"The groundwork of all happiness is health." - Leigh Hunt

Drug use in England is changing – with more adults showing signs of dependence

Drug use in England appears to be changing, in response to our latest survey of adults. Mental health and wellness.

The Adult Psychiatric Patient Survey (APMS) began in 1993 and is the longest running mental health survey series on the earth. This national study gives us a clearer picture of mental health in England. Because it includes people from all walks of life, not only those that use NHS services, it shows how mental health is changing across the population.

i Latest surveya random sample of nearly 7,000 adults aged 16 to 100 in England took part in detailed interviews at home, each lasting an hour and a half. Participants were asked questions on their mental health, whether or not they used any illegal drugs, and in the event that they experienced symptoms of dependence, akin to withdrawal symptoms or increased tolerance.

Although Crime Survey for England and Wales (CSEW) The official source of presidency statistics on illegal drug use in England is a survey of crime. As such, individuals surveyed may not feel comfortable disclosing their illicit activities – meaning that the CSEW may not fully capture the extent of drug use across the population.

Because our survey is of population health and well-being, participants could also be more willing to reveal their drug use. This gives us a worthwhile alternative lens on drug use and a possibility to cross-check against official figures.

Our report highlights significant changes in what we all know in regards to the extent of drug use in England, the kinds of adults and the degree to which individuals may grow to be depending on these drugs.

Drug use could also be more widespread

Our findings show that a better proportion of adults in England use drugs than official figures suggest.

We found that 18.1% of 16- to 24-year-olds reported using illegal drugs previously yr. This is higher than the 16.5% reported by CESW for a similar age group and time period.

Just a few aspects could also be at play here.

Our survey doesn’t include Wales – so the geographical coverage shouldn’t be the identical between the 2 surveys – and we also asked participants about substances not included within the CSEW. This includes amyl nitrites, prescription opioids, synthetic cannabinoids and volatile compounds. This may contribute to a more complete picture of drug use in a broader population.

But even after we compare only one drug type, the differences grow to be clear: 4.3% of participants aged 16 to 24 reported using ketamine previously 12 months, in comparison with 16 to 24 yr olds within the CSEW.

This suggests that surveys designed around crime may result in underreporting, as people could also be less willing to reveal illegal behavior in that context. Approaching drug use from a mental health perspective can provide a more accurate picture of what is basically occurring.

Non-medical use of prescription opioids

Until now, little was known in regards to the proportion of individuals in England who used non-prescription opioids attributable to a scarcity of knowledge. So our survey asked people in the event that they had ever used opioid medications akin to buprenorphine, fentanyl, morphine, oxycodone and tramadol that weren’t prescribed to them.

About 33% of participants reported that that they had – a much higher proportion reporting one other opioid, heroin (which was lower than 1%). This suggests that the nonmedical use of prescription opioids could also be a separate and more widespread problem.

Young persons are the best users of non-prescription opioids.
Rohne Hamilton/Shutterstock

Men and ladies were equally prone to report using prescription opioids than those not prescribed them. Prevalence was highest amongst 25- to 34-year-olds. This suggests that use might not be explained by self-medication for medical conditions and physical pain, which is more common in older age groups.

Gender Profile of Drug Dependence

Among 25- to 34-year-olds, men were twice as likely as men to report signs of dependency—which can reflect gender differences in family responsibilities or life stage. But amongst 16- to 24-year-olds, signs of drug dependence were equally common in men and ladies.

This is a remarkable change. In earlier waves of the survey series, young people consistently showed this High levels of drug abuse and dependence. This seems to now not be the case.

These findings suggest that young women could also be engaging in similar levels of risk-taking—or that young persons are beginning to use drugs at a later age, with problems later down the road.

But given the relatively small variety of 16- to 24-year-olds within the sample, it’s too early to say of course.

Cannabis addiction is on the rise

The proportion of adults reporting symptoms of cannabis dependence nearly doubled on this decade—from 2.8 percent in 2014 to five.4 percent in 2023-2024. Yet the rise is explained by a rise within the number of individuals using cannabis. In 2014, 7.2% of individuals reported using cannabis previously yr. In 2024, this figure rises to simply 8.7%.

It is subsequently likely that this increase in cannabis dependence is attributable to changing potency or other aspects.

A 2018 evaluation of drug seizures indicates that the UK cannabis market is increasingly populated. High power types. Strong has been linked to the ability of cannabis High risk of addiction. The growing range of cannabis products, akin to cannabinoids back, can also be making it easier Access and use cannabis more often.

Lack of expert support

Only one in five adults who showed signs of drug dependence reported that that they had never received help or treatment for his or her drug use.

The survey also revealed a robust overlap between dependence and depression or anxiety.

This may present further challenges for mental health services when it comes to engagement and recovery.

Patterns of drug use and dependence seem like changing in England. It is essential to pay attention to these changing trends in order that support may be targeted effectively.