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It’s game on for the Recovery Games

After a two-year absence due to the pandemic, the Recovery Games is back and taking place at Hatfield Activity Centre in Doncaster, DN7 6EQ on Saturday 24 September 2022.

The all-day event is a key attraction in the recovery calendar, bringing together people from all walks of life from across the UK to celebrate the achievements of people in recovery from a drug and alcohol dependency.

The Recovery Games attracts hundreds of people, who have lived experience or who work in the drug and alcohol field, competing in a day of fun-packed healthy gladiator style games and obstacle courses on the ground and in the water.

Entry is free and the action takes place between 10am and 4.30pm. The public is welcome to come along, watch the games, join the spectacular festival of colour and have a go on the many activities.

Neil Firbank, Aspire Senior Group Work Practitioner, said, ‘The Recovery Games showcase that recovery does happen with the right support. Those taking part are on their own journey of recovery and once a year, they join in and have fun with others who are also experiencing the recovery process.’

Stuart Green, Aspire Service Manager, added, ‘This is a real opportunity for communities to connect and build important relationships both at this event and with peers in their teams.’

Tim Young, Chief Executive from the Alcohol and Drug Service, also commented, ‘Registrations will open shortly for teams of people from within the recovery community with lived experience or who work, volunteer or mentor in the drug and alcohol area. Once again, we hope that local people will come along and show their support and cheer on the teams.’

For the latest updates and to register a team, follow the Recovery Games on Twitter @Recovery_Games or search facebook @recoverygames.

The Recovery Games is organised by Aspire Drug and Alcohol Service, which is run by Rotherham Doncaster and South Humber NHS Foundation Trust in partnership with registered charity The Alcohol and Drug Service.

The Recovery Games is made possible by fundraising and donations. If you would like to support the games, please follow the games on Twitter and search facebook.


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 Aspire 

Ignoring Britain’s growing alcohol crisis is costing us – socially and financially

Photo by Julianna Arjes on Unsplash

A decade has passed since an alcohol strategy was published by a Westminster government – a new plan is long overdue, writes Julie Bass, chief executive at Turning Point.

The need for clear boundaries around alcohol in the workplace was a key theme of the recent Sue Gray report. Excessive drinking “is not appropriate”, she said, in offices or wherever people carry out their jobs “at any time”.

However, the drinking culture Gray exposed is not just an issue in Downing Street and Westminster. The extent of this nation’s ambivalent, and at times toxic, relationship with alcohol was highlighted in a recent report from the all-party parliamentary group (APPG) on complex needs and dual diagnosis.

It showed how the pandemic has heightened unhealthy behaviour. Most of us did not break the law while restrictions were in place. But many switched focus from the pub to home during those long days and nights of lockdown.

The consequence has been that some people developed alcohol-related habits which would not have been tolerated by most employers, such as drinking at the desk. Others who already consumed a lot were pushed into seriously problematic drinking by the strains and stresses of Covid.

This is borne out by data on alcohol sales – the amount purchased overall dropped, but heavy drinkers bought more.

Harmful drinking is putting intolerable pressure on the NHS and other public services. Many people who struggle with alcohol misuse are not getting the help they urgently need, with years of underfunding a major factor.

Further evidence, namely from YouGov surveys, shows more than 8 million people were drinking at harmful levels in June last year, nearly double the number at the start of 2020. Deaths in England related to alcohol misuse also saw a worrying 19 per cent rise in 2020 to 8,974.

When someone becomes dependent on alcohol, they cannot then simply quit at will. Nor can the habit be broken quickly. The Royal College of Psychiatrists has warned that it could take years to reverse the behaviour of those pushed into a pattern of problem drinking in the pandemic.

The charity I lead, Turning Point, is not in the business of preaching or judging. Stigma and discrimination around alcohol misuse is itself detrimental because it deters people from seeking help. And many individuals are able to enjoy a drink without negative consequences.

However, we are concerned about the far-reaching repercussions of consumption at unhealthy levels for both society and individuals. Addressing the wider issues caused by harmful alcohol use should be at the top of this government’s priority list.

A decade has passed since an alcohol strategy was published by a Westminster government. A new plan is long overdue.

