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women's treatment

Women’s experiences with substance use are substantially different from men’s. They tend to have higher rates of childhood trauma, are far more likely to have suffered interpersonal violence and are six times more likely than men to have their children removed because of substance use. And yet, while women make up more than 50 per cent of the population, they represent just 33 per cent of service users.

In response, the Women’s Treatment Working Group has developed a list of recomm­en­dations for OHID, including making women-only spaces and services a mandatory requirement for all treatment providers, dramatically improved responses for mothers – including those without children in their care – and genuinely co-designed pathways and partnerships.

While women make up more than 50 per cent of the population, they represent just 33 per cent of service users
While women make up more than 50 per cent of the population, they represent just 33 per cent of service users

WOMEN-ONLY SPACES AND SERVICES
Women’s histories of trauma and male violence mean that single-sex environments are not an optional extra – they’re essential for women’s physical and psychological safety. For this reason there need to be women-only groups and drop-ins and female key workers as a default, says the group. Timely access to women-only residential services is also crucial, along with policies addressing domestic abuse, menopause and pregnancy. Minimum standards for women’s services need to be developed, with compliance a commissioning requirement.

Fear of losing their children is a significant deterrent to women seeking help, which is why the group is calling for specialist support for women at risk of child removal along with trauma-informed, collaborative safeguarding practices – these should be transparent, consistent and collaborative, the document states.

CO-DESIGNED PATHWAYS
The myriad barriers facing women need tailored responses, and generic tweaks to the system are no longer enough. What’s needed is a full redesign, the report stresses – one that encompasses flexible, trauma-informed access, effective childcare provision, and the co-designing of services with women. Services also need to develop robust partnerships with women’s centres, sexual health services and domestic abuse and sexual violence (DASV) services, it adds.

‘The Women’s Treatment Working Group is calling on OHID to co-produce a gender-responsive treatment system that reflects the realities of women’s lives,’ states the Womanifesto. ‘Through dedicated spaces, support for mothers, and co-designed pathways, we can build a system that is safe, inclusive, and effective for all women.’

Women’s Treatment Working Group: a womanifesto available here

Deaths involving nitazenes quadruple in a year

There were 5,565 deaths related to drug poisoning registered in England and Wales in 2024, according to the latest ONS figures – up from 5,448 the previous year, and the highest number since records began in 1993.

Just under half of all drug poisoning involved an opiate or opioid, while almost 200 involved a nitazene – nearly four times the number in 2023. Of the 5,565 deaths, 3,736 were identified as drug misuse.

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drug related deaths uk 2024

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The highest death rate was among people aged 40-49, with the average age of drug misuse deaths 45 for males and 48 for females. Men accounted for two thirds of drug poisoning deaths overall. As has been the case for the past 12 years, the North East had the highest death rate while the East of England had the lowest. The largest increase in drug poisoning deaths was in London, however – from 500 to 662. 

Deaths involving cocaine were up by 14 per cent, to 1,279 – the 13th consecutive increase. Cocaine has been the second-most commonly used drug in England and Wales after cannabis for a decade now, with three quarters of cocaine-related deaths occurring among men.

Other ‘significant’ drugs included on death certificates were pregabalin (617 deaths), diazepam (302), amphetamine (111), fentanyl (60) and ketamine (60). Delays in registration of the deaths mean that more than half of the fatalities included in the current statistics occurred in previous years, ONS points out. 

A recent study by King’s College London estimated the true number of opioid-related deaths in England and Wales to be more than 50 per cent higher than official figures, as ONS relies on the information provided on death certificates and does not have access to toxicology results or post-mortem reports.

This means it cannot determine the substances involved if the death is the result of polydrug use and has been recorded with ‘ambiguous terms such as “multidrug overdose”’, the researchers pointed out (https://www.drinkanddrugsnews.com/opioid-related-deaths-more-than-50-per-cent-higher-than-official-figures-say-kings-college-researchers/).

While Scotland’s latest figures, which were published last month, saw a 13 per cent fall since 2023, the country still has the highest drug-related death rate in Europe (https://www.drinkanddrugsnews.com/thirteen-per-cent-fall-in-scottish-drug-deaths/). 

With You CEO Simon Phillips
With You CEO Simon Phillips

‘With the rise in synthetic opioids and contaminated drugs, the drug supply is becoming more complex and dangerous,’ said With You CEO Simon Phillips. ‘The government must continue to invest in high quality treatment that anyone can access. We urge the government to make it easier for drug checking services to operate in local communities, continue to expand naloxone provision and explore the introduction of drug consumption rooms.

We can’t keep watching people die while proven interventions sit on the shelf. The government can address this public health crisis by concentrating on saving lives now, helping people recover over time, and addressing the root causes for the future. This requires coordinated action.’

Change Grow Live chief executive Mark Moody
Change Grow Live chief executive Mark Moody

The statistics were ‘a devastating reminder of the scale of the challenges we face’, said Change Grow Live chief executive Mark Moody. ‘Over half of all drug-related deaths now involve more than one drug, and the 30 per cent increase in cocaine-related deaths we saw in 2022-23 was not an anomaly.’

Despite the ‘scale and complexity’ of the issue drug treatment and recovery had not been referenced in the government’s recent ten-year health plan, he pointed out. Drug use didn’t happen in isolation – ‘it’s linked to housing instability, poverty, poor mental health, and an overwhelmed justice system. Tackling these broader issues will take time, but without urgent action now, drug-related deaths will continue on the same trajectory, with more lives lost, more families shattered, and more communities left behind.’ 

Turning Point’s chief operating officer Clare Taylor
Turning Point chief operating officer Clare Taylor

‘These deaths are preventable,’ added Turning Point’s chief operating officer Clare Taylor. ‘With the correct support, education and engagement we know it is possible to reduce the harm caused by drugs. Synthetic opioids continue to flow into the market. We would like to see continuing efforts to increase availability of naloxone, a life-saving medication which can reverse the effects of an opioid overdose.’

As in previous years the fatality rate didn’t ‘hit our communities equally’, stressed Phoenix Futures chief executive Karen Biggs. ‘In England there is a marked North-South divide; the North East of England has had the highest rate of drug related deaths for the last 12 years. The South West saw the biggest reduction. Men in their 40s who use opiates continue to die at a higher rate than other age groups.’

Phoenix Futures chief executive Karen Biggs
Phoenix Futures chief executive Karen Biggs

The North-South divide was clearly visible in access to residential treatment, she added. ‘Of the 12 local authority areas in the North East of England more than half didn’t fund any residential treatment for people using opiates – just 263 people in treatment for opiate use were funded, 0.4 per cent of the opiate users in community treatment. 

The local authorities in the North East of England are not alone in excluding people from residential treatment, but as a region they are amongst the worst in Europe. Residential treatment is the oldest form of drug treatment with a strong evidence base for people with multiple needs and opiate users. Despite that we see the number of opiate users being referred to residential treatment continue to decline.’

Cranstoun’s director of new business and services, Megan Jones

What was ‘truly alarming’ was the sharp rise in deaths involving nitazenes, said Cranstoun’s director of new business and services, Megan Jones. ‘This is not just a statistic, it is a major warning sign. With delays in recording, the true scale is likely to be even worse. We have been sounding the alarm about this public health emergency for a number of years now, and we need to see much swifter and decisive action.’ 

Deaths related to drug poisoning in England and Wales: 2024 registrations at https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2024registrations

Tony Adams launches National Addiction Awareness Week: 23rd – 30th November 2025.

banner for #letstalkaddiction

The fifth annual Addiction Awareness Week will this year take place between 23rd – 30th November 2025.

This year, the UK’s leading addiction campaign Taking Action On Addiction, led by the Forward Trust, is on a mission to Get The Nation Talking About Addiction.

Addiction affects millions of people across the UK – in our families, workplaces, and communities – but stigma and silence stop too many from asking for help. Fear of judgement isolates people and prevents recovery.

The week of focus on addiction and recovery will kick start a renewed year-round campaign which aims to demonstrate that through real conversations about addiction, we can replace stigma with understanding, judgement with empathy, and silence with support.

During the week of 23rd November to 30th November the campaign will feature new research which reveals public understanding of addiction; events which celebrate the resilience of people in recovery; employer forums which spotlight best practice; community events across the Forward Trust Network; and spotlight stories which inspire and move the dial on how we understand addiction.

Forward Trust chair Tony Adams MBE
Forward Trust chair Tony Adams MBE

Launching this year’s campaign week, Forward Trust chair Tony Adams MBE said that he hopes that Addiction Awareness Week 2025 will; ‘Help us to Get The Nation Talking about Addiction so that we can break down the stigma that prevents so many people from seeking the help that they need.

‘Together, we can create a culture where anyone feels able to speak openly about addiction — whether they are seeking help themselves, supporting a loved one, or shaping workplaces and communities. Talking is the first step to recovery, and recovery is possible for everyone.

‘I made the decision many years to talk openly about my struggles with alcohol addiction, and it’s the best decision I ever made.’

Addiction thrives in silence. Recovery begins with conversation.  

Read the full story here


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by The Forward Trust

One Room, Many VOICES

Guildford Action was bustling on Thursday 25th September with passionate and powerful voices. VOICES SUPPORT, a Lived Experience Recovery Organisation (LERO) in Surrey, held their highly anticipated launch event at Beverley Hall.

Many showed their faces to learn and collaborate with people from various facets of the health and social care system.

LEROs are organisations created by those with lived experience in drug and alcohol addiction recovery. Their mantra is lived experience, and they work to provide resources to those who need them, join people to services that can help them, promote advocacy and encourage community engagement. Through peer-led management and flexibility, they empower people to reform their lives.

VOICES = Voices Of Individuals Creating Equity & Support

VOICES, led by director, Jamie Poole, is an organisation comprised of people who share a passion for lived experience and advocacy. We know that those who draw on support services are vital in the design and delivery of them.

In 2023, VOICES set out to increase the volume of vital voices in Surrey, to ensure that services are equipped to support those with multiple disadvantage. Since their formation, VOICES has worked with The Changing Futures Programme in Surrey, including the Bridge the Gap project, which sees 12 local charities running a trauma-informed relational outreach service.

VOICES has worked to co-produce services and policies, and they supported Surrey’s first Joint Strategic Needs Assessment (JSNA) for multiple disadvantage.

The purpose of last Thursday’s launch event was to showcase the successes so far, their vision, goals, ambitions and plans. With the support from wonderful and engaging speakers, they succinctly presented why the organisation exists, who they support and how they can do this. Lisa Byrne, Programme Delivery Manager for Surrey’s Changing Futures, stood as a representative of the national programme.

She introduced the organisation and their link to VOICES, immediately demonstrating the dedication and expertise behind the work. This was followed by Jamie Poole, who took us on his journey of multiple disadvantage, summarising VOICES and what they offer.

If you’d like to learn more, support VOICES or transform your service read the full story here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by VOICES

Mental block

Mental block - residential treatment

A recent survey of Phoenix Futures residents found that 63 per cent had attended A&E in the months prior to accessing rehab
A recent survey of Phoenix Futures residents found that 63 per cent had attended A&E in the months prior to accessing rehab

It’s no secret that the pathway to accessing residential treatment services can be challenging, particularly when it comes to substance use and complex mental health problems. We can sometimes be too quick to assume those challenges are due to a lack of beds – the problem lies at the crossroads of inconsistent funding, complicated referral systems and pervasive stigma. And while these barriers exist, people are struggling to survive.

There are beds available but current systems make it impossible for people in certain parts of the country to access them – it’s a postcode lottery.

We know that residential care saves lives. It can offer stability, safety and intensive support that some people simply cannot get in their community. Yet despite the government’s 10-year drug strategy recognising how vital this option is, far too many people are shut out. Unless somebody can access the right kind of support at the right time, their engagement and chances of recovery plummet, and they risk being trapped in a revolving door of care. All too often, the person is seen as the problem, rather than the system.

NICE guidance is clear that residential treatment should be available to people who haven’t benefited from community services and to those leaving prison who want to build a drug-free life. But in practice, in parts of the country these pathways simply don’t exist. The result is people hitting crisis point, putting more pressure on over-burdened emergency and crisis services. A recent survey of Phoenix Futures residents found that 63 per cent had attended A&E in the months prior to accessing rehab – 40 per cent of those had visited between six and ten times each. And these were people who had managed to access funding for rehab – many others will not be able to.

We need to stop asking people to fit into our compli­cated systems and start pro­vid­ing genuine person-centred support.We need to stop asking people to fit into our compli­cated systems and start pro­vid­ing genuine person-centred support. If we’re serious about building a world-class treatment system and reducing drug related deaths, then all evidence-based treatment options should be funded and consistently available across the country. We must create clear pathways from court or prison into residential care, and we must invest in treatment provision for those with multiple needs.

At Phoenix Futures our residents increasingly understand the interaction between their substance use and mental health. Eighty-five per cent of residents defined their prime motivation for recovery in terms of their mental health improvement.

So what can we do? A wider systems change is required to address the rationing of residential care, but in the meantime we’ve been looking at what we can do to improve access and quality of care. At Phoenix we’re responding by assessing each person seeking treatment individually and according to their needs as a whole. In practice, this translates into the development of services that are trauma responsive, services that are dedicated to women and families and for those with co-existing physical and mental health complexities. We see the person first, and their diagnoses second.

residential
At Phoenix we’re responding by assessing each person seeking treatment individually and according to their needs as a whole

Phoenix Futures’ New Oakwood Lodge in Derby is a prime example of a service that’s been designed to work in this way. The service accepts referrals from across the country and provides people with tailored care plans to simultaneously support them with complex mental health problems and their substance use. If we delay one to treat the other, we’re not going to see the kind of positive outcomes that will benefit people, their families and society.

A fair system is one where no one is left behind because of generic funding rules, postcode lotteries or stigma. Residential care should be an integrated part of the wider system nationally – recognising its value to both substance use and mental health treatment systems.

Residential care may not be right for everyone, but for those who need it, it should be there for them. It saves lives, but it could save even more.

Lori Parker is head of residentials at Phoenix Futures

Kenward Trust CEO featured on BBC

CEO of Kenward Trust Penny WilliamsCEO of Kenward Trust Penny Williams has been featured in a new BBC article examining addiction, recovery, and the challenges facing treatment services in the UK. This visibility helps raise awareness of the vital work being done by organisations like ours – and reinforces Kenward Trust’s commitment to delivering high-quality care across Kent.

Addressing the realities of addiction and recovery
In the BBC feature, Penny discusses pressing issues in addiction services today, including demand for residential treatment, funding pressures, and the need for compassionate, evidence-based approaches to help people rebuild their lives. Her insight into how Kenward Trust operates stands out as a model for effective care.

  • Advocating for better funding: Penny emphasises that sustainable and well-resourced treatment centres are essential to meet growing demand

  • Championing trauma-informed support: She highlights the importance of integrating therapies that address past trauma – an approach we use at Kenward

  • Prioritising continuity of care: The article discusses not just the residential treatment phase, but the crucial follow-on support that ensures long-term recovery success

At Kenward Trust, we remain dedicated to evidence-based, person-centred care
At Kenward Trust, we remain dedicated to evidence-based, person-centred care

Our commitment: Evidence, compassion, transformation
At Kenward Trust, we remain dedicated to evidence-based, person-centred care. Some of the key elements you’ll find in our programmes include:

  • Residential rehabilitation tailored to each individual

  • Trauma-informed therapies, including EMDR

  • Highly qualified professionals, including a consultant addictions psychiatrist

  • Therapeutic workshops and nature-based therapies in tranquil Kent surroundings

  • Structured resettlement accommodation to support long-term recovery

Penny’s BBC feature underscores that the conversation around addiction and recovery is evolving and Kenward Trust aims to be at the forefront.

Read the full BBC article here


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Kenward Trust, a member of Choices Rehabs

Cardiff Women’s Centre complete Pen Y Fan

On Saturday 27th September, staff from the Cardiff Women’s Centre took on the challenge of climbing Pen y Fan – the highest peak in South Wales – to raise funds for a special trip and meal with the women they support.

Cardiff Women's CentreWith a broken boot on the way, foggy weather and the wind and rain against them, they did a smashing job of reaching the peak and raising over £700 in the process! Here’s what the team had to say:

‘Climbing Pen y Fan as a team from our Women’s Centre was an unforgettable experience – not just because of the wind, rain, fog, or even the broken boot(!) – but because of the strength, support, and laughter we shared along the way. Despite the challenging weather, we stuck together through singing, dancing, and constant encouragement, reminding each other why we were doing this: to raise money for something special for the incredible women we support. Every step, no matter how tough, felt meaningful.

‘Reaching the bottom of the mountain brought a huge sense of pride and achievement. We all felt connected, empowered, and proud of what we’d accomplished – not just for ourselves, but for the women we work with every day. Knowing that this walk will help us plan a memorable trip or a lovely meal for them made every soggy sock and gust of wind worth it. We’re excited for what’s to come and hope this inspires others to get involved too!’

You can keep adding to their donations here


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by The Nelson Trust, a member of Choices Rehabs

Appointment of new Social Interest Group CEO

We are pleased to announce an important leadership transition at Social Interest Group (SIG). On 13th October 2025, Mark Milton joined SIG as our new chief executive officer (CEO).

New SIG CEOMark brings over 25 years of experience in the social care sector, having worked extensively with adults with learning disabilities, mental health needs, and complex social care issues. A qualified social worker with a master’s in applied social studies, Mark is also an IOD chartered director. His previous roles as CEO of several social care organisations have been marked by transformative change and strategic growth.

We are thrilled to welcome Mark at this pivotal time for SIG. His deep sector expertise, strategic vision, and commitment to person-centred care strongly align with our mission and values.

To support a smooth transition, Cathy Kane, our interim CEO, will be inducting Mark over a six-week period. Cathy will step down in mid-November 2025 and return to her role as a trustee of SIG. Since January, Cathy has provided steady leadership following the departure of Gill Arukpe MBE, and we are grateful for her continued support and insight.

Mark is eager to connect with sector leaders and partners to strengthen collaborative efforts across the social care landscape. You are welcome to reach out to him directly at: mark.milton@socialinterestgroup.org.uk

Thank you for your continued support of our mission to keep people out of prison, out of hospital, and off the streets.

This blog was originally published by Social Interest Group. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Social Interest Group

Drug Consumption Rooms: Helpful or Harmful? – new audio episode

Drug Consumption Rooms: Helpful or Harmful?The Leading Forward series has released a new audio episode with The Forward Trust’s CEO Mike Trace providing a deep-dive into the world of drug consumption rooms.

Fresh from a recent visit to the UK’s first legal drug consumption centre in Glasgow, and as former deputy drug czar to Tony Blair in the Labour Government, Mike’s reflective podcast explores the complexity of this new approach – outlining the pros and cons of how these might evolve across the UK.

Listen and subscribe on Soundcloud
Listen and subscribe on Spotify

This blog was originally published by Forward. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Forward

Drug-related deaths: Adfam calls on government to help families save lives

With thousands of people dying from drug use every year, Adfam calls on the government to help families to save lives
With thousands of people dying from drug use every year, Adfam calls on the government to help families to save lives

Every year at about this time the government publishes the number of drug-related deaths registered in England and Wales in the previous year. The 2024 figures will soon be released and will no doubt be accompanied by a call for more to be done. There will be news items, interviews and editorials, and for a few days these deaths will be in the spotlight. Then, inevitably, the news cycle will move on, and for most people who will only take a passing interest in the story, that will be that for another 12 months.

For the families of course, the loss of a loved one is not something they can simply put away for another year, it is a loss that they feel every day. Adfam, who have been working with bereaved families for over four decades, know this only too well. When we call for more to be done, it is not a soundbite, it is borne out of the testimony of those many, many families we work with year in, year out, those who have lost someone, and those who fear losing someone.

With thousands of people dying from drug use every year, Adfam calls on the government to help families to save lives.

Earlier this year we asked every Local Authority in England to tell us how much of their drug and alcohol budget they spent on supporting family members and carers. The average spend was just 1.57% of the budget. That is nowhere close to what is needed. Not only does it ignore the needs of family members but it fails drug and alcohol users who rely on their families for support.

Local areas need to be running training at times and in locations that enable families to take part
Local areas need to be running training at times and in locations that enable families to take part

Along with a marked increase in the amount spent to support family members, we want to see a commitment to encourage every family affected by drug use to attend training on how to use life saving drug naloxone in the event that a family member overdoses.

And encouragement doesn’t mean just making training available. Local areas need to be running training at times and in locations that enable families to take part. They need to facilitate peer to peer training that makes people feel comfortable and removes the hurdle of stigma. They need to offer practical support around childcare and travel costs. They need to consider family circumstances and supply families with simple to use naloxone nasal spray.

They need to do everything they can to help families to save lives.

This blog was originally published by Adfam. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Adfam

Working it through

Working it through - employment support

IPS
People in recovery bring resilience, loyalty and a hunger to prove themselves

On 15 August, more than 85 employers, professionals, IPS employment specialists and people in recovery gathered at a church in Lincoln for a lively morning exploring how work supports recovery. The Lincolnshire Employer Conference 2025, hosted by the Lincolnshire Recovery Partnership (LRP), aimed to show how work can help people build a life after addiction, and how local businesses can be part of the story.

LRP, powered by the exper­ience of Turning Point, Double Impact and Framework, and the lived experience of its team, has been supporting people in the county since April 2024, providing harm reduction advice, personalised treatment, recovery programmes, a young person’s service, an affected friends and families’ team, and IPS employment support.

TV pundit and former Arsenal and England footballer Paul Merson was the headline guest, speaking about his own battles with addiction and what steady work had meant for him. ‘There’s nobody in the world more willing and dedicated than people in recovery,’ he said when asked what he’d say to an employer who might be nervous about hiring people in that position.

