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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

      Aberdeen City
Alcohol & Drug Partnership

Strategic Workforce Development
    (Updated December 2015)

                                                                            1
Aberdeen City Alcohol & Drug Partnership - Strategic Workforce Development (Updated December 2015) - Hi-Net ...
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Table of Contents:

1. Executive Summary                                            Page: 3

2. Recommendations                                              Page: 4

3. Introduction                                                 Page: 5

4. Workforce Development – Shared Principles                    Page: 6

5. The Workforce                                                Page: 7

6. Who Comprises the Workforce?                                 Pages: 8-9

7. Workforce Recovery Competence (ROSC Checklist) &             Pages: 10-15
‘The Quality Principles’

8. National Policy Recommendations & Priorities –               Page: 16
Summary

9. National Support – Workforce Development                     Pages: 17-18

10. Aberdeen City ADP Strategic Outcomes                        Pages: 19-20

11. Local Training Needs Analysis Information (2010 to          Pages: 21-24
2013)

12. Training Needs – Wider Sources                              Pages: 25-31

13. Workforce Development – Needs / Delivery Audit              Pages: 32-40

14. References (& Links)                                        Pages: 41-43

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

1. Executive Summary
A variety of information made available on workforce development has been
summarised into this document in order to provide a current context for the
alcohol and drug workforce. This has necessitated taking into account a wide
range of locally identified needs as well as integrating the various national and
local priorities/drivers.

The intention of this document is to establish a local ‘baseline’ using a needs /
audit framework as a necessary first step in terms of informing local planning
and implementation for workforce development. Further to this, the changing
landscape and evolving needs around the workforce will be served by
ongoing partnership oversight with planning and delivery fitting within the
various strategic priorities identified via ADP Delivery Plans feeding into the
Community Planning structure. It is intended that partnership working
arrangements and multidisciplinary approaches be at the heart of
implementing workforce development in the City.

In order to specify clearly the way ahead, a number of recommendations are
drawn from this report below.

                                                                                 3
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

2. Recommendations
The following are recommendations as concluded from the report findings:

1. ADP multi-agency workforce development planning and
   implementation should link into wider pan-Grampian
   opportunities as appropriate

2. Effective resourcing will involve appropriate balance of
   needs and priorities, therefore pooling of resources for
   multi-agency delivery must be investigated wherever
   possible

3. All workforce development planning must take full account
   of the quality principles for care and support in drug &
   alcohol services

4. All workforce development planning should underpin and
   support the development of recovery orientated systems of
   care (ROSC)

5. Workforce Development should have a focus on quality
   improvement and in supporting the delivery of outcomes

6. A specific workforce development Action Plan to be
   developed and updated in conjunction with the ADP
   Delivery Plan (2015-18). This will link with ADP Annual
   Reporting mechanisms (targets/indicators) to the Scottish
   Government with all relevant Partners directly involved

7. The ADP will publish regular multi-agency updates listing
   current and forthcoming learning and development
   opportunities (including training ‘pathways’ as appropriate)

Fraser Hoggan
Alcohol & Drug Development Officer
Aberdeen City ADP

February 2015

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

3. Introduction
This document is a strategic Workforce Development ‘guide’ for the Aberdeen
City Alcohol and Drug Partnership (ADP), and outlines the various needs and
requirements of a competent, capable and confident workforce. It has been
developed taking cognisance of the various strategic recommendations
contained in national policy framework and local strategic planning, priorities
and service delivery. In particular it is both informed and driven by the
Scottish Government publication; supporting the Development of Scotland’s
Alcohol and Drug Workforce (2010) and National Support available to Alcohol
& Drug Partnerships (ADPs) to support Workforce Development (2014).

It sets the current learning and development context and is intended to guide
and support the implementation of all workforce development activity in
relation to Alcohol and Drugs whilst also being consistent with the
emergence of a Recovery Orientated System of Care (ROSC) approach,
adapted to suit the particular needs of the City. Learning and development is
a key factor in the development of any ROSC.

The underlying theme of workforce development is that of forging explicit links
with the recovery agenda based on principles outlined within the Scottish
Government national drug policy; The Road to Recovery (2008) and the
national alcohol framework; Changing Scotland’s Relationship with Alcohol
(2008). In the latter document a ‘whole population approach’ is fundamental
to tackling alcohol issues and this informs the current model of workforce
development.

This document seeks to bring together the key principles of workforce
development in terms of the alcohol and drug workforce within both a national
and local context. Training needs and associated information brought from
various surveys and focus groups inform the needs and delivery audit which
highlights priorities and opportunities for the purpose of supporting future
implementation.

                                                                                 5
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

4. Workforce Development – Shared Principles
A number of key principles have been identified and highlighted below as
fundamental to the success of developing and implementing workforce
development.

These principles will inform the terms of reference for implementation of
workforce development plans and delivery of activity. These recognise that we
need to;

       Focus on attitudes and values, as these are as important and intrinsic
        to workforce development as developing knowledge and skills

       Develop a systems based and flexible approach to learning and
        development in keeping with the needs of an emergent ROSC

       Ensure the recovery process is inclusive of all stages of service
        delivery (including harm reduction interventions and targeted
        prevention initiatives)

       Adapt to the various needs of those using services, including their
        family members

       Make alcohol and drug awareness available to local communities, and
        wherever possible to include appropriate signposting and referral
        guidance as well as developing roles to actively support recovery and
        minimise stigma

       Recognise and develop supportive resources and peer support
        initiatives in the community

       Build competence, confidence and capacity across all tiers of the
        workforce

       Achieve coherence by continuing to link workforce development
        planning to local needs and strategic priorities

       Develop opportunities for accreditation and qualification for the
        workforce

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

5. The Workforce
Alcohol and Drug services are developed in response to specific needs. The
‘stepped care’ model below is useful to demonstrate how the workforce is
‘segmented’ in terms of the presenting needs of the population and it can be
applied equally to both alcohol and drug services.

