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Families First 2013

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...and by the time she was 18 she was addicted to heroin. At the time, my knowledge of drugs, and heroin in particular, was extremely limited. I knew it was...

The state we’re in

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...we have been doomed to discuss this subject under the umbrella of ‘treating the most intractable, the most damaged, the treatment failures, the failures of treatment’. Why must a treatment...

Commissioning for change

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...were set up following relatively unsuccessful results with outpatient treatment. Exponential growth of the problem Treatment approaches emerged in the 1970s. Prescribed methadone doses were often challenged and inpatient treatment...

Identity crisis

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...did resort to treatment exhibited the classic pattern of multiple problems and post-treatment relapse. Reflecting on the implications, Robins argued that ‘drug users who appear for treatment have special problems...

What’s in a name?

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...do with service users and what treatment models we use or what treatment philosophy we come from. If we do use a specific evidence-based treatment intervention we have only been...

Durham police to offer heroin-assisted treatment

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...suggest a series of options which would enable us to introduce heroin-assisted treatment in the Durham area,’ he stated, with the annual cost of heroin-assisted treatment estimated at around a...

Middlesbrough HAT pilot has ‘dramatic impact’

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The Middlesbrough heroin assisted treatment (HAT) pilot launched last year (DDN, November 2019, page 5) has had a ‘dramatic impact’, according to the programme’s clinical team lead Daniel Ahmed. Clinical...

Europe: ‘new era’ of declining heroin use and complex stimulant market

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...treatment approaches accordingly,’ says the report. ‘Whilst overall the drug treatment system has made tremendous gains in recent years, particularly in tackling heroin and crack, newer club drug use is...

Final destination?

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...force people to come off treatment.’ SMMGP clinical director Dr Steve Brinksman. Public Health England (PHE) was working on an OST good practice programme, its alcohol and drug treatment and...

We need to talk about…The purpose of drug treatment

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...few decades to the ’80s when I first stumbled into treatment with a grade A heroin habit and a whole host of illusions just waiting to be shattered. The treatment...

Treatment crisis

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...spiralling costs of buprenorphine are threatening the vital work of all of us in this sector and more importantly the treatment plans of thousands of clients. Roz Gittins: Director of...

Numbers seeking treatment for crack up nearly 20 per cent

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...treatment for crack cocaine The numbers, taken from National Drug Treatment Monitoring System (NDTMS) data, show more people in treatment for crack problems across all age categories, including younger age...

Residential Support

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...Addiction Treatment DDN - January 8, 2020 Residential Detox and Therapeutic Treatment for Addiction at Broadway Lodge DDN - January 3, 2020 Pavilion Residential Drug Treatment DDN - September 20,...

Keeping older users in treatment

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...offer heroin-assisted treatment. Is he confident it will happen? ‘I think the heroin-assisted treatment part is probably easier to deliver in terms of legality issues and so on – I’d...

A guide to fentanyl – Meet the fentanyls

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...therefore essential to stress that buyers offered ‘white heroin’ or ‘China white’ are at present very likely to be getting fentanyl rather than old-school white heroin. People seeking heroin are...

Who cares?

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...and Italy are reducing overdose deaths. What do they have in common? Extremely good access to opioid substitution therapy (OST). What else helps? Drug consumption rooms (DCRs), heroin-assisted treatment, measures...

Treatment threatened by constant re-procurement, warns ACMD

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The quality of treatment for heroin users is being threatened by diminishing funds and ‘disruptive re-procurement processes’, according to a new report from the Advisory Council on the Misuse of...

The main man

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One of the key figures in the story of drug treatment in England, ex-NTA head Paul Hayes talks to David Gilliver for DDN’s tenth anniversary issue. Paul Hayes was chief...

Benefits of therapeutic communities

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...years of thinking that residential treatment is profoundly expensive and therefore a last resort, and that means two things – one is that residential treatment has been marginalised, and the...

Letters and comment from the drug and alcohol sector

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...all of the drug, alcohol and/or gambling treatment services for veterans who present to the charity. For the past six years we’ve supported around 40 veterans per year into treatment...

Adapt and thrive

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...still very much focused on problem drug users, he continued, particularly those dependent on heroin, despite the numbers of 18 to 24-year-olds needing treatment for class A drugs falling dramatically...

Constellations Online Festival of Harm Reduction

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...will always say to people is, “it’s your treatment”. It’s for us to serve and make that treatment as accessible, practical and useful as possible.’ Clinicians had to recognise that...

I am a…

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...in the substance misuse sector and related health and social care fields. Having the right team enables treatment services to help people change their lives for the better – and...

How far have you come?

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...treatment engagement for those in treatment using the Client Evaluation of Self and Treatment (CEST). • Recovery capital: Divided into separate sub-scales for personal and social recovery capital, and measured...

One size fits nobody

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...OST, either for the first time or after a break in treatment, new barriers had appeared. ‘I had to jump through so many hoops to get into treatment,’ said one...

One Life Programme

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...and function of services. Chris also spoke at the first DDN conference in 2007.   Paul Hayes Paul Hayes was chief executive of the National Treatment Agency from its creation...

Fighting for a C change

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...HCV treatment services. Commissioners need to be asking about HCV treatment delivery in their area, and we have to accept that many who need treatment will simply not conform to...

Looking after people on Medication Assisted Treatment during the Coronavirus pandemic

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...Medication Assisted Treatment (MAT). Change Grow Live’s services look after some of the most vulnerable people in society, including more than 30,000 people who rely on us to help them...

Harm reduction in Belfast

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...particular reference to heroin assisted treatment (HAT) for those who have not benefited from traditional OST medications. His presence attracted a number of high-ranking officers from the Police Service of...