Paul MersonThe line got a big round of applause from a crowd that included representatives of Anglian Water, NHS Lincolnshire, Bowmer + Kirkland, the Recovery Coach Academy, teachers’ union NASUWT and several local firms, and for us at LRP it summed up the aim of the day. We want employers to see potential, not problems. People in recovery bring resilience, loyalty and a hunger to prove themselves. This was about showing that, with the right support, they can be a huge asset.

The Individual Placement and Support (IPS) employment team at LRP has been helping people back into work since July last year. We sit alongside treatment teams and perform all the usual employment support services while crucially linking people straight to real vacancies with employers. The team of seven staff, working across Lincolnshire, has a 47 per cent success rate – finding people work in everything from warehouses and kitchens to high-end office jobs. Around 85 per cent have stayed in those roles, thanks to ongoing coaching once someone moves into employment. Employment is one of the strongest predictors of long-term recovery, so our role is to open doors and walk alongside people as they step back into the world of work.

Work recovery IPS employment
Paul Merson

One guest story that stood out was that of Dan Dobbs, who sought support from LRP after years of struggling with alcohol. He’s now thriving and employed by the organisation to run groups and give one-to-one advice to clients. ‘Having a reason to get up each morning has made the biggest difference,’ he told delegates. ‘It’s given me a future I didn’t think I’d get back. Having someone believe in you when you’re rebuilding is powerful,’ adding that employers often say they ‘get as much back – fresh perspective, gratitude and a work ethic that lifts the whole team’.

Feedback from delegates was warm and personal, with one attendee writing ‘I had tears in my eyes pretty much the whole time’ and another saying ‘I wish we had more events like this across our type of work.’

The Lincolnshire IPS employment team has already been noticed well beyond the county, with national support body IPS Grow praising the early results and a BBC feature calling us ‘a small team making a big difference’, highlighting how the mix of professionalism and genuine care is reshaping what recovery support can be. By embedding IPS in local treatment services, the team has made employment part of recovery from day one. But what’s important is that we don’t wait until someone is ‘fixed’ before talking about work. People grow when they can picture a future for themselves.

The plan now is to build on the conference by launching a ‘work-ready employer kit’ to help businesses support people in recovery
The plan now is to build on the conference by launching a ‘work-ready employer kit’ to help businesses support people in recovery

The plan now is to build on the conference by launching a ‘work-ready employer kit’ to help businesses support people in recovery, while more events and an expanding employer network are also on the horizon.

The conference wasn’t just another work event, however. It was a reminder of the human stories behind the data. As Dan Dobbs put it, ‘Recovery is a reality. It can, it will, and it does happen.’ For us at LRP, the goal is simple – keep opening doors to work so that nobody is written off because of their past.

To find out more about LRP’s IPS employment team visit turning-point.co.uk/services/lincolnshire-recovery-partnership

Danny Sheehan is senior IPS employment specialist (drug and alcohol recovery) at Lincolnshire Recovery Partnership

Rough justice

women rough sleeping

The number of women sleeping rough is estimated to be more than ten times greater than the official figures. What’s more, the measures women take to keep themselves safe are what’s depriving them of the help they need, hears DDN.

According to official government figures, women make up just 15 per cent of people sleeping rough. However, the ongoing Women’s Rough Sleeping Census launched by the Single Homeless Project (SHP) estimates that there may be more than ten times as many than are identified in the government’s annual ‘snapshot’ counts.

The report on the third annual census, How do we sleep at night?, was published this summer with a fourth currently being carried out. The census is based on surveys conducted with women who’ve identified themselves to outreach teams or other services as having slept rough in the last three months, as well as ‘Local Insights’ meetings where cross-sector services share information.

women's homelessness
Women choose hidden and transient methods of rough sleeping to try to keep safe – they ride buses, sit in A&E, sleep in libraries, or just walk the streets all night, too scared to sleep at all. The 2024 census found 54 per cent of women sleep rough in public spaces that aren’t even recognised in official counts

HIDDEN HOMELESSNESS
Conducted across almost 90 local authority areas, the 2024 census found that nearly three quarters of the women surveyed said they’d slept on the street at some point, with a quarter saying they’d stayed with a stranger or new acquaintance – clearly placing them at risk. More than a third reported having been in homelessness accommodation prior to sleeping rough, the report says, demonstrating that this ‘continues to be unsuitable’ for women’s needs. ‘Women are not a minority group within England’s homelessness population,’ it states. ‘They make up 60 per cent of all homeless adults in temporary accommodation, and hidden homelessness – widely acknowledged to be the form of homelessness predominantly experienced by women – has never been explored or quantified by the government.’

Women sleeping rough will try to stay out of sight for obvious reasons, but this comes at a cost. ‘It keeps them invisible to the very services that should be there to help’, the report says, with many local authorities also requiring people to be ‘verified’ as sleeping rough in order to access support. Women will frequently move between rough sleeping and ‘sofa surfing’, while other survival tactics can include remaining with abusive partners or providing drugs or stolen goods to secure a place to stay. While the average life expectancy for women in the general population is 83, for women who sleep rough it’s a shocking 43.

‘Rough sleeping is very scary as a woman alone,’ one respondent told the researchers. ‘If finding a group to sleep rough as a woman, you have to offer something for safety – money, drugs or sex’, while women who may be withdrawing from drugs are even more vulnerable, the report adds. More than 40 per cent of the women surveyed in the census had accessed drug and alcohol services.

NATIONAL ISSUE
The census project began when SHP partnered with the University of York to research women’s hidden homelessness in one London borough. This ‘showed overwhelmingly that women’s homelessness was being under counted’, SHP’s assistant director of system change (women’s homelessness and multiple disadvantage), Lucy Campbell, tells DDN. SHP then joined with a range of organisations including Solace Women’s Aid for a pilot cross-London census in 2022, with the scope broadening to include local authorities outside London from the following year.

The results proved that underestimates of women’s rough sleeping were a national issue, Campbell states. ‘Areas from all over the country have used the methodology to uncover some startling disparities between traditional snapshot count methods and the true scale of women’s rough sleeping,’ she says. ‘Researchers at Change Grow Live and Crisis then came on board in 2023, analysing the data and writing the national reports.’

rough sleepingThe fact that the census is carried out by so many different bodies across the country – ‘homelessness organisations and local authorities of course, but also the substance use sector, the health sector, the violence against women and girls (VAWG) sector, the migrant support sector’ – means that the data is much more accurate than the government’s, she stresses. ‘The census gets the right people to look for women in the right places. It’s a model that could, and should, be adopted nationally.’

So were they surprised by the findings – the sheer extent to which the official figures had been underestimated? ‘Sadly, it was what we expected, but the scale is still shocking,’ she says. ‘The government snapshot counted just 680 women across the whole of England – more than 300 local authorities – but by using a different approach that understands how women experience rough sleeping, the census identified over 1,700 women through Local Insights meetings and more than 1,000 through direct surveys.’ And that’s just from the 88 local authorities that participated, she points out.

‘This isn’t a new problem,’ she states. ‘For years, women have told us their homelessness was invisible. Now we have the evidence. It’s not just a gap in the numbers, it’s a systemic failure. When women aren’t counted, they aren’t seen. And if they’re not seen, they can’t be supported and services aren’t designed for them.’

So why are official data collection methods so blinkered – why do they overlook so many places where women might be spending the night? ‘The system was built around men’s experiences,’ she says. ‘The government definition of rough sleeping and subsequent counts focus on visible, mostly street-based locations, and the need for outreach workers to actually see someone “bedded down” or about to bed down. But women are far less likely to bed down in those places, because they face astronomically higher risks of rape, harassment and assault. Instead, they choose hidden and transient methods of rough sleeping to try to keep safe – they ride buses, sit in A&E, sleep in libraries, or just walk the streets all night, too scared to sleep at all. The 2024 census found 54 per cent of women sleep rough in public spaces that aren’t even recognised in official counts.’

women's homelessnessDEVASTATING EFFECTS
The knock-on effects are devastating, she says. ‘If women aren’t sleeping rough according to the government definition, they often aren’t on outreach teams’ radar. And requiring them to be “verified” on the street before accessing services forces them into dangerous situations just to qualify for help. In effect, the system is excluding women because of the ways they keep themselves safe.’

The testimonies of the women participating in the census show that domestic abuse continues to be the leading cause of women’s homelessness, with the associated social isolation and distrust meaning they’re even less likely to try to access support. Rough sleeping, of course, then places them at great risk of ‘further exploitation, abuse and victimisation’.

So with sexual and gender-based violence both a cause and consequence of women’s rough sleeping, how has something so serious been overlooked for so long? ‘Because homelessness strategies and policies have been written as if homelessness is the same for everyone, when in reality domestic abuse and gender-based violence are near universal experiences for women who experience homelessness,’ says Campbell. ‘Women’s homelessness is driven by domestic abuse – in fact, it’s the leading cause.’ Women who answered last year’s census survey then described ‘being raped in doorways, forced into unsafe “survival sex,” or staying with strangers because they had no safer option’, she states.

rough justice women homeless homelessness

Successive governments have failed to join the dots, she continues, with the last rough sleeping strategy running to nearly 100 pages yet devoting just two paragraphs to women. ‘That’s not oversight, that’s systemic neglect. The new homelessness strategy must respond to women’s experiences specifically, and we also need the government’s imminent VAWG strategy to address the linked experiences of homelessness and violence and abuse that women face, and set out a commitment to ensuring women can access safe and secure housing when they need it.’

So are services still being shaped entirely around men’s experiences, or is there any sense that things are starting to change? ‘There are glimmers of progress,’ she says. ‘Since 2022, over 2,000 women across England have shared their experiences through the census, and more councils are beginning to see that women’s homelessness looks different. Local authorities that have taken part in the census have used their data to change local practices and policies, and commission and fund new women’s services. But the change is uneven and not yet embedded nationally.’

ACTIONABLE COMMITMENT
With thousands of women still ‘unseen, unheard and unprotected’ what’s needed is a fundamental system redesign, she states. ‘That’s why our report calls for a dedicated chapter on women’s homelessness in the government’s forthcoming cross-departmental strategy, with clear, actionable commitments to responding to women’s homelessness specifically.’

While there is finally some ‘growing recognition’ that this is something that can’t be ignored – with the census’ recommendations highlighted in a recent APPG for Ending Homelessness report – good intentions aren’t enough, she states. As many people pointed out at the time, the ‘Everyone In’ scheme to house people sleeping rough during COVID proved what can be achieved when the political will is there.

‘Now, we need that urgency for women,’ she says. ‘A national strategy that recognises women’s homelessness in its own right isn’t optional, it’s essential. If government steps up, we can stop women falling through the cracks and finally deliver the safe housing and support they deserve.’

www.shp.org.uk
www.solacewomensaid.org/womens-rough-sleeping-census

Breaking the silence

Breaking the silence

Vanesa Partlová

While group therapy sessions are an important part of treatment and recovery, they can be hugely intimidating – and counterproductive – for people with social anxiety. However there are some simple changes services can make to ensure this client group isn’t left behind, says Vanesa Partlová.

Peer support groups and therapeutic workshops are widely recognised as valuable tools in helping people recover from substance use issues. These group settings offer shared understanding, mutual encouragement, and a sense of belonging – key ingredients for many on the path to recovery. However, not everyone feels empowered or comfortable in these environments.

For individuals who also live with social anxiety, group sessions can trigger overwhelming stress and fear, making participation extremely difficult. This article examines how social anxiety – especially the fear of opening up in front of others – can limit the effectiveness of group treatment for people recovering from substance use disorders.

While group therapy sessions are an important part of treatment and recovery, they can be hugely intimidating – and counterproductive – for people with social anxiety.COPING MECHANISM
Social anxiety involves intense discomfort or fear when interacting with others, particularly in situations where one may be judged or scrutinised. It often leads people to avoid conversations, public speaking, or even small group settings, and many people who live with this kind of anxiety may turn to drugs or alcohol in an attempt to cope with their discomfort in social situations.

Over time, this coping mechanism can develop into a substance use disorder. When these individuals finally seek help, they often encounter group-based treatment models that place them back into anxiety-provoking settings. Although these groups are meant to foster healing and support, the format can unintentionally recreate the very situations that contributed to their addiction in the first place.

Sharing personal experiences is a major component of group recovery programmes. For many, talking about struggles with addiction and the journey toward recovery can be cathartic. But for people with social anxiety, being expected to speak openly in a room full of strangers is extremely intimidating.

The fear of being judged harshly, misunderstood, or viewed as weak often prevents participants from contributing. In tight-knit communities, some people may recognise each other in the group, which adds another layer of anxiety – even with confidentiality rules in place, people may still worry that their story could become public knowledge, threatening their privacy or reputation.

People with social anxiety will therefore often stay silent, share only vague details, or avoid group sessions altogether, meaning they miss out on the very support that could help them move forward in their recovery. Attending a group session is rarely simple for someone with social anxiety – in the hours or days leading up to a meeting, they may feel dread, overthink what they might say, or imagine worst-case scenarios. These thoughts can lead to physical symptoms such as dizziness, rapid heartbeat, sweating, or nausea – making even passive attendance difficult.

SOURCES OF STRESS
Group therapy and peer support programmes are valuable components of addiction treatment, but they are not universally effective. For individuals who live with social anxiety, these spaces can be sources of deep stress, not healing. The pressure to speak up, reveal personal struggles, and interact socially may do more harm than good – causing people to disengage or abandon treatment altogether.

By acknowledging the challenges that social anxiety creates and adjusting treatment programmes to meet people where they are, providers can help ensure that no one is left behind in recovery. Recovery should be about growth, not fear – and that starts with creating spaces where every participant feels safe, heard, and respected.

Vanesa Partlová has an MSc in investigative forensic psychology and is a recovery worker at WithYou

A piece of the action

ACTION is fighting the corner for local alcohol care teams, says Leyla Golparvar

ACTION
The purpose of the network is to facilitate the development of alcohol care teams (ACTs) and quality improvement

The Alcohol Care Team Innovation and Optimisation Network (ACTION) is a subscription-based quality improvement network sitting under the College Centre for Quality Improvement at the Royal College of Psychiatrists. ACTION was launched in 2021 initially to work in collaboration with the NHS Prevention Programme and the alcohol care teams (ACTs) that had received funding to start – or further develop – a team. The network is now independent and open to all ACTs and staff working across alcohol-related services.

The purpose of the network is to facilitate the development of ACTs and quality improvement, and we do this through a supportive peer-review model and a range of learning and education events that enable networking and sharing of best practice between services.

In the review model, ACT members undertake a comprehensive review cycle based on a set of standards that were developed in line with national guidance and to be applicable to a range of different ACT service models. This review model includes:

  Self-review: Provides services the oppor­tunity to reflect on the quality of care provided, marking themselves against the standards and gathering feedback from surveys and documentation

  Peer review: Provides a platform for promoting and encouraging best practice, network and constructive communication. Peer-review teams are made up of four to five people, including professionals from different services and people with lived experience.

  Local report: Services receive a detailed report, highlighting good practice and areas for development and recommendations for this

ACTION also facilitates learning programmes that are shaped by our ACT members
ACTION also facilitates learning programmes that are shaped by our ACT members

ACTION also facilitates learning programmes that are shaped by our ACT members. These range from informal peer support sessions – such as our lead nurse and band 3 and 4 practitioner forums – to structured sessions delivered in our monthly community of practice webinar programme. We also facilitate an annual in-person and ad-hoc webinars responding to developments and challenges affecting ACTs.

Why ACTION? It supports quality improvement within ACTs and demon­strates a commitment to development and training of staff, maintaining and developing an engaged workforce. It also allows ACTs to demonstrate their worth and quality of service to commissioners, ICBs, hospital colleagues and people who use the service, by meeting nationally agreed standards. ACTION can also act as an advocate for additional development and resources and help with sustainability of services.

WHAT OUR MEMBERS SAY
‘We have used the report in our alcohol steering group meeting and with the local commissioners. Operations director is also utilising the report to evidence the benefits of the ACT in the hope to achieve permanency within the trust’

‘The teaching sessions have helped with induction for our new staff and for them to have more awareness about the complexities of being alcohol specialist nurses; it has proven to be a good source of knowledge and support’

‘We were apprehensive about completing the review cycle but loved the experience and used it as a benchmark to show how far we had come and acknowledge the hard work already completed and achieved. The team loved it as we could evaluate all we had done in one piece of work and was good to have comments from other professionals.’

If you’re interested in joining your ACT to the network, or if you’d like more information about ACTION including what we do, subscription fees and membership, you can email us at ACTION@rcpsych.ac.uk or visit our website here.

Leyla Golparvar is deputy programme manager at the Royal College of Psychiatrists

Border Force seizes £1bn worth of cocaine in three months

Border Force seizes £1bn worth of cocaine in three monthsThe Border Force confiscated almost 15 tonnes of cocaine worth more than £1bn between 1 June and 31 August, the Home Office has announced – ‘equivalent to the weight of a London double decker bus’.

The amount is more than half of the total seized last year and is greater than combined seizures for the whole of 2022-23. More traffickers are now concealing their drugs in high value equipment to deter enforcement action ‘with the threat of a large damages bill’, the Border Force adds, with officers ‘using technology and intelligence more than ever to overcome these tactics’.

A report by the Insight Crime think tank earlier this year said that record breaking cocaine seizures were ‘now the norm’ globally, the result of huge increases in Colombian cocaine production in recent years. Deaths involving cocaine in England and Wales rose by 30 per cent between 2022 and 2023.

Meanwhile the Scottish Parliament has voted by 63 votes to 52 to reject the Right to Addiction Recovery (Scotland) Bill, which would have given people with alcohol and drug issues the legal right to treatment within three weeks of a diagnosis. ‘By rejecting the Right to Recovery Bill, MSPs have turned their backs on 80 per cent of public respondents who supported it, and on the thousands of families still burying their children while bureaucrats debate definitions,’ stated FAVOR UK CEO Annemarie Ward.

Government consults on revising ‘outdated’ licensing rules

The government has launched a four-week, fast-track review to ‘tear up outdated licensing rules that have been holding back pubs, bars and local events’. The aim is to boost high streets and ensure ‘fewer pointless restrictions’, it states.

Government consults on revising ‘outdated’ licensing rules
The aim is to boost high streets and ensure ‘fewer pointless restrictions’

The call for evidence will focus on recommendations from the government’s licensing taskforce, with particular focus on streamlining on-trade licensing for hospitality venues. The government says it wants to hear the view of licensed businesses and trade bodies, police and local authorities, public health organisations, residents’ groups and members of the public. The review ‘will help us cut through the red tape that has held back our brilliant hospitality sector, giving them the freedom to flourish while keeping communities safe’, said business secretary Peter Kyle. ‘That is the balance we’re trying to strike.’

However the move has been attacked by alcohol health campaigners, with Alcohol Change UK chief executive Dr Richard Piper calling it ‘a charter for chaos’. The ‘only growth these reforms will deliver is growth in the number of victims of crime, in A&E waiting times, and in the alcohol-related health conditions, absenteeism and presenteeism that actively undermine our national productivity’, he said.

Despite being promoted as a pro-pub initiative the proposed reforms would also make it easier for alcohol to be sold in shops and convenience stores, added Institute of Alcohol Studies chief executive Dr Katherine Severi. ‘Off-trade sales now account for 75 per cent of all alcohol sold in the UK and are a major driver of the current crisis in alcohol harm,’ she said. ‘Alcohol-specific deaths are at their highest level since records began, and alcohol continues to fuel health inequalities across the country.’

licensing rules
The move has been attacked by alcohol health campaigners

Licensing was a public protection mechanism rather than a ‘tool for economic growth’, she continued. ‘Using it to deregulate alcohol sales in the name of business growth is misguided and irresponsible, especially when those businesses are contributing to record levels of harm and placing enormous strain on our health services and communities. Easier access to alcohol in the off-trade – especially through streamlined licensing processes and reduced scrutiny – will only exacerbate harm in communities already struggling with alcohol-related violence, chronic illness, and economic disadvantage.’

Meanwhile, a report from the Alcohol Health Alliance (AHA) says the government could generate £3.4bn over the next five years by increasing duty on non-draught alcohol in line with inflation and reinstating the 2 per cent annual ‘escalator’ above inflation which was abolished in 2013. ‘Freezes and cuts to duty over the past decade have given away billions to alcohol producers in tax breaks — while public services dwindle and deaths from alcohol have soared,’ said AHA chair Professor Sir Ian Gilmore. ‘Reintroducing a duty escalator on non-draught products is a proven, life-saving policy that raises revenue without harming the hospitality sector.’

Open call for evidence: Reforming the licensing system available here

Alcohol-free hotel owner shares his journey from addiction to recovery

The owner of one of the UK’s first alcohol-free hotels has described how he turned his life around after years of alcoholism left him homeless and ‘close to death’.

alcohol-free hotelJohn Elford is known for his work helping people recover from drug and alcohol addictions, and has published a series of popular self-help books. Six years ago he opened Somerton Lodge on the Isle of Wight, one of the UK’s first alcohol-free ‘sober hotels’, which he continues to run as a successful business. But the earlier part of his life was dominated by alcoholism, with his chaotic lifestyle leaving him jobless, homeless, and regularly in hospital for treatment.

Elford told his story on the latest episode of Listen UP, an addiction recovery-themed podcast from Abbeycare, one of the UK’s leading residential rehabilitation centres. He described how after first trying alcohol as a teenager, he continued to drink heavily during his career with the RAF, where he served as a medical assistant.