Individuals may move between tiers of service, not necessarily sequentially.
Tiers 1 & 2 also denote the ability for direct and fast access for individuals
with alcohol and drug issues.

Scottish Ministerial Advisory Committee on Alcohol Problems (SMACAP)
Essential Services Working Group: Quality Alcohol Treatment and Support
(QATS) 2011

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

6. Who Comprises the Workforce?
It is difficult to accurately identify/categorise the alcohol and drug ‘workforce’
in its broadest terms. However, using the tiered approach as previously
outlined, a number of examples are listed. This is not intended to be a
definitive and exhaustive list.

Some professional groups may identify their own ‘lead’, ‘champion’ or
designated ‘specialist(s)’ within a service or agency which may then ‘bridge’
tiers. For example highlighted below, Midwifes and Health Visitors generally
fall into Tier 1 however associated specialists are placed in Tier 3*. Likewise,
dependent upon local context, services located within Tiers 2 and 3 can often
vary across different areas taking into population sizes, service availability
and geography.

  Level / Tier 1       Level / Tier 2        Level / Tier 3       Level / Tier 4

    Universal         Specific Needs       Complex Needs             Highly
                                                                   Specialised
                                                                     Needs
   Universal          Including but not
Services / Wider        exclusive to        Alcohol & Drug           Intensive
  Workforce           Alcohol & Drugs          Specific              Services

General Practice     Ambulance             General Practice     Psychiatrist
(GP / Nurse)         Paramedic             *Specialist          (Addictions)

Occupational         Community             Prison Clinical      Hepatic
Health               Pharmacist            Staff                Specialist

Occupational         Dietician             Addiction            Residential
Therapy                                    Specialist Nurse     Services
                     Child &
Midwife              Adolescent      Community
                     Mental Health   Psychiatric Nurse
Health Visitor       Service (CAMHS) *Specialist
                     Worker
Sexual Health                        Midwife
Nurse                Physiotherapist *Specialist

Social Work          Health Promotion      Health
(Child / Family)     Staff                 Visitor
                                           *Specialist
Housing Support      Education Staff
                     *Specialist           Alcohol & Drug
Jobcentre Plus                             Misuse Workers
                     Educational
Prison Officer       Psychologist          Social Work

                                                                                     8
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

  Level / Tier 1       Level / Tier 2       Level / Tier 3        Level / Tier 4

   Universal          Specific Needs       Complex Needs             Highly
                                                                   Specialised
                                                                     Needs
   Universal         Including but not
Services / Wider       exclusive to        Alcohol & Drug           Intensive
  Workforce          Alcohol & Drugs           Specific             Services
                                          (Alcohol & Drug
Street Pastor        Employment           Teams)
                     Access Worker        (Criminal Justice)
City Warden                               *Specialist
                     Youth Justice        Teams
Family Support       Worker
Groups
                     Community-
Community            based Projects
Council

Community
Champion

Education
(Teaching Staff)

Early Years
Worker

Adult Learning

Admin/Reception

HR Professional

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

7. Workforce Recovery Competence (ROSC
Checklist) & ‘The Quality Principles’
In addition to the policy drivers and priorities listed above, it is also important
to describe the importance of developing a Recovery Orientated System of
Care (ROSC). A ROSC is best described as a coordinated network of
community based services and supports. It is person-centred and builds on
the strengths and resilience of individuals, families and communities to
achieve improved health, wellbeing and quality of life for those with or at risk
of alcohol and drug problems. The underlying philosophy of a ROSC is that
treatment, review and aftercare are integrated and priority is given to
empowering people to sustain their recovery.

The distinguishing features of a ROSC include:

          Being person-centred
          Being inclusive of family and significant others
          Keeping people safe and free from harm
          The provision of individualised and comprehensive services – such
           as housing, employability and education services that are
           connected to the community
          Services that are trauma-informed

At its centre it has strength-based assessments, which take account of
individuals’ recovery capital, integrated interventions and services that are
responsive to a person’s needs and beliefs. There is a commitment to peer
recovery support services, and most importantly, it is inclusive of the voices
and experiences of people, and their families, in recovery. It also provides for
system-wide education and training, ongoing monitoring and outreach, is
outcomes driven and evidence informed. A ROSC is an effective drug and
alcohol system empowering service users to progress at their own pace
through a care pathway from first entering drug, alcohol and other services to
returning to the wider community and universal public services and activities.

In terms of developing a ‘recovery competent’ workforce there is also the
need to look at this in conjunction with the underlying workforce core
competences. ‘Skills for Justice’ in partnership with employers, stakeholders
and training providers have developed a drug and alcohol web-based
Competency Assessment Framework, underpinned by the National
Occupational Standards (NOS), which maps across to the drug and alcohol
workforce statement, Scottish Social Services Council Framework and NHS
Knowledge Skills Framework. It is also important to note that further
consideration also needs to take into account other (including professional)
standards and competencies looking across individual, team, and
organisational objectives. Competence also has to be considered alongside
‘confidence’ and ‘capacity’ and can also be examined in the context of job
roles/remits (in particular job descriptions) and other relevant contextual
factors.

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

The Scottish Government has funded ‘Skills for Justice’ to support ADPs to
use this Framework. An online facility enabling users to ask questions via the
Framework website is in place and is accessible by clicking on the ‘contact us’
link at the top right of the home page http://adcaf.sfjuk.com/

The NOS describe the different tasks and activities relevant to a particular
workforce and the underpinning knowledge and understanding required to
carry that out. The Drug and Alcohol National Occupational Standards
(DANOS) cover most of the substance misuse related tasks related to those
working with people affected by drug and alcohol problems. The NOS
(including DANOS) cover:

       Role profiling
       Continuous Professional Development
       Evidence of ‘basic competence’
       Code of practice
       Supervision

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Recovery Competence

In addition to core competences, the following checklist comprises a number
of specific requirements considered essential to establishing a workforce
‘Recovery Competence’ framework:

