Produced by Public Health England
Local authority: Bolton
Time period: 2019 to 2020 (1 April 2019 to 31 March 2020)
This product supports national and local understanding of:
It is part of a wider suite of products available from Parents with alcohol and drug problems support resources (gov.uk).
This report focuses on new presentations to treatment in 2019 to 2020 (1 April 2019 to 31 March 2020) aged between 18 and 99.
Bolton had a total of 882 new presentations to treatment during this timeframe. Of those, 98 (11%) were parents or adults living with children, and 365 (41%) were parents not living with children. Of new presentations to treatment in Bolton, 418 (47%) were not a parent and had no contact with children - referred to as “not a parent” throughout the report.
To prevent potential patient identification, all local figures for Bolton in this report have been rounded to the nearest 5. Proportions have been calculated from the rounded figures. This is true of all local data except for the overall numbers in treatment.
Table 1.1 This table shows the proportions of all clients in each of the family categories, for Bolton and England.
Family category | Bolton | England | Bolton | England | Parental status |
---|---|---|---|---|---|
Parent living with children | 18% | 18% | 11% | 16% | Parent or adult living with children |
Other child contact - living with children | 4% | 6% | 0% | 5% | Parent or adult living with children |
Parent not living with children | 36% | 30% | 41% | 31% | Parent not living with children |
Not a parent and not in contact with children | 42% | 46% | 47% | 48% | Not a parent |
Incomplete data | 0% | 0% | 0% | 0% | Excluded |
This report includes benchmark comparisons to local data. These are the areas identified as the nearest neighbours for Bolton using the Chartered Institute of Public Finance & Accountancy (CIPFA) 2018 Model: Stockton, Rochdale, Tameside, Oldham, Bury, Wigan, Calderdale, Kirklees, Rotherham, Derby, Telford and Wrekin, Stoke-on-Trent, Dudley, Walsall, Plymouth. Please see the appendix for a table of these benchmark areas including upper tier local authority codes.
Here we present the estimated number of adults with alcohol dependence living with children in 2018 to 2019 in England and Bolton. Rates per 1,000 are based on ONS mid-2019 population estimates of adults aged 18 and over. Alongside local rates per 1,000 and unmet need we present rates for benchmark areas. Please see the appendix for a list of benchmark areas for Bolton.
Data from the National Drug Treatment Monitoring System (NDTMS) is used alongside the estimates of national and local prevalence for alcohol dependence to provide estimates of the extent to which treatment need is unmet. Dependent opiate users who are also assessed as dependent on alcohol are not included in the alcohol treatment calculations to avoid double counting with the rates of unmet need for opiate use treatment. This cohort is also very unlikely to be picked up in the datasets used to calculate the alcohol dependency estimates.
Table 2.1.1 Estimated number of adults with alcohol dependence living with children in England, rates per 1,000 of the population and unmet treatment need.
Sex | Estimated number of alcohol dependent adults living with children (2018 to 2019) | Rate per 1,000 of the population | Number in treatment (2019 to 2020) | Unmet treatment need |
---|---|---|---|---|
Total | 120,552 | 3 | 25,435 | 79% |
Male | 80,458 | 4 | 13,058 | 84% |
Female | 40,094 | 2 | 12,377 | 69% |
Table 2.1.2 Estimated number of adults with alcohol dependence living with children in Bolton, rates per 1,000 of the population and unmet treatment need.
Sex | Estimated number of alcohol dependent adults living with children (2018 to 2019) | Local | Benchmark | Number in treatment (2019 to 2020) | Local | Benchmark |
---|---|---|---|---|---|---|
Total | 722 | 3 | 3 | 112 | 84% | 76% |
Male | 478 | 4 | 4 | 57 | 88% | 81% |
Female | 244 | 2 | 2 | 55 | 77% | 65% |
Figure 2.1.1. Estimated number of adults with alcohol dependence living with children (2018 to 2019). Rate per 1,000 of the population (aged 18 and over).
Here we present the estimated number of children living with adults with alcohol dependence in 2018 to 2019 in England and Bolton. Please note that these figures are adjusted for double counting (that is, where a child lives with both a male and female with an alcohol dependence). For more information, please see the Technical Definitions available to download from here.
Rates per 1,000 are based on ONS mid-2019 population estimates (aged 0 to 17). Alongside national and local rates per 1,000 we present rates for benchmark areas. Please see the appendix for a list of benchmark areas for Bolton.