Recalling his descent into addiction, he told the podcast’s host Eddie Clarke, ‘My alcoholism just started to get worse and worse, from my early 20s until I stopped drinking at the age of 35. By the time I had got to 35 I was homeless. I wasn’t allowed to pick up my kids from school. At one time I lived in the woods. You’d wake up every morning, and you’ve been eaten and bitten by every damned insect in those woods, and you were cold and hungry.

‘At the end of my drinking, I weighed about eight or nine stone. I had really bad peripheral neuropathy. For anyone that doesn’t know what that is, my nerve endings in my hands and feet had stopped working. I couldn’t really walk properly. I couldn’t hold a drink, my hands would shake. I was really, really bent out of shape, physically and mentally… pretty close to dying.’

During his active alcoholism, Elford was unable to hold down any job for long. Despite his medical experience in the RAF, he had to take on factory work. He recalled, ‘My last job that I was sacked from was in a tomato factory. I was on a production line, and we had to put six tomatoes in a punnet – and I couldn’t do it. I would put five in, I would put seven in, I would put green ones in. They had to get rid of me, I couldn’t do the job. Alcohol had damaged me that much, that I was no longer functional to be employed.’

After his addiction brought him ‘really close to death’, Elford’s recovery journey began at the age of 35, when he had a ‘crazy spiritual experience’ during a detox at his parents’ house. As his body fought alcohol withdrawal symptoms, he had a conversation with a silhouetted figure who asked him if he wanted to live or die.

sober hotel
He now runs a ‘sober hotel’ providing alcohol-free accommodation for people in early recovery, as well as other guests who would simply prefer not to drink

He recalled, ‘I absolutely knew at that second that I would never pick up a drink again. I knew that the whole world had changed, and my relationship with it. I knew for the first time that I was an alcoholic. I knew all of that stuff that people had been trying to tell me for years.’

Since that moment, Elford has maintained his sobriety, and he went on to write several books about the recovery process which have sold tens of thousands of copies. He also developed his own structured rehab programme, a version of which was used by the prison service in England, and has continued to champion innovative approaches to addiction treatment.

He now runs Somerton Lodge, a ‘sober hotel’ providing alcohol-free accommodation for people in early recovery, as well as other guests who would simply prefer not to drink. He now plans to relaunch it as a retreat in partnership with the Equilibrium Project, which is also based on the Isle of Wight and offers detox support and peer-led workshops.

Eddie Clarke, outreach manager at Abbeycare and host of Listen UP, said, ‘One of the best things about working in recovery is hearing from people who have managed to turn their lives around, despite everything that addiction threw at them. John is one of these people. At one point he was living in the woods in the grip of alcoholism, without any hope, and now he is a successful author and business owner.

‘As well as showing the transformative power of recovery, his work demonstrates how people can not only rebuild their own lives, but also create opportunities for others.

‘Our podcast aims to show that recovery is possible, and John is living proof of that.’

The Listen UP podcast can be found here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Abbeycare

Police charge record number of senior county lines gang members

The government’s County Lines Programme has closed more than 2,300 ‘deal lines’ and charged more than 1,120 senior gang members in the year since July 2024, the Home Office has announced – the highest numbers since the programme began six years ago.

The government’s County Lines Programme
More than 3,200 children and vulnerable people have now been referred to support services by the programme

The programme has been focusing on ‘targeted policing of key transport networks and investment in automatic number plate technology’, with stabbings in the areas most affected by county lines activity also down by nearly 20 per cent. More than 3,200 children and vulnerable people have now been referred to support services by the programme, the Home Office adds.

Three new offences are to be brought in as part of the crime and policing bill – criminal exploitation of children, coerced internal concealment (where children are forced to hide objects such as drugs or SIM cards in their bodies), and cuckooing (where the homes of vulnerable people are taken over for criminal purposes). The first two will carry maximum ten-year penalties, with the third carrying a maximum of five years.

A report last year from the National Police Chiefs’ Council (NPCC) and the National County Lines Coordination Centre (NCLCC) found that the county lines business model was now becoming more localised and less likely to cross police force boundaries, potentially making it more difficult to identify children being exploited locally.

‘The exploitation of children and vulnerable people in this way is disgusting and cowardly,’ said crime and policing minister Sarah Jones. ‘County lines gangs are also driving knife crime in our communities, and I want criminals to know that we will not let them get away with it. We will be relentless in going after these gangs.’

Drug alert: medetomidine found in heroin samples (Essex and surrounding counties)

MedetomidineEssex Police have reported the presence of medetomidine, a veterinary sedative, in heroin seized in June 2025.

While this particular sample was not linked to an overdose death, medetomidine has previously been identified in other drug-related deaths in the county, including a case in March 2025 where it was found alongside nitazine and xylazine. Toxicologists and substance misuse partners have also reported that many affected individuals experience delusions or hallucinations after using drugs containing medetomidine.

What is medetomidine?
Medetomidine is a veterinary anaesthetic and sedative similar to xylazine. It has recently emerged as an illicit drug adulterant, particularly in mixtures containing synthetic opioids like fentanyl. These combinations, sometimes referred to as ‘tranq’, greatly increase sedative effects and overdose risk.

Research from Durham University (May 2025) found that in Philadelphia, medetomidine was present in 87% of fentanyl samples just six months after first being detected. Medetomidine is believed to enhance the euphoric effects of opioids, but it is even more potent and longer-lasting than Xylazine.

Medetomidine found in heroin samplesHealth risks
Overdose or exposure to medetomidine can cause:

  • Extreme sleepiness or unresponsiveness.
  • Very low blood pressure.
  • Slow heart rate.
  • Breathing difficulties or respiratory failure.
  • Coma or death.

Medetomidine depresses the central nervous system and slows the heart rate. When used with opioids, these effects are intensified, greatly increasing the risk of fatal overdose.

Naloxone use
Medetomidine is not an opioid, so naloxone will not reverse its effects. However, because it is often mixed with opioids, naloxone should still be administered in a suspected overdose, as it can reverse the opioid component and may still save a life.

Actions required
Share this alert with those who might use similar substances or work with those who do, and encourage them to seek help and advice. Ensure those who need to be are aware of the signs of overdose and the appropriate emergency response, including the use of naloxone where indicated. Report any unusual drug-related presentations or adverse reactions through local reporting channels. Stay alert and share this information.

Raising awareness can prevent harm and save lives.

This blog was originally published by Forward. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Forward

UK’s first fully virtual drug and alcohol support service launches in the Highlands

Highland Anywhere, the first fully remote drug and alcohol service in the UK, has launched today (8 October), providing vital help to people across Highland.

UK's first fully virtual drug and alcohol support service launches in the HighlandsNow available, Highland Anywhere offers free confidential support to anyone aged 16 and over in Highland affected by drugs or alcohol – whether that’s them personally, or a loved one.

The innovative service allows people to connect in whatever way works best for them: by phone, video call or text. Highland Anywhere’s team is available Monday to Friday between 9am-5pm, with appointments arranged flexibly to meet individual needs – including evenings and weekends.

Highland Anywhere welcomes everyone, no matter where they are in their journey: whether they’re reaching out for help for the first time, looking for information on how to stay safe and healthy, ready to make small changes, or committed to completely changing their habits.

Highland Anywhere provides one-to-one support, group sessions, and specialised help for people who are worried about a loved one’s drug or alcohol use.

Highland‘Virtual services are vital for people who need flexible, accessible support,’ said head of service Sovay Fitzpatrick. ‘Whether you’re living in a remote area, juggling work and childcare, or simply prefer not to attend appointments in person, Highland Anywhere is designed around your life and your needs.

‘We know that getting help can be challenging, especially in the Highlands. By offering fully remote support through phone, video, or text, we’re removing barriers and making it easier for people to get the help they need, when and where they need it. Our approach is always compassionate, non-judgemental, and tied to the individual’s needs and goals.’

This launch represents a significant step in how drug and alcohol support is delivered in the UK, ensuring that distance is no longer a barrier to accessing vital help.

If you or a loved one need support, get in touch today by phone – 0808 168 0860 – or book an appointment at wearewithyou.org.uk/local-hubs/highland

This blog was originally published by WithYou. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by WithYou

Deaths of homeless people up almost 10 per cent in a year

The figures equate to ‘an average of four needless deaths every day of the year’
The figures equate to ‘an average of four needless deaths every day of the year’

The number of people who died while homeless increased by 9 per cent last year, to 1,611. The figures equate to ‘an average of four needless deaths every day of the year’, says the Museum of Homelessness, which collates the statistics as part of its Dying Homeless Project.  

The numbers include people sleeping rough as well as those in emergency accommodation and ‘other insecure settings’, which each fatality verified by a coroner’s report, FOI request, charity or family member. More than half can be classed as ‘deaths of despair’, the organisation says, with more reported suicides and evidence of a higher rate of drug-related deaths.

‘Deaths related to drug and alcohol use (including overdose) represent the largest proportion of all deaths reported to us, accounting for 43 per cent of all people who died whilst homelessness in 2024,’ the report states. Thirty-six people who died a drug-related death were rough sleeping or of no fixed abode at the time, a 50 per cent increase on the previous year – ‘clearly indicating a drug death epidemic on our streets’. Factors like ‘extreme isolation, exposure to inclement weather and the inability to access harm reduction and drug-related support’ all increased the risk of death, it adds.

The methodology used assigns a single cause of death in each case, however, so if someone is reported as dying of liver cancer in their 40s it will be recorded as ‘physical health: cancer’ even though it ‘may be the case that alcohol was a factor’, the report adds.

Seventeen local authorities said they did not hold information about the deaths of people experiencing homelessness, the report says, while 12 failed to reply to the FOI requests – including seven London boroughs ‘where homelessness and rough sleeping are higher than the rest of the UK’. Other councils failed to provide all the information requested, such as on age or cause of death.

homeless deaths
‘Deaths related to drug and alcohol use (including overdose) represent the largest proportion of all deaths reported to us,’ the report states

The median age of death was 45 for women and 48 for men, slightly lower than the previous year. The number of people dying in temporary or supported accommodation was also up, the document adds. Since the project began in 2017, it has documented the deaths of more than 8,500 people.

The most recent report of the ongoing Women’s Rough Sleeping Census, which was launched by the Single Homeless Project (SHP) in partnership with other organisations, estimates the number of women sleeping rough to be ten times higher than the official government figures, representing a ‘systemic failure’ according to SHP.

‘With heavy hearts, we report the deaths of 1,611 people who died whilst homeless in 2024,’ said strategic lead for the Dying Homeless Project Gill Taylor. ‘Whilst it is positive that local authorities and Safeguarding Adult Boards appear to be taking the issue more seriously, with better reporting and evidence of improved local partnership working to prevent deaths, turning the tide on this enormous loss of life needs more than better counting. We remember with love all those who died and continue our work in solidarity with bereaved loved ones and the homeless community.’

The Dying Homeless Project 2024: findings available here

Kinship Care Week 2025

This week (6-12 October) is #KinshipCareWeek, a campaign to celebrate the incredible role that kinship carers play in children’s lives and raise awareness of what life is like for kinship families.

Kinship Care Week

Kinship care is when a child lives in the care of a family member, because their parents are not able to care for them. In the UK, there are more than 180,000 children living in kinship care.

Kinship carers play a vital role raising children and keeping them connected to their families and the people who love them, rather than entering or remaining in local authority care. However, many kinship carers miss out on the support or recognition they need and deserve. As a result, they and the children they care for often suffer considerable practical, financial and emotional challenges, including navigating often complex family relationships.

Many children are in kinship care as a result of parental substance use, and 40 per cent of kinship carers responding to Kinship’s 2022 Cost of Loving annual survey of carers (p12) cited substance misuse as the reason the children in their care were unable to live with their parents. Adfam supports and advocates for families affected by substance use, including kinship families where a child is unable to live with their parents as a result of substance use. We know from our kinship support services and past work in Peterborough and Cambridgeshire the considerable and complex challenges kinship families affected by substance use face.

Many children are in kinship care as a result of parental substance use
Adfam supports and advocates for families affected by substance use, including kinship families where a child is unable to live with their parents as a result of substance use

Many drug and alcohol treatment providers also see large numbers of informal arrangements put in place by families who rally round to help their loved one into and through treatment. While the arrangements families make are often informal and in many cases ad hoc, this does not mean that they are any less demanding. They involve an enormous emotional and financial commitment on the part of carers but because they take place below the radar, carers often feel unable or unwilling to access help. Furthermore kinship carers have to deal with the stigma attached to substance use, causing them to feel isolated and creating barriers to them accessing services.

Evidence from Dame Carol Black’s landmark review of drugs (p16) estimated the indirect costs of kinship care resulting from drugs at £73 million, and we believe that there are many millions more in both direct and in intangible costs too.

Vital reform is needed by the new government to recognise the value of kinship carers including those affected by substance use and the challenges they face, and to ensure their unique needs are addressed.

In addition to our work supporting kinship carers affected by substance use, Adfam is a member of the Kinship Care Alliance, which campaigns for kinship families to receive the right support and help in order for them to thrive. Read more about the work of the Kinship Care Alliance here

For more information about kinship care week and how you can get involved visit the Kinship website

This blog was originally published by Adfam. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Adfam

One in five adults ‘still addicted to tobacco’, says WHO

One in five adults ‘still addicted to tobacco’, says WHO
WHO accuses the tobacco industry of introducing ‘an incessant chain’ of new products and technologies for its ‘aim to market tobacco addiction with not just cigarettes but also e-cigarettes, nicotine pouches, heated tobacco products, among others’

Tobacco ‘still hooks one in five adults worldwide’ says a new report from the World Health Organization (WHO) – ‘fuelling millions of preventable deaths’.

The number of global tobacco users has fallen from 1.38bn to 1.2bn in the last quarter century, with a 27 per cent drop since 2010 alone. However, more than 100m people are now vaping, says the document, including 86m adults – mostly in high-income countries – and at least 15m 13-15-year-olds.

Women are ‘leading the charge’ to quit tobacco, says the report, with prevalence of tobacco use among women falling from 11 per cent to 6.6 per cent between 2010 and 2024 – four out of five tobacco users are now men. More than half of the decline in global tobacco use has taken place in South-East Asia, ‘once the world’s hotspot’, while Europe is now the highest prevalence region, with a quarter of adults still using tobacco.

Although the world is ‘smoking less’ the ‘tobacco epidemic is far from over’, states WHO. It accuses the tobacco industry of introducing ‘an incessant chain’ of new products and technologies for its ‘aim to market tobacco addiction with not just cigarettes but also e-cigarettes, nicotine pouches, heated tobacco products, among others’. These ‘all harm people’s health’, it states, ‘and more worryingly the health of new generations, youth and adolescents’. The report is calling for ‘governments everywhere’ to step up tobacco control.

addicted tobacco
The report is calling for ‘governments everywhere’ to step up tobacco control

The WHO’s stand on e-cigarettes remains controversial, however. An independent review commissioned by Public Health England in 2015 concluded that e-cigarettes were around 95 per cent less harmful than smoking, while leading anti-smoking charity ASH has published a ‘myth buster’ on e-cigarettes. ‘The chief medical officer has put the case very succinctly’ it states – ‘“If you smoke, vaping is much safer; if you don’t smoke, don’t vape”,’ adding that fewer than one in ten smokers understood this and media coverage often failed to make it clear.

A report from earlier this year found that misinformation was now actively discouraging young people from switching to vaping, despite almost 3m people using vapes to successfully quit smoking in the previous five years. It was important that vape regulations addressed youth vaping ‘while not deterring use of vapes as quitting aids’, said ASH at the time.

‘Millions of people are stopping, or not taking up, tobacco use thanks to tobacco control efforts by countries around the world,’ said WHO director-general Dr Tedros Adhanom Ghebreyesus. ‘In response to this strong progress, the tobacco industry is fighting back with new nicotine products, aggressively targeting young people. Governments must act faster and stronger in implementing proven tobacco control policies.’ E-cigarettes were fuelling ‘a new wave of nicotine addiction’, added WHO director of health determinants, Etienne Krug. ‘They are marketed as harm reduction but, in reality, are hooking kids on nicotine earlier and risk undermining decades of progress.’

WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 available here

At the sharp end

Disappearing needle and syringe programmes are putting lives at risk, heard DDN at the NSP Preventing Harm Conference.

Access to needle and syringe programmes (NSPs) is a core component in sustaining the work done by the Hepatitis C Trust, the trust’s director of comm­unity services, Stuart Smith, told delegates in Birmingham. Reports from peers about the lack of access to NSPs were cause for alarm, he said. The Hep C Trust had fought hard for patients to have a voice in hepatitis treatment and there needed to be a grassroots movement to ask for accountability for harm reduction provision.

Peer accounts about the difficulties of obtaining needles were shared with the conference. ‘I’m diabetic, I get needles, as many as I want, and whenever I want them,’ said one. ‘This is not my experience of needle exchanges for drug users.’ Obtaining equipment from friends and having a very limited supply meant he reused needles many times, causing skin infections and vein damage. Sharing works had resulted in him contracting hepatitis C and B, he added.

NSP Preventing Harm ConferenceWith NSP provision dwindling in pharmacies, maintaining fresh supplies was a huge problem, said another peer. ‘The nearest pharmacy NSP is 25 minutes away by bus,’ she said. ‘When you get there, there is so much stigma – it’s mortifying and embarrassing.’

The other option was to access NSP based in a drug service, but there were concerns around this – people on a script could be denied access and mothers were very worried about social service interventions. Peers also spoke about the limited amount of kit that was provided – often only a couple of packs, and they needed to provide returns before they could receive fresh packs.

Peers also reported on a significant increase in cocaine injecting, with this growing population preferring to use blunt works or share needles than go to services. The situation needed to be considered and addressed urgently by drug treatment and harm reduction services (as also explained in the International Journal of Drug Policy).

NSPCompiling these reports led the Hepatitis C Trust to begin a mapping exercise of NSP provision along with a mystery shopper campaign to establish the level of service provided by pharmacies offering NSP. It began with a freedom of information request to commissioners to find out where NSP was provided within their area. This was followed up by a telephone campaign to establish if provision was still available and to gain an understanding of the restrictions that were in place around numbers of packs provided and requirements for returns.

Alongside the campaign for increased NSP pharmacy provision, the conference also wanted to look at how drug services provided NSP – whether as a standalone service or within the service itself. BDP’s CEO Lydia Plant described providing NSP within their service to counter the dramatic reduction of pharmacies offering it within the Bristol area. The initiative included outreach provision among sex workers, engaging with steroid users, and providing a ‘grab and go’ option.

Several innova­tive approaches were showcased, including the ‘Spike on a Bike’ scheme in Wales – where packs were delivered directly to users – and Release’s Harm Reduction Hub which provided a safe, non-judgemental space for people to obtain harm reduction advice and supplies.

NSP ConferenceProviding packs to people when they needed them, easily accessible, and without stigma, was considered essential. Exchange Supplies’ NSPdirect service was designed to work alongside traditional needle and syringe exchange channels to offer a way for people who inject drugs to access equipment directly via a postal needle and syringe service.

Peer-to-peer supply was still one of the most common ways for people to obtain kit, and the Hepatitis C’s Cumbrian Are You Being Served project was set up to provide this. Peers with rucksacks distributed needle packs along with other harm reduction supplies, including naloxone, with the supplies provided to them by local services through a memorandum of understanding and a fair use policy. In return they gave data on the amount of equipment distributed, which could also be used to map against reinfection rates of hepatitis C. The project had provided an opportunity to build relationships and pilot other projects that incentivised returns and encouraged hepatitis testing, delegates heard.

The conference closed with a call to work together. ‘The coverage crisis is an emergency, but we’ve been here before, we know what to do,’ said Rachel Halford, CEO of the Hepatitis C Trust. ‘Let’s push for this to be a public health intervention.’

Hungry for change

Nutritional deficiency can be a serious issue for people using stimulants. Addressing it is an often overlooked but easy win for harm reduction, say Alexandre Piot, Magdalena Harris, Jenny Scott and Philippe Bonnet.

If a service provider, you are likely used to seeing people present wired, worn out, and running on empty. While the drugs they’re using might be your immediate concern, also of importance is what’s going on under the surface – nutritional deficiencies that are often overlooked but deeply intertwined with health and drug use. This can be a particular concern for people who use stimulants such as crack cocaine.

Right now, there are limited interventions tailored for people who use stimulants, and that’s a problem. Stimulant use is common, but support around basic needs like safe paraphernalia, drug use advice, and pharmacological interventions has not caught up or is limited by legislation. One overlooked challenge that can be addressed in the current context, however, is poor nutrition – something that’s often rooted in a perfect storm of social marginalisation, limited financial resources, and the appetite-suppressing effects of the drugs themselves.

ESSENTIAL NUTRIENTS
And this isn’t just about being a bit peckish. Nutritional deficiency is a serious issue that can worsen both physical and mental health. Broadly, there are two main nutritional issues – eating poorly and therefore lacking essential vitamins and minerals, or having limited calorific intake, which compounded by a lack of essential nutrients can lead to malnutrition. Malnutrition can damage vital organs, and people suffering from it are at real risk of significant harm or death. If someone is malnourished, they should be referred to a GP.

Not consuming enough food can also make comedowns and withdrawals much worse. There’s a reason for the expression hangry – hunger levels have been shown to impact mental health and can manifest in impulsivity, anger and irritability. If a skipped lunch can turn the average person into a grump, imagine how challenging navigating day-to-day life can be for someone who is chronically undernourished. Stimulant use can be a coping strategy in these circumstances, providing energy to push through – particularly for people who need to stay awake at night to stay safe on the streets.

So, let’s dig into the problem and, more importantly, what we can do about it. Research shows that people who use drugs, especially stimulants, often have diets low in calories, protein, and essential nutrients. This isn’t just about skipping a few meals – it’s a sustained broader issue of food insecurity, poverty, unstable living situations, and disrupted eating patterns.