   Attitudes & Values:
         Belief in recovery principles

         Person-centred

         Empowering, enabling, involving

         Understanding of and pro-active approach to stigma

         Recognising value of partnership and inter-agency working

         Need to safeguard vulnerable children and adults

   Knowledge:
         Understanding of key issues – alcohol/drugs and effects

         Understanding of local service provision and referral pathways

         Harm reduction opportunities

         Community based resources

         Understanding roles and responsibilities

         Screening & Assessment tools

         Recognition / Early Identification

         Identifying recovery ‘capital’

         Theory into practice

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Core Skills:
     Engagement

     Disengagement

     Communication (client / professional)

     Building relationships

     Strengths based approaches

     Building resilience

     Building recovery ‘capital’

     Critical reflection

Skills-based Interventions:
     Brief Interventions

     Working with children and families

     Mental health and wellbeing / dual diagnosis

     Trauma

     Family Therapies

     Psychological therapies

Managers:
     Efficient and effective managerial working practice

     Leadership and vision

     Change management

     Supervision and support

     Policy into practice

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

The ‘Quality Principles’
Furthermore, with the publication of the ‘Quality Principles: Standard
Expectations of Care and Support in Drug and Alcohol Services’ there are a
number of expectations made explicit ensuring that anyone looking to address
their problem drug and/or alcohol use receives high-quality treatment and
support that assists long-term, sustained recovery and keeps them safe from
harm.

                         The Quality Principles

         Are supported by a Recovery Philosophy

         Can be applied by all drug and alcohol treatment and support
          services in all settings

         Will be measured at service, local and national level

         Are supported by the NHS Scotland Healthcare Quality
          Strategy and its central aim of providing care that is Person-
          centred, Safe, Effective, Efficient, Equitable and Timely

         Contribute to the delivery of the Scottish Government’s
          National Outcomes in Scotland Performs, in particular that our
          public services are high-quality, continually improving,
          efficient and responsive to local people’s needs

         Contribute to the delivery of the Scottish Government’s
          overarching Health and Social Care Outcomes – Healthier
          living, Independent living, Positive experiences and outcomes,
          Carers are supported, People are safe, Engaged workforce,
          Effective resource use

         Are in addition to statutory rights

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

   And finally, and importantly in the context of this document:

         Are supported by the Scottish Government and the Convention
          of Scottish Local Authorities’ strategic workforce statement
          which sets out the commitment to develop a highly skilled
          workforce

Copy of the document can be accessed at:

http://www.scotland.gov.uk/Publications/2014/08/1726

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

8. National Policy Recommendations &
Priorities – Summary
National policy drivers and associated priorities taken from a range of key
documents have been subjected to a ‘mapping’ exercise below. These have
been incorporated into the categories below for ease of reference. This
outlines the need for cross-reference within strategic planning for workforce
development, both in terms of process and outcomes.

Awareness/Prevention         Access & Integration           Recovery (ROSC)

Attitudes & Values          HEAT Targets (A11) &        Attitudes & Values
(Individuals)*              (H4)                        (Shared /
                                                        Organisational)
Screening & Referral        Stepped Care Approach
                            Appropriate Evidence-       Person-centred, Holistic
Safe Working Practice       based Interventions         approach (including
                            Psychological               non-alcohol/drug issues)
Prevention & Early          Treatments
Intervention                                            Choice, Empowerment
                            Retention &                 & recognising Potential
Universal (Whole            Responsiveness
Population Approaches)                                  Equality
                            Action-planning &
Selective & Indicated       Aftercare                   Building Skills &
approaches (e.g. areas                                  Resilience (Relapse,
of deprivation, known       Effective Inter-agency      OD Awareness)
risks)                      working                     Employability

                            Value                       Quality Principles
                                                        (Standard Expectations
                            Outcomes focused            of Care & Support)

                            On-going and sustained
                            training and
                            development
                            (knowledge, skills &
                            capacity)

                            Service-user
                            involvement
                            Mutual-aid Peer
                            Support and Family
                            Support

*Denotes particular issues that are repeated and/or cross-referenced within
various national report recommendations

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

9. National Support – Workforce Development
(Extracted from Scottish Govt; National Support Available to Alcohol & Drug
Partnerships to Support Workforce Development (October 2014))

The Scottish Government’s Drug and Alcohol Quality Improvement
Framework underpins our commitment to ensuring that quality is embedded in
all drug and alcohol services across Scotland. Quality in the provision of care,
support, treatment and recovery services will improve the medium and long
term outcomes of people in recovery. The Quality Improvement Framework
includes a programme of workforce development.

‘Supporting the Development of Scotland’s Alcohol and Drug Workforce’
(http://www.scotland.gov.uk/Publications/2010/12/AandD) states that:

      ADPs within the Community Planning Partnership structure will identify
      and articulate local workforce needs aligned with national learning
      priorities and develop local workforce strategies and implementation
      plans to meet these needs.

The Scottish Government’s Drugs Policy Unit and Alcohol Team contribute
national funding to the following agencies to support policy implementation:

Alcohol Focus Scotland (AFS), CREW, Scottish Drugs Forum (SDF), Scottish
Recovery Consortium (SRC), Scottish Families Affected by Alcohol and Drugs
(SFAAD), Scottish Health Action on Alcohol Problems (SHAAP) and Scottish
Training on Drugs and Alcohol (STRADA). In addition to this, the Mental
Health Division funds NHS Education for Scotland (NES) to deliver within their
remit some drug and alcohol training and support to ADPs. The Big Lottery
fund SDF National Quality Development Team to work with statutory and
voluntary sector services across Scotland and support improvement in service
quality. Health Scotland also supports the work of ADPs.

The remit of these agencies is, in most cases, wider than workforce
development and a number of ADP’s have indicated the need for clarity on
the range, depth and cost of learning and development support available from
them. Some ADPs also indicated the importance and need for consistency
and equity across areas in terms of training being delivered and cost.

