A recent Substance Use Health Needs Assessment (HNA) in Redbridge has revealed that women, younger adults and people of Asian ethnic backgrounds are under-represented in local substance use services.

The report, which was noted by the Redbridge Health and Wellbeing Board at a meeting on Monday, 15 September 2025, aimed to improve understanding of the need for drug and alcohol services and how existing services are used. It also highlighted inequalities and barriers to accessing treatment. The Public Reports Pack notes that the full report is available upon request.

Engagement work further revealed challenges for specific groups, including parents facing childcare issues, older adults with complex health needs, and rough sleepers experiencing significant health inequalities.

Stigma was identified as a major barrier to care, with some residents fearing recognition by community members when seeking support. The report noted that specialist substance use support services in Redbridge were described as safe and non-judgemental spaces. Stigma was repeatedly raised as a barrier to care, with some residents reporting a fear of being recognised by other members of their community when accessing support.

The Health Needs Assessment made several recommendations to address these issues, including:

  • Increasing support for parents in treatment.
  • Exploring targeted interventions for specific groups.
  • Improving access to and awareness of substance use services.
  • Addressing physical and mental health challenges among those who use substances.
  • Addressing the wider determinants of health.
  • Improving data intelligence related to substance use.
  • Navigating the challenges related to social media and misinformation. The Public Reports Pack notes that social media creates 24/7 accessibility and vulnerability to drugs which often remains hidden.
  • Supporting high-risk young people affected by substance use.
  • Increasing partnership working to strengthen prevention and early intervention approaches.
  • Exploring the potential of transitional care in substance use to support young people as they transition to adult services.

The recommendations also connect to ongoing public health initiatives. According to the Public Reports Pack, social prescribing in Redbridge is being reviewed, and the council will explore its role as a bridge for people exiting treatment, helping them find new community groups and support following recovery. The council is also collaborating with young people to develop resources that support parents and those working with young people to facilitate conversations about vaping.

An Equality Impact Assessment screening was undertaken for the HNA, which identified a number of recommendations that seek to reduce health inequalities and differential adverse health outcomes by protected characteristic.