ACT Drug Strategy Action Plan 2018–2021

ACT Drug Strategy Action Plan 2018–2021:

Progress Report 2019–20August 2020

II ACT Drug Strategy Action Plan 2018–2021: Progress Report 2019–20 August 2020

Acknowledgment of Country

ACT Health Directorate acknowledges the Traditional Custodians of the land, the Ngunnawal people. The Directorate respects their continuing culture and connections to the land and the unique contributions they make to the life of this area. It also acknowledges and welcomes Aboriginal and Torres Strait Islander peoples who are part of the community we serve.

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© Australian Capital Territory, Canberra, November 2019.

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Contents

FOREWORD BY THE MINISTER FOR HEALTH RACHEL STEPHEN-SMITH MLA .... 3

PURPOSE .............................................. 5

BACKGROUND ..................................... 5

SCOPE OF REPORT ............................6

COLLABORATION AND PARTNERSHIPS ................................. 6

PROGRESS ON PRIORITY ACTIONS ...........................7

ALCOHOL ............................................ 7

TOBACCO AND RELATED PRODUCTS ........................9

E-CIGARETTES ...................................11

NATIONAL TOBACCO STRATEGY ...........................................11

HEATED TOBACCO PRODUCTS ..........................................11

ILLICIT AND ILLICITLY USED DRUGS ......................................12

EMERGING ISSUES, DATA AND REPORTING ............ 18

REFERENCES .................................... 20

APPENDIX 1: IMPLEMENTATION OF DRUG STRATEGY ACTION PLAN ACTIONS 2019 TO JULY 2020 .............................................22

ALCOHOL ACTION ITEMS ..........23

TOBACCO ACTION ITEMS .............26

ILLICIT AND ILLICITLY USED DRUGS ACTION ITEMS ................27

APPENDIX 2: TABLE OF HEALTHY CANBERRA GRANTS, ALCOHOL AND TOBACCO FOCUSED ...................... 36

2 ACT Drug Strategy Action Plan 2018–2021: Progress Report 2019–20 August 2020

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Foreword by the Minister for Health Rachel Stephen-Smith MLA

“The ACT Drug Strategy Action Plan 2018–2021: Progress Report 2019–20 demonstrates that the ACT is leading the nation in key areas to reduce the harms caused by alcohol, tobacco and other drugs. It also sets out the requirement to continue working together to meet the needs of the growing Canberra population, and respond to the changing landscape of alcohol, tobacco and other drug use in the ACT.”

Overall, as Canberrans, we enjoy a high standard of health and wellbeing, but we do face various challenges in our community. Alcohol, tobacco and other drug use has long been associated with negative outcomes for health and wellbeing and poses otherwise preventable risks across our community.

To reduce these risks, in December 2018 the ACT Government launched the ACT Drug Strategy Action Plan 2018–2021. The plan sets out the ACT Government’s priorities over three years to reduce harms from alcohol, tobacco and other drug use in Canberra.

Our Drug Strategy Action Plan aligns to the framework provided by the National Drug Strategy 2017–2026 and focuses on reducing supply, reducing demand and reducing harms. It is complemented by the ACT Government’s Healthy Canberra: ACT Preventive Health Plan 2020–2025, which sets the foundations for every Canberran to enjoy the highest standards of health at every stage of life. Together, these plans are helping us build a safe, healthy and resilient Canberra.

During 2019, the first full year of implementing the Drug Strategy Action Plan, we have made significant progress including the following key activities:

• We ran Australia’s second government-sanctioned pill testing trial in April 2019. The ACT Government commissioned the Australian National University to evaluate the trial. The evaluation, completed in December 2019, showed the effectiveness of pill testing in reducing the harms associated with drug use at festivals.

• We established the ACT Drug and Alcohol Court in December 2019. This was introduced to offer more sentencing treatment options to people whose drug and alcohol use has substantially contributed to their criminal behaviour.

• We decriminalised cannabis. In September 2019 the ACT Legislative Assembly became the first Australian jurisdiction to remove criminal penalties for adults who possess small amounts of cannabis. This legislation came into effect on 31 January 2020.

In 2020 and beyond, the ACT Government will continue to put our plan into action, with a commitment to innovative evidence-based policy that will minimise the harms associated with alcohol, tobacco and other drugs. Our evidence-based approach to minimising harms has become even more important during the COVID-19 pandemic. In partnership with our stakeholders, including non-government organisations and the Canberra community, we will ensure our Drug Strategy Action Plan makes a difference in our community.


Introduction

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Purpose This is the first report on the ACT Government’s progress implementing the Drug Strategy Action Plan. It outlines key achievements during 2019 and, because COVID-19 delayed the report’s finalisation, it also contains some updated information from early 2020.

This report focuses mainly on progress against the Drug Strategy Action Plan priority actions. The first section outlines major achievements and Appendix 1 contains a summary of initiatives against each action.

Future progress reports will provide more information on progress against higher level objectives, as more data becomes available over the life of the plan. A revised plan will be developed for 2022 and beyond.

BackgroundWhile many people equate ‘drugs’ only with illegal drugs, it is legal drugs, alcohol and tobacco that cause more health problems in our community. As a result, the objectives of the Drug Strategy Action Plan are to minimise harms arising from the use of all drugs, including alcohol, tobacco and related products, and illicit and illicitly used drugs (including pharmaceuticals used for non-medical reasons).

• Several national strategies underpin the ACT’s plan, including the:

• National Drug Strategy 2017–2026

• National Alcohol Strategy 2019–2028

• National Framework for Alcohol, Tobacco and Other Drug Treatment 2019–2029

• National Quality Framework for Drug and Alcohol Treatment Services 2019–2022.

The last three strategies were finalised in late-2019 and provide guidance for progressing the ACT Drug Strategy Action Plan during 2020 and beyond. In addition, an updated National Tobacco Strategy is expected to be released in 2020 for the period 2020 to 2030.

The ACT Government is committed to working within the Australian national harm minimisation approach to drug policy described in the National Drug Strategy 2017–2026. Harm minimisation includes the three pillars of:

• supply reduction (for example, police seizures of illicit drugs, or restrictions on sale of alcohol and tobacco)

• demand reduction (for example, drug treatment, advertising that highlights the negative effects of drug use, and controls on alcohol and tobacco promotion)

• harm reduction (a pragmatic approach to reducing harm from drug use that does occur despite the best efforts of supply and harm reduction, for example providing sterile injecting equipment to prevent the spread of HIV and Hepatitis C, and providing the medication naloxone to reverse potentially fatal opioid overdoses).


Scope of reportThis report outlines progress in achieving the objectives and priority actions in the Drug Strategy Action Plan in the areas of:

• alcohol

• tobacco and related products

• illicit and illicitly used drugs

• emerging issues, data and reporting.

It does not describe the daily clinical work of the ACT Government and non-government services in Canberra to treat and support people with alcohol and other drug problems. More information and statistics on alcohol and other drug topics in the ACT can be found on the Australian Institute of Health and Welfare’s alcohol, tobacco and other drugs webpage.1

Collaboration and partnershipsThe close collaboration and co-design between the ACT Government and non-government organisations, including the specialist alcohol and other drug treatment and support sector, has been critical to achieving the milestones described in this report. During 2019 and early 2020, the ACT Health Directorate (ACTHD) worked with the following directorates and external organisations to deliver Drug Strategy Action Plan priority action items:

• ACT Policing

• ACT Aboriginal and Torres Strait Islander Elected Body (ATSIEB)

• Alcohol Tobacco and Other Drug Association ACT (ATODA)

• Canberra Alliance for Harm Minimisation and Advocacy (CAHMA)

• Canberra Health Services (CHS)

• Capital Health Network (CHN)

• Chief Minister, Treasury and Economic Development Directorate (CMTEDD)

• Families and Friends for Drug Law Reform (FFDLR)

• Foundation for Alcohol Research and Education (FARE)

• Health Care Consumers’ Association (HCCA) of the ACT

• Hepatitis ACT

• Justice and Community Safety Directorate (JACS)

• Mental Health Community Coalition ACT (MHCC)

• Office of the Coordinator-General for Family Safety

• Public Health Association of Australia (PHAA)

• Winnunga Nimmityjah Aboriginal Health and Community Services.

The Drug Strategy Action Plan Advisory Group is a key mechanism for collaboration across the ACT Government and the non-government sector. The Advisory Group ensures the ACT Government makes informed decisions on the implementation, monitoring and evaluation of actions in the Drug Strategy Action Plan.

1 https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/introduction

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Progress on priority actions

Alcohol Alcohol is the most widely used drug in our community. In 2015, 4.5 per cent of the disease burden in Australia was due to alcohol use, making it the sixth leading risk factor for preventable illness, injury and death.

While the ACT’s drinking levels are near the national average, a significant proportion of people in our community continue to drink at levels that put them at risk of harm. In the ACT, alcohol is the leading risk factor for preventable disease, injury and death among men aged 15–24 years (13.0 per cent), and men aged 25–44 (12.0 per cent). Alcohol is also the second leading risk factor among females aged 15–24 (5.8 per cent).2

The most recent data from the Driving Change Project on all ACT emergency department presentations on Friday and Saturday nights (8pm–6am) between 20 May 2019 and 19 July 2019, showed that people had been drinking alcohol in the previous 12 hours in 3.1 per cent of presentations at Calvary Hospital Emergency Department, and 11.5 per cent of presentations at the Canberra Hospital Emergency Department. The alcohol consumed was more likely to have been purchased at an off-licence venue such as a supermarket or bottle shop than at a licenced venue, such as a pub or club.

Our achievements: alcohol

Awarding of Healthy Canberra Grants The ACT Health Promotion Grants Program offers grants to community-based organisations to improve the health of Canberrans and minimise the risk of chronic disease.

In 2019, the ACT Government awarded more than $2 million in grant funding for new projects to reduce harms from alcohol use. The funded projects include work to:

• promote safe drinking guidelines and publicise the long-term effects of alcohol use

• reduce the risk of alcohol overdose and trauma among young people.

Other grants aim to reduce harms among specific higher risk groups including:

• Aboriginal and Torres Strait Islander peoples

• pregnant women

• lesbian, gay, transgender, intersex, and/or queer people

• men

• people in, or leaving, correctional centres.

Further information about specific Healthy Canberra Grants, including the total funding amounts, are in Appendix 2.

2 Australian Institute of Health and Welfare (2019). Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2015. Available at: https://www.aihw.gov.au/getmedia/c076f42f-61ea-4348-9c0a-d996353e838f/aihw-bod-22.pdf.aspx?inline=true


The ‘I need you to say no’ campaign The ACT Government, through the Justice and Community Safety Directorate, ran the campaign Alcohol. Think Again ‘I need you to say no’. This was adapted from materials designed and delivered by the Western Australian Government.

The campaign aims to reinforce that most parents don’t provide alcohol to their children, and that, given teenagers’ vulnerabilities to the effects of alcohol and the longer-term potential for damaging outcomes, it is best for teenagers to delay alcohol use until at least 18 years of age.

The campaign was launched online and on television in December 2019 and finished in February 2020. An evaluation will be completed in 2020 to gain insight into how the campaign was received and its effectiveness.

Looking forward: 2020 actions on alcohol

Driving change research study‘Driving Change: Using Emergency Department Data to Reduce Alcohol-Related Harm’ (Last Drinks) is an Australian multi-site national study led by Deakin University. The study identifies the most common sources of alcohol-related incidents resulting in emergency department presentations, which can then be targeted through public health interventions.

The Canberra Hospital and Calvary Public Hospital emergency departments began collecting data in August 2018 and the project is due to finish in 2020.

Data from the first 12 months indicates that most ACT emergency department admissions following recent alcohol consumption are linked with alcohol purchased at off-licence outlets.

At the end of the Driving Change research project, the ACT Government will consider policy options informed by the findings.

National Alcohol Strategy 2019–2028 The National Alcohol Strategy was finalised in late 2019. It provides a national framework for local policy action to reduce alcohol-related harms in the ACT.

The ACT Government’s commitments under the Drug Strategy Action Plan and the Preventive Health Plan are consistent with the aims of the National Alcohol Strategy. This includes the goal of reducing harmful alcohol consumption by 10 per cent.

In 2020, the ACT Health Directorate will review evidence of links between alcohol use and domestic and family violence, with a view to informing future policy actions.

The ACT Government will consider further actions in future years.

Alcohol Responsible Promotion Guidelines review A review of the Liquor (Responsible Promotion of Liquor) Guidelines 2012 will be led by Access Canberra in 2020. These guidelines provide direction on what constitutes unacceptable advertising or promotions for alcohol products by licensees or permit holders in the ACT.

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Tobacco and related productsThe decline in tobacco use Australia-wide and in the ACT is a significant public health success. Fewer young people are now taking up smoking than at any time since official surveys began in the early 1980s.3 Despite this success, however, tobacco remains the leading cause of preventable disease and death, both in the ACT4 and Australia-wide.5

Currently 1 in 10 Canberrans smoke. However, people who experience more social or personal disadvantage, including people of Aboriginal or Torres Strait Islander background, or those who have a mental illness or addiction, smoke at much higher rates.

Electronic cigarettes (e-cigarettes) and vaping continue to be a controversial topic in Australia. While some argue that e-cigarettes could be useful to support people to stop smoking, there are also concerns that e-cigarettes may act as a gateway into nicotine use and tobacco smoking, as well as causing high levels of health damage in their own right. Although it is illegal in Australia to sell vaping products that contain nicotine without a licence, recent research has shown that many products advertised as ‘nicotine-free’ do in fact contain nicotine.