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Further resources (and links) available to support workforce development:

Good practice information on alcohol and drugs:
http://www.ssks.org.uk/topics/drugs-and-alcohol/learning-and-development.aspx

Social work practitioners guide:
Social Work and Substance Use
http://www.basw.co.uk/substance-use-key-resources/

BASW Special Interest Group
https://www.basw.co.uk/special-interest-groups/alcohol-and-other-drugs/

Psychological Interventions Team Training Programme:
http://www.nes.scot.nhs.uk/education-and-
training/bydiscipline/psychology/multiprofessional-psychology/psychological-
interventions-team-(pit)/training-programme-2014-15.aspx

E-learning zone of the Psychological Interventions Team:
http://www.nes.scot.nhs.uk/education-and-
training/bydiscipline/psychology/multiprofessional-psychology/psychological-
interventions-team-(pit)/elearning-zone.aspx

Realising Recovery, a quality framework developed by SRN and NES:
http://www.nes.scot.nhs.uk/education-and-training/by-theme-initiative/mental-health-
andlearning-disabilities/publications-and-resources/publications-repository/realising-
recovery-anational-framework-for-learning-and-training-in-recovery-focused-
practice.aspx

Train the Trainers Toolkit:
http://www.nes.scot.nhs.uk/education-and-training/by-theme-initiative/facilitation-
oflearning/train-the-trainers-toolkit-resources.aspx

Test4Best materials:
http://www.test4best.scot.nhs.uk
http://www.knowledge.scot.nhs.uk/home/portals-and-topics/drugs-and-alcohol.aspx
http://www.knowledge.scot.nhs.uk/home/portals-and-topics/supporting-health-care-
incustody-and-prison.aspx

Skills for Justice:
http://www.sfjuk.com/

IRISS:
http://www.iriss.org.uk/

NHS Health Scotland Virtual Learning Environment:
http://elearning.healthscotland.com/

Alcohol Brief Intervention Resources:
http://www.healthscotland.com/topics/health/alcohol/resources.aspx

Report on ABI Workforce Event (2 September 2014):
http://www.healthscotland.com/documents/24255.aspx

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

10. Aberdeen City ADP Strategic Outcomes
The following are ‘high level’ outcomes identified through strategic planning
process and are the key elements of the Aberdeen City ADP alcohol and drug
strategy documents:

       Reduce demand for specialist drug services

       Increase the availability of screening, brief interventions and enable
        earlier access to alcohol services

       Reduce time from onset of drug use to seeking support

       Reduce consumption and reduce the prevalence of hazardous and
        harmful drinking across the adult population

       More drug users assisted to stabilise chaotic drug use

       More drug users assisted to move on from drug use and develop skills
        to avoid relapse

       Alcohol services are timely, effective, accountable and recovery
        orientated

       More drug users assisted to move out of treatment and rehabilitation to
        sustained community based recovery

       More young people and families at risk are supported to stay together

       More children and young people at risk as a result of parental (alcohol
        & drug) misuse are safer

ADP Priorities 2014/15:

   1. To improve public health & safety on alcohol and drugs

   2. To reduce the time between individuals developing an alcohol and/or
      drug problem and them coming into service

   3. To improve local alcohol and drug services

   4. To reduce alcohol and drug related deaths

   5. To increase the number of people who are in active recovery

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Workforce development priorities (including measurable targets) will be
aligned to the ADP’s priorities and will be further developed with the
publication of the ADP’s refreshed ‘Delivery Plan’ (2015-18) due to be
published during 2015.

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

11. Local Training Needs Analysis Information
(2010 to 2013)
Listed below are the known needs of the workforce taken from specific
training needs analysis targeted surveys.

Tier 1

Undertaken 2010 (100 multi-agency returns) highest ranked needs:

Managers undertaken 2010 (48 returns not ranked by order of importance):

        Policy into practice
        Financial inclusion
        Complex needs (including learning difficulties)
        Interventions (including alcohol specific)
        Relapse and overdose prevention

* Particularly Criminal Justice Services
** Significant training opportunities have been available since this survey was
undertaken

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Tiers 2 & 3

Undertaken 2013 (94 returns) (Multi-agency Aberdeen City & Aberdeenshire)
highest ranked needs:

* Motivational Interviewing, cognitive-behavioural, mindfulness, neuro-
linguistic programming, solution focused therapies

Additionally identified (in addition to survey questions):

       Need for networking and support opportunities post-training and
        development
       Knowledge relating to local recovery activity
       SMART Recovery training
       Employability
       Mental Health & Wellbeing
       Preference for face-to-face learning opportunities, followed by e-
        learning and blended learning
       Up to 5 days (on average) identified as available for learning and
        development

                                                                                   22
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Full Tabular Breakdown 2010 & 2013 Surveys

Service
Tiers
                          Tier 1              Tiers 2-3             Service
                                                                   Managers
            TNA
     Information

Drug & Alcohol
                                                                       √
Awareness*
                            √
New
Psychoactive
Substances                  √                     √
(NPS)

Knowledge of
Local
Service
                            √                                          √
Provision

Screening &
Referral*                   √                     √

GIRFEC*
                            √                     √

Family
Intervention                √                    √
Equality &
Diversity                   √                     √

Integrated &
Interagency                 √                    √                     √
Working

                                                                                23
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Service
Tiers
                          Tier 1              Tiers 2-3             Service
                                                                   Managers
            TNA
     Information

Policy into
Practice                                                               √

Supporting
Complex Needs*                                   √                     √

Intervention
                                                  √                    √
Skills
                            √
Psychological
Therapies                                        √                     √

Financial
Inclusion                                                              √

Prevention /
Harm                        √                                          √
Reduction*

Recovery
Orientated                  √                    √
Practice*

   *Scottish Government Alcohol and Drug Workforce Statement –
   Learning Priorities

   √ Priority √High Priority

                                                                                24
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

12. Training Needs – Wider Sources
Robert Gordon University – a Grampian ADP Workforce Development
Planning Event

Undertaken 2013 (with 46 returns – managers and strategic leads)

Workforce development priorities ranked in order of importance:

                                                                                25
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Other areas identified (ranked in order of importance):