Proposed Glasgow consumption room moves a step closer

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...£3.5bn. Heroin-assisted treatment could potentially save almost £950,000 per year for every 30 people who access it, says the health board, with the treatment available only to adult heroin-dependent patients...

Supervised humiliation?

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...off than heroin and does not address trauma in the way that heroin does – it doesn’t hit the sweet spot. With methadone, withdrawals go on twice as long, it’s...

Diverted methadone

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...predominant opioid prescribed in the UK for the ongoing treatment of heroin addiction. It has proved extremely useful in the fight to contain HIV among injecting heroin users, and there...

Straight to the point – NNEF conference

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...uncertainty around consistency and dosing. When pressed with a bulking agent, ‘hotspots’ could occur, with pills containing dangerous levels of this potent painkillers. Improving access to medically assisted treatment (MAT)...

Soapbox

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...falling back to 1,461 in 2011. We know that heroin and crack users in treatment are less likely to die than those not receiving treatment – the escalation of drug-related...

A step too far?

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...unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.’ 3. AA and 12-step treatment drive out other, often more effective, treatments. Like carp infesting...

Hep C: An end in sight?

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...the concern is that the ODNs [Operational Delivery Networks for treatment] run out of patients so the emphasis has to be on finding the undiagnosed and supporting people into treatment....

Treatment complete?

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...screened, referred and supported through treatment. The health gains for someone who has successful viral hepatitis treatment are immense and at least as important as them being ‘discharged treatment complete’....

Legal Line – Nicole Ridgwell

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Nicole Ridgwell of Ridouts answers your legal questions What does ‘treatment is a condition of the provision of the accommodation’ mean? If treatment is provided but is voluntary and freely...

Scotland publishes new treatment standards

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...people with the support and treatment they need.’ Scottish Drugs Forum CEO David Liddell ‘Scotland’s MAT [medication-assisted treatment] standards are the most significant landmark in improving Scotland’s response to problem...

Government pledges £80 million for treatment services

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The government has announced an £80m investment in drug treatment services across England. Home Secretary Priti Patel The money will partly be used to increase the number of treatment places...

Stand up and be counted

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...we provide the right opportunities for women to engage with treatment, and that our treatment offers them what they need.’ I’m pleased to say that the sector is now working...

CZAR GAZING – How do we harness political support?

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...makers to rejuvenate the sector? Unfortunately, not all of the benefits we see from the treatment system can be translated into political support and increased budgets. Substance misuse treatment reduces...

A patient worth saving?

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...treatment was going and used their feedback to improve treatment, which sounds familiar. Read the full article in June 2018 issue of DDN Service user groups arrived in modern Britain...

Sexual healing

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...vital part of treatment, examining how emotional experiences of addiction can often be similar regardless of how the addiction manifests. Treatment for sex/love and porn addictions is as challenging for...

Strategy for Survival

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...is particularly challenging. As interim CEO of an exemplary residential abstinence-based 12-step treatment centre, and observing similar charities closing while private ventures open up, I have been pondering the feasibility...

More than £550m needed to save treatment system, says Black report

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Professor Dame Carol Black The government needs to invest an additional £552m in the drug treatment system over the next five years through the Department of Health and Social Care...

PCCs lead the call for change

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...Hogg announced that he’d asked local public health departments to look at options for introducing heroin-assisted treatment to allow people to ‘stabilise their addiction in a controlled environment’ (DDN, March...

Middlesbrough launches heroin-assisted treatment programme

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A pilot heroin-assisted treatment (HAT) programme is being launched in Middlesbrough, the local police and crime commissioner (PCC) has announced. The programme will concentrate on up to 15 of the...

Primary position

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...that would be fine. It’s not a high-tech answer to anything – it’s not like heroin-assisted treatment, which is very expensive.’ What about the legal status of consumption rooms –...

Experts by experience – full referenced version

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...heroin, with 12 preferring a crack and heroin mix. All were current drug users, with 33 injecting regularly and four having transitioned to heroin and/or crack smoking. All participants, except...

Harm Reduction International Conference

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...on Drugs, launched by the Kofi Annan Foundation, and the example of Tanzania’s medication-assisted treatment for people who used drugs. ‘People are taking another look at policy on the continent...

CZAR GAZING – Finding the right balance

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...risk should be at the core of any local treatment service. Substitution treatment in particular is proven effective in attracting opiate users to services, helping them to stabilise their lifestyles...

By hook or by crook

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...review, which equated to 42 per cent of those who entered treatment. For people who do not enter treatment, it was revealed that the ‘image’ of treatment was off-putting, whether...

Deaths in treatment up by almost 30 per cent

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...will have contributed to the increase in the number of service users who died while in treatment during 2020 to 2021,’ says Adult substance misuse treatment statistics 2020 to 2021....

Olympian struggle

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...start treatment, and they’re not able to even maintain their HIV treatment because they go into drug relapses.’ The figures for hepatitis C infection among people who inject drugs also...

Gambling treatment shows improvement for most people

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More than 90 per cent of people who complete gambling treatment show an improvement in their condition, according to the 2020-21 statistics from the National Gambling Treatment Service (NGTS).   70...

Loaded Language

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...lack of demand is due to lack of awareness, and that is understandable – why would frontline treatment staff make people aware of a treatment option that isn’t funded? The...

Get engaged

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...their treatment and feel safe and secure with staff from their treatment provider. This is particularly relevant for those who have had traumatic experiences, as addiction treatment may be daunting...

Why isn’t more being done to tackle hep C?

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...the wrong questions – instead of asking, “can we give these people treatment?” they should be asking, “how can we give these people treatment?” If you ask that, you find...

Dayhab drug Treatment from Help Me Stop

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...part of everyday life, and how Help Me Stop’s new ‘dayhab’ treatment service can offer recovery to more people. “I believe there’s only one thing that matters about addiction treatment;...