Our achievements: tobacco and related products

Smoking rate of 10 per centThe National Drug Strategy Household Survey 2019 (published in July 2020) reported a smoking rate of 10 per cent in the ACT, making the ACT the first Australian jurisdiction to reach this milestone. The daily smoking rate, not including occasional smoking, was 8.2 per cent in 2019.The extent of the decline in daily smoking in the ACT is shown by the fact that in 2001 the daily smoking rate was 18.4 per cent, more than double the current rate.

Smoke-free placesThe Smoke-free Public Places (Public Transport Interchanges) Declaration 2019 came into effect on 18 October 2019. This Declaration makes the new Gungahlin Bus and Light Rail Interchange smoke-free, extends the smoke-free boundary at the City Bus Interchange to include the light rail platforms and new bus platforms, and includes the new light rail platforms at Dickson Interchange. This Declaration replaces the Smoke Free Public Places (Public Transport Stops) Declaration 2017.

3 https://www.tobaccoinaustralia.org.au/chapter-2-consumption/2-3-self-reported-measures-of-tobac-co-consumption

4 ACT Health. ACT Chief Health Officer Report 2018.5 https://www.aihw.gov.au/reports/burden-of-disease/impact-risk-factors-burden-disease/data


E-cigarette policy In March 2019, the ACT Government asked the Australian Government Department of Health to expand the scope of federal tobacco legislation to include e-cigarettes.

On 13 September 2019, the ACT Chief Health Officer joined with other State and Territory Chief Health Officers and Australia’s Chief Medical Officer to issue a statement about e-cigarettes, and an emerging link between their use and lung disease.

At the November 2019 meeting of the Council of Australian Government (COAG) Health Council, health ministers reaffirmed their commitment to maintain existing restrictions on nicotine vaping products. Ministers agreed to refer the safety of non-nicotine vaping and e-cigarettes to Chief Medical Officers for urgent review.

The Australian Government updated its ‘Principles that underpin the current policy and regulatory approach to electronic cigarettes (e-cigarettes) in Australia’ on 20 December 2019. The principles state that ‘any change to regulation of e-cigarettes in Australia will have the primary focus and goal of protecting children and young people, with a second key goal of protecting the health of existing adult cigarette smokers’.

The ACT Health Directorate has also been closely monitoring the United States’ outbreak of severe lung illnesses related to vaping.

In May 2019, the ACT Government published a new consumer information sheet to help Canberrans better understand the health effects of e-cigarettes and vaping products.6

Looking forward: 2020 actions on tobacco and related products

New funding for programs to tackle tobacco The successful applications for almost $900,000 in funding for Healthy Canberra Grants: Focus on Reducing Smoking-Related Harm were announced on World No Tobacco Day, 31 May 2020. The successful projects commence in 2020–21 and continue for up to three years.

The successful grant recipients are:

• Directions Health Services, which will receive $289,591 over the next three years for its Butt it Out! smoking support program for people with alcohol and other drug dependency and comorbid mental illness.

• The Worldview Foundation, which will receive $325,696 for its Pre-Release Non-Indigenous Supplement along with its Post-Release Activity Support program at the Alexander Maconochie Centre. This program aims to address issues associated with alcohol, tobacco and other drugs to support a more successful reintegration of detainees into the community, along with improvements to their health and wellbeing.

• The Cancer Council ACT, which will receive $284,000 for its Tackling Tobacco program to address smoking in disadvantaged communities in partnership with not-for-profit community sector organisations, to increase their capacity to support people to stop smoking.

6 https://www.health.act.gov.au/sites/default/files/2019-05/Electronic%20cigarettes.pdf

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E-cigarettesIn 2020, the ACT Health Directorate will continue to work with other states and territories and the Australian Government to identify options for a national approach to regulation of e-cigarettes, and to actively monitor emerging evidence regarding the health risks of e-cigarettes and other new tobacco-related products. The ACT Government will consider if a legislative approach is needed to address identified risks.

National Tobacco Strategy A national public consultation on the draft National Tobacco Strategy is expected during 2020, although the consultation has been delayed by the COVID-19 pandemic. The ACT Government will consider how to respond to the National Tobacco Strategy once it is completed.

Heated tobacco productsThe ACT Government has made a submission to the Therapeutic Goods Administration consultation process, objecting to an application to amend the Poisons Standard to permit heated tobacco products to be sold in Australia. The ACT’s submission raised the issues of the lack of evidence of health benefits for such a step, safety concerns for users and bystanders, and the likely negative impact on reducing tobacco use in Australia.


Illicit and illicitly used drugs Illicit drug use is a risk factor for about 2.6 per cent of the total disease, injury and death (burden of disease) in the ACT.

Since 2016, wastewater testing has been carried out three times a year on sewage from around Australia to help compare the quantity of alcohol, tobacco and other drugs that are consumed across different areas of the country. The testing has shown how drug use in Canberra resembles that of other capital cities in some ways, but in others it more closely resembles regional drug use patterns.

The following table summarises how estimated personal use of different types of drugs in the ACT compares with estimated rates of use in a) other state and territory capitals and b) other regional areas. The information is based on wastewater collection during December 2019. It is important to bear in mind that wastewater testing provides information only on average levels of consumption. If the testing indicates that 100 units of a drug have been consumed, for example, it cannot tell whether this is the result of 100 people each consuming one unit, or 10 people each consuming 10 units. Results and interstate comparisons can fluctuate between testing periods.

Comparison of average levels of per head drug use as indicated by wastewater testing, December 2019Drug ACT compared

with Australian average

ACT compared with capital city average

ACT compared with regional average

Alcohol Higher Higher Similar

Fentanyl (an opioid pain killer) Similar Similar Lower

Oxycodone (an opioid painkiller)

Higher Higher Lower

Heroin Lower Lower Higher

Cannabis Higher Higher Similar

Cocaine Higher Higher Similar

Ecstasy Similar Similar Lower

Methamphetamine Lower Lower Lower

Nicotine Higher Higher Lower

Our achievements: illicit and illicitly used drugs

Viral hepatitis and HIV screening and treatment at the Canberra Hospital Alcohol and Drug Service

People who inject drugs are most at risk of contracting the potentially fatal liver infection, Hepatitis C. New treatment medications that can cure Hepatitis C were made available on the Australian Pharmaceutical Benefits Scheme in 2016. The new treatments are easier to take, have fewer side effects, and are more effective for most people.

In 2019, to ensure clients have streamlined access to the new Hepatitis C treatments, Canberra Health Services introduced direct access to screening, assessment and Hepatitis C treatment within the Alcohol and Drug Services. Patients can also be screened for other blood-borne viruses such as HIV and Hepatitis B.

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Launch of the Drugs and Poisons Information System (DAPIS) Online Remote Access

The DAPIS Online Remote Access portal is a secure realtime prescription monitoring website that allows prescribers and pharmacists to look up information about a patient’s use of controlled medicines, particularly opioid medications that have a high risk of overdose. The new ACT-based platform was introduced in March 2019.

Commitment to national real-time prescription monitoring In May 2019, the ACT became the first jurisdiction to formally commit to the national Real-Time Prescription Monitoring system. In June 2019, the ACT Government allocated $2.114 million to adopt this new national platform. It will provide practitioners with enhanced features and functionality to further support care of patients requiring treatment with monitored medicines that could be subject to non-medical use.

Information displayed will be sourced from the National Data Exchange, which includes dispensing data sourced from other jurisdictions for ACT residents, in addition to ACT pharmacy dispensing data. Information will also be displayed for ACT Chief Health Officer approvals held by a prescriber to prescribe controlled medicines for a patient.

New opioid treatment medication In September 2019, a new opioid treatment medication, long-acting buprenorphine, was made available on the Australian Pharmaceutical Benefits Scheme to people with an opioid dependency.

A benefit of long-acting buprenorphine is that it can be administered weekly or monthly, rather requiring a person to attend a clinic or pharmacy every 1 to 2 days.

Canberra Health Services carried out an introductory longacting buprenorphine program in late 2019 in both its Alcohol and Drug Services and the Alexander Maconochie Centre. In December 2019, long-acting buprenorphine also become more widely available in the ACT, with three practices in central and southern Canberra (Interchange General Practice, Winnunga Nimmityjah Aboriginal Health and Community Services and Directions Health Services) approved to provide longacting buprenorphine—providing a valuable treatment option for many people receiving opioid treatment.

Successful pill testing trial at Canberra music festivals Pill testing is a harm reduction service that analyses the contents of drugs and provides targeted, evidence-based drug information to assist people to avoid potential harms associated with drug use.

The ACT is the first and only Australian state or territory to conduct festival-based pill testing (at the 2018 and 2019 Groovin the Moo music festivals). These pill testing trials were conducted within the supportive policy environment provided by the ACT Government, in line with the Government’s commitment to innovative approaches that prevent and reduce harms associated with drug use. Harm reduction is one of the three key pillars of the Australian national harm minimisation approach to drug policy.

The second pill testing trial was run by Pill Testing Australia, a harm reduction consortium, at Groovin the Moo on 28 April 2019. More than 200 festival patrons participated in the trial.


The ACT Government funded Australian National University-affiliated researchers to evaluate this second trial. The evaluation aimed to determine the value of pill testing as a harm reduction initiative.

The evaluation found an overwhelmingly positive response to pill testing by festival patrons, and concluded that pill testing is an effective health intervention that can have a significant impact reducing the potential harms associated with the use of illicit drugs.

Key findings included:

• all patrons who had particularly dangerous drugs identified (N-ethyl pentylone) disposed of the drug in the amnesty bin provided as part of the service

• on leaving the service, 28 per cent of patrons said that they would use less of the drug than planned

• 97 per cent of patrons said the information they received was very clear, and consistently reported that their interaction with the service increased their knowledge on how to reduce harm, particularly for novice users

• 98 per cent of patrons rated the service very highly

• 95 per cent of patrons said they would use the service again if available.

Patrons who were interviewed said that they would change their behaviour to reduce harm by taking less of the drug, spacing out their use, drinking water, and being less reluctant to seek medical assistance.

In December 2019, the ACT Minister for Health, Rachel Stephen-Smith MLA, released the Australian National University evaluation report to the COAG Health Council.

Drug and Alcohol Court The ACT Drug and Alcohol Court is an ACT Government election commitment and a key commitment of the Drug Strategy Action Plan. It aims to divert offenders to treatment programs instead of incarceration where the offending is substantially related to drug or alcohol use. Offenders voluntarily decide to take part and must plead guilty to be eligible.

The court officially started operating on 3 December 2019. Assessment of potential participants for their suitability for a Drug and Alcohol Treatment Order (DATO) also began in December 2019. The ACT Health Directorate has funded non-government organisations to provide treatment to participants, and will manage these contracts. Participant numbers are expected to increase over time as the service develops.

Safer FamiliesThe Safer Families measure in the 2016–17 ACT Government Budget funded a range of initiatives to address domestic and family violence.

In 2019, the ACT Health Directorate ran a targeted procurement process for a consultant to conduct a baseline assessment of the capacity of the alcohol and other drug sector to respond to domestic and family violence. The final report was delivered to ACT Health Directorate in December, 2019.

In 2020, ACT Health provided $250,000 to the Alcohol, Tobacco and Other Drug Association ACT to undertake an additional stage of the Safer Families project, to improve the capacity of the alcohol and other drug sector to identify and respond effectively to domestic and family violence. This funding is enabling capability uplift for the alcohol and other drug sector consistent with the ACT Government Domestic and Family Violence Training Strategy and the ACT Domestic and Family Violence Risk Assessment and Management Framework.

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The ‘What Would They Think?’ campaignThe 2019–20 ‘What Would They Think?’ campaign was launched in December 2019. The campaign encouraged people to plan how they would get home safely during the holiday season. It emphasised that driving under the influence of illicit substances is against the law and that this would not change under the ACT Government’s new cannabis legislation.

Looking forward: 2020 actions on illicit and illicitly used drugs

National Real-Time Prescription Monitoring systemThe ACT will continue to prepare to adopt the national Real-Time Prescription Monitoring system by June 2021, to help prevent access to dangerous quantities of addictive drugs.

Opening of a new opioid treatment facility in north CanberraA new opioid replacement treatment clinic is expected to open at Belconnen in Canberra’s north in October 2020. In the 2019–20 ACT Budget, the ACT Government allocated $3.014 million in new funding over four years to establish and operate the service. Planning work was undertaken in 2019 and refurbishments during early 2020. The service will offer access to doctors who can prescribe opioid treatment medications, and to on-site opioid treatment dosing.

Medically supervised injecting facilityThe Drug Strategy Action Plan committed to investigating the feasibility, need, effectiveness and appropriateness of establishing a medically supervised drug consumption facility (supervised injecting facility) for the ACT.

The ACT Health Directorate has engaged the Burnet Institute, in partnership with the Canberra Alliance for Harm Minimisation and Advocacy, to undertake this study. The work has a research focus, investigating current and future drug usage patterns, risk behaviours, and drug-related health problems, to determine whether there is a need for a medically supervised drug consumption service in the ACT.

The key objective is harm reduction for individuals who use drugs in the ACT, with a focus on reducing overdose-related morbidity and mortality. The study will consider appropriate methods of achieving this objective, including potentially establishing a medically supervised drug consumption facility.

The final report is due in the second half of 2020. Along with ACT Health Directorate advice, the study will inform the ACT Government’s consideration of the appropriateness of a medically supervised drug consumption facility in the ACT.