Barriers to Learning & Development (ranked in order of importance):

                                                                                 26
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Format of learning (ranked in order of preference):

                                                                                 27
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Local Commissioned Service Provider Information (DA Aberdeen)
An analysis of (6 Monthly) Training Requests (from April to October 2013).
These are examples of requests that are over and above current programmed
delivery demonstrating areas of need and gaps:

Topic Requested                               Number
                                              Requests
New Psychoactive Substances (NPS)                10
Naloxone                                         7
General Awareness (Drugs, Alcohol &              6
BBV)
Cannabis                                           1
Other (Academic Input)                             1

CREW – NPS ‘Legally High’ (regional based Multi-agency Education /
Awareness
Nationally sponsored events delivered by CREW (Edinburgh based service)
to raise awareness around new psychoactive substances and held in
Aberdeen City (December 2012 and updated and delivered again in August
2014)

Delivered December 2012:
Places Offered                                  175
Final Attendance                                152
Completed pre-session Needs Survey              85
Identified Needs:

       Looking to increase knowledge          91.6%
        and awareness

       Understanding of typical effects       73.5%
        and side effects

       Use of effective strategies for        63.9%
        users of NPS

       Understanding of treatment             36.1%
        options

       ‘Limited’ Knowledge Levels             68.3%

       ‘Limited’ Confidence Levels            67.1%

Delivered August 2014:
Places Offered:                                  80
Final Attendance:                                69

                                                                                   28
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Fetal Alcohol Spectrum Disorder (FASD) ‘Hiding in Plain Sight’ Education /
Awareness Education Events (x2) –
Local event commissioned by the City ADP and delivered October 2013 in
response to an emerging demand for learning opportunities around FASD
from a range of professionals and community groups.

Delivered October 2013
Places Offered in Total                          160
Final Attendance                                 154
Evaluations Completed                            137
Recognition of further needs regarding           92%
FASD

Safer, Healthier & Responsible (SHR) – Alcohol in the Workplace Training
Identified as part of implementing a (Tier 1) Alcohol ‘Whole Population
Approach’ locally, and utilising the partnership of locally based NHS Grampian
Healthy Working Lives team, a tailored programme was undertaken (six
events between 2012 and 2013).

(From 77 returns – HR and HSE professionals in [total 55] small to medium
businesses based in/around Aberdeen City):

Areas of focus prioritised and delivered:

       Alcohol Workplace Policy development, implementation and review
       Disciplinary and supportive measures (in practice)
       Public Health (health improvement practice information)
       Identification, screening and local service provision (referral routes)

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Aberdeen City ADP Strategic Workforce Development – Updated December 2015

STRADA / ADP – Activity
The following table is an outline of annual ‘core event’ multi-agency locally
based training delivered by STRADA (the national alcohol and drug workforce
provider) and funded via the Scottish Government.

These tutor-led modular sessions were identified and specifically requested
by Aberdeen City ADP between 2011 and 2014:

       2011-12                         2012-13                    2013-14
4 Events:                       5 Events:                  8 Events:

     Children & Families          Introduction to           Understanding
     Motivational                  Substance Misuse           Behaviour Change
      Interviewing                 Working with Drug          Interventions
      Techniques                    &Alcohol Users            Substance Misuse &
     Using Brief                  Supporting                 Young People
      Interventions                 Behaviour Change          Working with Drug &
     Working with D&A             Children & Families        Alcohol Users
      Users                        Alcohol Use –             Understanding &
                                    Impact on Society          Supporting Families
                                                               in Recovery
                                                              Motivational
                                                               Interviewing
                                                               Introduction (x2)
                                                              Motivational
                                                               Interviewing
                                                               Techniques (x1)
                                                              Understanding &
                                                               Supporting Families
                                                               in Recovery1

56 Participants                 77 Participants            89 Participants (updates
                                                           required)
57.3% Uptake of places          77% Uptake of places       67.9% Uptake of places
17 NHS Grampian                 41 NHS Grampian            12 NHS Grampian
5 Aberdeen City Council         28 Aberdeen City           31 Aberdeen City
                                Council                    Council
34 Third Sector / Other         8 Third Sector / Other     47 Third Sector / Other

Percentage uptake of places does not include staff in attendance from out of
the City ADP area.

1
    Grampian wide ADP Event (4 Aberdeen Participants)

                                                                                    30
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

STRADA Core Events – Key Information Summary:

       Overall increase in participants from 2009 onwards, with particular
        rises in years highlighted above (2011-14)

       Increasing participation and uptake of places from statutory sector
        (2011-14)

       Number of skills-based programmes delivered increased in relation to
        the numbers of places requested, with result in number of course
        cancellations decreasing from frequent (2006-09) to none (2011-14)

       Strong evaluation of core and skills based delivery also contributing to
        further interest and the increasing demand

       The levels of service delivery from STRADA over the period (2011-14)
        above will not be sustainable from 2014-15 onwards for various
        operational reasons (the available modular programme delivery is
        contained within the needs / delivery audit below)

STRADA Academic Programme information
Aberdeen City / Aberdeenshire Participants (Glasgow University based
programmes):

                                 PG Cert Cert      PG Cert    Post Cert
Year          MSc      PG Dip                                            TOTAL
                                 Addictions HE     Management Leadership
2008-09       N/A      N/A       0          0      no data    N/A        0
2009-10       N/A      N/A       0          0      N/A        0          0
2010-11       N/A      N/A       0          0      N/A        1          1
2011-12       1        0         0          0      N/A        0          1
2012-13       2        0         0          0      N/A        N/A        2
2013-14
              1        0         2          1      N/A            N/A         4
(mid- year)

Figures are obviously lower when compared to the 25 registrations received
when the PG Cert Addictions was located in 2007/8 in north-east (Aberdeen)
and delivered in association with Robert Gordon University.