Table 2.1.3 This table shows estimated number of children living with at least one adult with alcohol dependence in 2018 to 2019 in England and Bolton, and rates per 1,000 of the population.
England | Bolton | England | Bolton | Benchmark |
---|---|---|---|---|
188,858 - 207,560 | 1,148 - 1,267 | 16 - 17 | 17 - 19 | 18 - 19 |
Please note that these prevalence estimates are from 2014 to 2015, and that no estimates of number of children affected are included. This document will be updated when new estimates become available.
Here we present the estimated number of adults with opiate dependence living with children in 2014 to 2015. Rates per 1,000 are based on ONS mid-2019 population estimates (aged 18 to 64). Alongside local rates per 1,000 and unmet need we present rates for benchmark areas. Please see the appendix for a list of benchmark areas for Bolton.
Data from the NDTMS is used alongside the estimates of national and local prevalence for opiate dependence to provide estimates of the extent to which treatment need is unmet.
Table 2.2.1 Estimated number of adults with opiate dependence living with children in England, rates per 1,000 of the population and unmet treatment need.
Sex | Estimated number of opiate dependent adults living with children (2014 to 2015) | Rate per 1,000 of the population | Number in treatment (2019 to 2020) | Unmet treatment need |
---|---|---|---|---|
Total | 74,713 | 2 | 31,469 | 58% |
Male | 50,828 | 3 | 18,901 | 63% |
Female | 23,884 | 1 | 12,568 | 47% |
Table 2.2.2 Estimated number of adults with opiate dependence living with children in Bolton, rates per 1,000 of the population and unmet treatment need.
Sex | Estimated number of opiate dependent adults living with children (2014 to 2015) | Local | Benchmark | Number in treatment (2019 to 2020) | Local | Benchmark |
---|---|---|---|---|---|---|
Total | 839 | 5 | 3 | 314 | 63% | 57% |
Male | 543 | 6 | 4 | 185 | 66% | 61% |
Female | 296 | 3 | 2 | 129 | 56% | 50% |
Figure 2.2.1 Estimated number of adults with opiate dependence living with children (2014 to 2015). Rate per 1,000 of the population (aged 18 to 64).
This section presents profile and outcomes data for parents with problem alcohol and drug use in England. The data comes from the NTDMS.
Except for numbers in treatment, the numbers presented here are for new presentations to treatment in 2019 to 2020 only. This includes clients who started treatment between 1 April 2019 and 31 March 2020. All data is available to download in the appendix.
Table 3.1.1.1 Number of clients in treatment in England in 2019 to 2020.
Parental status | N | % | N | % | % of all in treatment |
---|---|---|---|---|---|
Parent or adult living with children | 63,667 | 24% | 27,873 | 21% | 44% |
Parent not living with children | 80,593 | 30% | 40,396 | 31% | 50% |
Not a parent | 125,613 | 47% | 63,561 | 48% | 51% |
All clients | 269,873 | 100% | 131,830 | 100% | 49% |
Figure 3.1.1.1 New presentations to treatment in England in 2019 to 2020.
Figure 3.1.1.2 Age breakdown for new presentations to treatment by parental group in England.
Figure 3.1.1.3 Proportion of new presentations to treatment in England by parental group and sex.
Figure 3.1.1.4 Proportion of each ethnic group for new presentations to treatment in England.
Figure 3.1.1.5 Housing situation for new presentations to treatment in England.
Figure 3.1.1.6 Employment, education and training breakdown for new presentations to treatment in England.
Figure 3.1.1.7 Proportion of women who are new presentations to treatment, under the age of 50, that are pregnant in England.
Parents/ adults new to treatment and living with children had an average of 1.8 children living with them.
Figure 3.1.1.8 For parents/ adults living with children, the distribution of the number of children in the household.
Figure 3.1.2.1 Breakdown of substance groups for new presentations to treatment in England.
Figure 3.1.2.2 Proportion of clients new to treatment in England with and without a mental health treatment need.
Figure 3.1.2.3 Proportion of clients with a mental health treatment need that did not receive mental health treatment.
Figure 3.1.2.4 Proportion of new presentations to treatment in England who were current or previous injectors at the start of treatment.
Most clients had never injected (88% of parents/ adults living with children, 71% of parents not living with children, and 76% of clients without children).