NaloxoneNaloxone is a drug that reverses overdoses due to opioids including heroin, and pharmaceutical drugs such as oxycodone or fentanyl. In the 2019–20 ACT Budget, the ACT Government provided additional ongoing funding of $300,000 annually to expand the reach of Canberra’s naloxone program, which makes naloxone available to community members for immediate use in an emergency.

During 2020, the ACT Government will continue to work with service providers, including the Canberra Alliance for Harm Minimisation and Advocacy, to expand access to take-home naloxone in the ACT.

Festivals Pill Testing PolicyFollowing the release of the independent evaluation of the second ACT pill testing trial, the ACT Government developed a Festivals Pill Testing Policy. The policy was intended to be trialled at the Groovin the Moo Festival in April 2020, but the festival was cancelled due to COVID-19 and the policy has yet to be implemented.

Aboriginal and Torres Strait Islander Residential Rehabilitation Facility In the 2019–20 ACT Budget, the ACT Government provided $300,000 to inform the development of a culturally appropriate residential service supporting drug and alcohol rehabilitation for Aboriginal and Torres Strait Islander people in the ACT.

The ACT Health Directorate engaged Winnunga Nimmityjah Aboriginal Health and Community Services to develop a culturally appropriate Model of Care for the proposed service. Winnunga has completed a draft Model of Care and is consulting on the draft with the ACT Aboriginal and Torres Strait Islander community.

The ACT Health Directorate is continuing to work with Winnunga on the development of this facility. The Model of Care will be finalised in 2020–21, with consideration of design and construction work to follow.

The facility is intended to complement existing services, including the Ngunnawal Bush Healing Farm.

Funding to improve the diversion systemIn the 2019–20 ACT Budget, the ACT Government committed $2.9 million over four years to improve support for people diverted from the police and court systems for personal drug use. This will help respond to community need and allow for more responsive early intervention services.

Diversion can involve police diverting people to education or treatment early in their contact with the criminal justice system, as well as the courts diverting people for assessment and referral for appropriate treatment.

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Alexander Maconochie Centre Drug and Blood-Borne Virus Strategy 2020–2024 The Alexander Maconochie Centre Drug and Blood-Borne Virus Strategy 2020–2024 will be finalised in 2020.

This strategy will guide how ACT Corrective Services and the Mental Health, Justice Health and Alcohol and Drug Services division at Canberra Health Services address drug use by detainees. The strategy will encompass communicable disease prevention and control relating to blood-borne viruses and sexually transmittable infections.

In the 2019–20 ACT Budget the ACT Government invested an additional $1.075 million over four years to expand the opioid maintenance treatment service and provide a range of additional drug and alcohol services at the Alexander Maconochie Centre. Additional nursing staff have been recruited with this funding to help reduce waiting times for alcohol and drug consultations, and to provide earlier access to interventions for detainees to support their treatment and recovery from addiction while in custody.

Alcohol, tobacco and other drug education in schools Drug and alcohol education is a key component of the Australian curriculum for students in Years 3 to 10. While the Australian curriculum outlines the learning outcomes for students in those years, it is not a syllabus.

To ensure schools are using the best resources currently available, in 2020 the ACT Health Directorate will work with educators to identify and disseminate a range of evidence-based resources for use in ACT schools to support the Australian curriculum.


Emerging issues, data and reporting The Drug Strategy Action Plan allows for responses to emerging priorities that could not be identified at the time the plan was developed. The plan includes commitments to improving ACT data on alcohol, tobacco and other drug issues. Data, and appropriate data sharing, is key to tracking emerging issues, and guiding policy and treatment development.

Our achievements: emerging issues, data and reporting

Findings of the 2019 National Drug Strategy Household Survey The National Drug Strategy Household Survey is the major national survey of alcohol, tobacco and other drug use in Australia. The Australian Institute of Health and Welfare conducts the household survey every three years. Data was gathered in all states and territories during 2019, with findings published on 16 July 2020.7

Because the ACT has a relatively small sample size compared with the larger Australian jurisdictions, statistically significant changes between the three-yearly surveys can be difficult to detect, but clearer trends may emerge over longer periods. The findings of the 2019 survey are summarised below.

Tobacco• Tobacco smoking in the ACT remains the lowest in any Australian jurisdiction. Daily smoking

in the ACT was 8.2 per cent in 2019 (age 14 or older) compared with the national average of 11.0 per cent. There was an apparent fall in the ACT daily smoking rate from 9.5 per cent in 2016, however, this was not statistically significant.

• The overall smoking rate in 2019 in the ACT, including occasional smoking, was 10.0 per cent compared with 11.6 per cent in 2016. The Australian overall smoking rate was 14.0 per cent, four percentage points higher than in the ACT.

• The rate of daily smoking more than halved in the ACT between 2001 (18.4 per cent) and 2020 (8.2 per cent).

Alcohol• Between 2016 and 2019, there was no statistically significant change in the proportions of

Canberrans drinking daily, weekly, monthly, or less often than monthly over the previous 12 months. There was also no statically significant change in the proportion of ex-drinkers.

• There appears to be a gradual decline in short-term risky drinking in the ACT, from 28 per cent in 2007 to 21 per cent in 2019. There may be a trend to a decline in short term-risky drinking at least monthly between 2016 (22.7 per cent) and 2019 (20.7 per cent), but this was not statistically significant.

• The ACT has the lowest proportion of lifetime risky drinking over the past year, at 14.1 per cent compared with the national average of 16.8 per cent. The rate of lifetime risky drinking in the ACT has fallen over the longer-term from 21.7 per cent in 2007.

• Between 2016 and 2019 there were significant decreases in the percentage of people in the ACT who reported being victims of alcohol-related verbal abuse (21 per to 15.9 per cent) or physical abuse (5.3 per cent to 2.0 per cent) in the previous 12 months. However, in 2019 Canberrans were still more than twice as likely to be a victim of an alcohol-related incident as a drug-related incident (21 per cent compared to 9.1 per cent).

7 https://www.aihw.gov.au/reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/con-tents/table-of-contents

19health.act.gov.au

Illicit drugs• The ACT had the lowest rate of recent illicit drug use of any Australian jurisdiction in 2019, at

14.6 per cent. This was despite a recent apparent (but not statistically significant) increase in illicit drug use from 12.9 per cent in 2016.

• Methamphetamine (ice) and amphetamine (speed) use appears to have fallen to very low population levels in Canberra. The 2019 household survey records meth/amphetamine use as 0.3 per cent in the ACT in 2019, compared with 1.1 per cent in 2016, and 4.5 per cent in 2001.

• Nonetheless, in the ACT in 2018–19, 22.6 per cent of non-pharmacotherapy-based treatment episodes provided by government-funded services were to help with meth/amphetamine use. This is likely to indicate that people who continue to use methamphetamine are more likely to be higher level users experiencing significant problems than previously.

Pharmaceuticals used for non-medical purposes• The non-medical use of painkillers and opioids by people in the ACT in 2019 (1.5 per cent) was

lower than the national average (2.7 per cent). There appears to be a trend towards a (non-significant) decline in reported non-medical use of opioid painkillers in the ACT (down from 2.9 per cent in 2016 to 1.5 per cent in 2019). This parallels a statistically significant national decline (down from 3.6 per cent in 2016 to 2.7 per cent in 2019).

Public views on policySupport for pill testing among Canberrans was the highest in the country in 2019, at 70 per cent. The majority of Australians also support pill testing (57 per cent).

Around two-thirds of people surveyed in the ACT support harm reduction measures for injecting drug use, such as needle and syringe programs (72 per cent), opioid maintenance treatment (68 per cent), access to take-home opioid overdose reversal drug naloxone (63 per cent) and regulated injecting rooms (65 per cent).

For the first time in 2019, more Australians support the legalisation of cannabis (41 per cent) than oppose it (37 per cent).

Only 22 per cent of Australian adults now believe that possession of cannabis for personal use should be a criminal offence. The majority of Australian adults (55.3 per cent) support a caution/warning or no action against people found in possession of cannabis, with the next most popular option being referral to treatment or education (27.3 per cent). A total of 13 per cent support a fine, and only 7.3 per cent support community service, weekend detention or prison.

The data collected from this survey provides key information on current alcohol, tobacco and other drug trends in the ACT, helping to guide future directions of the Drug Strategy Action Plan.

Cannabis decriminalisationIn response to a Private Members Bill, the ACT became the first Australian jurisdiction to remove criminal penalties for adult personal possession offences.

The Drugs of Dependence (Personal Cannabis Use) Amendment Act 2019 passed in September 2019 and came into effect on 31 January 2020. The operation of the new law will be reviewed after three years. From mid-January 2020 to mid-March, the ACT Government implemented an evidence-led communication campaign to inform Canberran adults about the new cannabis legislation. This included radio advertisements, social media, and web content. As part of the government communication campaign, the ACT Health Directorate delivered public health information about the health impacts of cannabis use. The information provided was tested with Canberrans first to ensure it was clear and easy to understand.


In addition, a new ‘Cannabis and Your Health’ webpage was established on 14 January 2020, and information was provided to stakeholders, intermediaries, drug and alcohol services and public health staff.

The ACT Health Directorate will continue to provide information to the community on the health impacts of cannabis use as part of business-as-usual activities.

ACT wastewater testing results did not indicate an increase in cannabis use across the territory in February 2020, after the legislation came into effect. There was also no increase in cannabis-related emergency department presentations from February to April 2020 compared with the previous quarter.

Better data on alcohol use in pregnancyNew questions about alcohol use in pregnancy were added into ACT perinatal data collection in 2019 to ensure a better understanding of the extent and nature of this issue in the ACT.

Looking forward: 2020 actions on emerging issues, data and reporting

COVID-19The ACT Health Directorate is partnering with key health service providers to maintain continuity of access to critical medicines, treatments, health services (including harm reduction services) and residential facilities during the ACT emergency response to the COVID-19 pandemic. Work has also been undertaken to source personal protection equipment, such as masks, for organisations delivering essential services.

On 6 May 2020, the ACT Government announced $1.7 million to support a range of non-government organisations in the health sector to respond to COVID-19, including $518,000 specifically allocated to support alcohol and other drug services. This includes $200,000 of flexible funding to support alcohol and other drug services to respond to demand pressures or to innovate in the way their essential services are delivered.

The peer-based service Canberra Alliance for Harm Minimisation and Advocacy also received $25,000 to support staff to provide services remotely and respond to client isolation and changing patterns of drug use. Allocation of this funding involved close collaboration with the sector and assessment of demand for services and opportunities to do things differently.

The ACT Government has also allocated additional funding of up to $250,000 to ensure safe continuity of opioid maintenance treatment services during the COVID-19 epidemic.

Australian Secondary Students’ Alcohol and Drug SurveyThe ACT Health Directorate was due to collect Canberra schools’ data for the three-yearly Australian Secondary Students’ Alcohol and Drug Survey in 2020. However, this national survey has been postponed until 2021 due to COVID-19.

21health.act.gov.au

References ACT Health (2019). ACT Chief Health Officer Report 2018. Available at:

https://www.aihw.gov.au/reports/burden-of-disease/impact-risk-factors-burden-disease/data.

Australian Criminal Intelligence Commission (2019). National Wastewater Drug Monitoring Program: Report 8, August 2019. Available at: https://www.acic.gov.au/sites/default/files/national_wastewater_drug_monitoring_program_report_8_2019_pdf.pdf?v=1571983781.

Australian Institute of Health and Welfare (2020). Alcohol and other drug treatment services in Australia, 2018–19. Available at: https://www.aihw.gov.au/reports/alcohol-other-drug-treatment-services/alcohol-other-drug-treatment-services-2018-19/contents/summary.

Australian Institute of Health and Welfare (2015). Australian Burden of Disease Study: Impacts and causes of illness and death in Australia. See Figure Tobacco 3 at: https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/drug-types/tobacco, viewed 3 February 2020.

Australian Institute of Health and Welfare (2019). Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2015. Available at: https://www.aihw.gov.au/getmedia/c076f42f-61ea-4348-9c0a-d996353e838f/aihw-bod-22.pdf.aspx?inline=true.

Australian Institute of Health and Welfare (2019). Australian Burden of Disease Study 2015: Interactive data on risk factor burden. Available at: https://www.aihw.gov.au/reports/burden-of-disease/interactive-data-risk-factor-burden/contents/alcohol-use, viewed 3 February 2020.

Australian Institute of Health and Welfare (2018). Impact of alcohol and illicit drug use on the burden of disease and injury in Australia. Available at: https://www.aihw.gov.au/reports/burden-of-disease/impact-alcohol-illicit-drug-use-on-burden-disease/contents/table-of-contents, viewed 3 February 2020.

Australian Institute of Health and Welfare (2020). National Drug Strategy Household Survey 2019. Available at: https://www.aihw.gov.au/reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/contents/table-of-contents.

Greenhalgh, EM, Scollo, MM, & Bayly, M. (2019) 2.3 Self-reported measures of tobacco consumption, Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria; 2019. Available at: http://www.tobaccoinaustralia.org.au/chapter-2-consumption/2-3-self-reported-measures-of-tobacco-consumption, viewed 3 February 2020.

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e to

dev

elop

resp

onse

s to

Fet

al A

lcoh

ol

Spec

tru

m D

isor

der

in li

ne

wit

h t

he

nat

ion

al F

ASD

St

rate

gic

Act

ion

Pla

n.

Ag

e re

stri

ctio

ns

8.