A significant proportion of people who use crack cocaine in England face food insecurity
A significant proportion of people who use crack cocaine in England face food insecurity

FOOD INSECURITY
Data from the Safe Inhalation Pipe Provision (SIPP) study suggests that a significant proportion of people who use crack cocaine in England face food insecurity. This is no surprise, given the day-to-day realities many people experience. But even when food is accessible, appetite suppression can kick in. And here’s where it gets interesting. It’s not just about eating less – stimulants may actually dysregulate hunger hormones, leading people to eat at odd hours and making imbalanced dietary choices (think high fat and sugar, low protein).

These patterns may result from a combination of limited access to high-quality food and disruptions in key appetite-regulating hormones, such as leptin and ghrelin, which affect energy sensing and hunger signalling, ultimately shifting eating behaviour towards high-reward foods. Together, these factors can lead to a lack of key nutrients like essential amino acids, vitamins, and minerals.

We know good nutrition is important. But for people who use stimulants, it can be particularly significant in supporting mental and physical health, even when it comes to respiratory conditions.

RESPIRATORY HEALTH
Take vitamin C, for example. Studies have shown that it plays a role in respiratory function, and high doses can reduce incidence and mortality of pneumonia – albeit marginally. Research suggests that 400mg/day (ten times higher than the recommended daily amount) can benefit lung function in people with COPD. Offering vitamin C (in multivitamins or dissolvable tablets) can be a simple way for drug services to assist people to care for their physical and respiratory health – and to engage in vital further respiratory and physical support pathways.

Protein is another big one. Not only is it crucial for tissue repair and immunity, it also helps synthesise neurotransmitters like dopamine and serotonin which can be depleted by sustained stimulant use. Plus, protein helps wounds heal faster, which is important for people dealing with injuries sustained while living on the streets and/or in relation to use of unsafe drug equipment such as blunt needles or improvised pipes.

We are living in a protein-obsessed world. What used to be the territory of gym bros and fitness fanatics is now widely available, though they can be expensive – think chocolatey protein bars, protein coffee drinks, grab-and-go shakes. It’s never been easier to sneak in some protein without needing to cook or refrigerate anything, but this isn’t the case for people on low – or no – incomes. Drug services can help here, if they’re able to obtain the funding to do so.

nutritional deficiencyMeal replacement shakes are also an option if they’re available. They’re quick, may be better tolerated than solid food when someone’s high or coming down, and contain balanced amounts of calories, protein, vitamins, and minerals.

Good nutrition doesn’t have to mean expensive ingredients or fully equipped kitchens. Practically supporting people to eat a wide range of food, even if it’s in small quantities, can help people get the mix of nutrients they need. Tinned fruits and vegetables are a good source of vitamins and minerals, while tinned fish or beans are good for protein. They are generally cheap (especially own-brand tins), have a long shelf life, and don’t require a fridge or cookers to store and eat. Where possible, linking people up with the local food banks or having a small food stock available within the service can make a difference.

But it doesn’t need to stop there. Services might consider seeking funding to bring in local dietic support, even on a part-time or consultancy basis. A dietician could offer training alongside practical support, develop simple nutrition resources, or run occasional drop-in sessions – including for staff. This kind of support doesn’t necessarily need to be intensive to be impactful, but it could help build capacity within services to recognise nutrition as a core part of care.

PRACTICAL CHANGE
We talk a lot about harm reduction, but we sometimes forget that harm includes poor nutrition. If we’re serious about supporting people who use stimulants we need to start asking them how easy they find it to access food and what they’re able to eat, with an eye toward practical, positive change.

There’s no need for gourmet intervention. Providing multi­vitamins, protein snacks, meal shakes, and nutrition advice at little or no cost can go a long way. And it sends a powerful message – we care about more than just drug use, we care about health, dignity, and meeting people where they’re at (even if where they’re at is in need of a sandwich).

So next time you’re stocking up supplies at your service, consider adding some protein bars, canned fruit, and vitamins alongside the naloxone kits and syringes. Because sometimes, reducing harm starts with something as simple as a snack.

vitamin cAlexandre Piot is research fellow at the London School of Hygiene and Tropical Medicine
Professor Magdalena Harris is professor of inclusion health sociology at the London School of Hygiene and Tropical Medicine
Dr Jenny Scott is senior lecturer at Bristol Medical School
Philippe Bonnet is overdose prevention lead at Cranstoun

DDN October 2025

Nutrition should be part of harm reduction

DDN October 2025We have thought-provoking contributions on wellbeing in this issue – mental and physical – including our cover story (p6) in which the team demonstrate that addressing nutritional deficiency should be a regular part of harm reduction. It’s also clear that there’s much to learn in relating nutritional need to the body’s responses to specific substances. We’re likely to try to eat more healthily, take supplements, cut down on sugar, ‘bad’ fats and ultra-processed food – so why shouldn’t we do the same for clients? It’s been a while since we published a regular nutrition column – can you help us carry on the conversation?

Meanwhile, the scale of women’s homelessness is mind-blowing and something we cannot ignore (page 14), especially as we strive to level up the treatment offering. A woman living rough might be expected to live half the life span of a woman with a roof over her head – and that’s a million miles from OK. As we contemplate images of women in streets and in doorways we have to remember that this is the visible face of a largely hidden problem – on a scale we can’t even be sure of. Yet there are many things we can start to do here, now, and in partnerships to change this.

Read the October issue as an online magazine (you can also download it as a PDF from the online magazine)

Claire Brown Editor of DDN Magazine

Claire Brown, editor

Inspiring event in Gloucestershire celebrates people overcoming addiction

An inspiring event designed to celebrate the achievements of people recovering from drug and alcohol addictions has taken place in Gloucestershire.

Inspiring event in Gloucestershire celebrates people overcoming addiction
Credit: Dominic Thompson / Expoja Photography

Almost 140 people attended the Abbeycare Recovery Gathering at the Hatherley Manor hotel near Twigworth on Sunday. The annual event was organised and hosted by Abbeycare Gloucester, which runs a residential drug and alcohol addiction recovery clinic in nearby Minsterworth.

All previous and existing clients of Abbeycare were invited to take part, giving them a chance to share their experiences of their ongoing recovery journeys, reconnect with those who supported them at their lowest points, and celebrate their own achievements. Held at the end of National Recovery Month, the event involved Abbeycare staff members – many of whom are in recovery themselves – and other industry professionals.

The key idea behind the Recovery Gathering is to bring together Abbeycare’s growing community of existing and former clients and their families, making the process of recovery more visible. Highlights included a keynote speech from Kirsty Day, director of recovery at The Nelson Trust, on her experiences of transforming lives affected by addiction.

There were also moving contributions from former Abbeycare clients, recognition of staff milestones, and insights from those taking part in its peer mentoring programme. One of those attending was Jess Fry, who is in recovery from alcoholism and now mentors other people going through similar experiences. The mayor of Tewkesbury Borough, Kashan Pervaiz, also attended the event and presented Abbeycare staff with recovery milestone achievements and other awards.

Inspiring event in Gloucestershire celebrates people overcoming addiction
Credit: Dominic Thompson / Expoja Photography

‘Our annual Recovery Gathering is always such a special event, and it was a privilege to listen to some of the inspiring contributions from people who have turned their lives around, having once been in the grip of addiction,’ said Laura Morris, registered manager at Abbeycare Gloucester. ‘It’s extremely important that we celebrate the achievements of those in recovery, as it demonstrates to those who are struggling right now that reaching this point and creating a new future is possible.

‘Coming at the end of National Recovery Month, the event also acts as a reunion for Abbeycare’s growing community, connecting current clients with former ones and letting everyone support each other.

‘Given the worryingly high levels of drug and alcohol-related harm across the UK, it’s vital that we come together and celebrate those who do recover, as well as taking time to remember those who we have lost.’


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Abbeycare

Ketamine deaths increase twenty-fold in a decade

ketamine deaths
Just under 300,000 adults in England and Wales reported using ketamine in 2022-23

Deaths involving ketamine have increased twenty-fold since 2014, according to research by King’s College London, the University of Hertfordshire and Manchester Metropolitan University. However, the fact that the deaths are ‘increasingly occurring in complex polydrug settings’ raises doubts over the extent to which single-substance drug policies can reduce harms, the researchers state.

The study – which is based on analysis of coroner’s reports in England, Wales and Northern Ireland and represents the most detailed assessment of ketamine-related deaths to date – found just under 700 fatalities with detections of illicit ketamine between 1999 and 2024, with annual deaths increasing from 15 in 2014 to almost 200 projected deaths last year.

However, while the number of deaths involving post-mortem detections of ketamine have been increasing over the last decade, the proportion where the drug was the ‘sole or primary cause’ has fallen, reflecting ‘a shift towards increasingly risky patterns of polydrug use’. Just under 300,000 adults in England and Wales reported using ketamine in 2022-23.

While the widely reported ketamine-related harms among young people – such as irreversible bladder damage – continue to be a concern, the analysis also detected a shift towards use by an older demographic, the researchers say. Deaths involving ketamine are increasingly occurring among ‘older and socioeconomically disadvantaged dependent drug users’ rather than being confined to a younger recreational population, with the drug’s low cost potentially driving rising rates of consumption. The demographic profile of deaths ‘shifted towards greater deprivation from 2020 to 2024’ the report says, with the deaths classed as accidental in almost 90 per cent of cases.

A more comprehensive response to ketamine-related harms is needed, the report states
A more comprehensive response to ketamine-related harms is needed, the report states

Mixing a dissociative drug like ketamine with depressants such as opioids and benzodiazepines can make it harder to judge the effect the drugs are having, the researchers warn, which can result in people taking more than intended. A more comprehensive response to ketamine-related harms is needed, the report states, including an expansion of drug checking services, better education on the risks of polydrug use, and improved integration of ketamine users into treatment pathways. A study by the University of Exeter and UCL published earlier this year found that almost half of people affected by ketamine use disorder were not seeking any support or treatment.

Ketamine was controlled as a class C drug almost 20 years ago then reclassified to class B in 2014, with the Home Office currently considering whether to reclassify it as a class A substance.

‘We are seeing more ketamine-related deaths, but these deaths rarely involve ketamine alone,’ said lead author of the King’s College study and director of the National Programme on Substance Use Mortality, Dr Caroline Copeland. ‘They are increasingly part of complex polydrug use patterns, often among people facing social disadvantage and entrenched drug dependence. This means single-drug policies, such as reclassification, are unlikely to tackle the real drivers of harm. Illicit ketamine use has moved beyond the recreational setting. To reduce deaths, we need harm reduction, treatment, and social support strategies that reflect the realities of polydrug use – not just legislative changes focused on one substance.’

Deaths following illicit ketamine use in England, Wales and Northern Ireland 1999–2024: An update report to inform the reclassification debate, published in Journal of Psychopharmacology available here

Broadway Lodge 2025 reunion

Broadway Lodge reunionThe Broadway Lodge 2025 reunion has been and gone – and what a fantastic day it was! Reunions are always incredible days filled with connection, love and happiness, and Saturday 13th September was no different.

In total, 113 former clients arrived at Broadway Lodge along with three more who were cooking and serving Caribbean cuisine which went down a storm. We were lucky to have enjoyed dry and sunny weather for the majority of the day even though showers were forecast.

Many staff members agreed that this year’s reunion seemed to feel particularly enjoyable and special. It was wonderful to see so many former clients looking so well and loving their time back at the Miracle Mansion. There were some happy tears too, from ex-clients feeling a surge of emotion as they arrived.

Staff at the reunion with local MP Dan Aldridge (centre)
Staff at the reunion with local MP Dan Aldridge (centre)

The new finish at 6pm instead of the usual 5pm allowed Markkus and the team to cram in more than ever and nothing felt too rushed – the afternoon flowed smoothly. Some of the new additions this year were the sale of hoodies and t-shirts at Broadway Lodge, and raffling sessions with limited spaces: Wendy’s sound bath, Dawne’s meditation, reiki with Mags, and Indian head massage with Annie. In addition, a current client played a short electric guitar piece of Queen’s We Will Rock You in Chrissy’s drumming circle (which our local MP Dan Aldridge took part in), and later on Harriet held a drama workshop. A memorial tree was added in the tent, covered in fairy lights for people to leave a handwritten tribute to friends and loved ones who are no longer with us, which was a beautiful feature.

We welcomed people who travelled internationally. Peter, who stayed at Broadway Lodge in 1991 with a fellow reunion guest, Bette, flew in with his wife all the way from Arizona to join us. Peter kindly agreed to share his story with two fellow ‘old timers’ at the start of the reunion.

Markkus closed the day with a clean time countdown and we worked out that the total recovery time of people at Broadway Lodge on Saturday was an incredible 523 years and three months – wow!

We’d like to say a huge thank you to everyone who made the journey to come back to Broadway Lodge to celebrate recovery. We very much look forward to our 2026 reunion for another enormously special and joyous day of celebration.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Broadway Lodge, a member of Choices Rehabs

Bosence drug & alcohol treatment centre celebrates 30 years of transforming lives in Cornwall

Bosence, Cornwall’s only dedicated residential drug and alcohol treatment centre, has marked its 30th anniversary with two days of celebrations at its site near Townshend. The events brought together civic leaders, MPs, and local partners on day one, followed by a powerful celebration of recovery on day two.

Bosence
Left to right: Bosence CEO Kate Prosser, Colonel Edward Bolitho, and trustee Amanda Back

The event was opened by the Lord Lieutenant of Cornwall, Colonel Edward Bolitho, who has been president of the charity for the past 10 years. Guests included Andrew George MP (Liberal Democrat, St Ives), who was involved in Bosence’s early days, and Perran Moon MP (Labour, Camborne, Pool and Redruth), who has championed Bosence in Parliament, raising its work during Prime Minister’s Questions. The mayor of Hayle, Councillor Jeremy Martin, also attended, alongside commissioners, sector workers and business leaders keen to learn more about Bosence’s role in Cornwall’s drug and alcohol treatment system as the charity shared their vision for the future and their ambitious plans for growth.

Chief executive Kate Prosser said, ‘For 30 years, Bosence has been a place where people can find hope and rebuild their lives. Addiction touches every family and every community in some way, and it should never be hidden in shame. The need for our services is growing and we have a duty to respond for the people of Cornwall and beyond.’

Bosence has come a long way since opening its doors to the first resident in 1995. What began with just a handful of people staying for up to 18 months now supports more than 450 people each year. The staff team has also doubled in size, making Bosence a significant local employer. Around 20% of staff are in recovery themselves, many having once been residents – a powerful demonstration of what’s possible.

Bosence is now planning to expand its facilities to increase capacity and create a modern centre of excellence for addiction treatment in Cornwall. The vision is to ensure more people can access support when they need it, while creating more skilled jobs and training opportunities for local people.

Day two of the open event was a day dedicated to recovery, coinciding with International Recovery Month. Former residents travelled from across the country to return to Bosence, joining current residents, staff, and families to celebrate lives rebuilt and futures reclaimed. Stories of recovery took centre stage – one former resident described how she put herself through university after leaving Bosence and is now preparing to work in the sector herself.

Edward Bolitho said, ‘These two days have been about celebrating lives transformed and looking ahead to the next 30 years of recovery in Cornwall.’

Both days were blessed with sunshine, reflecting the warmth, pride, and optimism that surrounded Bosence’s 30-year milestone.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Bosence, a member of Choices Rehabs

Urgent action needed to improve alcohol care in Scottish hospitals, say specialists

Urgent action needed to improve alcohol care in Scottish hospitals, say specialistsThe Scottish Government needs to take urgent action to improve hospital care and support for people with alcohol issues, says a consensus statement from Scottish Health Action on Alcohol Problems (SHAAP), the Royal College of Nursing (RCN) Scotland and the Royal College of Psychiatrists (RCPsych) Scotland.

In a follow-up to research carried out by SHAAP two years ago, a Freedom of Information (FOI) request submitted in August found an ‘inconsistent patchwork’ of hospital support despite the country’s high level of alcohol-related hospital admissions. While some Scottish acute hospitals provided dedicated nursing teams to support people with alcohol issues, others – particularly in rural areas like Orkney and Shetland – did not. However, the evidence shows that these multi-disciplinary alcohol care teams (ACT) can improve the quality of care and reduce readmission rates, says the statement.

Just two Scottish health boards had a multidisciplinary team in their acute hospitals led by a senior clinician, while eight had arrangements ‘similar’ to an alcohol care team – such as a combined substance use team providing support for alcohol patients. Most teams only worked during the week, and only one board had a dedicated outreach team for people who regularly attended A&E for alcohol-related reasons.

Research has shown that the presence of an ACT in acute hospitals can free up resources so health professionals can see more patients, more quickly.
‘Research has shown that the presence of an ACT in acute hospitals can free up resources so health professionals can see more patients, more quickly’

‘Everyone deserves access to the same level of treatment, no matter where they live,’ said SHAAP chair Dr Alastair MacGilchrist. ‘The delivery of ACTs varies greatly across the country. While some health boards operate a seven-day service, others have none at all. It is particularly concerning that provision is often limited in smaller and more rural health boards, creating a disparity between urban and rural areas. Alcohol Care Teams are a tested, cost-effective way of getting support for people with alcohol problems so that they can reduce intake and in many cases embark on a recovery journey. Research has shown that the presence of an ACT in acute hospitals can free up resources so health professionals can see more patients, more quickly. The Scottish Government should now support health boards to improve ACTs, so every person with an alcohol problem in an acute hospital in Scotland can access the care they need.’

Although the Scottish Government declared the country’s level of alcohol harm a public health emergency four years ago, an Audit Scotland report from last year stated that it had been ‘slow to progress’ national strategies to tackle alcohol issues. The country’s ongoing drug deaths crisis was ‘shifting attention’ away from alcohol harm, it warned.

Earlier this year Public Health Scotland predicted that the number of Scots living with chronic liver disease – most cases of which are alcohol-related – would see a 54 per cent increase by 2044. While the latest alcohol-specific death figures for Scotland, released earlier this week, recorded a five-year low of 1,185 the previous year’s total was the highest since 2008.

Speaking Without Stigma: changing the conversation around substance use

Turning Point has launched a campaign called Speaking Without Stigma to highlight the importance that language plays in supporting people.

Speaking Without StigmaAbout the guide
Speaking without stigma, a guide to reducing stigma in substance use through the language we use, which has been produced in collaboration with people supported by Turning Point, challenges words and phrases that can stigmatise people and suggests alternate options that put people first.

Supporting video series
The campaign also features a series of five short videos addressing the need to reduce stigma faced by people with challenges around drugs and alcohol.

Watch the full series on YouTube

Why language matters
The guide and videos aim to help colleagues across the sector and the general public to be more conscious of the fact that stigmatising language can have a negative impact on people who use drugs, such as affecting their self-worth, increasing their use of substances, isolating them and preventing them from seeking support.

Encouraging reflection, not policing language
The campaign is not about telling people what they can and can’t say but encouraging people to think about the possible impact language can have.

Examples of some of the words and phrases that have been identified in the guide include, ‘substance misuse or substance abuse’ which can be seen as judgemental and have negative connotations and has been replaced with ‘substance use’.

The term ‘drug addiction’ or ‘drug abuse’ has been replaced with ‘drug dependence’, whilst the phrase ‘person dependent on drugs’ replaces the negative terms ‘drug addict’ and ‘junkie’.

'The negative stereotypes associated with substance use can be a barrier to treatment'
‘The negative stereotypes associated with substance use can be a barrier to treatment’

Turning Point’s commitment to change
Turning Point has made a concerted effort to challenge stigma with the language that is used across the organisation. This includes when communicating with people who use services, speaking with colleagues, when writing emails or reports, or in our external facing communications such as website or social media channels.

An example of this is the organisation’s decision to change the title of the business unit from Public Health and Substance Misuse (PHSM) to Public Health and Substance Use (PHSU).

Voices from the community
Lukas Oppegaard, a Turning Point peer support worker, was involved in the creation of the support pack. He said, ‘Language is so important to make sure people feel empowered and not judged. Some words and phrases around drugs and alcohol can feel really outdated and have an impact on how you feel about yourself – even if no malice is intended.

‘It’s been a really good exercise to work together to debate some of these phrases – and come up with alternatives. Not everyone will agree on language. What works for one person might not be right for someone else, but to have an awareness about the impact of words is really important.’

Nat Travis, national head of service at Turning Point, said, ‘We know that stigma is a significant barrier in seeking support around their drug and/or alcohol use. The negative stereotypes associated with substance use can be a barrier to treatment.

‘The language we use can stigmatise people without us even realising it which is why we want to encourage everyone to think about the impact of the words we use. Our aim is to create a more inclusive and destigmatising culture within services and the sector, as well as influencing wider communities.’

Download the Speaking without stigma guide here

This blog was originally published by Turning Point. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Turning Point

Women’s Treatment Working Group launches its Womanifesto

women AdfamAdfam’s chief executive Vivienne Evans is a member of the Women’s Treatment Working Group, a group of women in leadership roles, working together to improve support for women affected by drug and alcohol use.

The Women’s Treatment Working Group recently launched its Womanifesto, outlining why women in treatment need a distinct approach, with recommendations for the Office for Health Improvements and Disparities at the Department of Health and Social Care. It notes that:

  • Women comprise 52% of the population but only 33% of treatment service users.
  • They face higher rates of childhood trauma and interpersonal violence.
  • Drug-related deaths among women continue to rise.
  • Women are six times more likely than men to have children removed due to substance use.
  • They are overrepresented in maternal deaths, often linked to domestic abuse.

Its recommendations relate to women only spaces and services, motherhood and maternity and co-designed women’s pathway and partnerships.

