Scotland’s Rural Drug Crisis: The Tragic Losses in Oban and the Call for Change

In the small town of Oban, Scotland (population 8,000), at least eight recent drug-related deaths, including both confirmed and suspected cases, highlight a growing crisis. The youngest victim was 26, and the oldest was 48. Scotland continues to have the highest drug overdose death rate in Europe, with 1,172 lives lost in 2023 alone.

The Personal Tragedies of James McMillan and Lisa McCuish

James McMillan, 29, struggled with ADHD, bipolar disorder, and drug-induced psychosis. His addiction led to repeated incarceration, and he died of an overdose in Glasgow less than 36 hours after being released from custody in December 2022. His mother, Jayne Donn, a drug support worker, believes more could have been done to help him, as he had overdosed on release three times before.

Lisa McCuish, 42, was not originally involved in drug use but developed a dependency on diazepam (prescribed for anxiety). Eventually, she turned to illicit drugs, including heroin. She suffered a cardiac arrest and died in September 2022, with prescription and street drugs in her system.

Both families cite failures in addiction and mental health services, especially in rural areas. Lisa’s sister, Tanya, and James’ mother, Jayne, argue that there is no proper continuity between addiction and mental health services, making recovery difficult.

Calls for Urgent Action in Rural Scotland

Local families and advocates are demanding improvements in rural drug addiction support, particularly access to treatment facilities. Scotland’s Health Secretary, Neil Gray, acknowledged gaps in services, especially in remote areas.

According to Justina Murray of Scottish Families Affected by Alcohol and Drugs, the issue is not just about funding but also about how services are delivered. Many people struggling with addiction face stigma and barriers when seeking help from NHS addiction services.

While Scotland has 513 residential rehabilitation beds, only 11 are available in very remote rural areas, limiting access to treatment for those in places like Oban.

The Need for Systemic Change

Families argue that addiction often begins with mental health struggles, not personal choices. Jayne and Tanya emphasize that individuals battling addiction are often vulnerable adults in need of protection, not blame.

As Scotland grapples with its ongoing drug death crisis, the demand for improved rural support, better coordination between services, and increased access to treatment grows stronger. Families mourning their loved ones insist that change is necessary to prevent further tragedies.

Source: BBC