Iden

tify

an

d im

ple

men

t m

easu

res

to re

du

ce

seco

nd

ary

sup

ply

of a

lcoh

ol to

min

ors,

incl

ud

ing

b

y fa

mily

mem

ber

s an

d o

ver-

age

frie

nd

s.

• R

an t

he

Alc

ohol

. Th

ink

Ag

ain

‘I n

eed

you

to s

ay

no’

cam

pai

gn

en

cou

rag

ing

par

ents

not

to s

up

ply

th

eir

un

der

-ag

e ch

ildre

n w

ith

alc

ohol

fro

m

Dec

emb

er 2

019

to F

ebru

ary

2020

.

• E

valu

ate

the

Alc

ohol

. Th

ink

Ag

ain

‘I n

eed

you

to

say

no’

cam

pai

gn

.

26A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Tob

acco

act

ion

item

sTo

bac

co a

ctio

n it

emP

rog

ress

in 2

019

Pro

gre

ss a

nd

pri

orit

ies

in 2

020

Targ

eted

ap

pro

ach

es t

o p

rior

ity

pop

ula

tion

s

9.

Furt

her

dev

elop

ap

pro

ach

es to

red

uce

sm

okin

g r

ates

am

ong

hig

hri

sk p

opu

lati

on

gro

up

s in

th

e A

CT.

• P

ub

lish

ed t

he

e-ci

gar

ette

s fa

ctsh

eet.

• P

ub

lish

ed t

he

Hea

lth

y C

an

ber

ra: A

CT

Pre

ven

tive

H

ealt

h P

lan

20

20–2

025

.

• Ta

ble

d t

he

Hea

lth

y P

riso

ns

Rev

iew

in t

he

A

CT

Leg

isla

tive

Ass

emb

ly.

• O

pen

ed t

he

Hea

lth

y C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g S

mok

ing

-Rel

ated

Har

m fu

nd

ing

op

por

tun

ity

in D

ecem

ber

20

19.

• Fi

nal

ise

the

Ale

xan

der

Mac

onoc

hie

Cen

tre

(AM

C)

Dru

g a

nd

Blo

od-B

orn

e V

iru

s St

rate

gy.

• P

arti

cip

ate

in fi

nal

isat

ion

of t

he

Nat

ion

al

Tob

acco

Str

ateg

y.

• A

nn

oun

ced

su

cces

sfu

l ap

plic

atio

ns

for

Hea

lth

y C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g

Smok

ing

Rel

ated

Har

m in

May

20

20.

10. U

se le

arn

ing

s fr

om e

valu

atio

ns

of re

leva

nt

exis

tin

g a

nd

pre

viou

s p

rog

ram

s re

lati

ng

to

smok

ing

, in

clu

din

g t

he

Smok

ing

in P

reg

nan

cy

pro

gra

m, t

o in

form

futu

re p

rog

ram

pla

nn

ing

an

d d

evel

opm

ent.

• E

valu

ated

th

e Sm

okin

g in

Pre

gn

ancy

Pro

gra

m.

• P

ub

lish

ed t

he

Hea

lth

y C

anb

erra

: AC

T P

reve

nti

ve

Hea

lth

Pla

n 2

020

–20

25.

• Le

arn

ing

s in

form

ed s

elec

tion

of H

ealt

hy

C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g

Smok

ing

-Rel

ated

Har

m.

• Im

ple

men

t th

e H

ealt

hy

Can

ber

ra G

ran

ts: F

ocu

s on

Red

uci

ng

Sm

okin

g-R

elat

ed H

arm

.

Safe

r Se

ttin

gs

11.

Con

sid

er t

he

nee

d fo

r ad

dit

ion

al s

mok

e-fr

ee

area

s.

• C

onsi

der

ed o

pti

ons

for

add

itio

nal

sm

okef

ree

pu

blic

pla

ces

is o

ng

oin

g.

• Im

ple

men

t sm

okef

ree

area

s of

lig

ht

rail

pu

blic

co

rrid

or in

clu

din

g le

gis

lati

on.

12. C

onti

nu

e to

en

forc

e to

bac

co a

nd

sm

oke-

free

le

gis

lati

on in

th

e A

CT

by

con

du

ctin

g c

omp

lian

ce

pro

gra

ms

focu

sin

g o

n to

bac

co re

taile

rs a

nd

sm

oke-

free

pu

blic

pla

ces

and

resp

ond

ing

to

com

pla

ints

.

• C

onti

nu

ed to

act

ion

com

mu

nit

y co

mp

lain

ts

reg

ard

ing

bre

ach

es o

f sm

oke-

free

leg

isla

tion

. •

Con

du

ct s

mok

e-fr

ee le

gis

lati

on C

omp

lian

ce

Pro

ject

.

• P

ub

lish

revi

sed

Gu

ide

to S

ale

of S

mok

ing

P

rod

uct

s in

th

e A

CT.

13. C

onti

nu

e to

mon

itor

th

e em

erg

ing

evi

den

ce

reg

ard

ing

th

e h

ealt

h r

isks

ass

ocia

ted

wit

h t

he

use

of

ele

ctro

nic

cig

aret

tes.

• P

rovi

ded

su

bm

issi

on to

th

e re

view

of

Com

mon

wea

lth

Tob

acco

Leg

isla

tion

, foc

usi

ng

on

e-c

igar

ette

s an

d v

apor

iser

s, p

arti

cula

rly

by

child

ren

an

d y

oun

g p

eop

le.

• P

ub

lish

ed t

he

e-ci

gar

ette

s fa

ctsh

eet.

• P

arti

cip

ate

in p

ub

lic c

onsu

ltat

ion

on

th

e N

atio

nal

To

bac

co S

trat

egy

(del

ayed

du

e to

CO

VID

-19)

.

• C

omp

lete

d a

su

bm

issi

on to

th

e Th

erap

euti

c G

ood

s A

dm

inis

trat

ion

reg

ard

ing

hea

ted

tob

acco

p

rod

uct

s in

Feb

ruar

y 20

20.

27h

ealt

h.a

ct.g

ov.a

u

Tob

acco

act

ion

item

sTo

bac

co a

ctio

n it

emP

rog

ress

in 2

019

Pro

gre

ss a

nd

pri

orit

ies

in 2

020

Targ

eted

ap

pro

ach

es t

o p

rior

ity

pop

ula

tion

s

9.

Furt

her

dev

elop

ap

pro

ach

es to

red

uce

sm

okin

g r

ates

am

ong

hig

hri

sk p

opu

lati

on

gro

up

s in

th

e A

CT.

• P

ub

lish

ed t

he

e-ci

gar

ette

s fa

ctsh

eet.

• P

ub

lish

ed t

he

Hea

lth

y C

an

ber

ra: A

CT

Pre

ven

tive

H

ealt

h P

lan

20

20–2

025

.

• Ta

ble

d t

he

Hea

lth

y P

riso

ns

Rev

iew

in t

he

A

CT

Leg

isla

tive

Ass

emb

ly.

• O

pen

ed t

he

Hea

lth

y C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g S

mok

ing

-Rel

ated

Har

m fu

nd

ing

op

por

tun

ity

in D

ecem

ber

20

19.

• Fi

nal

ise

the

Ale

xan

der

Mac

onoc

hie

Cen

tre

(AM

C)

Dru

g a

nd

Blo

od-B

orn

e V

iru

s St

rate

gy.

• P

arti

cip

ate

in fi

nal

isat

ion

of t

he

Nat

ion

al

Tob

acco

Str

ateg

y.

• A

nn

oun

ced

su

cces

sfu

l ap

plic

atio

ns

for

Hea

lth

y C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g

Smok

ing

Rel

ated

Har

m in

May

20

20.

10. U

se le

arn

ing

s fr

om e

valu

atio

ns

of re

leva

nt

exis

tin

g a

nd

pre

viou

s p

rog

ram

s re

lati

ng

to

smok

ing

, in

clu

din

g t

he

Smok

ing

in P

reg

nan

cy

pro

gra

m, t

o in

form

futu

re p

rog

ram

pla

nn

ing

an

d d

evel

opm

ent.

• E

valu

ated

th

e Sm

okin

g in

Pre

gn

ancy

Pro

gra

m.

• P

ub

lish

ed t

he

Hea

lth

y C

anb

erra

: AC

T P

reve

nti

ve

Hea

lth

Pla

n 2

020

–20

25.

• Le

arn

ing

s in

form

ed s

elec

tion

of H

ealt

hy

C

anb

erra

Gra

nts

: Foc

us

on R

edu

cin

g

Smok

ing

-Rel

ated

Har

m.

• Im

ple

men

t th

e H

ealt

hy

Can

ber

ra G

ran

ts: F

ocu

s on

Red

uci

ng

Sm

okin

g-R

elat

ed H

arm

.

Safe

r Se

ttin

gs

11.

Con

sid

er t

he

nee

d fo

r ad

dit

ion

al s

mok

e-fr

ee

area

s.

• C

onsi

der

ed o

pti

ons

for

add

itio

nal

sm

okef

ree

pu

blic

pla

ces

is o

ng

oin

g.

• Im

ple

men

t sm

okef

ree

area

s of

lig

ht

rail

pu

blic

co

rrid

or in

clu

din

g le

gis

lati

on.

12. C

onti

nu

e to

en

forc

e to

bac

co a

nd

sm

oke-

free

le

gis

lati

on in

th

e A

CT

by

con

du

ctin

g c

omp

lian

ce

pro

gra

ms

focu

sin

g o

n to

bac

co re

taile

rs a

nd

sm

oke-

free

pu

blic

pla

ces

and

resp

ond

ing

to

com

pla

ints

.

• C

onti

nu

ed to

act

ion

com

mu

nit

y co

mp

lain

ts

reg

ard

ing

bre

ach

es o

f sm

oke-

free

leg

isla

tion

. •

Con

du

ct s

mok

e-fr

ee le

gis

lati

on C

omp

lian

ce

Pro

ject

.

• P

ub

lish

revi

sed

Gu

ide

to S

ale

of S

mok

ing

P

rod

uct

s in

th

e A

CT.

13. C

onti

nu

e to

mon

itor

th

e em

erg

ing

evi

den

ce

reg

ard

ing

th

e h

ealt

h r

isks

ass

ocia

ted

wit

h t

he

use

of

ele

ctro

nic

cig

aret

tes.

• P

rovi

ded

su

bm

issi

on to

th

e re

view

of

Com

mon

wea

lth

Tob

acco

Leg

isla

tion

, foc

usi

ng

on

e-c

igar

ette

s an

d v

apor

iser

s, p

arti

cula

rly

by

child

ren

an

d y

oun

g p

eop

le.

• P

ub

lish

ed t

he

e-ci

gar

ette

s fa

ctsh

eet.

• P

arti

cip

ate

in p

ub

lic c

onsu

ltat

ion

on

th

e N

atio

nal

To

bac

co S

trat

egy

(del

ayed

du

e to

CO

VID

-19)

.

• C

omp

lete

d a

su

bm

issi

on to

th

e Th

erap

euti

c G

ood

s A

dm

inis

trat

ion

reg

ard

ing

hea

ted

tob

acco

p

rod

uct

s in

Feb

ruar

y 20

20.

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

sIll

icit

an

d il

licit

ly u

sed

dru

gs

acti

on it

emP

rog

ress

in 2

019

Pro

gre

ss a

nd

pri

orit

ies

in 2

020

Safe

r in

ject

ing

an

d p

reve

nti

on o

f blo

od-b

orn

e in

fect

ion

s

14. R

evie

w c

urr

ent

info

rmat

ion

an

d id

enti

fy g

aps

in o

rder

to im

pro

ve a

cces

s to

ste

rile

inje

ctin

g

equ

ipm

ent

and

sh

arp

s d

isp

osal

in t

he

AC

T.

• R

evie

wed

th

e A

ust

ralia

n N

eed

le a

nd

Syr

ing

e P

rog

ram

Su

rvey

: Na

tion

al D

ata

Rep

ort

2014

–20

18.

• R

evie

wed

th

e N

eed

le S

yrin

ge

Pro

gra

m N

ati

ona

l M

inim

um

Da

ta C

olle

ctio

n R

epor

t 20

19.

• R

epla

ced

tw

o of

th

e fo

ur

ster

ile e

qu

ipm

ent

dis

pen

sin

g m

ach

ines

in t

he

AC

T w

ith

larg

er

cap

acit

y m

ach

ines

.

• P

rovi

ded

larg

er e

qu

ipm

ent p

acks

from

Nee

dle

an

d

Syrin

ge

Pro

gra

ms

du

ring

the

CO

VID

-19

emer

gen

cy

resp

onse

to re

du

ce th

e n

um

ber

of t

rips

req

uire

d b

y cl

ien

ts to

Nee

dle

an

d S

yrin

ge

Pro

gra

ms.

• P

rovi

ded

ste

rile

eq

uip

men

t to

pu

blic

hou

sin

g

area

s d

uri

ng

th

e C

OV

ID-1

9 em

erg

ency

resp

onse

.

• M

ain

tain

con

tin

uit

y of

acc

ess

to s

teri

le

inje

ctin

g e

qu

ipm

ent

du

rin

g t

he

CO

VID

-19

emer

gen

cy re

spon

se.

15. I

ncr

ease

acc

ess

to p

reve

nti

on, s

cree

nin

g,

test

ing

an

d t

reat

men

t fo

r b

lood

-bor

ne

viru

ses,

p

arti

cula

rly

hep

atit

is C

, an

d s

exu

ally

tra

nsm

itte

d

infe

ctio

ns

amon

g p

eop

le w

ho

use

dru

gs,

in

clu

din

g in

tre

atm

ent

sett

ing

s, a

nd

incr

ease

ac

cess

to v

acci

nat

ion

s fo

r ty

pes

of b

lood

-bor

ne

viru

ses

wh

ere

vacc

ines

are

ava

ilab

le.