Figure 3.1.2.5 Alcohol use for new presentations to treatment in England, measured using the Severity of Alcohol Dependence Questionnaire (SADQ).
Data was not available or inconsistent for 38% (10,698) of parents/ adults living with children, 36% (14,734) of parents not living with children, and 37% (23,555) of those who were not parents.
The number of clients declining to answer the question amounted to 0% for all groups (95 parents/ adults living with children, 194 parents not living with children, and 248 those who were not parents).
Figure 3.1.3.1 Sources of referrals into treatment for new presentations to treatment in England.
Table 3.1.3.1 Average length of a client’s treatment journey, for new presentations to treatment in 2019 to 2020 in England.
Parental status | Average number of days in treatment |
---|---|
Parent or adult living with children | 116.07 days |
Parent not living with children | 119.03 days |
Not a parent | 116.04 days |
Figure 3.1.3.2 Distribution of number of days in treatment by parental status.
Figure 3.1.3.3 Average number of days in treatment for new presentations to treatment, by parental status and substance group.
Figure 3.1.3.5 Proportion of new presentations to treatment in England receiving recovery support during the treatment journey or starting within 3 months after the end of treatment.
Successful completions show the proportion of the total number of clients in treatment, whose latest treatment journey ended between 1 January 2019 and 31 December 2019 and whose final reason for discharge was ‘treatment completed’.
Successful completion and non re-presentations show the proportion of all clients in treatment, who had a successful completion between 1 January 2019 and 31 December 2019 and did not re-present to structured treatment for substance misuse within 6 months of that successful completion.
Figure 3.2.1 Proportion of clients completing treatment successfully (successful completions and successful completion non-representations)
Figure 3.2.2 Successful completions by parental status and substance group.
Figure 3.2.3 Successful completion non-representations by parental status and substance group.
This section presents profile and outcomes data for parents with problem alcohol and drug use in Bolton. The data comes from the NTDMS. Except for numbers in treatment, the numbers presented here are for new presentations to treatment only. This includes clients who started treatment between 1 April 2019 and 31 March 2020. All data presented here is available to download in the appendix. Data for all local authorities in England are available to download from NDTMS.net.
To prevent potential patient identification, all local figures for Bolton in this report have been rounded to 1 or the nearest 5. Proportions have been calculated from the rounded figures. This is true of all local data except for the overall numbers in treatment.
This section includes benchmark comparisons. Please see the appendix for a table of these benchmark areas including upper tier local authority codes.
Table 4.1.1.1 Number of clients in treatment and number of new presentations to treatment in 2019 to 2020 in Bolton.
Parental status | N | % | N | % | % of all in treatment |
---|---|---|---|---|---|
Parent or adult living with children | 453 | 21% | 98 | 11% | 22% |
Parent not living with children | 770 | 36% | 365 | 41% | 47% |
Not a parent | 887 | 42% | 418 | 47% | 47% |
All clients | 2,110 | 100% | 881 | 100% | 42% |
Figure 4.1.1.1 Breakdown of parental groups for new presentations to treatment in Bolton in 2019 to 2020.
Figure 4.1.1.2 Breakdown of parental groups for new presentations to treatment in benchmark areas in 2019 to 2020.
Figure 4.1.1.3 Age breakdown for new presentations to treatment by parental group in Bolton.
Figure 4.1.1.4 Age breakdown for new presentations to treatment by parental group in benchmark areas.
Figure 4.1.1.5 Proportion of new presentations to treatment in Bolton and benchmark areas, by parental group and sex.
Figure 4.1.1.6 Ethnicity of new presentations to treatment in Bolton, by parental group.
Figure 4.1.1.7 Ethnicity of new presentations to treatment in benchmark areas, by parental group.
Figure 4.1.1.8 Housing situation for new presentations to treatment in Bolton.
Figure 4.1.1.9 Housing situation for new presentations to treatment in benchmark areas.
Figure 4.1.1.10 Employment, education and training breakdown for new presentations to treatment in Bolton.
Figure 4.1.1.11 Employment, education and training breakdown for new presentations to treatment in benchmark areas.
Figure 4.1.1.12 Proportion of women who are new presentations to treatment, under the age of 50, that are pregnant in Bolton and benchmark areas.
Table 4.1.1.2 Average number of children living with clients in Bolton and benchmark areas.
