New graves inform city’s alarming story of drug deaths

James McMillan grew up subsequent door to Lisa McCuish in a neat cul-de-sac on a hillside above Oban Bay. Now they lie aspect by aspect in Pennyfuir Cemetery.

The most recent headstones on the freshly-dug fringes of the graveyard inform an alarming story of a misplaced technology on this fairly vacationer city on Scotland’s west coast.

Oban is dwelling to simply 8,000 folks and a minimum of eight current confirmed or suspected victims of drug misuse have been buried right here. The youngest was 26, the oldest was 48.

The inhabitants of the city is about the identical as the whole variety of overdose deaths recorded in Scotland prior to now seven years – by far the worst fee in Europe.

The deaths have led to requires pressing motion to sort out dependancy in rural Scotland with family members citing issues accessing very important providers.

Scotland’s Well being Secretary Neil Grey has instructed PRESSHARK Information that he accepts extra must be performed to sort out drug misuse in rural areas.

For James’ mom, Jayne Donn, the nightmare started earlier than daybreak on a freezing evening in December 2022 when she was woken by the doorbell.

“At 10 to 5 within the morning, when it was snowing and my Christmas tree was up, the police got here to my door,” she says.

The officers had come, as Jayne had lengthy dreaded they might, to inform her that her 29-year-old son was useless of an overdose.

James was one other sufferer of a disaster that has been raging throughout Scotland for nearly a decade, claiming 1,172 lives in 2023.

“As a bit boy he was blonde-haired, blue-eyed, stuffed with mischief,” Jayne tells me in the lounge of the household dwelling.

The younger James beloved “fishing, music and his skateboard,” she says.

“As a person, there’s not so many good reminiscences,” says Jayne.

“He was very blended up. He was very indignant. He was very misplaced.”

James’ father left the household dwelling when he was seven.

He struggled in school with dyslexia and psychological well being challenges and later started to dabble with hashish.

He began to get into hassle, first with lecturers, then with the police.

As he grew into maturity, James drifted away from Oban and from his household, shedding a job as an apprentice bricklayer due to poor attendance and focus, and disappearing to England.

Jayne says she knew little about what was occurring there. In fact, her son’s life was unravelling.

He had been identified with consideration deficit hyperactivity dysfunction, bipolar dysfunction and drug-induced psychosis.

He was fighting suicidal tendencies, taking extra and tougher medicine and more and more turning to crime.

Because of this he was out and in of custody for drug offences, breach of the peace, break-ins and theft, at one level serving a two-year jail sentence.

James died in Glasgow on 16 December 2022 – lower than two days after he was launched from custody following eight months on remand in Barlinnie jail.

James’ mom says she does not know the small print of the final prices he had confronted or why he was launched – however she believes extra may have been performed to help her son, as he had overdosed on launch from custody on three earlier events.

A Scottish Jail Service supply identified that choices taken on the finish of a interval of remand are a matter for the courts not the jail.

Jayne describes an internet of organisations which dealt together with her son: charities, native authorities, the NHS, dependancy providers, housing suppliers and extra.

However she says: “He was launched right into a metropolis he did not know with no jacket, no cash and no one conscious.

“He lasted lower than 36 hours.”

Lisa McCuish grew up subsequent to James in a avenue trying down on Oban Bay, the place purple and black Caledonian MacBrayne ferries bustle to and from the islands of the Hebrides.

Oban was just lately named Scotland’s city of the 12 months by an organisation which promotes smaller communities.

At this time, Lisa’s sister Tanya is sitting in Jayne’s front room, tears in her eyes, recalling her sibling as “a bigger than life character” with “a coronary heart of gold”.

“Lisa was by no means into medicine, , that wasn’t her,” says Tanya.

Issues started to go mistaken solely after Lisa was prescribed diazepam, which is often used to deal with nervousness, seizures or muscle spasms.

“She ended up shopping for it off the streets as a result of she felt she wanted extra,” Tanya remembers.

“She saved on saying that she wanted extra assist, extra help.”

Then, she says, her sister began taking heroin.

Lisa had a cardiac arrest on 13 September 2022 and died 4 days later in hospital in Paisley. She was 42 years outdated.

She had prescribed drugs in her system and likewise Etizolam, a benzodiazepine-type substance generally generally known as avenue Valium as a result of it’s typically bought illicitly.

Tanya and Jayne take us to the spot the place they each mourn, stating different close by graves the place current drug demise victims are buried.

They embrace James’s finest buddy, who lies alongside him and Lisa. He was 30 when he died of a drug overdose.

“It is simply terrible to assume there’s a minimum of 10 round right here that we are able to consider,” says Jayne.

There is no such thing as a official breakdown of what number of lives have been claimed by medicine in small communities akin to Oban.

Now we have been in a position to affirm that a minimum of eight of the deaths occurred inside only a year-and-a-half and have been associated to medicine, or are nonetheless beneath investigation.

That is the truth of Scotland’s drug deaths disaster in only one small group and each Tanya and Jayne say the Scottish authorities should do extra to avoid wasting lives.

“I personally consider that quite a lot of dependancy is to do with psychological well being first,” says Tanya.

“There isn’t any continuity in help from dependancy providers or psychological well being providers. There isn’t any hyperlink up.”

Jayne, who’s a medication help employee herself, says she spent years making an attempt to convey James dwelling to Oban the place she felt he would have a greater likelihood of restoration and survival.

A selected problem, she says, was that Argyll and Bute Council provided James housing locations in Dunoon and Helensburgh – each about two hours away – making it very troublesome for his household to help him.

The native authority stated it had provided “applicable” providers to James.

The council added that it had housing providers all through the world, however couldn’t all the time fulfill “particular person and generally altering standards”.

Scotland’s Well being Secretary Neil Grey says that each households have his deepest sympathies and he accepts that rural drug providers may very well be improved.

“I feel that the 2 circumstances that you have highlighted inform me that there is extra that may be performed,” he stated.

“I recognise that not every thing is out there in all elements of Scotland.”

Mr Grey added: “We help alcohol and drug partnerships throughout Scotland, whether or not they’re in rural areas or city areas.

“I might clearly need us to be persevering with to do extra to guarantee that there may be entry to services and providers in rural and island areas.”

For Justina Murray, chief government of the charity Scottish Households Affected by Alcohol and Medicine, the issues don’t lie with technique or funding however with tradition and supply, particularly in NHS dependancy providers.

“Folks need providers which might be in their very own group, they’ll entry once they want them, they’ll be met on the door by a pleasant face,” she says.

“They are going to be handled with dignity and respect.

“That is not essentially the expertise you are going to have participating with an NHS or a statutory remedy service.”

In accordance with the newest out there figures, launched in September 2024, there may be capability for 513 residential rehabilitation beds in Scotland, throughout 25 services.

Solely 11 of these beds can be found in what are thought-about by the Scottish authorities to be very distant rural areas, though the vast majority of services do settle for referrals from any a part of Scotland.

I ask Jayne and Tanya concerning the argument that people and their households, somewhat than the state, ought to take extra duty for their very own decisions.

“No person units out in life to be a drug addict,” replies Jayne.

“No person chooses it. The psychological well being challenge was what led James to try to escape actuality.

“He then not had capability to make his decisions. He wasn’t James any extra.

“These are susceptible adults who’re unable to guard themselves from hazard or hurt,” provides Tanya.

“Why is extra not being performed?”

“One thing’s acquired to alter,” agrees Jayne.

“We’re shedding far too many younger folks.”