WomanifestoDownload:

This blog was originally published by Adfam. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Adfam

Recovery groups collect over 600kg of rubbish in first litter picking challenge

Recovery groups collect over 600kg of rubbish in first litter picking challengeMore than 600 kilograms of rubbish was collected in just one hour as recovery groups from across the north west came together for the first Recovery Litter Picking Challenge in Oldham.

Held at Werneth Park on 10th September and supported by Oldham Council, the event saw ten teams from Greater Manchester, Lancashire, and even North Yorkshire compete for a trophy and £100 cash prize.

On average, each team filled around 15 bags as they took part in their first ever ‘Spogomi’ competition — a sport invented in Japan in 2008 that turns litter picking into a team challenge.

Organised and funded by The Calico Group, the challenge aimed to bring recovery services together while tackling a local issue.

litter picking challenge CalicoReflecting on the day, Calico’s director of partnerships and collaboration, Tom Woodcock, said, ‘It was great to see so many services together and enjoying doing something good for the environment.

‘Everyone got stuck in and made their teams proud. Well done all.’

Manchester’s Rehab Fitness came out on top with an impressive 101 kilograms of rubbish collected, followed by Project FREE from Bury with 80 kilograms.

A team from Acorn Recovery’s Redwood House contributed 60 kilograms, placing them sixth overall.

More than 600 kilograms of rubbish was collected in just one hour as recovery groups from across the north west came together for the first Recovery Litter Picking Challenge in OldhamRed Rose Recovery entered three teams from across Lancashire, the Spark Roots Community joined from Blackburn, and Turning Point’s Leigh Bank rehab also fielded two teams, showing the breadth of support across the region.

The event took place against a backdrop of ongoing challenges in Oldham, where litter and fly-tipping remain pressing issues. The council spends more than £4.2 million every year dealing with waste and environmental clean-up.

By working together in this way, recovery groups demonstrated not only the value of teamwork and community spirit but also how collective action can make a visible difference to public spaces.

This blog was originally published by The Calico Group. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by The Calico Group

‘Any amount’ of alcohol increases dementia risk, say researchers

dementia riskAny level of alcohol consumption could increase the risk of dementia, according to a study by researchers at the University of Oxford, Yale University and the University of Cambridge. While heavy drinking has already been linked to increased dementia risk, the new research ‘challenges previous suggestions’ that light-to-moderate drinking could have a protective effect against the condition.

The study, which is published in the journal BMJ Evidence-Based Medicine, is the most comprehensive so far to look at alcohol consumption and dementia risk, says Oxford’s Nuffield Department of Population Health. It combined observational data from more than half a million people in two diverse population studies, as well as investigating links between genetically predicted likelihood of alcohol use and alcohol use disorder in almost 2.5m participants across 45 separate studies. This approach helped to ‘overcome some of the difficulties in distinguishing correlation from causation’, the researchers state.

The study revealed a ‘continuously increasing trend’ of higher dementia risk with higher levels of drinking – suggesting that ‘any level of alcohol consumption increases the risk of dementia, with no evidence that drinking alcohol may have a protective effect’. A three times higher increase in the number of drinks per week raised the risk of dementia by 15 per cent, say the researchers.

The study revealed a ‘continuously increasing trend’ of higher dementia risk with higher levels of drinking
The study revealed a ‘continuously increasing trend’ of higher dementia risk with higher levels of drinking

‘Our findings challenge the common belief that low levels of alcohol are beneficial for brain health,’ said lead author Dr Anya Topiwala. ‘Genetic evidence offers no support for a protective effect — in fact, it suggests the opposite. Even light or moderate drinking may increase the risk of dementia, indicating that reducing alcohol consumption across the population could play a significant role in dementia prevention.’

A research project looking at how people with alcohol or drug issues are looked after in care homes was launched earlier this month by the Care Quality Commission in partnership with the University of Bedfordshire.

Alcohol use and risk of dementia in diverse populations: evidence from cohort, case–control and Mendelian randomisation approaches available here

Brighter futures

Britain’s thousands of kinship carers play a vital but often unacknowledged, and unrewarded, role. A specialist County Durham service has been providing activities to support them and put the children in their care on the path to a far healthier future, says Liam Knowles.

Bridges Family and CarersBridges Family and Carers is a specialist service in Stockton-on-Tees providing support to people who have a loved one with issues with drugs or alcohol. As part of our remit we have a dedicated kinship care worker supporting family members who have children placed with them – these carers maybe grandparents, siblings, aunts, uncles, or other extended family members (DDN, June, page 12).

Recent research estimates that there are more than 132,000 children in kinship care arrangements in England, and without these kinship carers many of these children would likely be in the care system. A number of children live with family members because of parental substance use, and these are the families we support.

Unlike foster care placements, kinship carers often don’t qualify for payments from government to help care for their families’ children, and many suffer financial hardship. In the past year we’ve supported around 80 kinship carers directly, with the number of children within these families in the hundreds.

Many kinship carers are retired or unable to work as a result of their own health needs or caring responsibilities. In these circumstances, things that many of us take for granted – such as holidays or days out – are among the first to be sacrificed when the money coming in only covers the ‘essentials’, something that also impacts carers’ ability to provide exercise or activity opportunities for the young people in their care.

We know that the children of people who use substances have increased risk factors for substance use themselves, as well as involvement in the criminal justice system, mental health disorders and issues with engagement in education. This means they can be expected to be in poorer health later in life than their peers – should the young person be in the care system, then these risks increase further.

Through a piece of co-production with kinship carers we developed a programme to support the young people. Once we had agreed our plan, we applied to Sport England for funding to run the project – and a big thank you to them for funding it.

Bridges activityThe Bridges activity programme has helped to support the five ways to wellbeing:

Connect – families experienced a sense of belonging during activities, and were encouraged and supported to connect with other people

Get active – physical activity can help maintain positive mental health, promote restful sleep, and reduce anxiety and stress.

Take notice – group activities focused individuals on enjoying the moment, taking their thoughts away from family problems.

Learn – people taking part in activities learnt new skills and undertook new challenges which can help boost self-esteem.

Give – while taking part in group activities people gave time to listen and share with others, which can help create positive feelings and a sense of reward.

It was important for the young people to have a voice and be able to do the activities they wanted, where possible – while some were for the whole family, others were either for the young person alone or were group activities that involved joining an existing club or team to help decrease isolation and build confidence. Luckily, we found that our local sports and leisure providers were incredibly supportive and willing to adapt to our needs.

kinshipOften sessions were tailored for the group, as a number of the young people have health needs and diagnoses such as Foetal Alcohol Spectrum Disorder, autism or ADHD, and all have suffered life trauma. Sensory processing disorders are also common, meaning that the young people can struggle in large groups, but we found providers were willing to deliver one-to-one sessions or sessions with reduced noise and dimmed lighting.

Activities included swimming, horse riding, basketball, table tennis, gym sessions, martial arts, ice skating, gymnastics, strength and endurance training, weight training, sensory therapeutic activities, bike riding, boxing, and dance/performing arts. These were accessed by 51 young people and eight adults, and we also delivered family days – including wellness walks and local activities – that were attended by 33 young people and 22 adults.

As well as funding activities for our young people, we’ve been able to purchase sporting equipment for families on low incomes, including bikes. Kinship carers have reported a range of health improvements in the young people who took part, including improved physical fitness, weight loss, new friendships (peer support), reduced stress levels and improvements in confidence and mental health. The activities also helped to promote social inclusion for ‘kinship kids’, as well as provide a safe space for the young people to express their emotions. They also allowed the young people to feel part of the community, as well as the opportunity to try new activities.

kinship carers - BridgesOne of the most pleasing aspects of the project is the number of young people who have continued to engage in sport. One young person lost their place at college due to a substance-related incident and had criminal justice involvement – after getting into a gym routine they started a healthy eating plan and other sports, and have been working and drug-free for over a year. Also, well done to the young lady who now works at a centre she accessed during the project.

Projects like this show early intervention at its best – a modest investment now can not only provide instant fun and enjoyment, but also support the development of healthy habits. If any of these young people go on to lead a healthier lifestyle, the project will have significant long-term benefits. Sport is more than a game – it’s a pathway to hope, healing and a healthier future.

Liam Knowles is a project worker at Bridges Family and Carers Service

kinship carersThese three carers say it better than me:

‘My granddaughter has had issues with her weight for a long time, and she’s been bullied at school. I worked with Carole to see if we could get her involved in some kind of exercise. She’s not a very confident child, but Sport England gave her the opportunity to take out a gym membership. I couldn’t have done this as I’m on a pension. She has gone to the gym every week at quiet times, which are better for her, and made new friends. She seems a lot more confident and has started to lose weight. Thank you.’

‘We struggle with money and have two young children to look after. As a family we all like swimming, and Bridges gave us the opportunity to all go to our local pool. The kids love it, and they love that we’re able to go with them. I’m happy we’ve been able to do something together that is helping to get us all a bit fitter and a bit more active.’

‘Both my son and daughter have a history of drug problems so as a result all seven of my grandchildren are in family care, four with me. They have a range of disabilities, and it was important that we could do activities that suited them, but the environment had to be right. Bridges helped them to take part in things like assault courses, horse riding and gymnastics, which they’ve all loved. We’re very grateful to Sport England for this opportunity, as these types of activities are not something easily afforded. All of the  children are shattered from last night’s group outing and all slept well, giving us a bit of a break.’

Scotland sees 7 per cent fall in alcohol-specific deaths

Scotland sees 7 per cent fall in alcohol-specific deathsThere were 1,185 alcohol-specific deaths registered in Scotland last year, according to the latest National Records of Scotland figures. The total is 7 per cent lower than 2023 – which saw the highest figure since 2008 – and represents a five-year low.

As in previous years, men accounted for around two thirds of the deaths, with the most deprived areas recording a death rate four and a half times that of the least deprived. Dundee City, Glasgow City, Inverclyde, North Lanarkshire and West Dunbartonshire all had higher than average alcohol-specific mortality rates, the agency says. The average age of death was 60 for men, and 58 for women. However, the figures only include deaths from causes wholly attributable to alcohol use, such as alcoholic liver disease.

While the falling death rate was welcome ‘we cannot become complacent’, said drugs and alcohol policy minister Maree Todd. ‘This is a public health priority and we are continuing to channel our energy towards reducing alcohol harm further. There is still a lot of work to be done to save and improve lives.’

The most recent Scottish drug death figures, published earlier this month, also showed a decrease on the 2023 total – down 13 per cent to 1,107. However, the drug death rate has long been the highest in Europe, with the most deprived communities again seeing the worst effects. A 2024 Audit Scotland report said the scale of Scotland’s ongoing drug deaths crisis had shifted attention away from alcohol, with the country making slow progress in its strategies for tackling alcohol harm, while Public Health Scotland has projected a 54 per cent increase in the number of Scots living with chronic liver disease by 2024.

Men accounted for around two thirds of the deaths, with the most deprived areas recording a death rate four and a half times that of the least deprived
Men accounted for around two thirds of the deaths, with the most deprived areas recording a death rate four and a half times that of the least deprived

‘Despite a fall in the number of deaths recorded last year, three people are still losing their lives every day in Scotland specifically because of alcohol,’ said Abbeycare registered manager Douglas McFarlane. ‘This is clearly far too high, and there should be a renewed national focus on preventing people from drinking to hazardous levels. Our staff see first-hand the terrible impact that excessive drinking can have, not just on people’s bodies but on their families, careers, and wider relationships. We would like to see more funding put towards harm reduction and treatment services for alcohol, to help turn this year-on-year fall in deaths into a longer-term trend.’

It was important to ensure the drop was the start of a sustained trend, agreed Alcohol Health Alliance UK chair Professor Sir Ian Gilmore. ‘Every one of these deaths was entirely preventable, and behind each number lies a personal tragedy. We have seen brave, preventative action from the Scottish Government in recent years with the introduction and uprating of minimum unit pricing and plans to review alcohol marketing rules. Meanwhile Westminster has failed to follow suit. With death rates in England spiralling, our government must step up and follow Scotland in leading the way on reducing alcohol harm.’

Alcohol-specific deaths 2024 available here

Gordon Moody: treatment for gambling-related harm

We help people reclaim and rebuild their lives free from gambling-related harm.

Gordon Moody are the UK’s leading charity dedicated to providing residential treatment and support for gambling-related harm, through recovery in a safe, supported environment.

Gordon MoodyIn 1971, Reverend Gordon Moody created a hostel in south London offering a helping hand to those struggling with gambling addiction. Over the next 50 years, our experience of working in a residential setting with this service user group developed into the unique therapeutic programmes that we now offer.

Today we are the leading provider of gambling therapy services in the UK and a force of healing and hope for individuals, families and communities affected by gambling related harm.

GM

At Gordon Moody we deliver a range of services from residential treatment to online support. For many looking for help it can be confusing as to which option is right for you or a family member or friend.

Get in touch with one of our team and they can help talk you through the process and work out what could be the best option for you or someone you are trying to help.

We currently concentrate on providing the following:

  1. Residential treatment – Unique specialist centres providing an intensive evidence-based recovery programme for those severely affected by gambling disorders, as well as respite, counselling, and support for families.
  2. Recovery house – A residential relapse prevention and aftercare programme for those who have completed our treatment programmes requiring additional ‘halfway’ support.
  3. Retreat & counselling programme – A flexible, agile and inclusive service, offering both female and male specific separate retreat programmes which combine a short-stay residential with at-home counselling support.
  4. Wrap-around support – Providing a seamless care journey and supporting a healthy family and society re-integration through facilitating pre-treatment support as preparation for the residential and retreat & counselling programmes, post-treatment support for maintaining recovery and family and friends support to help those who are affected by their loved one’s gambling addiction.
  5. Gambling therapy – An international brief intervention online support, advice, and signposting.

Gordon Moody residential guideOUR VIEW ON ADDICTION
Our experience is that anyone who gets caught up in the downward spiral of problem gambling finds only too soon that the negative impact on their life can be devastating. An all-consuming compulsion to gamble at any cost leads to difficulties which affect employment, family relationships, mental and physical health and our overall quality of life. And of course, problem gambling does not just affect the individual. It is estimated that for every problem gambler at least six other family members (with a disproportionate impact on children of problem gamblers), friends and colleagues are also directly affected, ultimately leading to a significant negative impact on the wider society.

OUR VIEW ON RECOVERY
Our model of care is an approach that values compassion and offers understanding and support. We help people to create a clear picture of how they want their life to look like in recovery, to understand the vast field of possibilities that they are presented with and the transformations that must take place to find themselves where they want to be.

Our purpose is to create safe, caring environments and programmes that empower our service users to make positive lasting changes and live fulfilled lives.

All our interventions are tailored to our service users’ needs and our recovery focus builds on the individual’s strengths and capacity to flourish.

Gordon Moody gambling-related harmENSURING CLINICAL EXCELLENCE
The programmes at Gordon Moody are delivered by staff working within the BACP ethical framework, who are trained and equipped to focus not just on the gambling related harm, but also on other co-occurring addictions or mental and emotional health conditions.

We carry out comprehensive assessments that help us integrate appropriate therapies into personalised treatment programmes that address each service user’s unique needs. Our programmes combine a wide range of specialised individual and group interventions such as cognitive behavioural therapy, dialectical behavioural therapy, acceptance and commitment therapy, motivational interviewing, integrative psychotherapy, psychodynamic therapies, creative and art therapies or family therapies.

Our support staff also have a variety of health and social care training and experience across housing, welfare benefits, advice and information, psycho-education, teaching and group-work.

All our clinical staff adhere to BACP guidelines and we use clinical supervision to provide our staff with regular and ongoing opportunities to reflect in depth about all aspects of their practice to work as effectively, safely and ethically as possible.

We are constantly optimising our prevention and treatment interventions by acknowledging the importance of the current gambling environment, particularly given the rapid growth of internet-based gambling and changes in regulations.

GET IN TOUCH
Whether you need advice, counselling, online support or a structured residential treatment course, the team at Gordon Moody can help you decide what’s best for you to overcome problems created by gambling.

Gordon Moody01384 241292
help@gordonmoody.org.uk
gordonmoody.org.uk
Unit 3, 1 Castle Court, Castlegate Way, Dudley, West Midlands, DY1 4RD

DDN Rehab Guide 2025

Rehab spotlights

Finding the appropriate treatment option can be challenging.

In partnership with rehab facilities across the UK, we have created ‘spotlights’ that provide information about the services they offer to help you make an informed decision for yourself, your client, or your loved one.

Goal of national IPS coverage ‘very close to being met’

Goal of national IPS coverage ‘very close to being met’
The aim of the study is to evaluate the scale-up and delivery of IPS in the treatment sector

The goal of achieving national coverage for Individual Placement and Support (IPS) in community drug and alcohol treatment is very close to being met, says a RAND Europe and King’s College review, with 145 out of 151 local authorities now delivering it.

Originally developed for people receiving treatment for mental illness, IPS is a highly individualised employment support model that was first trialled in drug and alcohol services in 2018. The 2021 ten-year drug strategy then committed to achieving full coverage by March of this year. ‘I wanted IPS available in every local authority,’ Professor Dame Carol Black told DDN earlier this year, adding that ‘we are getting results – we’re getting people back into work, or into work for the first time’.

The aim of the new study, which was commissioned by OHID, is to evaluate the scale-up and delivery of IPS in the treatment sector in order to identify barriers, share good practice and inform service improvement. OHID’s first study of IPS for people in drug and alcohol treatment randomly allocated participants into two study arms, one receiving standard employment support and the other receiving IPS, and found that IPS ‘helped more participants achieve employment in the open job market than standard employment support’.

While it takes time to embed IPS in treatment services most IPS teams reported a high level of integration, the new report states, with team members using a range of strategies – such as sharing personal stories as well as data – to raise awareness and challenge misconceptions held by some treatment staff about the role of employment in recovery. ‘Building strong relationships with treatment staff is crucial for effective integration and promoting referrals to the IPS service,’ it says. All IPS teams operating for six months or more were invited to take part, with in-depth qualitative research carried out in ten case-study areas, including interviews and workshops with clients, staff and commissioners.

IPS is ‘widely perceived to have benefits for clients beyond employment including improved treatment outcomes, greater confidence and self-belief, and financial independence’
IPS is ‘widely perceived to have benefits for clients beyond employment including improved treatment outcomes, greater confidence and self-belief, and financial independence’

The scale of IPS delivery in England ‘supports peer-to-peer networking and the sharing of good practice both within and beyond the drug and alcohol treatment context’, the document says, adding that IPS is ‘widely perceived to have benefits for clients beyond employment including improved treatment outcomes, greater confidence and self-belief, and financial independence’.

However, while the knowledge and skills of IPS team members were crucial to its success, ‘time-limited funding makes recruitment and retention more challenging’, says the review, as most were employed on fixed-term contracts. ‘Moreover, the commissioning structure of IPS in drug and alcohol treatment results in small team sizes which are less resilient to turnover.’ Many commissioners had expressed concerns about uncertainty regarding future funding for IPS ‘and what this will mean for delivery’, it adds.

Report available here

Empowering clients through technology

The Forward Trust has trialled a Digital Inclusion Lead scheme in East Kent, Medway and Southend. This pilot aims to support clients with essential digital tools and support. With digital inclusion leads (DILs) appointed at each community service hub, clients in need can now be given a SIM card (with free limited data, calls and texts), enabling them to connect with vital services, stay connected to others and improve their digital literacy.

The Forward Trust has trialled a Digital Inclusion Lead scheme in East Kent, Medway and Southend. This pilot aims to support clients with essential digital tools and support.For individuals dealing with addiction and related issues, digital access is essential for accessing services like the NHS online and entering the job market. Forward has also developed its own digital offerings – such as the Forward app – to overcome physical barriers which can prevent people from accessing support. Still, these naturally require access to digital technology and digital skills to be of benefit.

The pilot
Launched in April 2025, the pilot appointed DILs at each community service hub in East Kent, Medway and Southend. These leads were equipped with a limited stock of smartphones purchased by Forward and SIM cards provided by the UK’s leading digital inclusion charity Good Things Foundation’s National Databank. The DILs offered basic digital support sessions to help clients navigate the digital world with confidence, as well as distributing the smartphones and SIMs where appropriate.

Where possible, DILs are also supported by locally-based ‘digital champion’ volunteers, who are able to offer longer, dedicated one-to-one digital support sessions with clients at service hubs where additional help is requested.

Outcomes and feedback
Over 65 clients have so far received support as part of this initiative, and their feedback has been overwhelmingly positive. Each DIL was able to provide valuable assistance, making a real difference in clients’ lives, with access to smartphones particularly well appreciated. There were even instances of Forward clients citing the support they were provided as key factors in escaping domestic violence, providing them with a source of communication with which they could seek urgent help when required.

'It has enabled me to contact and access various services I would not have been able to, and to contact my Dad'
‘It has enabled me to contact and access various services I would not have been able to, and to contact my Dad’

‘The work you do here with this is so handy, as there are so many people that are clueless about phones and technology, and I thank you so much for the support.’ – Sittingbourne client

‘My phone and internet are working great! I’ve started using it to reconnect with my family, and I’ve realised it has taken up much of my time that I’ve forgotten about alcohol. Thank you, Forward!’ – Ashford client

‘Being given a phone by Forward has been life-changing for me. It gives me the opportunity to get in contact with services such as the GP and Forward.’ – Medway client

‘The phone and SIM I have been given by STARS have been vital to me. It has enabled me to contact and access various services I would not have been able to, and to contact my Dad.’ – Southend client

Forward will continue offering digital support to clients via DILs and digital champion volunteers, providing SIM cards and smartphones when possible and appropriate.