Read the full blog 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

Penrose Synergy Successfully Retains Floating Support Contract

SIG Penrose has been awarded a five-year Housing Related Floating Support contract by Luton Borough Council (LBC) and successfully retains  a contract awarded in 2017. 

Emmeline Irvine
Emmeline Irvine, Head of Services & Specialist Homelessness and Complex Needs Lead

Penrose first won the Synergy & Mental Health Floating Support Service (MHFS) contract in 2012.  Since then, Penrose has provided an extensive portfolio of services across Luton & Bedfordshire, including supporting mental health needs, people with offending histories and specialist services for women with complex needs. Synergy’s residential services include temporary accommodation for families and people experiencing homelessness and complex needs  and mental health hospital discharge. Community-based projects deliver horticulture skills as part of green prescribing and a  therapy project supporting local community mental health transformation.

Many funders support Penrose, including East London Foundation NHS Trust, Beds & Luton Community Foundation, the PCC, Bedford Borough Council and the National Lottery.

Synergy supports over two hundred people in Luton at any time with Housing Related & Social Care support. It partners with over two hundred and sixty organisations and departments across Luton, including the Bedfordshire Police and Crime Commissioners’ Office. It works alongside and with the support of Luton MPs and the Mayor of Luton.

Emmeline Irvine, SIG Penrose Head of Services & Specialist Homelessness and Complex Needs Lead said: ‘We are thrilled to be able to continue delivering the services and interventions that improve the lives of so many residents of Luton. In the last two years alone, Synergy has supported five thousand six hundred and five people, who have all stated that they now have more choice and control.’


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 Social Interest Group

Change Grow Live responds to ‘Swift, Certain, Tough’ white paper

Photo by James Eades on Unsplash

Mark Moody, Chief Executive of Change Grow Live, responds to the government’s ‘Swift, Certain, Tough: New Consequences for Drug Possession’ white paper.

Yesterday, the Home Office published ‘Swift, Certain, Tough’ – a white paper that contains many of the criminal justice measures outlined in the 10-year drug strategy, From Harm to Hope (2021). These include the diversion of people who are arrested to treatment or drug awareness courses, an increase in drug testing on arrest, and escalating sanctions for those found to be in possession of drugs. The consultation on these measures runs until October 10, 2022.

Commenting on the white paper, Mark Moody said:

“Last year we welcomed the new drug strategy, which implemented the independent recommendations of Dame Carol Black’s inquiry, as major commitment to a fresh approach to drug treatment and recovery, with funding to match.

“We will take time to digest the white paper and respond to the consultation. But we call for an evidence-based approach to any measures that are taken forward in legislation, in particular the expansion of drug testing on arrest, larger fines for possession, and mandatory treatment.

Our experience of working with people who use drugs tells us that compassionate support and meaningful engagement are the best predictors of successful treatment and recovery. It is critical that we don’t deter people from seeking help or further stigmatise them.”

Read the full blog 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 Change Grow Live

Recovery Street Film Festival is back celebrating its eighth edition

In the eight years since it was established, Recovery Street Film Festival has been challenging the stigma associated with people who use drugs and alcohol, and celebrating their recovery journeys, through the power of film and storytelling. 

RSFF 2022Over one hundred films have been entered into the festival competition and these entries have been watched by well over one million people to date. The idea has always been to give people with lived experience a platform to share their stories of hope and recovery with the public, in community hubs, classrooms, conferences, urban spaces, and just about any other place you can fit a screen and some willing viewers.

Our 2022 theme for film submissionsRSFF is “Who am I?”. You may think that’s an incredibly open-ended question, and you’d be right. Think of it as a guide, rather than something you must stick religiously to, helping you to engage the thinking process about your identity and place in the world.

Who you are may be different to who you were yesterday, or who you hope to be tomorrow. It may be influenced by the people around you or the communities you belong to, and the connections you make with them. It may be centred around your passions, ambitions, life, and career goals, or it could just be about your favourite hobby. The world around us has changed significantly in recent years, and there’s no doubt many of us have changed with it.

So that’s what we’re hoping to present through this year’s film submissions: though we may find courage in hearing of others’ trials, tribulations and triumphs through recovery, everyone’s lived experience, whether direct or indirect through friends and family, is unique.