• D

evel

oped

dra

ft A

lexa

nd

er M

acon

och

ie C

entr

e D

rug

an

d B

lood

Bor

ne

Vir

us

Stra

teg

y.

• Fi

nal

ise

the

Ale

xan

der

Mac

onoc

hie

Cen

tre

Dru

g

and

Blo

od-B

orn

e V

iru

s St

rate

gy.

• R

evie

w, u

pd

ate

and

imp

lem

ent

the

wor

kpla

n

un

der

th

e A

CT

Sexu

ally

Tra

nsm

itte

d In

fect

ion

s /

Blo

od B

orn

e V

iru

s H

ealt

h A

dvi

sory

Com

mit

tee:

in

20

20 t

he

wor

k p

lan

focu

ses

on y

outh

sex

ual

ly

tran

smit

ted

infe

ctio

ns

and

vir

al h

epat

itis

.

Ove

rdos

e p

reve

nti

on

16. I

mp

lem

ent

a re

al-t

ime

pre

scri

pti

on m

onit

orin

g

rem

ote

acce

ss p

orta

l, D

AP

IS O

nlin

e R

emot

e A

cces

s (D

OR

A),

by

Mar

ch 2

019

.

• Su

cces

sfu

lly im

ple

men

ted

th

e A

CT

DO

RA

por

tal

in M

arch

20

19. T

he

syst

em in

clu

des

real

-tim

e p

resc

rip

tion

dis

pen

sin

g in

form

atio

n fo

r A

CT

pat

ien

ts in

clu

din

g f

rom

inte

rsta

te p

har

mac

ies.

• In

vest

ed $

2.11

4 m

illio

n o

ver

two

year

s to

ad

opt

the

nat

ion

al R

eal-T

ime

Pre

scri

pti

on

Mon

itor

ing

sys

tem

.

• A

dop

t th

e n

atio

nal

Rea

l-Tim

e P

resc

rip

tion

M

onit

orin

g s

yste

m b

y Ju

ne

2021

.

• C

onsu

lt o

n e

xpan

din

g t

he

list

of m

edic

ines

in t

he

syst

em to

incl

ud

e so

me

sch

edu

le 4

med

icin

es.

28A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Ove

rdos

e p

reve

nti

on (c

onti

nu

ed)

17.

Exp

lore

furt

her

op

por

tun

itie

s to

exp

and

on

pill

te

stin

g a

t ev

ents

in t

he

AC

T.•

Com

ple

ted

sec

ond

pill

test

ing

tri

al a

t th

e G

roov

in

the

Moo

fest

ival

in A

pri

l 20

19.

• P

ub

lish

ed in

dep

end

ent

eval

uat

ion

rep

ort

by

the

Au

stra

lian

Nat

ion

al U

niv

ersi

ty in

Dec

emb

er 2

019

.

• A

Fes

tiva

l Pill

Tes

tin

g P

olic

y w

as d

evel

oped

in

earl

y 20

20.

• Im

ple

men

t th

e p

olic

y as

an

d w

hen

th

e ci

rcu

mst

ance

s ca

use

d b

y C

OV

ID-1

9 re

spon

se

rest

rict

ion

s p

erm

it.

18. I

nve

stig

ate

the

feas

ibili

ty, n

eed

, eff

ecti

ven

ess

and

ap

pro

pri

aten

ess

of e

stab

lish

ing

a m

edic

ally

su

per

vise

d d

rug

con

sum

pti

on fa

cilit

y (s

up

ervi

sed

in

ject

ing

faci

lity)

in t

he

AC

T.

• In

vest

ed $

200,

00

0 fo

r re

sear

ch to

det

erm

ine

wh

eth

er t

her

e is

a n

eed

for

a m

edic

ally

su

per

vise

d in

ject

ing

faci

lity

in t

he

AC

T.

• E

stab

lish

ed a

Med

ical

ly S

up

ervi

sed

Inje

ctin

g

Faci

lity

Wor

kin

g G

rou

p in

ear

ly 2

020

.

• C

omm

issi

oned

th

e B

urn

et In

stit

ute

to c

ond

uct

a

nee

ds

anal

ysis

.

• Th

e B

urn

et In

stit

ute

exp

ecte

d to

rep

ort

to

AC

T G

over

nm

ent

in t

he

seco

nd

hal

f of 2

020

.

19. D

evel

op a

nd

imp

lem

ent

acti

ons

rela

tin

g to

op

ioid

s in

clu

din

g t

hos

e th

at a

dd

ress

or

ex

pan

d o

verd

ose

pre

ven

tion

an

d re

spon

se;

acce

ss to

nal

oxon

e; a

cces

s to

op

ioid

m

ain

ten

ance

tre

atm

ent.

• P

rovi

ded

Bu

dg

et fu

nd

ing

of $

300,

00

0 a

nn

ual

ly

to in

crea

se t

he

sup

ply

of n

alox

one

and

pre

ven

t ov

erd

oses

in t

he

AC

T.

• P

rovi

ded

Bu

dg

et fu

nd

ing

of $

3.0

14 m

illio

n o

ver

fou

r ye

ars

to in

crea

se t

he

avai

lab

ility

of o

pio

id

rep

lace

men

t tr

eatm

ent

in C

anb

erra

’s n

orth

.

• P

rovi

ded

gra

nt

fun

din

g o

f $17

0,57

7 to

th

e A

ust

ralia

n R

ed C

ross

Soc

iety

for

the

save

-a-m

ate

(SA

M) p

rog

ram

to re

spon

d to

alc

ohol

an

d o

ther

d

rug

em

erg

enci

es, t

arg

etin

g y

oun

g p

eop

le a

nd

p

aren

ts.

• C

anb

erra

Hea

lth

Ser

vice

s b

egan

pre

scri

bin

g n

ew

opio

id t

reat

men

t, lo

ng

-act

ing

bu

pre

nor

ph

ine.

Th

e n

ew m

edic

atio

ns

hav

e al

so b

een

mad

e av

aila

ble

th

rou

gh

th

ree

GP

clin

ics

in c

entr

al a

nd

so

uth

ern

AC

T.

• D

irec

tion

s A

CT

beg

an p

rovi

din

g t

ake

hom

e n

alox

one

thro

ug

h n

eed

le a

nd

syr

ing

e p

rog

ram

s,

wit

h fu

nd

ing

fro

m A

CT

Hea

lth

Dir

ecto

rate

.

• B

egan

pro

vid

ing

tak

e-h

ome

nal

oxon

e th

rou

gh

C

anb

erra

Hea

lth

Ser

vice

s A

lcoh

ol a

nd

Dru

g

Serv

ices

.

• In

trod

uce

d o

pio

id m

ain

ten

ance

tre

atm

ent

con

tin

gen

cy g

uid

elin

es d

uri

ng

CO

VID

-19

to

mai

nta

in p

atie

nt

acce

ss to

med

icat

ion

s d

uri

ng

th

e p

and

emic

.

• In

crea

sed

an

nu

al fu

nd

ing

to t

he

Can

ber

ra

Alli

ance

for

Har

m M

inim

isat

ion

an

d A

dvo

cacy

b

y $1

59,5

90 to

exp

and

th

e ta

ke-h

ome

nal

oxon

e p

rog

ram

.

• M

ain

tain

con

tin

uit

y of

acc

ess

to t

ake-

hom

e n

alox

one

du

rin

g t

he

CO

VID

-19

pan

dem

ic.

• O

pen

new

nor

thsi

de

opio

id m

ain

ten

ance

tr

eatm

ent

clin

ic in

Oct

ober

20

20.

• E

xpan

d a

cces

s to

op

ioid

mai

nte

nan

ce t

reat

men

t, in

clu

din

g lo

ng

-act

ing

bu

pre

nor

ph

ine.

29h

ealt

h.a

ct.g

ov.a

u

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Pre

ven

t, s

top

, dis

rup

t or

red

uce

pro

du

ctio

n o

r su

pp

ly o

f illi

cit

dru

gs

20. D

isru

pt

and

dis

man

tle

the

net

wor

ks a

nd

faci

litie

s in

volv

ed in

th

e p

rod

uct

ion

, cu

ltiv

atio

n, t

raffi

ckin

g

and

su

pp

ly o

f illi

cit

dru

gs

and

pre

-cu

rsor

s—p

arti

cula

rly

targ

etin

g o

rgan

ised

cri

me

gro

up

s.

• A

CT

Pol

icin

g c

onti

nu

ed to

tar

get

dru

g

man

ufa

ctu

rin

g a

nd

dis

trib

uti

on n

etw

orks

th

rou

gh

its

wor

ks t

arg

etin

g s

erio

us

and

org

anis

ed

crim

e. In

May

20

19, A

CT

Pol

icin

g s

eize

d 5

ki

log

ram

s of

coc

ain

e, w

orth

ap

pro

xim

atel

y $1

.5

mill

ion

, th

e la

rges

t co

cain

e se

izu

re in

th

e A

CT.

• A

CT

Pol

icin

g to

con

tin

ue

to t

arg

et d

rug

m

anu

fact

uri

ng

an

d d

istr

ibu

tion

net

wor

ks

thro

ug

h it

s w

orks

tar

get

ing

ser

iou

s an

d

org

anis

ed c

rim

e.

21. T

arg

et t

he

fin

anci

al p

roce

eds

and

con

fisc

atio

n

of a

sset

s fr

om il

licit

su

pp

ly a

ctiv

itie

s.•

AC

T P

olic

ing

con

tin

ued

to fo

cus

atte

nti

on o

n

con

fisc

ated

ass

ets

dee

med

to b

e p

roce

eds

of

crim

e. T

his

was

ass

iste

d b

y th

e A

CT

Gov

ern

men

t si

gn

ing

up

to t

he

Inte

rgov

ern

men

tal A

gre

emen

t on

Un

exp

lain

ed W

ealt

h, a

nd

wor

k p

rog

ress

ed

on d

evel

opin

g a

n A

CT

spec

ific

un

exp

lain

ed

wea

lth

sch

eme.

• A

CT

Pol

icin

g to

con

tin

ue

to t

arg

et t

he

fin

anci

al

pro

ceed

s d

eriv

ed f

rom

cri

min

al a

ctiv

ity

and

co

nfi

scat

e th

ose

asse

ts. T

his

wor

k in

volv

es a

cl

ose

wor

kin

g p

artn

ersh

ip b

etw

een

th

e A

CT

Cri

min

al In

vest

igat

ion

s Fi

nan

cial

Inve

stig

atio

ns

Team

an

d t

he

AC

T O

ffice

of t

he

Dir

ecto

r of

P

ub

lic P

rose

cuti

ons.

22. D

evel

op a

reg

ula

tory

fra

mew

ork

for

pre

-cu

rsor

d

rug

s an

d e

qu

ipm

ent

that

mir

rors

th

e A

ust

ralia

n

Gov

ern

men

t fr

amew

ork

to re

gu

late

th

e sa

le

of s

ub

stan

ces

and

key

eq

uip

men

t u

sed

in t

he

pre

par

atio

n o

f illi

cit

dru

gs.

Th

is w

ill in

clu

de,

bu

t w

ill n

ot b

e lim

ited

to, a

n e

nd

-use

r d

ecla

rati

on

fram

ewor

k fo

r p

resc

rib

ed s

ub

stan

ces

and

key

p

iece

s of

eq

uip

men

t.

• A

CT

Pol

icin

g c

onti

nu

ed to

wor

k w

ith

th

e C

omm

onw

ealt

h o

n a

n A

ust

ralia

-wid

e

reg

ula

tory

fra

mew

ork.

• A

s th

is p

roje

ct re

lies

on t

he

outc

omes

of c

urr

ent

wor

k b

y th

e N

atio

nal

Pre

curs

or W

orki

ng

Gro

up

, A

CT

Pol

icin

g to

con

tin

ue

to m

onit

or N

atio

nal

P

recu

rsor

Wor

kin

g G

rou

p p

rog

ress

.

23. M

ain

tain

an

d e

nh

ance

coo

per

atio

n a

nd

co

llab

orat

ion

bet

wee

n la

w e

nfo

rcem

ent

and

fore

nsi

c ag

enci

es, a

cros

s ju

risd

icti

ons—

par

ticu

larl

y N

ew S

outh

Wal

es a

nd

Vic

tori

a.

• W

ork

was

on

goi

ng

.•

AC

T P

olic

ing

to c

onti

nu

e to

mai

nta

in a

nd

en

han

ce c

oop

erat

ion

bet

wee

n la

w e

nfo

rcem

ent

agen

cies

acr

oss

Au

stra

lia.

24. G

ath

er in

telli

gen

ce a

nd

mon

itor

tre

nd

s to

iden

tify

n

ew d

rug

s or

su

pp

ly c

hai

ns.

• W

ork

was

on

goi

ng

.•

AC

T P

olic

ing

to c

onti

nu

e to

gat

her

info

rmat

ion

an

d m

onit

or t

ren

ds

in re

lati

on to

new

dru

g t

ypes

or

su

pp

ly c

hai

ns.

