NICDTF Requests Information Updates from Projects on Drug Misuse, Trends & Behaviour On

North Inner City Drugs Task Force

Local Drug Misuse, Trends and Behaviours Survey April 2012

NICDTF requests information updates from projects on drug misuse, trends & behaviour on a regular basis. Please read this survey, discuss with your team and try to fully complete each question.
If your service does not deal at all with individuals with drug related issues, please report on issues raised by the individuals/groups you are in contact with.
Please return the survey by Thursday 12th of April 2012.
You may email any additional information to

Results of this survey can be found under Resources on the NICDTF website:

The following questions were asked in the Survey:

QUESTIONS

1. How many separate individuals/groups affected by drugs or drug-related issues have contacted your project during the last month?
   Include new and existing clients. Follow-up contact with the same individual/group should be counted as one contact.

Male: /
Female: /
Total: /

1. During the last month, which individuals/groups contacted your service around drugs or drug-related issues?
   Please select a rating for all options listed, and add any further information in the box below.

Very frequently / Frequently / Sometimes / Hardly ever / Not at all
Children (under 12) / / / / /
Youth (12 - 23) / / / / /
Adults with drug issues / / / / /
Parents/Guardians / / / / /
Other family members / / / / /
Concerned friends / / / / /
Neighbours / / / / /
Community members / / / / /
Community groups / / / / /
NGOs / / / / /
State/Statutory agencies / / / / /
Schools/teachers / / / / /
Medical professionals / / / / /
Legal services / / / / /

Other individuals/bodies (please specify)

1. What are the average age ranges of individuals/groups who engage with your service regarding drugs or drug-related issues?
   You may select more than one age range.

What are the average age ranges of individuals/groups who engage with your service regarding drugs or drug-related issues? You may select more than one age range. Under 12
12-23
24-34
35-44
45-60
Over 60

1. List the 5 drugs most mentioned by individuals/groups engaging with your service (include slang/street names).
   Rate from 1 to 5, where 1 is most frequently mentioned.

1. /
2. /
3. /
4. /
5. /

5. Is poly-drug use (using 2 or more drugs at the same time) causing problems for individuals/groups contacting your service?

Very frequently
Frequently
Sometimes
Hardly ever
Not at all
Are any particular combinations causing concern? (e.g. heroin & tablets, cannabis & mephedrone)

1. Which drugs are causing the greatest issue for the individuals or groups contacting your service?
   Please select a rating for all options listed, and add any further information in the box below.

Extremely problematic / Very problematic / Sometimes problematic / Rarely problematic / Not an issue
High-strength cannabis (weed) / / / / /
Benzodiazepines/Valium / / / / /
Zimovane / Zopiclone / / / / /
Heroin / / / / /
Crack Cocaine / / / / /
Ketamine / / / / /
Ecstasy / / / / /
Stimulant powders (e.g. whack, snow blow) / / / / /
Mephedrone / / / / /
Methamphetamines (meth, crystal) / / / / /
Amphetamines (e.g. Speed) / / / / /
Hash & Resin / / / / /
Cocaine / / / / /
LSD (acid) / / / / /
Tricyclics / / / / /
Poppers / / / / /
Solvents (e.g. aerosols, glue) / / / / /
Magic mushrooms / / / / /

Other drugs causing issues (please specify)

7. Please indicate the number of new individuals/groups contacting your service around drug-related issues during the last month?

No increase
1 to 5
6 to 10
11 to 20
21 to 30
31 to 40More than 40

1. In what ways are drugs and drug-related issues affecting individual's behaviour, social interactions and personal life?
   Please select a rating for all options listed, and add any further information in the box below.

Very frequently / Frequently / Sometimes / Hardly ever / Not at all
Family problems / / / / /
Children / / / / /
Employment / / / / /
Financial problems / / / / /
Education / / / / /
Friendships / / / / /
Aggression / / / / /
Anti-social behaviour / / / / /
Intimidation / / / / /
Violence / / / / /
Drug dealing / / / / /
Crime / / / / /
Homelessness / / / / /

Other social / behaviour effects (please specify)

9. In what ways are drugs affecting individual's mental health?
Please select a rating for all options listed, and add any further information in the box below.

Very frequently / Frequently / Sometimes / Hardly ever / Not at all
Paranoia / / / / /
Confusion / / / / /
Sleeplessness / / / / /
Excessive tiredness / / / / /
Forgetfulness / / / / /
Delusion/Hallucinations / / / / /
Low self-esteem / / / / /
Anxiety / / / / /
Depression / / / / /
Thoughts of suicide / / / / /
Eating disorders / / / / /
Self harm / / / / /
Addiction / / / / /
Aggression / / / / /
Mood swings / / / / /

Other mental health effects (please specify)

10. In what ways are drugs affecting individual's physical health?
Please select a rating for all options listed, and add any further information in the box below.

Very frequently / Frequently / Sometimes / Hardly ever / Not at all
Nausea / / / / /
Palpitations / / / / /
Withdrawal pain / / / / /
Dehydration / / / / /
Skin diseases / / / / /
Skin complaints / / / / /
Abscesses / / / / /
Circulation problems / / / / /
Clots / / / / /
Bloodborne viruses / / / / /
Respiratory problems / / / / /
Infections / / / / /
STIs / / / / /
Body functions / / / / /

Other physical effects (please specify)