                                                                                   31
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

13. Workforce Development Needs/Delivery
Audit (Updated August 2015)
The Scottish Govt paper “National Support Available to Alcohol & Drug
Partnerships” (Appendix 5), outlines a number of key learning & development
opportunities provided nationally (as at October 2014). The Needs / Delivery
audit below brings together these opportunities with a number of key local
learning and development opportunities, which are then aligned with the
identified priority needs and strategic drivers collated from the earlier sections
of the main document.

The priority needs and strategic drivers have been collated together into a
number of associated ‘themes’ from broad over-arching topic areas through to
the more specialised categories. The table outlines the type, delivery, status
and priority of each opportunity aligned to the tiers of service (examples given
in the earlier section “Who Comprises the Workforce”, main document – page
5).

The list is not designed to be exhaustive, and it would be almost impossible to
capture all potential opportunities. Indeed further (cost incurring) options are
available from a number of national providers within the Scottish Govt paper,
and obviously there is the possibility for a number of ‘bespoke’ options being
available (including those from independent consultants / learning and
development providers).

It is clear that this audit will identify that there are areas under-developed or
under capacity or indeed containing complete gaps in terms of availability
and/or suitability of provision. It is intended to help provide a baseline of
learning and development information that will seek to inform further
discussion and agreement in terms of future planning and implementation.

Audit Legend:

Type of Needs:          [A] Awareness [Acad] Academic [K] Knowledge &
                        Information based [S] Skills-based

Delivery:               [C] Classroom (face-2-face) [O] Online [B] Blended
                        Learning [W] Workplace based [T4T] Training for
                        Trainers

Status:                 [Av] Available (as) [D] Developing [G/R] Gap
                        /requirement [CF] Cost-Free

Tiers:                  1-4 (see main document table at page 5)

Priority:               [PT] ADP Priority/Target 2014-15, 2015-16 […]
                        [CS] Currently scheduled [OG] Ongoing availability
                        [UD/P] Under Development / Planning
                        [TBC] To be confirmed [CL] Capacity Limited (to …)

                                                                                    32
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Attitudes, Values & Awareness
Tackling stigma, promoting recovery, Challenging behaviours, Equality
and diversity, Local Service Information (signposting & referral
pathways)

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
Scottish Drugs Forum       A,K      C 4 day      Av / CF      1        PT TBC
Workforce Dev                                                          2015 CL
Programme                                                              20 p.a.
‘Working with D&A
users’
NHS Health Scotland /      A,K,S    Blended      Av / CF      1-2      OG
NHSG                                C 1-2                              CL
‘Health Behaviour                   day &                              80 p.a.
Change’                             Online
                                    4-6 hrs
NHS Health Scotland        A,K      Online       Av / CF      1        OG
‘Raising the Issue of               2-3 hrs
Alcohol’
Scottish Drugs Forum       A,K,S    C 1 day      Av / CF      1-4
(SDF Quality Dev
Team)
‘Dealing with Difficult
Behaviour’
ADP/NHSG Public            A,K      C            Av / CF      1        PT CS
Health                              2-4 hrs      ADP                   2015
‘Alcohol Whole                                   funded
Population Approach’
ADP/NHSG Public            A,K      C            Av / CF      1
Health                              2-4 hrs
‘Drug Awareness’
ADP                        A,K      Online       G/R          1        PT UD/P
‘Alcohol & Drug Issues’             2-4 hrs      Under                 2015
Aberdeen City E-                                 Develop
Learning Platform
Resolv Scotland            A,K      Online       Av / CF      1-3      OG
‘Volatile Substance                 2-4 hrs
Misuse E-Learning
Module’
ADP / Healthy Working      A,K      C 1 day      Av           1        PT CS
Lives                                            ADP /                 OG
‘Alcohol & Drugs Best                            HWL                   2015-16
Practice Workshop’ &                             funded
Health Coach inputs

                                                                                 33
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Alcohol & Drug Awareness
New Psychoactive Substances (NPS)

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
CREW                       A,K      C ½ day      Av / CF      1        PT TBC
‘Legally High’ NPS                                                     2015
Awareness                                                              CL 80
                                                                       p.a.
CREW                       A,K      C ½ day      Av           1-3      CS
‘My-CREW’ Online                                                       2015
Applications                                                           CL 25
                                                                       p.a.
Scottish Drugs Forum       A,K      Under        Under        1        PT UD/P
Workforce Development               Dev          Dev                   2015
Programme
‘NPS E-Learning
Resource’
DA Aberdeen                A,K,S    C 1+ ½       CF Av        2-4      PT OG
‘Working with NPS                   Days         ADP                   2015-16
Users – Workshop’                   flexible     funded                CL 12
                                                                       sessions
                                                                       CL
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Development Team)
‘Outcomes
Development Training’
Scottish Drugs Forum         A,K     C 1 day      Av / CF      2-3      Not CS
(SDF Quality Dev                     flexible
Team)
‘User Involvement
Training’
Scottish Drugs Forum         A,K,S   C 1 day      Av / CF      2-3      Not CS
(SDF Quality Dev
Team)
‘Working with Groups’

Prevention & Harm Reduction (skills)
Screening, Early Intervention, Overdose prevention, Naloxone provision,
Alcohol Brief Intervention (ABI), Fetal Alcohol Spectrum Disorder
(FASD)

Identified Needs &         Type:     Delivery     Status:      Tiers:   Priority
Provision:                           Mode:                              Status
Health Scotland ‘Alcohol A,K         Online E     Av / CF      1        OG
Brief Interventions’ (ABI)           Learning
                                     modules
ADP / NHSG Public            A,K,S   C&           Av / CF      1-3      PT CS
Health ‘Alcohol Brief                Online       ADP                   2015
Intervention’ (ABI) Skills           (links to    funded
                                     above)
NHS Education                A,K     Online E     Av / CF      1-3      OG
Scotland (NES)                       Learning
‘Fetal Alcohol Harm                  Module
(Learning Resource)’
Scottish Drugs Forum         A,K     C 1 day      Av / CF      1-3      Not CS
(SDF)                                flexible
‘Understanding &
Preventing Overdose’
NHSG / ADP                   A,K,S   C ½ day      Av / CF      1-3      PT CS
‘Naloxone Supply &                   flexible                           2015
Administration’
NHSG / ADP                   A,K,S   C ½ day      Av / CF      1-3      PT CS
‘Naloxone Supply &                   & Online                           2015
Administration’ T4T
Scottish Drugs Forum         A,K,S   C 1 day      Av / CF      1        PT OG
(SDF)                                flexible
‘Naloxone Peer Network
Development’
Scottish Drugs Forum         A,K     C 1 day      Av / CF      1-3      CS OG
(SDF)                                flexible
‘Sexual & Reproductive
Health’