30A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Trea

tmen

t

25. D

raw

ing

on

sp

ecia

list

sect

or k

now

led

ge,

iden

tify

op

tion

s to

exp

and

alc

ohol

an

d o

ther

dru

g s

ervi

ces

to m

eet

the

nee

ds

of a

gro

win

g p

opu

lati

on,

incl

ud

ing

ou

tpat

ien

t w

ith

dra

wal

ser

vice

s, e

arly

in

terv

enti

ons

and

resp

onse

s to

th

e n

eed

s of

p

rior

ity

pop

ula

tion

s.

• In

vest

ed B

ud

get

fun

din

g o

f $30

0,0

0 fo

r p

relim

inar

y w

ork

to e

stab

lish

an

Ab

orig

inal

an

d T

orre

s St

rait

Isla

nd

er re

sid

enti

al

reh

abili

tati

on fa

cilit

y.

• In

vest

ed $

300,

00

0 a

nn

ual

ly to

exp

and

nal

oxon

e ac

cess

in t

he

AC

T.

• In

vest

ed $

200,

00

0 fo

r re

sear

ch to

det

erm

ine

wh

eth

er t

her

e is

a n

eed

for

a m

edic

ally

su

per

vise

d d

rug

con

sum

pti

on s

ervi

ce (s

up

ervi

sed

in

ject

ing

faci

lity)

in t

he

AC

T.

• In

vest

ed $

1.075

mill

ion

ove

r fou

r yea

rs (o

ng

oin

g) t

o ex

pan

d th

e op

iate

rep

lace

men

t tre

atm

ent s

ervi

ce

and

pro

vid

e a

ran

ge

of a

dd

itio

nal

dru

g a

nd

alc

ohol

se

rvic

es a

t th

e A

lexa

nd

er M

acon

och

ie C

entr

e.

• In

vest

ed $

2.93

0 m

illio

n o

ver f

our y

ears

(on

goi

ng

) to

exp

and

ear

ly in

terv

enti

on a

nd

div

ersi

on p

rog

ram

s fo

r peo

ple

in c

onta

ct, o

r at r

isk

of c

onta

ct, w

ith

th

e ju

stic

e sy

stem

. Th

e fu

nd

s w

ill b

e al

loca

ted

to

Can

ber

ra H

ealt

h S

ervi

ces

Alc

ohol

an

d D

rug

Se

rvic

es P

olic

e an

d C

ourt

Div

ersi

on S

ervi

ce to

in

crea

se e

arly

inte

rven

tion

an

d s

up

por

t ser

vice

s.

• In

vest

ed $

167,

00

0 fu

nd

ing

to s

up

por

t co

nti

nu

atio

n o

f th

e K

arra

lika

outp

atie

nt

wit

hd

raw

al p

rog

ram

bey

ond

th

e p

ilot

per

iod

fu

nd

ed b

y th

e A

ust

ralia

n G

over

nm

ent.

• Fu

lly d

ecri

min

alis

ed a

du

lt p

erso

nal

can

nab

is

use

to e

nco

ura

ge

eng

agem

ent

wit

h t

reat

men

t sy

stem

an

d m

inim

ise

con

tact

wit

h t

he

crim

inal

ju

stic

e sy

stem

.

• In

vest

ed $

3.0

14 m

illio

n o

ver

fou

r ye

ars

to e

stab

lish

on

goi

ng

op

ioid

mai

nte

nan

ce t

reat

men

t cl

inic

in

Can

ber

ra’s

nor

th.

• M

odel

of C

are

for

resi

den

tial

reh

abili

tati

on to

be

fin

alis

ed in

20

20–2

1.

• N

eed

s an

alys

is fo

r a m

edic

ally

su

per

vise

d in

ject

ing

fa

cilit

y se

rvic

e d

ue

to th

e A

CT

Gov

ern

men

t in

th

e se

con

d h

alf o

f 20

20.

• N

ew n

orth

sid

e op

ioid

mai

nte

nan

ce t

reat

men

t cl

inic

to b

egin

op

erat

ing

in 2

020

.

• E

xpan

d a

cces

s to

op

ioid

mai

nte

nan

ce t

reat

men

t, in

clu

din

g lo

ng

-act

ing

bu

pre

nor

ph

ine.

• A

CT

Gov

ern

men

t to

col

lab

orat

e w

ith

Cap

ital

H

ealt

h N

etw

ork

on p

lan

nin

g fo

r ou

tpat

ien

t w

ith

dra

wal

ser

vice

s.

31h

ealt

h.a

ct.g

ov.a

u

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Trea

tmen

t

26. W

ork

wit

h p

rim

ary,

sec

ond

ary

and

tert

iary

A

OD

ser

vice

s, p

eak

bod

ies,

an

d t

he

Cap

ital

H

ealt

h N

etw

ork,

to im

pro

ve t

wo-

way

pat

hw

ays

bet

wee

n a

lcoh

ol a

nd

oth

er d

rug

tre

atm

ent

an

d p

rim

ary

care

.

• To

be

pro

gre

ssed

in 2

020

.•

AC

T H

ealt

h D

irec

tora

te w

ill w

ork

to e

xplo

re

sust

ain

able

sol

uti

ons

to m

ake

pri

mar

y ca

re m

ore

acce

ssib

le to

dis

adva

nta

ged

pop

ula

tion

gro

up

s,

incl

ud

ing

peo

ple

wit

h s

ub

stan

ce u

se d

isor

der

s

• E

xpan

sion

of t

he

Dir

ecti

ons

Hea

lth

Ser

vice

s M

obile

Ou

trea

ch C

linic

to im

pro

ve p

rim

ary

care

ac

cess

for

vuln

erab

le in

div

idu

als.

27. C

olla

bor

ate

wit

h n

on-g

over

nm

ent

org

anis

atio

ns

to im

ple

men

t th

e N

atio

nal

Qu

alit

y Fr

amew

ork

for

Dru

g a

nd

Alc

ohol

Tre

atm

ent

Serv

ices

an

d t

he

Nat

ion

al D

rug

an

d A

lcoh

ol T

reat

men

t Fr

amew

ork.

• N

atio

nal

Qu

alit

y Fr

amew

ork

for

Dru

g a

nd

Alc

ohol

Tr

eatm

ent

Serv

ices

rele

ased

in D

ecem

ber

20

19.

• N

atio

nal

Fra

mew

ork

for

Alc

ohol

, Tob

acco

an

d

Oth

er D

rug

Tre

atm

ent,

2019

-20

29 re

leas

ed in

D

ecem

ber

20

19.

• C

olla

bor

ate

wit

h n

on-g

over

nm

ent

org

anis

atio

ns

to im

ple

men

t th

e N

atio

nal

Qu

alit

y Fr

amew

ork

and

th

e N

atio

nal

Dru

g T

reat

men

t Fr

amew

ork.

• A

lign

on

line

trea

tmen

t d

irec

tori

es to

em

erg

ing

n

atio

nal

req

uir

emen

ts.

28. D

evel

op s

pec

ialt

y se

rvic

e p

lan

s fo

r A

CT

Hea

lth

tre

atm

ent

serv

ices

an

d re

view

/dev

elop

ap

pro

pri

ate

mod

els

of c

are.

• To

be

pro

gre

ssed

in 2

020

.•

Pro

gre

ss s

ervi

ce p

lan

s an

d M

odel

s of

Car

e w

ith

in

the

con

text

of t

he

bro

ader

Ter

rito

ry-W

ide

Hea

lth

Se

rvic

es P

lan

.

29. U

nd

erta

ke c

o-d

esig

n p

roce

sses

to: a

gre

e on

p

rin

cip

les

for

pre

ven

tion

an

d t

reat

men

t of

co-

occu

rrin

g a

lcoh

ol a

nd

oth

er d

rug

an

d m

enta

l h

ealt

h c

ond

itio

ns,

incl

ud

ing

su

icid

e p

reve

nti

on;

and

th

en d

evel

op a

n im

ple

men

tati

on p

lan

fo

r re

spon

din

g to

co-

occu

rrin

g m

enta

l hea

lth

an

d A

OD

con

dit

ion

s, w

hic

h c

ould

incl

ud

e:

dev

elop

men

t of

gu

idel

ines

; mu

lti-a

gen

cy

resp

onse

s; o

utc

ome

rep

orti

ng

, an

d in

dic

ator

s of

inte

gra

ted

ser

vice

acc

ess;

an

d c

onsi

der

th

e im

plic

atio

ns

of t

he

co-d

esig

n p

roce

ss fo

r ot

her

co

-occ

urr

ing

con

dit

ion

s.

• C

onsi

der

ed t

he

dra

ft P

rod

uct

ivit

y C

omm

issi

on

rep

ort

Men

tal H

ealt

h (O

ctob

er 2

019

), w

hic

h

mak

es p

arti

cula

r re

fere

nce

to t

he

com

orb

idit

ies

that

exi

st b

etw

een

men

tal h

ealt

h a

nd

su

bst

ance

u

se, i

ncl

ud

ing

exp

lori

ng

join

t fu

nd

ing

bet

wee

n

the

two

sect

ors.

• C

onsi

der

th

e fi

nd

ing

s of

th

e P

rod

uct

ivit

y C

omm

issi

on In

qu

iry

into

Men

tal H

ealt

h.

• P

rog

ress

ser

vice

pla

nn

ing

wit

hin

th

e G

over

nm

ent

hea

lth

ser

vice

s sy

stem

th

at fu

rth

er c

onsi

der

s th

e re

lati

onsh

ip b

etw

een

men

tal i

llnes

s an

d a

lcoh

ol

and

oth

er d

rug

use

beh

avio

urs

.

32A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Trea

tmen

t (c

onti

nu

ed)

30. I

den

tify

an

d im

ple

men

t in

itia

tive

s to

su

pp

ort

the

dev

elop

men

t of

a s

kille

d a

nd

div

erse

alc

ohol

, to

bac

co a

nd

oth

er d

rug

wor

kfor

ce.

• C

ond

uct

ed s

taff

tra

inin

g fo

r im

ple

men

tati

on o

f th

e A

CT

Dru

g a

nd

Alc

ohol

Cou

rt.

• E

xpan

ded

sta

ff t

rain

ing

for

trea

tmen

t an

d

har

m re

du

ctio

n s

ervi

ces

in p

rovi

din

g n

alox

one

to

clie

nts

.

• C

arri

ed o

ut

pro

du

ct fa

mili

aris

atio

n a

t C

anb

erra

H

ealt

h S

ervi

ces

Alc

ohol

an

d D

rug

Ser

vice

s an

d A

lexa

nd

er M

acon

och

ie C

entr

e to

su

pp

ort

intr

odu

ctio

n o

f lon

g-a

ctin

g b

up

ren

orp

hin

e.

• C

onti

nu

e to

imp

lem

ent

exp

ansi

on o

f tra

inin

g fo

r st

aff o

f tre

atm

ent

and

har

m re

du

ctio

n s

ervi

ces

in

pro

vid

ing

nal

oxon

e to

clie

nts

.

• P

rovi

de

staf

f tra

inin

g a

nd

up

skill

ing

to re

spon

d to

th

e C

OV

ID-1

9 p

and

emic

.

31. C

olla

bor

ate

wit

h A

bor

igin

al a

nd

Tor

res

Stra

it

Isla

nd

er s

ervi

ces,

mai

nst

ream

sp

ecia

list

Alc

ohol

an

d O

ther

Dru

g s

ervi

ces

(AO

D) a

nd

oth

er

stak

ehol

der

s to

det

erm

ine

spec

ialis

t A

OD

im

ple

men

tati

on p

rior

itie

s, in

clu

din

g re

sid

enti

al

reh

abili

tati

on fo

r A

bor

igin

al a

nd

Tor

res

Stra

it

Isla

nd

er p

eop

les.

• In

vest

ed $

300,

00

0 fo

r co

-des

ign

wor

k fo

r an

A

bor

igin

al a

nd

Tor

res

Stra

it Is

lan

der

alc

ohol

an

d

oth

er d

rug

reh

abili

tati

on p

rog

ram

.

• P

rovi

ded

$47

6,20

0 g

ran

t ov

er t

wo

year

s to

W

inn

un

ga

Nim

mit

yjah

Ab

orig

inal

Hea

lth

an

d

Com

mu

nit

y se

rvic

es to

est

ablis

h a

pro

gra

m

to p

reve

nt

the

up

take

of e

xces

sive

alc

ohol

co

nsu

mp

tion

, pro

vid

e co

mm

un

ity-

wid

e ed

uca

tion

ab

out

risk

y d

rin

kin

g, a

nd

red

uce

har

m

asso

ciat

ed w

ith

su

ch d

rin

kin

g.

• P

rovi

ded

gra

nt

fun

din

g o

f $17

0,57

7 th

e A

ust

ralia

n

Red

Cro

ss s

ave-

a-m

ate

(SA

M) a

lcoh

ol a

nd

oth

er

dru

g p

rog

ram

, wh

ich

will

wor

k in

Col

lab

orat

ion

w

ith

Can

ber

ra In

stit

ute

of T

ech

nol

ogy’

s A

bor

igin

al

and

Tor

res

Stra

it Is

lan

der

Un

it to

eq

uip

you

ng

p

eop

le a

nd

per

son

s at

ris

k w

ith

th

e kn

owle

dg

e an

d s

kills

to p

reve

nt,

reco

gn

ise

and

resp

ond

to

alco

hol

an

d o

ther

dru

g re

late

d e

mer

gen

cies

.

• W

inn

un

ga

has

com

ple

ted

a d

raft

Mod

el o

f Car

e.

The

Mod

el o

f Car

e w

ill b

e fi

nal

ised

wit

hin

th

e 20

20-2

1 fin

anci

al y

ear.