Parental status | Bolton | Benchmark |
---|---|---|
Parent or adult living with children | 1.82 | 1.84 |
Parent not living with children | 0.00 | 0.00 |
Not a parent | 0.00 | 0.00 |
Figure 4.1.2.1 Breakdown of substance groups for new presentations to treatment in Bolton.
Figure 4.1.2.2 Breakdown of substance groups for new presentations to treatment in benchmark areas.
Figure 4.1.2.3 Proportions of new presentations to treatment with a mental health treatment need.
Figure 4.1.2.4 Proportion of clients with a mental health treatment need that did not receive mental health treatment.
Figure 4.1.2.5 Proportions of new presentations to treatment who were current injectors at the start of treatment.
Figure 4.1.2.6 Proportions of new presentations to treatment who previously injected at the start of treatment.
Table 4.1.2.1 Proportions of new presentations to treatment that had never injected at the start of treatment.
Parental status | Bolton | Benchmark areas |
---|---|---|
Parent or adult living with children | 82% | 86% |
Parent not living with children | 68% | 66% |
Not a parent | 69% | 74% |
Figure 4.1.2.7 Alcohol use for new presentations to treatment in Bolton, measured using the Severity of Alcohol Dependence Questionnaire (SADQ).
Figure 4.1.2.8 Alcohol use for new presentations to treatment in benchmark areas, measured using the Severity of Alcohol Dependence Questionnaire (SADQ).
Figure 4.1.3.1 Sources of referrals into treatment for new presentations to treatment in Bolton.
Figure 4.1.3.2 Sources of referrals into treatment for new presentations to treatment in benchmark areas.
Table 4.1.3.1 Average length of a client’s treatment journey in days, for new presentations to treatment in 2019 to 2020.
Parental status | Bolton | Benchmark |
---|---|---|
Parent or adult living with children | 109 days | 119 days |
Parent not living with children | 118 days | 121 days |
Not a parent | 114 days | 120 days |
Figure 4.1.3.3 Average number of days in treatment for new presentations to treatment, by parental status and substance group, in Bolton.
Figure 4.1.3.4 Average number of days in treatment for new presentations to treatment, by parental status and substance group, in benchmark areas.
Figure 4.1.3.7 Proportion of new presentations to treatment receiving family or parenting recovery support during the treatment journey or starting within 3 months after the end of treatment.
Figure 4.1.3.8 Proportion of new presentations to treatment receiving housing or employment recovery support during the treatment journey or starting within 3 months after the end of treatment.
Figure 4.1.3.9 Proportion of new presentations to treatment receiving domestic violence and abuse support recovery support during the treatment journey or starting within 3 months after the end of treatment.
Successful completions show the proportion of the total number of clients in treatment, whose latest treatment journey ended between 1 January 2019 and 31 December 2019 and whose final reason for discharge was ‘treatment completed’.
Figure 4.2.1 Proportion of clients who completed treatment sucessfully.
Figure 4.2.2 Successful completions by parental status and substance group in Bolton.
Figure 4.2.3 Successful completions by parental status and substance group in benchmark areas.
Successful completion and non re-presentations show the proportion of all clients in treatment, who had a successful completion between 1 January 2019 and 31 December 2019 and did not re-present to structured treatment for substance misuse within 6 months of that successful completion.
Figure 4.2.4 Proportion of clients who completed treatment successfully and did not re-present within 6 months.
Figure 4.2.5 Successful completion non-representations by parental status and substance group in Bolton.
Figure 4.2.6 Successful completion non-representations by parental status and substance group in benchmark areas.
In this section we first present treatment data from the NDTMS for young people (under the age of 18) who are parents or living with children.
This is followed by the latest data on parental alcohol and drug use and familial vulnerability beyond the NDTMS, including data from the Department of Education on children in need, the Children’s Commissioner for England, and the Income Deprivation Affecting Children index published by the Ministry of Communities and Local Government.
The data below represents young people nationally - under the age of 18 - that are parents or living with children, and who started drug or alcohol treatment in 2019 to 2020. Note that ‘other child contact’ might include young people living with siblings under the age of 18. This data comes from the NDTMS.
Table 5.1.1 Number of young people in treatment in England, including all clients in treatment and new presentations to treatment in 2019 to 2020.