                                                                                   35
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Scottish Drugs Forum       A,K      C 1 day      Av / CF      2-3      CS OG
(SDF Quality Dev
Team)
‘Improving the Sexual
Health of Drug Users’
Scottish Drugs Forum       A,K      C 1 day      Av / CF      1-3      Not CS
(SDF)                               flexible
‘Viral Hepatitis –
Prevention & Support’
Scottish Drugs Forum       A,K      C ½ day      Av / CF      1        PT CS
(SDF)                               flexible                           OG
‘Drugs & Bugs –                                                        CL 12
Bacterial Infections’
Scottish Drugs Forum       A,K      C 1 day      Av / CF      1-3      Not CS
(SDF)                               flexible
‘Safer Injecting’
Substance Misuse           A,K      Online       Av / CF      1-2      PT OG
Management Good                     1-2 hrs
Practice (SMMGP)
“Community
Management of Alcohol
Misuse Disorders”
Substance Misuse           A, K, S Online        Av / CF      1-2      PT OG
Management Good
Practice (SMMGP)
“Naloxone Saves Lives”
Aberdeen City ADP          A,K      Online       Av / CF      1-3      PT OG
“Trouble with Alcohol”              Flexible
Alcohol education
Online/Video training
resource
Aberdeen City ADP          A,K      Online       Av / CF      1        PT OG
“Is it Worth it”?
Alcohol education
Online/Video resource

GIRFEC / GOPR
Protecting vulnerable individuals / groups

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
Scottish Drugs Forum       A,K      C 1 day      Av / CF      2-3      Not CS
(SDF Quality Dev
Team)
‘Child Welfare &
Protection’
ACC & NHSG                 A,K      Agency       Av           1-3      OG
GIRFEC / GOPR L&D                   Specific
programmes

                                                                                  36
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Family Interventions
Practice-based

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
STRADA                     A,K,S    C 4 days     Under        1-3      PT UD/P
‘Circle of Care’                    Under        Dev
T4T Model & resource                Dev          ADP
(practice) materials                             funding
                                                 required

SFAD / DA Aberdeen         A,K,S    Under        Under        1-3      PT UD/P
‘Family Inclusive                   Dev          Dev / CF
Practice Workshop’                               ADP
                                                 funded

Psychological therapies
Evidence-based interventions and (core behavioural) skills

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
NHS Education              A,K      Online E     Av / CF      1-4      OG
Scotland                            Learning
‘Introduction to                    module
Motivational
Interviewing’
STRADA                     A,K      C 2 day      Av / CF      1-3      PT OG
‘Introduction to                                                       CL 20
Motivational                                                           p.a.
Interviewing’
Theory Based
STRADA                     K,S      C 3 day      Av / CF      1-3      PT OG
‘Motivational                                                          CL 20
Interviewing                                                           p.a.
Techniques’
Practice Based
NHS Education              K,S      C 2-3        Av / CF      1-4      Yes
Scotland                            day                                PT OG
‘Motivational                                                          CL (area
Interviewing Schools’                                                  based)
(2-3 times per annum)
NHS Education              A,K,S    C 2-3        Av           3-4      PT CS
Scotland ‘Core                      day                                CL to
Behavioural & CBT                                                      SMS
Skills for Relapse                                                     Service
Prevention & Recovery                                                  2015-16
Management’
T4T Model

                                                                                  37
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Complex needs
Mental health & dual diagnosis
Learning difficulties

Identified Needs &          Type:    Delivery     Status:      Tiers:   Priority
Provision:                           Mode:                              Status
NHS Lanarkshire /           A,K      Online E     Av / CF      1        OG
North Lanarkshire                    Learning
Council                              Module
Alcohol Related Brain
Damage (ARBD)
Awareness
NHS Education               A,K      Online E     Av / CF      1        OG
Scotland                             Learning
‘Introduction to Trauma’             Module

NHS Education               A,K      Online E     Av / CF      1        OG
Scotland                             Learning
‘Emotion Matters                     Module
NHS Education               A,K      Online E     Av / CF      1-4      OG
Scotland                             Learning
‘Co-occurring                        Module
Substance Misuse &
Mental Health
Disorders’
Scottish Drugs Forum        A,K      C 1 day      Av / CF      3-4      Not CS
(SDF Quality Dev
Team)
‘Trauma & Difficult
Emotions’
Scottish Drugs Forum        A,K      C 1 day      Av / CF      3-4      Not CS
(SDF Quality Dev
Team)
‘Developing Evidence
Based Interventions –
Benzodiazepine Use’

Supporting Recovery
See supporting ROSC Competence checklist (Section 7)

Identified Needs &          Type:    Delivery     Status:      Tiers:   Priority
Provision:                           Mode:                              Status
Scottish Drugs Forum        A,K      C 1 day      Av / CF      3-4      Not CS
(SDF Quality Dev
Team)
‘Developing Evidence
based Interventions in
Recovery Orientated

                                                                                   38
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Treatment’
Scottish Recovery          A,K      Seminar      Av /         3-4      PT CS
Consortium                          ½ day        Venue
‘ORT, Recovery & Me’                             Funded
                                                 by Host
                                                 Org
Scottish Recovery          A,K      C 1 day      Av/                   Not CS
Consortium                                       Venue
‘Recovery Matters’                               Funded
                                                 by Host
                                                 Org
Scottish Recovery          A,K      C 2 hour     Av /         3-4      Not CS
Consortium                                       Venue
Recovery Seminars –                              Funded
Various Themes                                   by Host
                                                 Org
Aberdeen in Recovery       A,K      Seminar      Av / CF      1-4      PT CS
(AiR)                               (World                             CL 2-3
‘Recovery Conversation              Café                               events
Café events’                        format)                            (100) p.a.

