Introduction
This profile collates and analyses a wide range of publicly available data around tobacco smoking, alcohol use and drug use, including data on prevalence, risk factors, treatment demand and treatment response. The tool also features indicators around mental health prevalence and services. From December 2016, it also featured related indicators on mortality.
The tool is for:
- commissioners
- service providers
- clinicians
- service users and their families
Users can benchmark their area against England, region or similar populations.
Although we still lack good, direct local indicators of the levels of co-morbid substance misuse and mental health issues, the available research literature demonstrates strong links between mental health and smoking, alcohol use and drug use. Smoking is much more common among those with mental health disorders (McManus et al, 2010), and most users of drug and alcohol services also experience mental health problems (Weaver et al, 2003). Based on these associations, we have chosen, in lieu of more specific data, to release overall data around smoking, alcohol use and drug use, as well as data around mental health prevalence and services.
About the tool
Tool structure
Data is presented under the headings:
- Prevalence and Risks
- Treatment Demand
- Treatment Response
Within these it is grouped by local authority area.
Tool content
Data is drawn from various sources and varies by time period, population and presentation of values.
Interpretation of data should be done carefully. Detailed metadata and any caveats are set out in the Definitions section.
Data quality
Data items are included if viewed as robust, of sufficient quality, or they offer an important element that could not be otherwise gained. Each indicator has been assessed and labelled with its quality rank.
Supporting Documents
Links
· Fingertips user guide CESMMHI: helps navigate the CESMMHI tool
· Profiling guide: guides assessment of data
Other sources
McManus, S., Meltzer, H., & Campion, J. (2010). Cigarette smoking and mental health in England. Data from the Adult Psychiatric Morbidity Survey. National Centre for Social Research.
Weaver, T., Madden, P., Charles, V., Stimson, G., Renton, A., Tyrer, P., ... & Ford, C. (2003). Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. The British Journal of Psychiatry, 183(4), 304-313.
Recent updates
August 2023
The following indicators were updated:
- Smoking Prevalence in adults (18+) - current smokers (APS)
February 2023
The following indicators were updated:
Risk and related factors:
- Domestic abuse related incident and crimes
Alchol, drug and tobacco - prevalence:
- Smoking Prevalence in adults (18+) - current smokers (APS)
Alcohol, drug and tobacco - treatment response:
- Successful completion of drug treatment: opiate users
- Successful completion of drug treatment: non opiate users
- Successful completion of alchol treatment
October 2022
The following indicators were updated:
Risk and related factors:
- Violent crime - violence offences per 1,000 population
- Unemployment (model-based)
Alcohol, drug and tobacco - treatment response:
- Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison
Mortality indicators:
April 2022
The following indicators were updated:
Alchol, drug and tobacco - prevalence:
- Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow): Old Method
March 2022
The following indicators were updated:
Risk and related factors:
- Violent crime - violence offences per 1,000 population
- Domestic abuse-related incidents and crimes
- Unemployment (model-based)
Alcohol, drug and tobacco – prevalence:
- Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow): Old Method
- Smoking Prevalence in adults (18+) - current smokers (APS)
Alcohol, drug and tobacco - treatment demand:
- Smokers setting a quit date
- Concurrent contact with mental health services and substance misuse services for drug misuse
- Concurrent contact with mental health services and substance misuse services for alcohol misuse
Alcohol, drug and tobacco - treatment response:
- Successful completion of drug treatment - opiate users
- Successful completion of drug treatment - non-opiate users
- Successful completion of alcohol treatment
- Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison
- Smokers that have successfully quit at 4 weeks
- Smokers that have successfully quit at 4 weeks (CO validated)
Mental health prevalence and services:
- Depressive episode: estimated % of population aged 16-74
- Generalised anxiety disorder: estimated % of population aged 16-74
- Mixed anxiety and depressive disorder: estimated % of population aged 16-74
- Emergency Hospital Admissions for Intentional Self-Harm
Mortality indicators
- Deaths from drug misuse
- Alcohol-specific mortality
- Suicide rate
June 2018
A new indicator has been added showing the estimated percentage of adults with alcohol dependence.
Feb 2018
The indicator showing prevalence of opiate and/or crack cocaine use has been updated now that 2014/15 estimates have been produced.
Dec 2017
Indicators on substance misuse treatment (numbers in treatment, rates of concurrent substance misuse and mental health treatment and waiting times) have been updated with 2016/17 data. Other items derived from other tools on Fingertips have been updated with the latest available data (e.g. successful completion of treatment indicators are updated to include 2016 data).
Feb 2017
Indicators on substance misuse treatment (numbers in treatment, rates of concurrent substance misuse and mental health treatment and waiting times) have been updated with 2015/16 data.
Dec 2016
- A new section has been added to the tool showing related mortality indicators, including deaths attributed to drug, alcohol and tobacco use, suicide rates and premature mortality among people with serious mental illness.
- Indicators have been added to the tool on i) smoking prevalence among people with serious mental illness, ii) proportion of adults with substance misuse issues engaging with community treatment upon release from prison
- Other indicators have been updated where newer data is available.
Feb 2016
- A new section has been added to the tool showing indicators around mental health prevalence and service provision in each local area.
- A 'risk and related factors' section has been added, including indicators around deprivation, unemployment, homelessness and crime at local population level.
- Indicators on substance misuse treatment have been backdated to 2013/14 to take into account the methodological changes described in January's update.
Jan 2016
- Indicators on substance misuse treatment services drawn from NDTMS have been updated to 2014/15 and have been subject to methodological changes. There will be a further update in February which will backdate these changes.
- Other indicators (smoking prevalence, alcohol hospital admissions for mental health and stop smoking service data) have been updated with newer data. Prevalence of opiate and/or crack cocaine use has not been updated as no newer estimates are available.
Dec 2014
First version released