Family category | N | % | N | % | % of all in treatment |
---|---|---|---|---|---|
Parent living with children | 54 | 0% | 38 | 0% | 70% |
Parent not living with children | 117 | 1% | 87 | 1% | 74% |
Other child contact - living with children | 5,084 | 36% | 3,547 | 35% | 70% |
Not a parent and not living with children | 8,916 | 62% | 6,235 | 62% | 70% |
Incomplete data | 120 | 1% | 92 | 1% | 77% |
Total | 14,291 | 100% | 9,999 | 100% | 70% |
Table 5.1.2 Average and youngest age and sex distribution of new presentations to treatment under the age of 18 in 2019 to 2020.
Family category | Average age | Youngest age | N | % | N | % |
---|---|---|---|---|---|---|
Parent living with children | 15.76 years | 13 years | 20 | 53% | 18 | 47% |
Parent not living with children | 16.05 years | 10 years | 26 | 30% | 61 | 70% |
Other child contact - living with children | 15.08 years | 10 years | 1,155 | 33% | 2,392 | 67% |
Figure 5.1.1 Breakdown of substance groups for new presentations to treatment under the age of 18. To prevent potential patient identification, numbers under 5 have been rounded to 5, and proportions calculated from rounded numbers.
Successful completions show the proportion of the total number of clients in treatment, whose latest treatment journey ended between 1 January 2019 and 31 December 2019 and whose final reason for discharge was ‘treatment completed’.
Successful completion and non re-presentations show the proportion of all clients in treatment, who had a successful completion between 1 January 2019 and 31 December 2019 and did not re-present to structured treatment for substance misuse within 6 months of that successful completion.
Figure 5.1.2 Proportion of clients under the age of 18 who completed treatment successfully (successful completions and successful completion non-representations).
The Department for Education releases annual statistics on children in need, which we have used below. The figures represent assessment information following a referral to children’s social care. An assessment may have more than one factor recorded. For more information, please see: Characteristics of children in need, Reporting Year 2020 – Explore education statistics
Nationally in 2019 to 2020, 16.3% (85,310) of children in needs assessments identified alcohol misuse by a parent or other adult living with the child as an issue. Drug misuse was a factor in 17.0% (89,100) of assessments.
In Bolton in 2019 to 2020, 20.1% (596) of children in needs assessments identified alcohol misuse by a parent or other adult living with the child as an issue. Drug misuse was a factor in 22.8% (676) of assessments.
Figure 5.2.1 Proportion of children in needs assessments identifying drug or alcohol misuse by a parent or other adult living with the child as an issue.
The Childhood Local Data on Risks and Needs (CHLDRN) produced by the Children’s Commissioner for England provides data on the number of children at risk. We have used this data, which is from 2019 to 2020, in the chart below. Please note that the method used to calculate prevalence here differs from the methods used in the prevalence section at the beginning of this document.
Figure 5.3.1 This chart shows data on co-occurring parental alcohol and drug problems, mental ill health and domestic abuse.
The IDACI is a subset of the Income Deprivation Domain, published by the Ministry of Housing, Communities and Local Government (MHCLG), which specifically measures the proportion of children aged under 16 living in income deprived families; defined as those in receipt of Child Benefit.
The spread of deprivation affecting children across the country is shown in the figure below. Bolton local authority (in red) has 18% of its lower super output areas in the most deprived 10% areas nationally. More detailed information can be found in the data table.
Figure 5.4.1 Proportion of Lower Super Output Areas in most deprived 10% areas nationally, by upper tier local authority.
Figure 5.4.2 This map shows proportion of Lower Super Output Areas in most deprived 10%, by upper tier local authority.
Table 5.4.1 IDACI information across local authorities in England.
Here we present data from the NDTMS used in this report, for Bolton as well as benchmark comparisons and national figures. All numbers refer to new presentations to treatment in 2019 to 2020. Data for all local authorities in England are available to download from NDTMS.net.
To prevent potential patient identification, all local figures for have been rounded to 1 or the nearest 5. Proportions have been calculated from the rounded figures. This is true of all local data except for the overall numbers in treatment.
Data in this table can be filtered as needed, and we recommend downloading data for easier processing.
Table 6.1 Data from the NDTMS used in this report, for Bolton, benchmark comparison and England.
Table 6.2 These are the areas identified as the nearest neighbours for Bolton using the CIPFA 2018 Model.
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