Financial Capacity
Assessment & support, Welfare issues, Housing

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
No Information                                   Gap

Employability
Education, Skills acquisition, Building community based resources

Identified Needs &         Type:    Delivery     Status:      Tiers:   Priority
Provision:                          Mode:                              Status
No Information                                   Gap

                                                                                  39
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

Academic (Foundation entry & Professional Pre / Post
Registration Qualification)
Building capacity, supervision and support

Identified Needs &          Type:    Delivery     Status:      Tiers:   Priority
Provision:                           Mode:                              Status
Robert Gordon               Acad     Blended      Under        1-4      PT
University                           SCQF         Dev                   UD/P
Postgraduate Module                  Level 11                           2016
‘Addiction & Substance               (30 pts)
Misuse in a Range of                 4-5
Contexts’                            months
University of West of       Acad     C            Av           1-4      CS OG
Scotland                             SCQF                               CL
‘Alcohol Drugs &                     Level 9
Addiction’ &
‘Alcohol, Drugs: Policy &
Prevention’
Modules
University of West of       Acad     PG Cert,     Av           1-4      CS OG
Scotland                             Dip, MSc                           CL
Cert / Diploma / MSc                 9-36
‘Alcohol & Drug Studies’             months
                                     (P/T
                                     options)
University of Stirling      Acad     Online       Av           1-4      CS OG
‘Certificate in Alcohol &            SCQF                               CL
Drug Studies’                        Level 10
Edinburgh Napier            Acad     Blended      Av           1-4      CS OG
University                           SCQF                               CL
‘Substance Misuse over               Level 9
the Lifespan’
Module

                                                                                   40
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

14. References
   Aberdeen City Alcohol & Drug Partnership (2011); Drug Strategy:
   Together we will tackle drug misuse and its effects on Aberdeen City
   (ADP Drug Strategy 2011-2021)
   http://aberdeencityadp.org.uk/wp-
   content/uploads/2014/05/Aberdeen_City_Drugs_Strategy.pdf

   Aberdeen City Alcohol & Drug Partnership (2012); a Safer, Healthier
   and More Responsible Attitude to Alcohol in Aberdeen (ADP Alcohol
   Strategy 2009-2019)
   http://aberdeencityadp.org.uk/wp-
   content/uploads/2014/05/AlcoholStrategy20092019.pdf

   Scottish Government (2003 & 2007); Mind the Gaps: support and care
   for people with co-occurring substance misuse and mental health
   problems
   http://www.scotland.gov.uk/Publications/2003/10/18358/28079
   http://www.scotland.gov.uk/Publications/2007/12/10141643/0

   Scottish Government (2008); Essential Care: A Report on the
   Approach required to maximise opportunity for recovery from problem
   substance use in Scotland (2008)
   http://www.scotland.gov.uk/Publications/2008/03/20144059/0

   Scottish Government (2008); the Road to Recovery: a new approach to
   tackling Scotland’s drugs problem
   http://www.scotland.gov.uk/Publications/2008/05/22161610/0

   Scottish Government (2008); Reducing Drug Users’ Risk of Overdose
   http://www.scotland.gov.uk/Publications/2008/10/30132711/0

                                                                              41
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

 Scottish Government (2008); Equally Well: report of the ministerial task
 force on health inequalities
 http://www.scotland.gov.uk/Topics/Health/Healthy-Living/Health-
 Inequalities/Equally-Well

 Scottish Government (2009); Changing Scotland’s Relationship with
 Alcohol: a Framework for Action
 http://www.scotland.gov.uk/Publications/2009/03/04144703/0

 NHS Health Scotland (2009, 2011); Training Needs Analysis Guide
 http://www.healthscotland.com/documents/5034.aspx

 Scottish Government (2009); Towards a Mentally Flourishing Scotland:
 Policy & Action Plan
 http://www.scotland.gov.uk/Publications/2009/05/06154655/0

 Scottish Government (2010); Supporting the development of Scotland’s
 Alcohol & Drug Workforce
 http://www.scotland.gov.uk/Publications/2010/12/AandD

 Scottish Government (2010); National Naloxone Programme
 http://www.scotland.gov.uk/Topics/archive/law-order/Drugs-
 Strategy/drugrelateddeaths/NationalNaloxone

 Scottish Government (2011); Scottish Ministerial Advisory Committee
 on Alcohol Problems (SMACAP) Essential Services Working Group:
 Quality Alcohol Treatment and Support (QATS)
 http://www.scotland.gov.uk/Publications/2011/03/21111515/0

 Scottish Government (2011); Commission on the Future Delivery of
 Public Services (Christie Report)
 http://www.scotland.gov.uk/Publications/2011/06/27154527/0

                                                                            42
Aberdeen City ADP Strategic Workforce Development – Updated December 2015

 Scottish Government (2013); Everyone Matters NHS Scotland 2020
 Workforce Vision
 http://www.scotland.gov.uk/Publications/2013/06/5943

 Scottish Government (2013); Independent Expert Review of Opioid
 Replacement Therapies (ORT) in Scotland
 http://www.scotland.gov.uk/Publications/2013/08/9760

 Scottish Drugs Forum (2013); Trauma and recovery amongst people
 who have injected drugs within the past five years
 http://www.sdf.org.uk/resources/reports-and-research/

 Scottish Government (2014); the Quality Principles: Standard
 Expectations of Care & Support in Drug & Alcohol Services
 http://www.scotland.gov.uk/Publications/2014/08/1726

 Scottish Government (2014); National Support available to Alcohol &
 Drug Partnerships (ADPs) to support Workforce Development

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