There is a prize fund of £500 in Amazon vouchers on offer for the winners of Recovery Street Film Festival 2022, with £300 going to first place, £150 to second, and £50 to third. The top three entries, decided by our competition judges, will also have their travel to our launch in September paid for, the details of which will be announced soon.

Your film entry should be one to three minutes in length and can be as imaginative as you wish. They could be short dramatic plays using actors, drawn or stop motion animation, documentary or mockumentary style pieces, personal stories, monologues, songs, poems, or anything else you can think of.

You don’t need lots of experience or expensive equipment to enter the festival either. All you need is a storyline and a relatively up to date smartphone. There are lots of helpful guides and tips on our website to help you make a powerful film with limited resources and experience. We also accept entries of pre-existing films not created specifically for Recovery Street Film Festival.

 'Breaking free' RSFF winner
Get inspired by watching Matthew Butler’s winning film

At our last full festival in 2020, Russell Brand had the honour of announcing the winner, ‘Break Free’, directed by Matthew Butler. It depicts Dave, who is new to sobriety, struggling during the UK’s coronavirus lockdown. He calls his Recovery Coordinator, James, who provides him with some interesting tips to help him cope.

If you don’t fancy making a short film to enter, there are still many ways you can support our mission. With the same aim as above, you could submit a 10-second direct-to-camera video statement beginning with “I am a…” or “I am not a…”. We’ll then edit these videos together into a longer video that paints a picture of how people in recovery perceive themselves and how those perceptions differ.

You can also host a screening of the ten shortlisted films during Recovery Month in September. Hosting a screening is easy and it’s a wonderful way to get involved and help reduce the stigma associated with recovery.

You don’t need much tech or event planning experience to host a screening. You simply need a smart TV, projector, laptop, tablet or even a smartphone to be able to show them to your friends and other attendees. We’ll upload the ten shortlisted films to our YouTube channel so you can easily access them.

However you choose to get involved with Recovery Street Film Festival 2022, we hope you’ll join us in spreading the word about the achievements of people with lived experience during the run up to, and throughout, Recovery Month.

SIG Penrose Synergy Celebrates 10th Anniversary

Luton based charity, SIG Penrose Synergy, hosted the Mayor of Luton and guests last Friday 8th July, for a 10th anniversary celebration at the Roots to Recovery community garden on Bedford Road.

The event served a dual purpose of celebrating ten years of service to the community and recognising the staff working for Synergy, some from its inception in 2012. 

The event, held in the afternoon, welcomed over 100 guests, including the Mayor of Luton, Sameera Saleem, Luton South MP and Shadow Minister for Rough Sleeping, Sarah Owen, Luton North MP, Rachel Hopkins and Bedfordshire Police and Crime Commissioners Head of Commissioning, Simon Powell – all strong supporters of Penrose’s work across Luton and Bedfordshire. 

Also present were, partner organisations, people who have used Penrose services – past and present, Penrose staff, Vice Chair of the Board of Trustees and the Executive Management Team of the Social Interest Group (SIG).

Certificates of thanks were presented to Synergy staff by the mayor and special awards to the long-standing team members of Penrose Synergy by SIG CEO Gill Arukpe.

Inspirational speakers shared their journeys on how Penrose impacted them positively. Lunch, a raffle, free haircuts and braiding, and the anniversary cake cutting followed.

SIG Penrose secured Synergy; a Housing Related Floating Support contract with Luton Borough Council in June 2012. Since then, they have successfully established another nine projects and new initiatives offering a range of accommodation and community-based support interventions across Lurton and Bedford.

Emmeline Irvine, SIG Head of Services & Specialist Homelessness and Complex Needs Lead said: ‘This event is the culmination of the hard work that Penrose staff have put in to help to create such a memorable day. My thanks to them and to the Roots to Recovery staff and members for the use of their garden.’