This blog was originally published by Forward. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Forward

What is fuelling rising rates of violence in prisons? Probably not drones

The government’s latest Safety in Custody Statistics show a startling increase in violence to self and others in prisons, says Raje Ballagan-Evans, policy and impact manager, Social Interest Group. Mortalities have risen by nearly a third to 401 in the 12 months to the end of June 2025, including 86 prisoners in ‘self-inflicted’ circumstances. The rate of self-harm has risen by 5% in men’s prisons and by 6% in women’s prisons in the 12 months from March 2024.

In addressing increasing rates of violence within prisons, we would surely benefit from heeding the recommendations from many salient reports published this year by statutory and VCSE organisations
In addressing increasing rates of violence within prisons, we would surely benefit from heeding the recommendations from many salient reports published this year by statutory and VCSE organisations

The causes of these rises have been making headline news in England and Wales over the last year as national race riots saw prisons hit capacity with reports claiming less than 100 remaining places in August and September 2024. With shocking stories emerging due to overcrowding, drugs, gang activity and inexperienced staff, the government has sought to reassure the public their investment in AI technology will intercept drug deliveries, formulate risk assessments on prisoners and decode their secret communications.

There are grounds for optimism that AI will support record keeping, information access and interpretation of cases for civil servants and judges that would bring welcome relief to the court backlogs impacting the justice system. However, in addressing increasing rates of violence within prisons, we would surely benefit from heeding the recommendations from many salient reports published this year by statutory and VCSE organisations.

In particular, HM Inspectorate of Prisons and Prison Advice and Care Trust (PACT) have shared research showing that those serving sentences and prison and staff working within the prison system state clearly that the mental health of men and women in prison is their primary challenge in rehabilitation. Further to this, poor prison conditions are exacerbating their ability to manage mental health conditions.

Whilst there are distinctions in needs and aspirations, both men and women in prison cite the importance of having agency, the meeting of their basic needs, as well as healthy relationships and purposeful activity as vital. A deficit in these areas, when combined with their individual stories and circumstances, can have an insurmountable impact on their mental health, which is often expressed through violence.

Purpose, connection and dignity are gained according to those in prison, through calls and visits with their personal network, as well as a good rapport with prison staff. Work, engaging activities and an environment with appropriate basic facilities are highlighted as impactful on mental and physical wellbeing. Women who participated in the HM Inspectorate of Prisons’ research for their February 2025 report Time to Care, described resorting to self-harm when they had no other recourse to attaining support and their mental health deteriorated.

It is disappointing then that these manageable and fair service provisions which are prescribed for prisons are all too often impossible for staff to facilitate, as they are overstretched and undertrained. Many describe being ill equipped for, and traumatised by, the needs and lived experience of prisoners and explain that they become desensitised to the individuals and their circumstances under the stress of their roles. How can rehabilitation of those on justice pathways occur under these conditions?

Suitably trained and qualified professionals equipped with the skills to support people with lived experience to manage and cope, are alarmingly few within the prisons system. PACT and Centre for Mental Health reported in their July 2025 publication on the mental health crisis in prisons: ‘Mental health staffing varies by region, but even regions with the highest levels of provision had only nine nursing staff per 1,000 people in custody; two psychiatrists;…eight psychologists;… (and) five social workers…’

Looking beyond filling staffing posts, building more prisons and automating records, rehabilitation still needs to be the key focus so that we are not containing risk but minimising it for everyone’s benefit
Looking beyond filling staffing posts, building more prisons and automating records, rehabilitation still needs to be the key focus so that we are not containing risk but minimising it for everyone’s benefit

As people in prisons experience mental health crises, staff become carers with both parties waiting for a mental health professional to become available. Looking beyond filling staffing posts, building more prisons and automating records, rehabilitation still needs to be the key focus so that we are not containing risk but minimising it for everyone’s benefit.

Overcoming barriers to emotional regulation, relationship development, and life skills is essential for people in prison because challenges in these areas are often identified as causal factors that lead people into justice pathways. At SIG, Safe Ground design and deliver arts-based therapeutic group work in custodial settings that bridges the gap between the personal and interpersonal challenges, as well as the demand and responsibilities of cooperating with wider structures and systems that men in prison need to manage.

Equipping them with new perspectives through opportunities to explore and debate different ways of understanding and approaching situations empowers participants. With programmes such as Safe Ground’s ‘Father’s Inside’ delivering a 40% reduction in reoffending between programme participants and their counterparts who did not participate (Justice Data Lab, 2016), the value of supporting people in prison settings to address what lies within their control through restoring a sense of responsible autonomy, is well evidenced.

Whilst life skills programmes have a beneficial impact, they need to be combined with appropriate mental health support from qualified professionals and relational support from trained prison staff. Meaningful activities, decent facilities and educational courses are also vital. This is what people in prisons state as necessary, and the data evidences positive outcomes for mental health.

We now implore the government to invest in this whole system approach to the entirety of the justice pathway to ensure that good mental health is acknowledged and supported as foundational to rehabilitation.

This blog was originally published by Social Interest Group. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Social Interest Group

Problem gambling ‘quadruples’ suicide risk in young people, say researchers

Problem gamblers face triple the suicide risk after a year – and quadruple the risk after four years – when compared to people who experience no gambling harms, according to a report by the University of Bristol.

The future suicidality link was ‘most stark’ among 20-year-olds
The future suicidality link was ‘most stark’ among 20-year-olds

The findings are based on analysis of data from the ongoing Children of the 90s study, which has been following the health and development of 14,000 pregnant women and their families for more than three decades. They show that problem gambling is ‘clearly linked to a marked and long-lasting increase in suicide attempts among young people in the UK’, says the university.

The future suicidality link was ‘most stark’ among 20-year-olds, where there was a 20 per cent increase in suicide attempts for every increment on the Problem Gambling Severity Index (PGSI), the questionnaire most commonly used to assess gambling harm. Those scoring eight or above on the index experienced quadruple the rate of suicide attempts after four years, the researchers state.

The fact that the project tracked people from birth meant that researchers could ‘look at the long-term impacts of problem gambling and could rule out alternative explanations that hinder previous studies, such as that people might be drawn to problem gambling as a way of escaping pre-existing suicidal feelings’, said lead author Olly Bastiani.

problem gambling
‘Much more needs to be done to prevent the next generation from experiencing these gambling harms’

A study published at the start of this year reported that the families of people who’d taken their own lives as a result of gambling-related harm were ‘routinely denied’ inquests that properly considered the role of gambling in the deaths. Even when families went to ‘considerable lengths’ to submit detailed evidence of the gambling to the coroner this would often be accepted without comment or ignored altogether, the report stated, meaning that opportunities to prevent future deaths and inform debates about gambling harm were being missed. A PHE report from 2021 found that people with gambling problems were ‘at least’ twice as likely to die as a result of suicide than the general population, with other studies putting the risk far higher.

Earlier this month a report from GambleAware warned that young people were now being exposed to online gambling content at ‘unprecedented levels’, with almost 90 per cent of 13-17-year-olds surveyed reporting having seen it – often via celebrities or social media influencers. A Lancet Public Health report last year warned that the consequences of gambling’s shift to digitalisation had not been recognised by governments or regulators, adding that the harms to health and wellbeing from gambling were ‘more substantial than previously understood’. The long-delayed gambling white paper from 2023 was widely criticised for its perceived failure to tackle gambling marketing and advertising.

The people in the Children of the 90s study were ‘growing up at a time when gambling was less accessible and visible than it is today’, stated lecturer in psychology at the University of Bristol Dr Philip Newall. ‘This shows that much more needs to be done to prevent the next generation from experiencing these gambling harms.’

The relationship between Problem Gambling Severity Index (PGSI) scores and suicidality: Results of a nine-year cohort study of young UK adults is published in the journal Addiction

Children of the 90s study available here

Opioid-related deaths more than 50 per cent higher than official figures, say King’s College researchers

Opioid-related deathsOpioid-related deaths in England and Wales from 2011 to 2022 were 54.7 per cent higher than recorded, according to research by King’s College London. While the official Office for National Statistics (ONS) figure was 25,364, King’s researchers estimate the true total at more than 39,200.

The reason for the discrepancy is that ONS bases its figures on the information provided by the coroner on the death certificate, but does not have access to post-mortem reports or toxicology results. If the death certificate is missing information, such as when the death is the result of polydrug use and recorded with ‘ambiguous terms such as “multidrug overdose”, the ONS cannot determine the individual substances involved’, says King’s. This means that while the overall number of drug deaths recorded is likely to be accurate, the death count for specific substances will be limited by lack of available information.

While ONS recorded 574 heroin/morphine related deaths in 2011, the King’s research team used data from coroners’ reports submitted to the university’s National Programme on Substance Use Mortality (NPSUM) to ‘triangulate and better estimate’ the number of opioid-related deaths. Researchers found nearly 240 further unaccounted deaths – equating to an underestimate of 29 per cent. However, by 2022 the gap had risen to 34 per cent, with researchers projecting 1,980 deaths compared to the official ONS figure of 1,264.

The most recent official figures for England and Wales saw 5,448 drug poisoning deaths registered in 2023, up by 11 per cent on the previous year, with 2024’s figures due to be released soon. Although Scotland’s figure for 2024 showed a 13 per cent fall from the previous year, the country still has the highest rate in Europe.

Even the official rate of opioid-related deaths in England and Wales has almost doubled since 2012
Even the official rate of opioid-related deaths in England and Wales has almost doubled since 2012

Even the official rate of opioid-related deaths in England and Wales has almost doubled since 2012 – from 22.9 deaths per million to 43.8, with the UK’s drug death totals taking its toll on overall life expectancy. There are fears that the situation could worsen significantly in the coming years, with more highly potent synthetic opioids being detected in the drug supply. King’s is now extending its study to provide estimates for deaths related to other substances, it says, with the number of officially recorded cocaine-related deaths also likely to be underestimated.

‘The UK is grappling with a serious drug-related deaths crisis,’ said NPSUM director and senior author of the King’s report, Dr Caroline Copeland. ‘All these tragic deaths are preventable, but well-meaning policies, treatment programmes and educational campaigns will not have the desired impact unless the true scale of the problem is known – this underestimation will be leading to underfunding. The increase of users taking more than one drug increases the likelihood of accidental overdose and also adds to the reporting problem. We need to alert coroners to the impact that not naming specific drugs as the cause of death has on the planning and funding of public health policies.’

‘Deaths following opioid use have nearly doubled in the last decade, and these figures show an alarming acceleration of this tragedy,’ added WithYou chief executive Simon Phillips. ‘The ONS’ statistics play an important role in influencing public health policy and funding decisions. This under-reporting will have led to treatment services not receiving the levels of funding they require, and people not getting the support they need. With deaths from other drugs also likely to be underestimated, the government must prioritise this issue and commit to sustained, long-term funding for treatment and recovery services – people’s lives depend on it.’

Comparison of Office for National Statistics (ONS) and National Programme on Substance Use Mortality (NPSUM) data suggests that opioid-related deaths in England & Wales have been systematically underestimated, published in the International Journal of Drug Policy and available here

Supporting learners towards sustainable employment

Forward’s employment team recently welcomed back past learners who continue to face challenges in securing sustainable employment. This follow-up programme was designed to provide targeted support after they completed our course focused on employability and green skills, explains Rahel Daniel, operations manager at The Forward Trust.

Over three intensive days, we worked one-to-one with each learner to identify gaps in their job application process and strengthen their approach to securing interviews and job offers.

We worked with each learner to identify gaps in their job application process and strengthen their approach to securing interviews and job offers
We worked with each learner to identify gaps in their job application process and strengthen their approach to securing interviews and job offers

What the sessions covered
In these sessions, our teams offered:

• A review of job application tools, including CVs and cover letters.

• Support with live job applications and tailored feedback.

• Mock interviews based on real job roles that learners were applying for.

• Live employer interviews with hiring managers from Big Issue and Home Instead.

Programme overview

Day 1 – Job Application Skills Assessment
Eleven learners attended sessions focused on enhancing their job application techniques. Each learner received personalised one-to-one support to refine their CVs and cover letters, boosting their chances of securing interviews.

Day 2 – Mock Interviews
Five learners participated in mock interviews with staff members. They received constructive feedback and built confidence in presenting themselves to employers.

Day 3 – Employer Interviews
Eleven learners took part in real interviews with Big Issue and Home Instead. Five learners progressed to the next stage of the recruitment process, gaining direct exposure to employment opportunities.

Learners gained real interview experience with employers, which significantly boosted their confidence
Learners gained real interview experience with employers, which significantly boosted their confidence

Key outcomes
Over three impactful days of Employability Skills assessments, we saw some brilliant outcomes:

• One learner was offered a job on the same day they applied.

• Another secured a work trial with Nando’s.

• Learners applied for roles at Pret, Aldi, Tesco, and other employers during the one-to-one sessions.

• All 11 learners left with improved job application and interview skills.

Learner insights
Participants shared that while previous training sessions were engaging and informative, many found it challenging to retain and implement the skills gained during the course. This follow-up three-day programme provided a valuable opportunity to refresh their knowledge and better understand the importance of tailoring job applications to specific roles within their chosen fields.

Learners also gained real interview experience with employers, which significantly boosted their confidence. They received constructive developmental feedback to help improve their performance in future interviews.

This blog was originally published by Forward. You can read the original post here.


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Forward

Culture shock

A group of prisoners has been challenging the pervasive culture of stigma in our criminal justice system, says Carly Wright – with genuinely inspiring results.

I’m Carly Wright, Phoenix’s health and justice strategic lead. Today I’m at HMP Wayland to find out more about its anti-stigma committee. Most importantly, I’m here to meet Ben*, one of the committee members, who’s kindly agreed to share some of his experiences with me.

‘We started the committee two years ago, because of concerns from a staff member that people in prison were frequently subjected to stigma,’ he says. ‘We wanted to do something to raise awareness, and challenge stigmatising language and behaviours wherever they appear.’

The committee includes ten members from the prison population, working in partnership with staff from Phoenix. Members are given identifiable t-shirts, making them easily recognisable and approachable for fellow prisoners who want to discuss concerns or experiences related to stigma. ‘We’ve been proactive in creating cultural change within the prison, including running monthly forums, producing a stigma awareness film, hosting a stigma-themed breakfast event, doing interviews on prison radio, and delivering a stigma awareness day held in the prison gym,’ says Ben.

Culture shock - stigma‘In the community, I experienced stigma because members of my family had substance use problems,’ he states. ‘People immediately put me in the same category, and that led to me becoming more aggressive and acting out with violence, mainly to protect my family from the stigma they were facing.’

Stigma in prison can be more targeted than in the wider community, he says. ‘It’s built into the everyday language people use here, and it’s become so normalised that many don’t even realise the impact it has. The stigma becomes invisible, but it’s still doing damage.’ There’s also stigma from prison staff, he adds. ‘Some prisoners already struggle with authority, and when that authority figure judges them or uses stigmatising language, it makes things worse. Staff should set the standard for respectful behaviour and language.’

Ben joined the committee because he wanted to ‘be part of something that could make real change,’ he says. ‘I’ve seen how stigma can hurt people, and I felt I could use my own experience to help others. The committee gave me a way to challenge those issues, by doing something positive about it.’

He believes the committee can ‘achieve anything if we keep pushing forward’, he says. ‘I want to change the way people in prison talk to each other. If we educate people, staff and prisoners then we can change the culture of the prison. Personally, my biggest goal is to get rid of the word “junkie” altogether. That word carries so much harm and judgment.’

Language is a ‘powerful thing,’ he tells me. ‘If we start by changing the words we use, I believe it will snowball. People will begin to think differently, and that will lead to treating each other differently. Mutual respect is a good place to start. Even things like accents can affect how people are perceived – some accents might sound aggressive, and that can lead to misunderstandings.’

stigma - language - prisons
‘If we start by changing the words we use, I believe it will snowball. People will begin to think differently, and that will lead to treating each other differently’

The committee has also helped him to grow personally, he says. ‘I’ve challenged stigma directly by having conversations with staff to point out how their language might be affecting someone. Sometimes they’ve taken it well – they hadn’t realised how much harm their words could cause. Other times the response hasn’t been positive, but I believe the key is to keep having those conversations and not give up. The committee is raising awareness, slowly but surely. The more visible we are, the more likely people are to think before they speak, and that’s where change starts.’

So does he have any advice for anyone who’d like to start something similar? ‘First, you need buy-in from the prison governor, staff, and the prison population,’ he says. ‘Without that support, it won’t work. Make sure committee members can be easily identified – badges and t-shirts help with that. Prisoners need to know who they can go to if they want to talk about stigma or get support. Start by setting up a forum – let people share what they need, what they’re experiencing, and what changes they’d like to see. That’s where your action plan should begin – by listening.’

I left HMP Wayland feeling genuinely inspired by Ben’s honesty, the commitment of the anti-stigma committee, and the real cultural change they’re helping to create. It’s a powerful reminder that even in the most challenging environments, meaningful change is possible – especially when those at the brunt of power systems are empowered and supported to lead, if they choose to. Change should never be their burden alone, but their insight is essential to shaping more inclusive and compassionate spaces.

Carly Wright is health and justice strategic lead at Phoenix Futures

*Not his real name

Government announces addiction research funding

addiction researchMore than £10m in funding will be made available for addiction research, the government has announced, to tackle the UK’s ‘critical shortage’ of world-class researchers. The funding will be provided for three schemes via the Addiction Healthcare Goals, which were launched in 2022.

The ‘flagship’ scheme will be delivered by the Society for the Study of Addiction (SSA), with additional funding provided to the National Institute for Health and Care Research (NIHR) to ‘support career development opportunities across the UK’, from pre- to post-doctoral levels. Further funding will go to the Medical Research Council (MRC) for clinical research training fellowships, clinical scientist fellowships and career development awards.

‘By backing the future leaders of addiction research, we are laying the groundwork for the vital, evidence-based prevention measures and treatments we need,’ said science minister Lord Vallance. ‘We know that exceptional talent can be found all over the country. That’s why this programme will look to every corner of the UK for researchers with high potential to pioneer addiction research that could save countless lives and save billions to be reinvested in our public services and economy.’

‘I had a massive problem with alcohol. It nearly killed me’

A 46-year-old man from Ludlow whose struggle with alcohol nearly killed him has shared his life-saving story for Recovery Month, observed throughout September to celebrate those in recovery and raise awareness of treatment for those who are struggling.

'I had a massive problem with alcohol. It nearly killed me': Man who now works for drug and alcohol charity shares life-saving message for Recovery MonthUp until the pandemic hit, Henry Mackley co-owned a deli in Ludlow. ‘I had suffered with anxiety and depression for large parts of my adult life and I’d always been a heavy drinker in order to self-medicate,’ he said. ‘I was in denial about how serious my drinking problem was though. Like so many other people I’m just a classic case of somebody who struggled during the pandemic. In late 2021-early 2022, I lost my mother very suddenly and I spiralled. I hit a fairly brutal rock bottom at the end of ‘21, early ‘22, and suddenly just realised that I had a massive problem with alcohol. It nearly killed me.’

He went to rehab twice, and when he left the second time in January 2022 he knew he had to do whatever he could to make it stick. ‘I was terrified after rehab of relapsing. But I was also terrified of getting help anywhere people might know me, because I live in a small town,’ he explained. ‘I was extremely judgmental about people who got into difficulties with drugs and alcohol. Because people like me with a good education allegedly don’t have these problems. I came out of rehab and realised that I was an addict and that regardless of background, drug and alcohol issues do not discriminate.’

Two days after he left rehab, he walked through the door of WithYou’s Ludlow branch, without an appointment, and asked for help. ‘I immediately found this safe space where I wasn’t judged, where I was able to talk about this mad condition that I had.’

WithYou is a national drug and alcohol charity that provides free, confidential support without judgement to adults and young people experiencing issues with drugs, alcohol or mental health. In Shropshire, the charity runs Shropshire Recovery Partnership and has three main bases in Shrewsbury, Oswestry and Ludlow, and meets people where they need – at home, school, community centres, and out and about.

Man who now works for drug and alcohol charity shares life-saving message for Recovery Month
‘Regardless of background, drug and alcohol issues do not discriminate’

Through support from Shropshire Recovery Partnership and AA, Henry is in recovery, and three months ago he started working for WithYou – supporting others like him.

‘I just suddenly realised that I’m not that good at many things in life,’ he smiled, ‘but what I’m really good at is getting myself in an absolutely terrible mess, but also getting myself out of it. So, why don’t I do that for a job? And here I am. This job is so important for my own recovery because it just reminds me how scary and how very brave it is to walk in through our doors and to put your hands up and to say “I can’t do this on my own, I need some help”.’

Henry is open about his experiences, and wants to share his story to help others. ‘I feel I kind of owe it to people who are struggling, to be open about it,’ he explained. ‘And I’m also a father and it’s really important to me that young people are able to have an open dialogue about drugs and alcohol. It’s not something I’m embarrassed about or ashamed of.’

Anyone struggling with drugs or alcohol, or worrying about someone else, can contact WithYou for support. We are with you every step of the way.

Authorities missing opportunities to safeguard child criminal exploitation victims

From exploited to exploiterCrucial opportunities to safeguard the victims of child criminal exploitation are being missed, warns a new report from the Alliance for Youth Justice (AYJ) – the result of siloed working and poor information sharing, alongside low levels of professional awareness and ‘harmful victim-perpetrator binaries’.

This is especially the case when young people turn 18, says the report, creating a ‘cliff edge’ in safeguarding and support as the criteria for being seen as a victim ‘suddenly’ shift. ‘Exploitation does not end at 18, but safeguarding and support often do,’ it states.

The report, which was funded by the Barrow Cadbury Trust, is based on consultation with legal professionals, academics, civil servants and others and comes as the crime and policing bill – which contains a specific new standalone child criminal exploitation offence with a maximum ten-year prison term – makes its way through Parliament.