• C

onti

nu

e im

ple

men

tati

on o

f Win

nu

ng

a N

imm

ityj

ah a

lcoh

ol g

ran

t p

roje

ct.

• Im

ple

men

t th

e A

ust

ralia

n R

ed C

ross

sav

e-a-

mat

e (S

AM

) pro

gra

m.

Cri

min

al ju

stic

e sy

stem

32. D

eliv

er a

com

pre

hen

sive

str

ateg

y th

at w

ill

des

crib

e ac

tion

s to

be

un

der

take

n to

ad

dre

ss

alco

hol

, tob

acco

an

d d

rug

an

d b

lood

-bor

ne

viru

ses

issu

es in

AC

T co

rrec

tion

al c

entr

es

un

til 2

022

.

• D

evel

oped

a d

raft

Ale

xan

der

Mac

onoc

hie

C

entr

e D

rug

an

d B

lood

-Bor

ne

Vir

us

Stra

teg

y,

and

un

der

stoo

d t

wo

rou

nd

s of

key

sta

keh

old

er

con

sult

atio

n o

n t

he

dra

ft.

• C

omp

lete

d t

he

fin

al ro

un

d o

f key

sta

keh

old

er

con

sult

atio

n o

n t

he

Ale

xan

der

Mac

onoc

hie

C

entr

e D

rug

an

d B

lood

-Bor

ne

Vir

us

Stra

teg

y ea

rly

in 2

020

.

• Fi

nal

ise

the

Ale

xan

der

Mac

onoc

hie

Cen

tre

Dru

g

and

Blo

od-B

orn

e V

iru

s St

rate

gy.

33h

ealt

h.a

ct.g

ov.a

u

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Cri

min

al ju

stic

e sy

stem

(con

tin

ued

)

33. D

esig

n a

nd

del

iver

a r

ang

e of

inte

rven

tion

s u

sin

g a

nu

mb

er o

f mod

els

to m

eet

the

div

erse

n

eed

s of

peo

ple

invo

lved

in, o

r at

ris

k of

bei

ng

in

volv

ed in

, th

e cr

imin

al ju

stic

e sy

stem

. Th

is

incl

ud

es e

xplo

rin

g w

ays

to in

crea

se d

iver

sion

an

d

trea

tmen

t an

d s

up

por

t op

tion

s av

aila

ble

as

par

t of

an

inte

gra

ted

sys

tem

in t

he

AC

T, t

hro

ug

h e

ith

er

pol

icy

or le

gis

lati

ve re

form

.

• P

rovi

ded

Bu

dg

et fu

nd

ing

of $

1.075

mill

ion

ove

r fo

ur

year

s to

exp

and

alc

ohol

an

d o

ther

dru

g

serv

ices

in t

he

Ale

xan

der

Mac

onoc

hie

Cen

tre.

• P

rovi

ded

a H

ealt

hy

Can

ber

ra G

ran

t of

$23

3,78

7 to

th

e W

orld

view

Fou

nd

atio

n fo

r th

e p

rog

ram

‘S

mok

e, B

ooze

an

d D

rug

Fre

e P

riso

n P

ost-

Rel

ease

’ to

wor

k w

ith

Ab

orig

inal

an

d T

orre

s St

rait

Is

lan

der

inm

ates

.

• Fu

lly d

ecrim

inal

ised

min

or p

erso

nal

can

nab

is

use

an

d p

osse

ssio

n o

ffen

ces

for a

du

lts,

to re

du

ce

pot

enti

al c

onta

cts

wit

h th

e cr

imin

al ju

stic

e sy

stem

.

• A

Un

iver

sity

of N

ew S

outh

Wal

es re

por

t p

ub

lish

ed

in 2

019

hig

hlig

hte

d t

hat

th

e A

CT

had

th

e se

con

d

hig

hes

t ra

te a

mon

g A

ust

ralia

n s

tate

s an

d

terr

itor

ies

of d

iver

sion

fro

m t

he

crim

inal

just

ice

syst

em fo

r m

inor

dru

g o

ffen

ces.

• R

ecru

ited

nu

rsin

g s

taff

to t

reat

men

t p

osit

ion

s at

th

e A

lexa

nd

er M

acon

och

ie C

entr

e to

exp

and

th

e ra

ng

e of

ser

vice

s of

fere

d.

• P

rovi

ded

a g

ran

t of

$32

5,69

6 to

th

e W

orld

view

Fo

un

dat

ion

for

pre

an

d p

ost

rele

ase

sup

por

t

for

alco

hol

, tob

acco

an

d o

ther

dru

g is

sues

for

non

-ind

igen

ous

inm

ates

.

• C

onti

nu

e to

imp

lem

ent

the

Wor

ldvi

ew

Fou

nd

atio

n p

re a

nd

pos

t re

leas

e g

ran

t p

roje

cts

for

ind

igen

ous

and

non

-ind

igen

ous

clie

nts

.

• R

outi

nel

y p

rovi

din

g n

alox

one

to re

leva

nt

det

ain

ees

up

on re

leas

e fr

om t

he

Ale

xan

der

M

acon

och

ie C

entr

e.

34. Im

ple

men

t an

AC

T D

rug

an

d A

lcoh

ol C

ourt

wit

hin

th

e te

rm o

f th

e n

inth

Ass

emb

ly.

• Th

e A

CT

Dru

g a

nd

Alc

ohol

Cou

rt c

omm

ence

d

oper

atio

ns

in D

ecem

ber

20

19.

• D

rug

an

d A

lcoh

ol T

reat

men

t O

rder

s co

mm

ence

d

in e

arly

20

20.

Dom

esti

c an

d fa

mily

vio

len

ce

35. I

nte

gra

te m

ore

effe

ctiv

e re

spon

ses

wit

hin

A

lcoh

ol a

nd

Dru

g S

ervi

ces

for

peo

ple

wh

o ei

ther

ex

per

ien

ce d

omes

tic

and

fam

ily v

iole

nce

or

are

at

ris

k of

usi

ng

it.

• C

onsu

ltan

ts 3

60E

dg

e co

mp

lete

d a

bas

elin

e as

sess

men

t of

AC

T tr

eatm

ent

serv

ices

’ cap

acit

y to

re

spon

d to

issu

es o

f dom

esti

c an

d fa

mily

vio

len

ce.

• A

lloca

ted

Bu

dg

et fu

nd

ing

to c

onti

nu

e w

ork

to

inte

gra

te m

ore

effe

ctiv

e re

spon

ses

to

dom

esti

c vi

olen

ce in

alc

ohol

an

d o

ther

dru

g

trea

tmen

t se

rvic

es.

• A

CT

Hea

lth

pro

vid

ed $

250,

00

0 to

Alc

ohol

Tob

acco

an

d O

ther

Dru

g A

ssoc

iati

on A

CT

to u

nd

erta

ke a

n

add

itio

nal

por

tion

of t

he

Safe

r Fa

mili

es p

roje

ct,

to im

pro

ve t

he

cap

acit

y of

th

e al

coh

ol a

nd

oth

er

dru

g s

ecto

r to

iden

tify

an

d re

spon

d e

ffec

tive

ly to

d

omes

tic

and

fam

ily v

iole

nce

.

• A

lcoh

ol T

obac

co a

nd

Oth

er D

rug

Ass

ocia

tion

A

CT

to w

ork

in c

olla

bor

atio

n w

ith

th

e O

ffice

of

the

Coo

rdin

ator

-Gen

eral

for

Fam

ily S

afet

y an

d

the

AC

T H

ealt

h D

irec

tora

te to

em

bed

th

e A

CT

Gov

ern

men

t d

omes

tic

and

fam

ily v

iole

nce

ca

pac

ity

bu

ildin

g a

pp

roac

h w

ith

in t

he

Alc

ohol

To

bac

co a

nd

Oth

er D

rug

sec

tor.

34A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Roa

d S

afet

y

36. I

mp

lem

ent

acti

ons

to in

crea

se t

he

safe

ty o

f AC

T ro

ad u

sers

incl

ud

ing

: Dev

elop

an

d im

ple

men

t an

A

CT

Dru

g D

rivi

ng

Str

ateg

y. C

onti

nu

e ex

isti

ng

road

sa

fety

str

ateg

ies

that

ad

dre

ss im

pai

red

dri

vin

g,

e.g

. roa

dsi

de

bre

ath

test

ing

, roa

dsi

de

dru

g

test

ing

. Ad

dre

ss t

he

fin

din

gs

of t

he

ind

epen

den

t ev

alu

atio

n o

f th

e A

CT

alco

hol

inte

rloc

k p

rog

ram

. C

ond

uct

act

ivit

ies

to e

du

cate

road

use

rs to

be

un

imp

aire

d a

nd

ale

rt.

• R

an t

he

Dru

g D

rivi

ng

: Don

’t R

isk

it c

amp

aig

n o

ver

the

sum

mer

sea

son

.•

Com

ple

ted

th

e su

mm

er h

olid

ay p

erio

d d

rug

d

rivi

ng

road

saf

ety

cam

pai

gn

Dru

g D

rivi

ng

: Don

’t R

isk

It in

Feb

ruar

y 20

20.

• C

omp

lete

th

e ev

alu

atio

n o

f th

e A

CT

Inte

rloc

k P

rog

ram

.

• C

omp

lete

reco

mm

end

atio

ns

in re

spon

se to

in

terl

ock

eval

uat

ion

.

Bu

ild c

omm

un

ity

know

led

ge

and

ch

ang

e ac

cep

tab

ility

of u

se

37. I

mp

lem

ent

evid

ence

-info

rmed

pro

gra

ms

in

com

mu

nit

y se

ttin

gs

such

as

spor

tin

g c

lub

s an

d

wor

kpla

ces

to p

reve

nt

and

red

uce

har

ms

of

alco

hol

, tob

acco

an

d o

ther

dru

gs.

• A

war

ded

mor

e th

an $

2 m

illio

n o

n b

ehal

f of t

he

Hea

lth

y C

anb

erra

Gra

nts

.

• R

enew

ed fu

nd

ing

for

the

Can

ber

ra N

igh

t C

rew

to

red

uce

alc

ohol

an

d d

rug

rela

ted

har

ms

in

Can

ber

ra C

ity

at n

igh

t.

• E

stab

lish

ed a

new

‘Can

nab

is a

nd

You

r H

ealt

h’

web

pag

e on

14 J

anu

ary

2020

. Pro

vid

ed

info

rmat

ion

to s

take

hol

der

s, in

term

edia

ries

, dru

g

and

alc

ohol

ser

vice

s an

d p

ub

lic h

ealt

h s

taff

. Ran

so

cial

med

ia a

dve

rtis

emen

ts o

n t

he

hea

lth

ris

ks

of c

ann

abis

fro

m 3

1 Jan

uar

y to

19 M

arch

20

20.

• A

CT

Hea

lth

Dir

ecto

rate

to c

onti

nu

e to

pro

vid

e in

form

atio

n to

th

e co

mm

un

ity

on t

he

hea

lth

im

pac

ts o

f Can

nab

is u

se a

s p

art

of b

usi

nes

s-as

-u

sual

act

ivit

ies.

• C

onti

nu

e to

imp

lem

ent H

ealt

hy

Can

ber

ra G

ran

ts

pro

ject

s fo

cuse

d o

n a

lcoh

ol, t

obac

co a

nd

oth

er

dru

g u

se, t

akin

g in

to a

ccou

nt t

he

CO

VID

-19

con

text

.

38. I

den

tify

a r

ang

e of

evi

den

ce-b

ased

ed

uca

tion

al

reso

urc

es t

hat

can

be

use

d b

y A

CT

sch

ools

an

d e

nsu

re s

choo

ls a

re in

form

ed a

bou

t th

ese

reso

urc

es a

nd

kn

ow h

ow to

acc

ess

them

.

• P

rom

oted

th

e St

ud

ent

Wel

l-bei

ng

Hu

b.

• P

rovi

ded

$15

4,4

00

to C

anb

erra

Hea

lth

Ser

vice

s to

exp

and

th

e P

reve

nt

Alc

ohol

an

d R

isk

Rel

ated

Tr

aum

a in

You

th p

rog

ram

for

stu

den

ts a

ged

15–1

6 ye

ars,

th

rou

gh

ou

trea

ch to

sch

ools

.

• P

ub

licis

ed t

he

Pos

itiv

e C

hoi

ces

web

site

to

teac

her

s as

a k

ey re

sou

rce

for

sch

ools

.

• C

onti

nu

e im

ple

men

tati

on o

f th

e P

reve

nt

Alc

ohol

an

d R

isk-

Rel

ated

Tra

um

a in

You

th (P

.A.R

.T.Y

) in

jury

pre

ven

tion

pro

gra

m b

y ou

trea

ch, C

OV

ID-1

9 ci

rcu

mst

ance

s al

low

ing

.

39. L

ever

age

opp

ortu

nit

ies

to in

form

th

e p

ub

lic

abou

t th

e co

nte

nts

of i

llici

t d

rug

s an

d h

ow t

hey

ar

e m

anu

fact

ure

d, i

ncl

ud

ing

fin

din

gs

from

pill

te

stin

g a

nd

dru

g s

eizu

res.

• P

ub

lish

ed p

ill te

stin

g e

valu

atio

n.

• E

xplo

re h

ow to

sec

ure

su

bst

ance

s d

isp

osed

of a

t fe

stiv

al-b

ased

pill

test

ing

ser

vice

s fo

r la

ter

test

ing

at

gov

ern

men

t la

bor

ator

ies.