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 Social Interest Group

Unstoppable force

Support don't punish

Juan Fernandez and Jamie BridgeRead it in DDN Magazine

As always, 26 June marked the United Nations’ ‘International Day Against Drug Abuse and Illicit Trafficking’ – a day in which many governments around the world choose to ‘celebrate’ their efforts to interdict drug markets and arrest those involved (including people who use drugs). Historically, this date has even been used for public executions of drug offenders. But, ten years ago, a bold new campaign was launched to reclaim the narrative of the day, and to promote more humane drug policies: Support Don’t Punish.

The initial brief was simple – design a message and some visuals that a handful of country partners from the Dutch government-funded PITCH Project could use to promote harm reduction and decriminalisation. On 26 June 2013, we were blown away when we learned about campaign activities happening in 41 cities and 22 countries around the world, most completely unrelated to the project! Support Don’t Punish has continued to grow in size and influence since then.

Around 26 June 2022, on the 10th Global Day of Action, thousands of people have been mobilised through a range of activities in at least 281 cities across 91 countries. In each country, local partners have the freedom to design their own events and approaches – and even the campaign brand and logo has been widely translated, adapted and personalised over the years. Crucially, each local partner also decides on their key advocacy messages – as long as these fit under the broad Support Don’t Punish principles (see opposite page).

Materials, leaflets, logos, designs and ideas are provided whenever possible by the International Drug Policy Consortium (IDPC), a global civil society network that is also the campaign’s co-creator and coordinator. Thanks to ongoing support from the Elton John AIDS Foundation and the Robert Carr Fund, we were also able to provide more than 100 small grants to partners all around the world. IDPC’s role as the campaign’s central hub is also strengthened by a number of thematic, community-based or regional ‘sister hubs’ that support partners to mobilise under our collective banner.

support don't punish principlesThe campaign events continue to demonstrate the incredible ingenuity and creativity of this sector. Over the years, we’ve seen art displays, music concerts, demonstrations and processions, street performances, political workshops, press conferences, webinars, radio shows, and so much more. In June 2022, the campaign partners organised media events in Nigeria, community events in Canada, harm reduction workshops in Colombia, rallies and speeches in Morocco, naloxone training in Ireland, film screenings in Australia, community outreach in Portugal, street performances in Zimbabwe, and the list goes on. Here in the UK, the powerful Anyone’s Child network held a lobby event outside Parliament calling for reform of our own drug laws.

By giving local partners the flexibility, resources and tools to organise based on their own needs and advocacy targets, the campaign has fostered a decentralised movement that brings together thousands of people – whether attending events, engaging with policy makers, or simply taking a photo as part of the campaign’s photo project (as participants at last month’s DDN conference were invited to do). This power in numbers helps to open doors to advocate for better drug policies: local partners report that the campaign has facilitated access to decision makers that were once inaccessible to them. The campaign has been specifically cited as an important contributor to policy changes in places such as Ghana, Ukraine, Mauritius and Thailand – to name just a few.

Elton John Support Don't Punish
‘Thanks to ongoing support from the Elton John AIDS Foundation and the Robert Carr Fund, we were also able to provide more than 100 small grants to partners all around the world.’

Over this past decade, we’ve seen rapid spurs of progress in drug policies in places we would not have imagined. More and more countries are moving towards the decriminalisation of drug use, which has now been explicitly endorsed by every UN agency through their ‘Common Position’ on drugs. Harm reduction measures such as drug consumption rooms and drug checking are growing in acceptance. But change is not a linear road and should never be taken for granted – and the last decade has also seen regression and rising authoritarian policies elsewhere, and the reversal of key wins where we thought they were well established. Here in the UK, at a time when Kate Bush tops the music charts and Top Gun is back in cinemas, Kit Malthouse’s rhetoric of ‘clear, certain, swift and escalating consequences’ that are ‘increasingly painful’ for ‘recreational drug users’ (DDN, June, page 4) feels like it’s following a trend by taking us back in time to the 1980s.

It therefore remains invaluable that we can all still come together, as a global drug policy reform community, under the umbrella of a unified Support Don’t Punish message. The campaign’s growth is also measured in the way local partners have cultivated solidarity between different movements who are also affected by the ‘war on drugs’. We remain convinced that the question is when, rather than if, global drug policies will change. Until prohibition is consigned to history, campaigns such as Support Don’t Punish have an important role to play in seizing every political opportunity as and when it arises.