Although child criminal exploitation can take a range of forms it most commonly refers to county lines activities, and while awareness has grown the responses remain inconsistent and are frequently punishment-led, the report points out. Police are driving young people into the criminal justice system when they ‘focus on the offence and fail to fully investigate and identify exploitation’, it adds. Senior-level police and specialist county lines teams now have improved knowledge and practice, the report acknowledges, but the expertise remains disjointed, with street-level officers having ‘patchy and variable understandings about vulnerability to exploitation’ and their handling of cases still often shaped by initial judgements.

‘Exploitation does not end at 18, but safeguarding and support often do,’ it states
‘Exploitation does not end at 18, but safeguarding and support often do,’ says the report

Official Home Office figures estimate that around 14,500 children are at risk of, or involved in, child criminal exploitation, although the department acknowledges that this is ‘likely to be a significant underestimate’. Those most at risk of exploitation by county lines gangs are teenage boys – who are often trapped into drug dealing by debt bondage or threats of violence – with a University of Nottingham report from 2021 finding that county lines activity was becoming increasingly associated with extreme violence and sexual exploitation.

The AYJ report calls for a cross-government task force to be established to tackle policy silos and ensure effective multi-agency working, alongside sustainable voluntary sector support for young people to provide ‘trusted, long-term relationships into adulthood’. Police, prosecutors and courts need to be supported to recognise the continued vulnerability of young adults, it says, and ensure that safeguarding and support extends past 18 with a ‘distinct, developmentally appropriate, trauma-informed approach’. Authorities also need to be aware of the ‘complex exploitative dynamics’ at play, it stresses, with the new child criminal exploitation offence accompanied by statutory guidance and appropriate training.

‘Too often, turning 18 means safeguarding ends while exploitation continues — and young adults are punished as perpetrators instead of recognised as victims,’ said AYJ chief executive Jess Mullen. ‘At its worst, this results in a young person being seen and treated as exploited one day, and as an exploiter the next, simply because they have turned 18. This is a fundamental failure of safeguarding and justice. With a new offence of child criminal exploitation on the horizon, this is a key moment for change. A distinct trauma-informed approach that recognises their developmental needs is required for criminally exploited young adults. Safeguarding must come first and beyond a young person’s 18th birthday, so that children and young people are supported into safe and positive futures.’

Exploited to exploiter? Preventing the unjust criminalisation of victims of child criminal exploitation in the transition to adulthood available here

New research project on substance dependency in care homes launched

New research project on substance dependency in care homes launchedA new research project looking at how people with drug and alcohol problems are supported in care homes has been launched by the University of Bedfordshire in partnership with the Care Quality Commission (CQC).

The number of over-50s receiving drug treatment has increased seven-fold over the last two decades, the researchers point out, alongside a four-fold increase in those receiving alcohol treatment. More than 1,700 care homes in England reported caring for at least one person with a substance dependency in 2022-23.

The project will be led by director of the university’s Substance Misuse and Aging Research Team (SMART) Dr Sarah Wadd and funded by the National Institute for Health and Care Research. The findings will help care homes to ‘balance the complex issues of person-centred care, health needs and legal responsibilities in caring for people with substance dependence’, said CQC policy manager Amy Hopwood.

The study follows the team’s earlier report on alcohol policy in care homes, the first of its kind in England, which was published last year. Launched in response to concerns from CQC about lack of good practice and based on interviews with residents, family members, staff and inspectors, the study found that policies across the sector varied widely, with some care homes imposing a blanket ban on alcohol while others even had their own bars. Some facilities had admitted residents without realising they were alcohol-dependent – with the associated withdrawal risks – while others had evicted anyone found to have a dependency. Staff frequently lacked appropriate training so ‘it really isn’t great for people with complex needs related to their substance dependence to be in one of these mainstream care homes’, Wadd told DDN at the time.

29 per cent of adults in substance misuse treatment in 2023-24 were aged 50 or older
29 per cent of adults in substance misuse treatment in 2023-24 were aged 50 or older

According to the most recent OHID figures 29 per cent of adults in substance misuse treatment in 2023-24 were aged 50 or older, compared to just 12 per cent in 2009-10. Of these, 12.5 per cent were in the 50-54 age group, 8.5 per cent were aged 55-59 and 7.6 per cent were aged 60 or above.

‘Caring for people with drug and alcohol dependence in care homes can present complex practical, ethical and legal issues, particularly if the person is unable or unwilling to stop drinking or using drugs,’ Wadd stated. ‘For example, should care staff acknowledge that some people will inject drugs in their rooms and provide them with a safe storage box for their drugs and sharps bins to reduce risk to others? Should care staff help residents space out alcoholic drinks to avoid potentially life-threatening withdrawal symptoms? Is there a need for more care homes for people with substance dependence who are not ready to stop drinking alcohol or using drugs?’

The team will carry out interviews and focus groups with residents, families, care home staff, inspectors and other professionals to prepare case studies on good practice and innovative care, she added. ‘When we have this evidence, we will bring together a group of experts, including people with lived experience, to agree the recommendations.’

Reece Storr – I am a…

Reece Storr is a service manager at ROADS (Rotherham Alcohol and Drug Service), provided by WithYou. We asked him about his career path and role.

Reece StorrWHAT MADE YOU WANT TO WORK IN THIS FIELD?
I was a prison officer early in my career, and became a little bit disillusioned with the role – I felt that my compassion and empathy couldn’t come to the fore. I also lost a very, very close friend to an overdose around that time and it challenged me a little bit, we didn’t even know that he was using any substances. Losing him made me reflect on where I was and what I was doing. A role came up with CARAT, which is part of drug treatment programmes in prisons, and it just made a lot of sense.

So I think I was driven by my own personal experiences, and losing someone who I had been really, really close to for a large chunk of my life. Then when I got into the work and found that it was so interesting, it was almost like a voyage of self-discovery for me around my own ways of relating and ways of being, especially in relation to substances. It really hooked me in. Every day was completely different. We were constantly facing different challenges, working with people, which is something that has always been a massive part of what I wanted to do. That was around 20 years ago this week, and my career just went from there.

It was an opportune moment that things came together at the same time, and that it drove me down this path, and then I found that the work just fit me really, really well. I get a lot of satisfaction from supporting people who are often facing quite a marginalising view by society and media, and giving them opportunity and supporting them in some of the most difficult circumstances.

I’ve worked in two different prisons, and I’ve been fortunate enough to work in a community rehab setting that was absolutely fundamental in my understanding of recovery. You can lay a platform for someone to start moving towards, to realise their own hopes and aspirations built around their values, and to make lasting change that suits them.

WHAT DOES A TYPICAL DAY LOOK LIKE?
I don’t think there is a typical day in this sort of field. Every day is a different challenge, and there are nuances around how you need to approach situations. I think the common thread is that you are constantly working with people who have, more often than not, experienced some form of trauma, and been re-traumatised in many ways by stigma, and within local communities. The day-to-day work is managing in a safe and empathetic way that allows people to engage with the service and give them the opportunity to explore what they need and want.

One of the biggest challenges that I have day-to-day is supporting staff to deal with people who are in really difficult situations, and ensuring that as a service, we are providing something that is supportive, but also boundaried.

There is a lot of data; looking for any trends, looking at anything that we need to refine as a service; meeting with team leaders and other members of management to discuss any projects we’ve got going on, looking at how we alter things and improve; making sure that we’re responding to feedback – whether that’s positive or negative – from partners, from partner agencies, from clients, family members, from commissioners, to ensure that we’re a really responsive service that’s shaped by the individuals that are accessing us at any given time.

There are quite a lot of strings to the bow. I’m relatively new to it, and it is generally about balancing expectations and budgets and all the rest of it against service outcomes, and making sure that we’re actually providing the kind of service that I would want any member of my family to access should they require it at any point.

That’s where the satisfaction comes from – seeing people aspire to more and start to achieve their goals and hopes
That’s where the satisfaction comes from – seeing people aspire to more and start to achieve their goals and hopes

WHAT DO YOU FIND MOST REWARDING?
I don’t get it as much anymore, because I’m not doing frontline work, but it is seeing that moment of realisation that someone’s worth more than the label they put on themselves.

That’s always been a big driver for me, helping people see beyond the substance that they use, or what society tells them they are, and realising they can actually aspire to more, and that they’re not limited by the confines of that perception of themselves.

Now I’m doing similar with our staff. We’re lucky in Rotherham as we’ve got quite high representation of lived experience in the team, some of whom have been in groups that I’ve run when I was in previous roles, and some have come through the volunteer pathways when I was overseeing them. It does really give me a sense of gratitude to have been privileged enough to be part of those stories and lives, to see that these people are doing really, really well and forging their life in a completely different direction, being able to take that platform, to give back, and share their experiences with people. So it’s a really fortunate position that I sit in.

I’ve got the opportunity to influence an awful lot of people with the kind of messaging and the service that I want us to have in Rotherham, and to deliver for the people of Rotherham.

That’s where the satisfaction comes from – seeing people aspire to more and start to achieve their goals and hopes.

WHAT WOULD YOU LIKE TO CHANGE?
Wider society’s perception of people who use substances. I think it has been challenged to a degree, and I think there is now a certain level of acknowledgement around particular substances and related problems, but there’s still a hierarchy depending on what substance that is and the impact it’s having on society.

In reality, it could be any substance that someone might struggle with. Problems with drugs and alcohol don’t respect anybody’s position in society – it can be anybody that ends up using something. It’s vital that we get the message out that it’s not about criminalisation, it’s not about weakness of character, or anything like that – this is people trying to survive and get by as best they can in difficult circumstances. An example of this – when I was working in a previous role, we thought we’d developed pretty good relations with one of the local papers. They came along to one of our open days, did a big thing about some community outreach work we were arranging, and then the third word in the story was ‘addicts’.

stigma
Society as a whole has a responsibility to challenge the stigma, but providing the platform to do so is very much the responsibility of our service

We need to challenge that use of language and how people view individuals who are struggling and using whatever coping strategies they can in that moment. Society as a whole has a responsibility to challenge the stigma, but providing the platform to do so is very much the responsibility of our service. We have to help people to move on, to move away from those labels that have been imposed by the criminal justice system, by society, by themselves, by family members, whoever it may be – and give them that chance to develop away from that and really show what they’ve got as a human and not be confined to that original thinking that they prescribe to sometimes.

Some of the pathways might still need a little bit of tweaking, but I think we’re getting to the point where we’ve got the right attitude towards the work and challenging stigma.

WHAT’S YOUR ADVICE FOR ANYONE CONSIDERING A SIMILAR CAREER?
Do it. I don’t think there are many other places where you will come across a bunch of people who are trying to help others and be so innovative in their work.

Having worked in this field for 20 years, it’s clear that more innovation seems to go on in drug and alcohol settings than in many other allied settings, and I think that’s key. Whether it ends up being for you in the long run is a completely different matter, but it’s well worth getting some experience in this field, and it helps you to challenge your own prejudices around substance use in general, to challenge your own perceptions about your own substance use, or your family history of substance use.

You’ve got to be aware there’s quite a lot of admin in there; it takes an awful lot of organisation. At times, it can feel like there’s not much positive going on, because you are dealing with people who’ve got really challenging circumstances. But when those moments happen and you get the positive movement occurring, you get such job satisfaction. When you’ve worked with someone dealing with such challenges, when the positives start to come in, it really means a lot.

At the end of the day, if you can positively influence one person’s life, that person’s going to want to positively influence somebody else. There’s a real knock-on effect – recovery is a social contagion.

If you’ve got any inkling that you might be interested in this field, it’s definitely one to try.

DDN JobsSee opportunities like Reece’s on DDN Jobs

Introduce mandatory alcohol labelling to protect against FASD, Balance urges

The government should introduce mandatory alcohol health labelling that includes warnings about drinking during pregnancy, says the North East alcohol programme Balance. The call has been made as part of Foetal Alcohol Spectrum Disorder (FASD) Awareness Month.

A survey found that more than three quarters would support labels on alcohol products to warn of the risks associated with drinking while pregnant
A survey found that more than three quarters would support labels on alcohol products to warn of the risks associated with drinking while pregnant

A survey of almost 1,400 people carried out by Balance earlier this year found that more than three quarters would support labels on alcohol products to warn of the risks associated with drinking while pregnant or trying to conceive. Drinking during pregnancy can lead to FASD when alcohol in the mother’s blood passes to the baby through the placenta. FASD, which is estimated to affect around 3.6 per cent of the UK’s population, can cause a range of learning difficulties and behavioural problems, as well as damage to muscles, bones and organs.

The government’s ten-year health plan for England, which has been criticised by health campaigners for its perceived watering down of policies to tackle alcohol harm, does contain plans to introduce new measures for alcohol labelling including health warnings. While some alcohol products do currently carry warnings about drinking while pregnant they are ‘often small, and smaller on products more commonly drunk by women’, says Balance, with no statutory requirement on alcohol companies to include any health information on their labelling.

Ireland became the first country to commit to mandatory health labelling, as part of its Public Health (Alcohol) Act in 2018. However the introduction has been delayed until at least 2028, which campaigners say is the result of industry lobbying.

‘Alcohol in pregnancy can cause lifelong harm, yet this issue does not receive the attention it deserves,’ said FASD specialist at NHS North East and North Cumbria Integrated Care Board, Dr Helen Howlett. ‘Foetal Alcohol Spectrum Disorder (FASD) is the most common cause of non-genetic learning disability in the UK. It is more prevalent than autism, yet very few children and young people with FASD are identified, diagnosed, or supported, and many people just aren’t aware of it. The fact is that binge drinking is highest in women of childbearing age, so we need a clear message to warn women of the risks of harm in pregnancy and so that women are aware of the guidance to avoid alcohol altogether if they are pregnant or trying to conceive.’

Helping to heal

Self-compassion is something that can help everyone to heal, said Kim Moore

Kim Moore of Blossome
Kim Moore, Blossome

‘We lost my husband aged 50 to chronic alcoholism,’ Kim Moore of Blossome told the conference. ‘We also lost his dad, his mum, and his sister attempted suicide – twice. That is the impact of addiction on families.

‘I got lost too,’ she said, and it wasn’t until almost three years after his death that she started to ‘thaw’ and process the ‘really complicated’ grief she was carrying. ‘I started to make a commitment to my own self-care.’ It was through that healing journey that she founded her organisation Blossome, she said – ‘a compassionate, trauma-informed self-care community. It’s not counselling, it’s not therapy, it’s community-based. And it’s about people coming together to practice self-care and heal.’

SELF-COMPASSION
Blossome used an evidence-based practice called ‘mindful self-compassion’, she told the conference. ‘We’re all very good at helping other people, but how good are you at turning compassion inwards towards yourself? If you can learn self-compassion it changes everything. We’ve got to do things differently.’

Self-compassion was about mindful awareness, common humanity and self-kindness, she said. ‘It’s all about treating that difficulty in a different way. Self-compassion completely changes the relationship that you have with yourself.’ Its ultimate aim was to ease suffering, she said, ‘something that we can all use. When it comes to addiction there’s an awful lot of suffering that we all feel.’

RIPPLE EFFECT
Blossome was the first organisation to deliver a self-compassion programme specifically designed for people affected by addiction, she told delegates, ‘and we delivered it to the family members’. A pilot programme had finished in March, and ‘the impact that we’re already seeing is incredibly significant,’ she said. ‘It’s not only helping the people who’ve taken the skills training and have learned self-compassion, it’s helping everyone around them – like a ripple effect.

‘As family members when we focus on our own self-care and develop our own self-compassion what happens is it takes the pressure off the loved one who’s in recovery,’ she continued. ‘It changes the dynamics of the relationships of how we communicate with one another – and we all begin to heal. Self-compassion is the antidote to shame.’

Watch video footage of the DDN Conference 2025 here.

FROM THE FLOOR

The interactive final session posed a series of questions for contributions from the floor: How do we get the right treatment and support for every one of us? How do we use ‘power mapping’ (targeting key people) to get our messages across to each other? And how can people in abstinence-based recovery help people in medication assisted recovery, and vice versa?

From the floor‘If we think about meeting people where they’re at, we work in commissioning frameworks where it’s very outcome-focused. The systems are dependent on commissioning agreements. It is public money and we do need to be accountable for that, but some people don’t want to come into treatment and fill in forms and jump through hoops and do this and do that. But we’re governed to do that, so how do we be accountable for the public money and the investment we’re getting but still meet people where they’re at?’

‘Ways of engaging the people not in treatment are safe supply and safe access to OST prescribing outside of a treatment framework. As an opiate recovery practitioner a lot of my clients I would say are in long-term maintenance, not necessarily by will of their own. They’re engaged in treatment because it’s their only access to OST prescribing, and it’s punitive. There is a lot of positive stuff happening, but it’s not enough.’

‘Tailor it to people’s individual needs. What might work for him might not work for me. For all these situations like probation and rehabilitation, get people from a LERO in there.’

‘Just because one thing works today it doesn’t mean it’s going to work next week. I spent a long time in abstinence-based recovery, but just because I didn’t want my old life it didn’t mean I wanted the one you had on offer. How do we build a lighthouse that gives everyone a direction and a bearing as to where we’re going? That’s what addiction does – it moves you about in the tide, regardless of where you think you’re going to go. That’s been my experience for 35 years.’

‘One of the many things we need in order to get to the people who might benefit from being in touch with us is drug consumption rooms. I don’t understand why we’re so frightened of them, and why we can’t persuade our MPs to allow us to have them wherever they might be needed. We also need a lot more drug checking because of the nitazenes, which I’m terrified about. And I think it’s going to get an awful lot worse.’

Hundreds of women to take to Dartmoor in powerful fundraising challenge

This October, hundreds of women will step out in solidarity for Warrior Women Walk 2025 – a bold outdoor challenge organised by local charity Trevi, dedicated to supporting women in recovery from trauma, addiction, and abuse.

Warrior Women Walk 2025Now in its fourth year, the women-only walk is more than a fundraising event – it’s a rallying cry for dignity, justice, and freedom. Many of the women Trevi supports are navigating the long-term impact of domestic abuse and the justice system. For them, this walk is not just symbolic.

‘Warrior Women Walk isn’t about physical endurance,’ says CEO Amanda Greenwood. ‘It’s about courage, community, and reclaiming power. Many of the women walking have already faced unimaginable battles. This event celebrates how far they’ve come – and invites others to stand with them.’

Taking place on 12 October, the event follows a 10K circular route across Burrator, Dartmoor, with participants walking alongside survivors, Trevi staff, volunteers, and corporate partners – including official sponsors, Plymouth Citybus, part of the GoAhead group.

The walk also brings together women connected to Trevi’s services – Jasmine Mother & Child, Daffodil Family Centre, Blossom Women’s House and Sunflower Women’s Centre – as well as allies, funders, and community champions.

This year’s event aims to raise over £50,000 to fund trauma-informed services for women dealing with addiction, domestic abuse, and criminal justice involvement. All proceeds will go directly towards frontline support that helps women heal, rebuild, and lead safe, independent lives.

Get involved
Sign up to walk: trevi.org.uk/event/warrior-women-walk/
Donate: trevihouse.enthuse.com/donate#!/
Sponsor the event or gift supplies: contact fundraising@trevi.org.uk


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Trevi, a member of Choices Rehabs

Kenward Trust launches EMDR therapy in trauma-informed substance misuse recovery programme

Kenward Trust, Kent’s leading residential rehabilitation provider for addiction, will introduce Eye Movement Desensitisation and Reprocessing (EMDR) therapy across its treatment programmes from September 2025.

Kenward Trust launches EMDR therapy in trauma-informed substance misuse recovery programmeEMDR is a globally recognised, evidence-based psychotherapy shown to be highly effective in treating trauma, PTSD, anxiety and depression. Unlike traditional talk therapies, EMDR uses bilateral stimulation (e.g. guided eye movements) to help people process distressing memories without needing to relive them in detail. EMDR is endorsed as a first-line treatment for trauma by international and national health bodies, including the World Health Organization and the UK Department of Health and Social Care.

The decision to offer EMDR reflects the growing prevalence and impact of trauma among people with substance use disorders. Research indicates that:

  • Over 70% of people with substance misuse issues have experienced trauma
  • 46% of individuals with substance use disorders also live with PTSD
  • Trauma exposure can increase relapse risk by around 30% in addiction treatment

‘Unresolved trauma is a major barrier to recovery,’ said Mark Holmes, CQC registered manager at Kenward Trust. ‘By offering EMDR, we aim to help individuals truly heal, rebuild their lives, and form the scaffolding that supports sustained recovery.’

This initiative aligns with recent recommendations from Professor Dame Carol Black, the UK government’s independent adviser on drugs, who has emphasised the urgent need to address underlying trauma within addiction services. As Dame Carol noted in her 2024 review, failing to treat trauma ‘sets individuals up to fail and remain in the revolving door of substance misuse’.

Dr Annie McCloud, consultant addictions psychiatrist at Kenward Trust, added, ‘I believe this treatment is crucial to a more robust intervention and supports long-term success in overcoming addiction.’


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Kenward Trust, a member of Choices Rehabs

The role of rehab in today’s recovery landscape

Since the Dame Carol Black review in 2021, we’ve witnessed a long-overdue shift in how residential rehabilitation is perceived and funded. For the first time in years, rehab is being recognised as a vital component in the journey to recovery, especially for those facing the most complex and enduring challenges.

