC should have compared data on
individuals only. The actual number of individuals in 2004/5 that
at the year end were recorded as no longer in contact with the
treatment system was 55,560 out of which 3,626 individuals were
recorded as leaving drug free.
The number of individuals in 2006/7
that were recorded as no longer in contact with the treatment
system was 66,123 out of which 5,829 were recorded as leaving drug
free. An increase of 2,203 individuals on the numbers recorded
drug free in 2004/5, not the 70 claimed by the BBC. |