35h

ealt

h.a

ct.g

ov.a

u

Illic

it a

nd

illic

itly

use

d d

rug

s ac

tion

item

Pro

gre

ss in

20

19P

rog

ress

an

d p

rior

itie

s in

20

20

Mon

itor

em

erg

ing

dru

g is

sues

40.

Mon

itor

inte

rven

tion

s in

oth

er ju

risd

icti

ons

and

ov

erse

as in

rela

tion

to t

he

sup

ply

of a

lcoh

ol,

incl

ud

ing

th

e im

ple

men

tati

on o

f min

imu

m u

nit

p

rici

ng

in t

he

Nor

ther

n T

erri

tory

.

• Th

e N

atio

nal

Alc

ohol

Str

ateg

y 20

19–2

028

was

re

leas

ed in

Nov

emb

er 2

019

. Th

is s

trat

egy

ind

icat

es

the

Au

stra

lian

Gov

ern

men

t d

oes

not

inte

nd

to

incr

ease

alc

ohol

tax

atio

n.

• A

CT

Hea

lth

Dir

ecto

rate

car

ried

ou

t ac

tive

m

onit

orin

g o

f alc

ohol

su

pp

ly in

terv

enti

ons,

in

clu

din

g m

inim

um

pri

cin

g.

• C

onsi

der

fin

din

gs

of t

he

firs

t ev

alu

atio

n re

por

t, re

leas

ed in

Ap

ril 2

020

, on

th

e im

pac

t of

alc

ohol

m

inim

um

pri

cin

g in

th

e N

orth

ern

Ter

rito

ry.

41. C

onsi

der

em

erg

ing

issu

es, a

nd

iden

tifi

ed g

aps,

in

alc

ohol

, tob

acco

an

d o

ther

dru

g c

ontr

ol a

nd

re

spon

d a

s re

qu

ired

, in

clu

din

g p

arti

cip

atio

n in

n

atio

nal

init

iati

ves,

du

rin

g t

he

lifet

ime

of t

he

Dru

g

Stra

teg

y A

ctio

n P

lan

.

• Th

e A

CT

Leg

isla

tive

Ass

emb

ly p

asse

d

amen

dm

ents

to t

he

Dru

gs

of D

epen

den

ce A

ct to

fu

lly d

ecri

min

alis

e ad

ult

use

of c

ann

abis

at

hom

e,

in S

epte

mb

er 2

019

.

• In

vest

ed m

ore

than

$51

8,0

00

in s

tim

ulu

s fu

nd

ing

fo

r n

on-g

over

nm

ent

trea

tmen

t se

rvic

es to

re

spon

d to

th

e C

OV

ID-1

9 p

and

emic

.

• M

ain

tain

ed c

onti

nu

ity

of a

cces

s to

ess

enti

al

trea

tmen

t an

d h

arm

red

uct

ion

ser

vice

s d

uri

ng

th

e C

OV

ID-1

9 p

and

emic

.

• M

ain

tain

th

e sa

fety

of c

lien

ts a

nd

sta

ff d

uri

ng

th

e C

OV

ID-1

9 p

and

emic

.

• A

men

dm

ents

to t

he

Dru

gs

of D

epen

den

ce A

ct

on p

erso

nal

can

nab

is u

se to

com

e in

to e

ffec

t on

31

Jan

uar

y 20

20.

42.

Imp

lem

ent

init

iati

ves

to im

pro

ve d

ata

colle

ctio

n,

man

agem

ent,

rep

orti

ng

an

d a

nal

ysis

.•

Req

ues

ted

ad

dit

ion

al A

CT

anal

yses

for

AC

T N

atio

nal

Dru

g S

trat

egy

Hou

seh

old

Su

rvey

20

19

from

Au

stra

lian

Inst

itu

te o

f Hea

lth

an

d W

elfa

re.

• Th

e 20

19 N

atio

nal

Dru

g H

ouse

hol

d S

urv

ey w

as

rele

ased

in J

uly

20

20. A

dd

itio

nal

an

alys

es fo

r st

ates

an

d te

rrit

orie

s w

ere

incl

ud

ed in

th

e re

leas

e an

d s

tate

an

d te

rrit

ory

fact

shee

ts w

ere

pro

vid

ed

wit

h k

ey fi

nd

ing

s.

43. R

efer

to le

arn

ing

s fr

om n

atio

nal

pilo

ts a

nd

ex

plo

re t

he

imp

lem

enta

tion

of a

loca

l ear

ly

war

nin

g s

yste

m to

en

sure

tim

ely

use

of d

ata

to

mon

itor

an

d re

spon

d to

em

erg

ing

dru

g t

ren

ds

and

har

ms.

• Fi

nd

ing

s fr

om n

atio

nal

pro

ject

s ea

rly

war

nin

g

pilo

ts w

ere

not

rele

ased

in 2

019

.•

Con

sid

er p

arti

cip

atio

n in

th

e N

atio

nal

Cen

tre

for

Clin

ical

Res

earc

h in

Em

erg

ing

Dru

gs

Pro

mp

t R

esp

onse

Net

wor

k p

roje

ct.

• M

onit

or e

mer

gin

g c

ond

itio

ns

du

rin

g t

he

C

OV

ID-1

9 p

and

emic

usi

ng

ava

ilab

le d

ata

and

re

spon

d a

ccor

din

gly

.

36A

CT

Dru

g S

trat

egy

Act

ion

Pla

n 2

018

–20

21: P

rog

ress

Rep

ort

2019

–20

Au

gu

st 2

020

Ap

pen

dix

2:

Tab

le o

f Hea

lth

y C

anb

erra

Gra

nts

, alc

ohol

an

d t

obac

co fo

cuse

dA

ctio

n It

em

Pro

ject

O

rgan

isat

ion

D

escr

ipti

on

Am

oun

t Fu

nd

ed

1A

dd

ress

ing

th

e B

oom

ing

Boo

ze c

ult

ure

am

ong

AC

T w

omen

: co

mb

inin

g in

nov

ativ

e te

chn

olog

y w

ith

an

aw

aren

ess

rais

ing

ca

mp

aig

n

Fou

nd

atio

n fo

r A

lcoh

ol R

esea

rch

an

d

Ed

uca

tion

Lim

ited

This

hea

lth

pro

mot

ion

pro

gra

m a

ims

to re

du

ce a

lcoh

ol h

arm

am

ong

wom

en in

th

e A

CT

usi

ng

a b

rief

inte

rven

tion

pro

gra

m c

oup

led

wit

h a

tar

get

ed a

war

enes

s ra

isin

g c

amp

aig

n. T

he

pro

gra

m a

ims

to d

evel

op a

nd

test

an

inn

ovat

ive

tech

nol

ogy

usi

ng

an

on

line

pla

tfor

m s

end

ing

info

rmat

ion

an

d h

yper

links

to s

mar

tph

ones

to

mot

ivat

e w

omen

ag

ed 4

5–64

to re

du

ce t

hei

r al

coh

ol c

onsu

mp

tion

. Th

is p

rog

ram

w

as fi

rst

fun

ded

20

18–1

9 fi

nan

cial

yea

r.

$397

,086

1, 19

save

-a-m

ate

(SA

M)

Au

stra

lian

Red

Cro

ss

Soci

ety

save

-a-m

ate

(SA

M) i

s an

alc

ohol

an

d o

ther

dru

gs

(AO

D) e

du

cati

on p

rog

ram

, wh

ich

ai

ms

to e

qu

ip y

oun

g p

eop

le a

nd

per

son

s at

risk

wit

h th

e kn

owle

dg

e an

d s

kills

to

pre

ven

t, re

cog

nis

e an

d re

spon

d to

AO

D e

mer

gen

cies

thro

ug

h a

har

m re

du

ctio

n

fram

ewor

k. S

AM

is u

niq

ue

in it

s co

mb

inat

ion

of A

OD

ed

uca

tion

wit

h b

asic

firs

t aid

ov

erd

ose

resp

onse

trai

nin

g.

$170

,577

1P

reve

nti

ng

alc

ohol

-re

late

d c

hro

nic

dis

ease

Fou

nd

atio

n fo

r A

lcoh

ol R

esea

rch

an

d

Ed

uca

tion

The

Fou

nd

atio

n fo

r A

lcoh

ol R

esea

rch

an

d E

du

cati

on w

ill d

evel

op a

nd

eva

luat

e a

pu

blic

ed

uca

tion

cam

pai

gn

to r

aise

aw

aren

ess

of t

he

lon

g-t

erm

har

ms

of a

lcoh

ol

con

sum

pti

on. T

he

cam

pai

gn

will

use

tele

visi

on, r

adio

, an

d d

igit

al m

edia

to t

arg

et

adu

lts

aged

25–

65 in

th

e A

CT.

$762

,94

0

1 N

ot S

o

Stra

igh

t U

pA

IDS

Act

ion

Cou

nci

l of

the

AC

TTh

e A

IDS

Act

ion

Cou

nci

l of t

he

AC

T w

ill d

eliv

er a

mu

lti-f

acet

ed c

amp

aig

n a

imed

at

red

uci

ng

ris

ky d

rin

kin

g b

ehav

iou

r an

d li

feti

me

alco

hol

rela

ted

har

m w

ith

in L

GB

TIQ

co

mm

un

itie

s in

th

e A

CT.

Th

e ca

mp

aig

n is

des

ign

ed to

com

ple

men

t an

d le

vera

ge

wh

ole-

of-c

omm

un

ity

stra

teg

ies

by

pro

vid

ing

tai

lore

d m

essa

gin

g a

nd

del

iver

y m

eth

ods

wit

h p

rove

n re

son

ance

an

d re

ach

into

LG

BTI

Q c

omm

un

itie

s.

$184

,468

1, 36

, 38

Pre

ven

t A

lcoh

ol a

nd

R

isk-

Rel

ated

Tra

um

a in

You

th (P

.A.R

.T.Y

.) C

anb

erra

Ou

trea

ch

Can

ber

ra H

ealt

h

Serv

ices

The

P.A

.R.T

.Y O

utr

each

pro

gra

m is

an

in-s

choo

l in

jury

pre

ven

tion

str

ateg

y ai

med

at

sen

ior

hig

h s

choo

l stu

den

ts a

ged

15–1

6 ye

ars

in t

he

AC

T. It

will

incl

ud

e u

p to

16

pro

gra

ms

per

yea

r w

ith

a re

ach

of a

pp

roxi

mat

ely

160

0 s

tud

ents

an

nu

ally

.

$154

,40

0

1, 31

Win

nu

ng

a A

HC

S:

Red

uci

ng

alc

ohol

-re

late

d h

arm

for

Ab

orig

inal

an

d T

orre

s St

rait

Isla

nd

er p

eop

les

Win

nu

ng

a N

imm

ityj

ah

Ab

orig

inal

Hea

lth

an

d

Com

mu

nit

y Se

rvic

es

Win

nu

ng

a N

imm

ityj

ah A

bor

igin

al H

ealt

h a

nd

Com

mu

nit

y Se

rvic

es w

ill e

stab

lish

a

pro

gra

m to

pre

ven

t th

e u

pta

ke o

f exc

essi

ve a

lcoh

ol c

onsu

mp

tion

, pro

vid

e co

mm

un

ity-

wid

e ed

uca

tion

ab

out

risk

y d

rin

kin

g, a

nd

red

uce

har

m a

ssoc

iate

d

wit

h s

uch

dri

nki

ng

.

$476

,20

0

37h

ealt

h.a

ct.g

ov.a

u

Act

ion

Item

P

roje

ct

Org

anis

atio

n

Des

crip

tion

A

mou

nt

Fun

ded

1, 33

Smok

e, B

ooze

an

d

Dru

g F

ree

Pri

son

P

ost-

Rel

ease

Wor

ldvi

ew F

oun

dat

ion

Thro

ug

h t

he

Smok

e, B

ooze

an

d D

rug

Fre

e P

riso

n P

ost-

Rel

ease

pro

gra

m, t

he

Wor

ldvi

ew F

oun

dat

ion

will

pro

vid

e su

pp

ort

to A

bor

igin

al a

nd

Tor

res

Stra

it Is

lan

der

d

etai

nee

s at

th

e A

lexa

nd

er M

acon

och

ie C

entr

e. In

par

ticu

lar,

inte

nsi

ve s

up

por

t w

ill b

e p

rovi

ded

pre

an

d p

ost

rele

ase

to a

dd

ress

issu

es a

ssoc

iate

d w

ith

alc

ohol

, to

bac

co a

nd

oth

er d

rug

s.

$233

,787

7 P

reg

nan

t P

ause

(Be

A

Her

o, T

ake

Zero

) Fo

un

dat

ion

for

A

lcoh

ol R

esea

rch

an

d E

du

cati

on

This

pro

gra

m a

ims

to b

uild

on

th

e cu

rren

t P

reg

nan

t P

ause

—sw

ap t

he

pu

b fo

r yo

ur

bu

b c

amp

aig

n to

cre

ate

an e

nvi

ron

men

t w

her

e w

omen

are

su

pp

orte

d b

y th

e w

hol

e co

mm

un

ity

to h

ave

alco

hol

-fre

e p

reg

nan

cies

. Th

is w

ill b

e ac

hie

ved

b

y in

crea

sin

g o

vera

ll co

mm

un

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$289

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tin

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gra

m to

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-ind

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ous

det

ain

ees

at t

he

AM

C.

$325

,696


ACT Drug Strategy Action Plan 2018–2021

Documents