For the first time in years, rehab is being recognised as a vital component in the journey to recovery
For the first time in years, rehab is being recognised as a vital component in the journey to recovery

At Kenward Trust, where I’ve had the privilege of leading our transformation from financial uncertainty to award-winning recognition, we know just how life-changing residential recovery can be. Now, through my work as chair of Choices Rehabs, I’m focused on ensuring that this progress isn’t temporary. It’s important our sector continues to have a strong, unified voice to also advocate residential rehab as part of a wider continuum of care and part of a broader treatment system, all of which deserves funding and adequate support.

The role of rehab in today’s recovery landscape
Residential rehab is far more than a last resort. For many, it is the critical turning point that enables long-term, sustainable recovery. It offers:

  • A structured, safe space away from environmental triggers
  • 24/7 support from skilled professionals and a recovery community
  • Time to address the underlying causes of addiction, including trauma
  • A holistic path to rebuilding lives, not just stopping substance use

Responding to a more complex referral landscape
Today, we’re seeing increasingly complex referrals across our services. Many individuals arrive at rehab not only with substance dependency, but with:

  • Significant mental health needs
  • Housing instability
  • Serious physical health complications
There is a real opportunity to reshape how we understand, and deliver, addiction recovery in the UK
There is a real opportunity to reshape how we understand, and deliver, addiction recovery in the UK

A particular concern is the growing number of under-30s presenting with ketamine addiction, which carries serious long-term risks, particularly to the bladder and kidneys. These cases require close, multi-disciplinary care that residential rehab is uniquely positioned to deliver.

Don’t let this progress stall
While the funding uplift following the review was welcome, it must not be viewed as a one-time solution. The road ahead requires:

  • Sustained investment in residential treatment
  • Clear recognition of rehab’s integral role within the wider system
  • Commissioning decisions that prioritise complexity, outcomes, and ethics, not just cost
  • A continued focus on trauma-informed, person-centred care

A call to stay focused
There is a real opportunity to reshape how we understand, and deliver, addiction recovery in the UK. But this depends on our continued collaboration, advocacy, and commitment to ethical, evidence-led support.

At Choices Rehabs, we are committed to being a strong voice for residential services, working alongside commissioners, providers, and policymakers to ensure rehab remains a valued, accessible part of the national response.

Let’s keep the momentum going. Lives depend on it.

Warm regards,
Penny Williams
CEO, Kenward Trust & chair, Choices Rehabs


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Choices Rehabs

Abbeycare teams up with St Mirren FC Foundation to create new community hub

(L-R) Abbeycare operations director Liam Mehigan, Gayle Brannigan and Eddie Clarke at the SMiSA stadium
(L-R) Abbeycare operations director Liam Mehigan, Gayle Brannigan and Eddie Clarke at the SMiSA stadium

One of Scotland’s leading residential rehab centres has teamed up with the St Mirren FC Charitable Foundation to create a new community hub for people recovering from alcohol and substance use issues.

Abbeycare, which runs a rehab facility in Erskine, is offering the weekly drop-in sessions at the SMiSA stadium, with the first taking place on 3 September.

The new hub, delivered in partnership with the Foundation and funded by Renfrewshire Council, aims to support people struggling with a range of addictions and mental health issues. The three-hour Abbeycare Buddies sessions begin with a hot meal and provide a safe, welcoming, and inspiring environment for people in the local community to access recovery-focused interventions.

Each week, a guest speaker will share their recovery story, during a session chaired by an expert from Abbeycare or a volunteer with lived experience of addiction and recovery. Everyone who attends will also be given the opportunity to share their own experiences with the group, and receive support and advice from the Abbeycare team.

The sessions will run from 6pm to 9pm every Wednesday. Attendees will also have the opportunity to become volunteers for the project, developing their own personal and professional skills in a supportive environment.

Rehab Centre Teams Up With St Mirren FC Foundation To Create New Community HubA range of regular activities will also be organised in partnership with other local organisations, including yoga, meditation, and mindfulness sessions. Creative workshops will be delivered in partnership with The Recovery Collective, including creative writing, scriptwriting, drama workshops, film production, songwriting, and guitar lessons.

There will also be a 12-week photography course delivered by Open Aye, with participants able to choose the subjects covered.

The St Mirren FC Charitable Foundation, the club’s official charity, is providing the venue for the sessions as well as a hot meal and refreshments every week. Its aims are to build lasting community connections in Renfrewshire, at the same time as supporting people’s health and wellbeing and making them more resilient.

With a full schedule running all year, the charity works with and supports people of all ages and backgrounds, and is committed to delivering positive change.

Eddie Clarke, outreach manager at Abbeycare, said, ‘The reason that so many people love football and support their local club is because of the sense of community it brings, and it is something that is also key to this exciting partnership.

Abbeycare Teams Up With St Mirren FC Foundation To Create New Community Hub‘As a local provider of residential rehab, we recognise the importance of community engagement, and together with the St Mirren FC Charitable Foundation, we believe we can make a positive difference in Renfrewshire. The Abbeycare Buddies sessions will connect people struggling with addiction and mental health issues with our expert team and our network of volunteers, all of whom have lived experience of similar issues themselves.

‘We’re grateful to Renfrewshire Council for funding the project and can’t wait for the first session at the stadium. We hope this will be the start of a long-lasting partnership that will help reduce alcohol and drug-related harms.’

Gayle Brannigan, CEO of the St Mirren FC Charitable Foundation, said, ‘Recovery is an area we have always been very passionate about. We appreciate that most people’s lives will have been impacted by addiction, whether that be directly or indirectly, all of us know someone who has lived with or is living with the illness.

‘For the Foundation, it has been important to find a recovery partner whose ethos is fully aligned with ours, and who we feel offers a variety of holistic therapies and expertise post-detox. We have definitely found this with Abbeycare in Erskine. We are very excited about the format of Abbeycare Buddies, the Wednesday night sessions are unique and vibrant, and will be held in a safe and welcoming space here at the stadium.

‘In addition to Renfrewshire Council, we give huge thanks to our very own Patron Saint Ken Mearns, who personally donated funds to kick-start the project, as recovery is a subject very close to his heart.’


DDN magazine is a free publication self-funded through advertising.

We are proud to work in partnership with many of the leading charities and treatment providers in the sector.

This content was created by Abbeycare

Scottish Government announces funding for women’s and young people’s services

The Scottish Government has allocated £1.1m to the Aberlour Children’s Charity for perinatal support and recovery services, Public Health Scotland has announced. It is also making £750,000 available via the Corra Foundation to improve access to women’s services in Glasgow.

The funding allocation is in recognition of the ‘unique challenges faced by women who use drugs’
The funding allocation is in recognition of the ‘unique challenges faced by women who use drugs’

The funding allocation is in recognition of the ‘unique challenges faced by women who use drugs’, the government states. Winning Scotland’s Planet Youth initiative will also receive £750,000 for its work in ‘creating environments that support young people in creating healthy choices’, as part of the government’s commitment to early intervention.

While the most recent Scottish drug death statistics, which were published earlier this month, showed a 13 per cent decrease on 2023’s figure, the total still stood at more than 1,100. However, provisional figures for March to May this year have already shown a 15 per cent increase on the previous quarter, with Scottish Ambulance Service naloxone incidents also up by 45 per cent.

‘I want to express my deepest condolences to the family, friends and loved ones of the 1,107 people who lost their lives to drugs in 2024,’ said drugs policy minister Maree Todd. ‘Our national mission on drugs has delivered a number of positive developments, including widening access to life-saving naloxone kits to reverse overdoses and creating more residential rehabilitation beds. It is welcome that we have seen progress with the number of deaths at the lowest level since 2017, but these tragic drug deaths figures remind us, however, that there is much more to do.’

Looking beyond 2026, when the national mission is set to end, the ‘urgency of sustained action cannot be overstated’, said Scottish Drugs Forum CEO Kirsten Horsburgh when the drug deaths figures were announced. ‘This is not a problem that can be solved within the lifespan of a parliamentary cycle or an electoral term. Policy cannot be at the mercy of political timetables or electioneering. What Scotland needs is a bold, long-term strategy, spanning 15 to 20 years, to address the structural inequalities and social conditions that drive drug-related deaths.’

Female focused

Webinar and Resources: Hannah joined other speakers on a free webinar to discuss the report as well as hear real lived experience of women who had been through residential treatment. Watch a recording of the webinar and download presentations and resources here.women's treatment

More than 20 years ago, I worked in a community prescribing service in Tottenham. We had a woman in our service who would frequently attend having been recently assaulted, with black eyes or a swollen lip. She was homeless, and part of a wider street drinking community.

We had an amazing nurse join our team, who worked with her completely on her terms – just seeing her whenever she made it into the service (giving her as much, or as little, time as she wanted, no set appointments and no punitive practice for missed doses). Eventually she made it into rehab and, somewhat against the odds, she stayed.

In those days, six months of funding was a minimum, so she was there for the best part of a year. I can recall how delighted we all were when one day she came back into our service to say thank you to her key worker. She was barely recognisable from the woman we’d become used to seeing.

women's treatment - female focusedOne of the things I reflect upon now is how oblivious we were at the time to her trauma, and her experience of trying to navigate life as a woman within the drug-using community. Her vulnerability was not an abstract idea – it was the lived reality of being surrounded by dangerous males. We saw the ‘chaos’ of her life but failed to understand it through the lens of her as a survivor of male violence. I have found over the years though that once we begin to view women – our lives and our experiences – through that lens, there is no way to unsee it.

It seems that our drug and alcohol treatment system may be slowly changing – like the proverbial oil tanker, time, effort and momentum are finally creating a shift in direction, and we’re increasingly talking about women’s needs and experiences as being different to men’s. This is not to say that there aren’t similarities (there are) or that men’s needs should be in any way overlooked while we think about women’s (they should not). Moreover, it’s a recognition that, at times, we’ve applied a generic approach to drug and alcohol treatment, and in doing so we’ve failed women.

In our new report Time held gently we wanted to understand women’s residential rehab journey. We wanted to hear from women currently in rehab and women who’ve completed. We also spoke to staff and to professionals working in the wider sector.

When you know that you’re likely to be leaving a few weeks later, you don’t dare ‘open the box’ and start to work on some of the underlying issues
When you know that you’re likely to be leaving a few weeks later, you don’t dare ‘open the box’ and start to work on some of the underlying issues

We heard some compelling testimonies – in particular about the impact of 12 weeks funding. Women told us that it takes time to land, to start to build trust. When you know that you’re likely to be leaving a few weeks later, you don’t dare ‘open the box’ and start to work on some of the underlying issues – such as childhood trauma or domestic abuse. I think back to the woman from my service – 12 weeks would have been woefully insufficient for her.

We heard about how women were juggling caring responsibilities whilst in rehab – such as trying to secure contact with very young children, or navigate the needs of older ones. What was crystal clear was that women were rarely in a position to focus solely on their own needs – life ‘outside’ rehab required their emotional energy and attention.

It was interesting to pick up that our current system is missing data around women who are mothers – we only collect data on women with parental responsibility, overlooking the needs and experience of those who do not have their children in their care.

We heard some wonderful stories of hope and connection – a reminder that residential rehab can offer people the chance to start anew
We heard some wonderful stories of hope and connection – a reminder that residential rehab can offer people the chance to start anew

We heard about things that could improve the experience for women. Some women told us they were required to write a letter to the rehab funding panel detailing their life history in order to justify being funded for care. Women felt like their trauma was being judged, and we’d like to see this practice abolished.

We also heard some wonderful stories of hope and connection – a reminder that residential rehab, an often-overlooked part of our treatment system, can offer people the chance to start anew. For people seeking support for addiction, that fresh start can feel impossibly out of reach, yet rehab makes it possible.

We’re looking forward to sharing the report – we hope that we can use it to generate some conversations within our sector. We hope that it will help us to continue to ‘turn that oil tanker’ as we try to improve our response for women.

Hannah Shead is at hannahsheadconsulting.com

DDN ConversationsWomen in Residential Treatment: Time Held Gently

Watch the webinar here

Webinar Resources

Hannah Shead: Time Held Gently ReportPowerPoint Presentation

Dr Carly Guest: A Women’s Building Manifesto

Women’s Treatment Working Group: Womanifesto

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A wide angle

DDN Conference afternoon session

Jim Duffy, Smoke Works
Jim Duffy, Smoke Works

‘We redefined how harm reduction is going to work for us,’ said Jim Duffy, founding director of Smoke Works in Boston, Massachusetts (DDN, June, page 14). Smoke Works had an opportunity to scale up pipe distribution, which was an answer to a lot of local problems – ‘lack of engagement, lack of options. We did something a little different. Rather than filling up backpacks and hitting the streets, which was our day job, we decided to move behind the front lines and work for those who are doing the work.’

Smoke Works was designed as a procurement stream rather than an outreach organisation, he explained. ‘The question was “what if we could take the money being spent on harm reduction, and make it fund more harm reduction?”’ In 2020, when he was working at the AHOPE needle exchange – which is funded by the Boston Public Health Commission – a private grant came through to procure pipes. This also ‘gave us the oppor­tunity to get out and meet more folks, and find out what the effect would be,’ he said. ‘The results were published and they were clear – the impact was awesome.’

In the past there’d been ‘all these folks hanging around outside’ who had no reason to come into a needle exchange, he said. ‘And I realised that was my story too. I didn’t inject. I wasn’t going to walk into an exchange, because I smoked. I thought, “what does that place have for me?” Little did I know it had plenty – HIV testing, people, connection. In hindsight I’m embarrassed to admit that we thought everybody wanted to inject, so we never offered anything more. We were surprised by that.’

UNREACHABLE COMMUNITIES
Around three months into pipe distribution at AHOPE the numbers started to come back. ‘Of those folks coming in solely for pipes, completely new to the programme, no previous engagement – 50 per cent walked out with naloxone. That’s huge, and it helped us get into communities and neighbourhoods that were unreachable prior to that.’ Even when people said they didn’t need naloxone, staff could respond with ‘but I bet you know someone who does,’ he said. ‘It helped us put naloxone into places that we could not saturate before.’

afternoon sessionThe big question was who does harm reduction serve, he said. ‘Opioid injectors. So who are we excluding? Folks who primarily use stimulants, and people who use more than one drug.’ Syringe access reduced the risk of HIV and hep C, but pipe distribution was also a risk mitigation tool. ‘For safer smoking, pipes replace – and this is my story – drilling a hole in a lightbulb.’ Statistics from the Centers for Disease Control and Prevention, the US national public health agency, showed that people were up to ten times more likely to enter treatment if they engaged with a syringe exchange, he pointed out. ‘Why do we exclude stimulant users and people who don’t inject from that?’

LOGICAL INTERVENTION
Pipes were a very logical intervention, he stressed. ‘It’s safer, it’s more discreet, it’s less time consuming. It reduces overdose risk because it actually means that you pause for a moment to breathe – injection practice doesn’t offer that, especially when it takes ten, 15, 20 minutes to get a shot. If it took me that amount of time to pour a drink at the end of the day, I’m pouring a stiff drink.’

At Smoke Works he and his colleagues began contacting other harm reduction organisations on social media and setting up buyer’s clubs for bulk purchases of pipes – then channelling the profits to those with the fewest resources. Finally he took the decision to leave AHOPE and concentrate on Smoke Works full time. ‘We’re doing this from harm reduction up, not public health down – that’s what’s made the difference,’ he said. ‘We cultivated access to safer use supplies by offering them, only to reveal that the need was there the entire time – we just weren’t asking.’

This meant that it was vital to expand the definition of harm reduction, he said. ‘We have risk mitigation, and then we have the approach we use to make it accessible, and we can widen both. We can meet more people where they’re at, and we can have that impact on more lives.’

Mark Gilman, harm reduction consultant
Mark Gilman, harm reduction consultant

KEY PLAYERS
‘Our world has several players,’ harm reduction consultant Mark Gilman told the conference – ‘research, policy and practice, and then commissioners, providers, and the people who use drugs. I’ve been in all of those spaces over the last 40 years, but the one I’ve been in the longest is somebody who’s used drugs.’

From 14 to 19 he’d been ‘insanely drunk most of the time’, he said. ‘Alcohol is a drug, let’s get that out of the way.’ Soon after, taking LSD had changed his life ‘immeasurably for the better, as it meant I could put down the drink for a bit and embrace psychedelics.’ He’d then gone to India and discovered opium. ‘I liked it a lot, and there was a safe supply. I got physically dependent, which had its own problems, but it certainly dealt with my spiritual malady or whatever I had.’

A war on drugs was a war on drug users, he said. ‘And we die, in the thousands. The numbers are terrifying, and are only going to get worse with the polluted opioid supply.’ But the schism between harm reduction and recovery was a ‘false war’, he added. ‘When you’re dead, there’s no more war then.’ Too often people ‘sing to the choir and just get applause from their own people,’ he said. ‘But you don’t get change that way.’

Some of the key people in harm reduction worldwide were personally 12-steppers, he pointed out. ‘It’s usually managers of orthodox services who say “we can’t put people in 12-step abstinence-based recovery in a harm reduction setting – it’ll trigger them”. But what does the ‘Big Book’ say? “We carried alcohol for the new recruits, we went into sordid places”.’

Mutual aid was straightforward, he told delegates. ‘It’s me helping you, you helping me, in community, together, for free, 24/7, 365. What’s not to like?’ In this game we survive together and we die alone. Connection is the opposite of addiction. I’m encouraged by the growth in mutual aid, particularly Cocaine Anonymous.’

The afternoon session heard two perspectives on how we need to widen and reframe what’s meant by harm reductionUNCONDITIONAL SUPPORT
‘Meet people where they’re at’ was a phrase that was heard all the time, he said. ‘But it has to be unconditional. If we meet people where they’re at and then tell them where we want them to go, that’s conditional. If we genuinely mean meeting people where they’re at, then it has to be unconditional. Imagine being an outreach worker and going out to the 50 per cent of people not in treatment and asking them, yet again, what they want. They say, “what have you got?” And you say “methadone or methadone or methadone or buprenorphine”.’

However, in places like Scandinavia, Switzerland and elsewhere, heroin-assisted treatment was paying dividends. ‘A lot of exciting things are happening in terms of diamorphine. Not just the injectables, but they’ve got the 200mg tablet, a nasal spray for those people with venous sclerosis. It’s a safe opioid supply. And it’s beginning to happen here.’

Watch video footage of the afternoon session here.

Up to a quarter of vapes confiscated in schools contain spice

Up to one in four vapes confiscated in English secondary schools contain the synthetic cannabinoid ‘spice’, according to researchers from the University of Bath. While the drug was found in 13 per cent of overall samples, the proportion rose to a quarter in both London and Lancashire.

Up to a quarter of vapes confiscated in schools contain spice
Just over one per cent of the vapes confiscated in schools actually contained THC, compared to the 13 per cent containing spice

The research team analysed almost 2,000 e-cigarettes and e-liquids confiscated in 114 schools across seven regions, in a follow-up to a 2024 study that found vapes containing spice in three quarters of schools in the West Midlands, Greater Manchester, South Yorkshire and across London.

Spice-laced vape liquids are easy to buy online and actively promoted on social media, the researchers state – often ‘deceptively marketed’ as containing THC, the active ingredient in cannabis, rather than the cheaper and more dangerous spice. Analysis of TikTok, Instagram and Facebook over a three-month period found that the younger the platform’s demographic, the more likely the e-liquids being marketed as THC were to contain spice instead – 68 per cent for TikTok, compared to just 12 per cent on Facebook. Just over one per cent of the vapes confiscated in schools actually contained THC, compared to the 13 per cent containing spice.

The study is an ongoing collaborative project between the Universities of Bath, Bristol, Glasgow and Teeside, as well as University College London, Manchester Metropolitan University, Manchester Drug Analysis & Knowledge Exchange (MANDRAKE) and the Daniel Spargo-Mabbs (DSM) Foundation.

‘Spice e-liquids are trivially available on social media like TikTok and Instagram, with apparent drug dealing on these platforms,’ said study lead Professor Chris Pudney. ‘A simple search of social media platforms brings up hundreds of accounts selling this material, making them incredibly easy for young people to find. Young people think they’re buying a cannabis product but instead they’re being pushed a highly addictive, cheap drug with unpredictable and serious health effects, such as psychosis, seizures and heart problems.’

Despite the extent of the problem being made clear to the major social media companies, about 70 per cent of the accounts identified and tracked were ‘still online and easily accessible’, he added. ‘The response of these platforms appears insufficient to tackle this urgent issue. The Online Safety Act needs to be used to compel social media companies to find and remove the accounts selling these drugs to children. We are calling for Ofcom to be properly resourced and directed to open a specific enforcement programme dedicated to online drug sales.’

Meanwhile, a separate study found that people who use cannabis to ‘self-medicate’ are at more risk of side-effects like paranoia
Meanwhile, a separate study found that people who use cannabis to ‘self-medicate’ are at more risk of side-effects like paranoia

‘As we start another academic year, we’re very concerned that we’re going to see increased use – and increased harm from the use – of spice by teenagers, as a result of the ongoing visibility of vapes being sold as THC on their social media platforms,’ said DSM Foundation director Fiona Spargo-Mabbs. ‘This important research has clearly shown that until this is adequately addressed, young people will continue to be exposed to potentially significant risk from this potent substance, to an extent we haven’t seen before.’

Meanwhile, a separate study published in BMJ Mental Health found that people who use cannabis to ‘self-medicate’ are at more risk of side-effects like paranoia. ‘Reasons for first using cannabis may influence later use patterns and mental health outcomes,’ the researchers state. ‘Initiating cannabis use for self-medication is associated with higher average THC consumption, and increased anxiety, depression and paranoia.’ Asking people why they first used the drug may serve as a ‘cost-effective screening tool to identify those who could benefit from monitoring, support, or referral to intervention services’, the study concludes.

Are reasons for first using cannabis associated with subsequent cannabis consumption (standard THC units) and psychopathology? available here