Get involved at supportdontpunish.org

Juan Fernandez is campaigns and communications officer and Jamie Bridge is chief operating officer at IDPC

A little respect

A new campaign aims to uproot the stigma embedded in mainstream media, as DDN reports.

Read it in DDN Magazine

Challenging stigma about drugs, alcohol and any kind of addiction has become part of life for all of us. We’ve seen how it affects us, our families and friends, and people we work with. But being bombarded by stereotypes each day in the media can make the task feel overwhelming, as stigmatising words and images have become the norm and part of everyday communication.

A mum who had experience of being interviewed by journalists about supporting her daughters with their recovery said, ‘showing needles, spoons and paraphernalia… that’s what really upsets me. To see that they’re never moved away from that over the years… that’s the first thing they put up. What’s behind the story of that paraphernalia is always very sad, it’s very upsetting to people to see how addiction affects our loved ones and the family… but before people have got to that bit of the story, they’ve judged it already.’

DDN embraced the opportunity to help create a resource for journalists. As part of a working group organised by Scottish Families Affected by Alcohol and Drugs and Adfam, we met online regularly as a group that included a family member, a person in recovery, a national journalist and Alcohol Health Alliance UK, to look at how we could help journalists and editors to report on alcohol and drugs with dignity and respect.

The result was a toolkit for journalists and editors, which gave clear recommendations about avoiding stigmatising language, treating interviewees with respect and using appropriate imagery. It also suggested including support information in articles. The ambition was to encourage journalists to see their subjects as people – professionals, family members, members of the community who were experiencing problems – rather than defining them by negative labels and images.

The key recommendations were:

Images of alcohol and drugs should only be used where appropriate, and should not contain people in vulnerable conditions, including being drunk or unconscious. Articles about alcohol harm should not contain images which glamorise drinking and pictures of drug paraphernalia should only be used where the context is informative. Images should tell the human side of the story in a positive and responsible way, using photos of interview subjects, support services or the community.

Stigmatising language and labels should be avoided, and journalists should take care to reference interview subjects as parents, professionals and so forth, rather than ‘user’, ‘addict’ and ‘alcoholic’. Interview subjects should be asked how they would prefer to be described. Words like ‘druggie’ or ‘junkie’ should always be avoided.

Case studies should be encouraged – there are many people who are happy to share their stories to help others find support. Anonymity must be respected when requested, and interview subjects should be offered the chance to approve their own quotes.

Support information should always be included in any article reporting on alcohol or drugs.

Improving education through such positive practice could play a vital role in changing culture. Including honest accounts promoted the message that people can and do recover, and also helped readers to relate to and empathise with those involved. Journalists and editors were encouraged to reach out to groups and communities to learn more about their work.

‘We’ve seen fantastic progress over the years around reporting of mental health issues, including support information being included at the end of every article, stigmatising language decreasing, and the use of positive and educational images,’ said Justina Murray, CEO of Scottish Families. ‘We want to see the same progressive approach in the reporting of alcohol and drug issues… We know the media can play a huge part in sharing the voices and experiences of family members and in encouraging people into recovery.’

The toolkit would help to challenge the stigma faced by those struggling with drugs and alcohol, and their families and friends, added Vivienne Evans, chief executive of Adfam. ‘Journalism has a key role to play here, and we have produced this toolkit in collaboration with journalists who want to see more respectful reporting on alcohol and drugs across the board.’

phoenix futures stigma campaign

 

The #ReportingOfSubstance media toolkit from @ScotFaADrugs and @AdfamUK is available online at https://bit.ly/3zC6MnV

Share the toolkit on social media and join in the campaign!

Back to ‘Brilliant Basics’ for Change Grow Live with a HIT Harm Reduction Partnership

Change Grow Live are excited about a new relationship with long-standing harm reduction experts HIT to deliver an ambitious harm reduction training program with the specialist training and consultancy agency. 

HIT, formerly the Mersey Drug Training and Information Centre, was established in 1985 to reduce drug-related harm and set up one of the UK’s first syringe exchange schemes. Based in Liverpool, the organisation has an international reputation for developing, advocating and implementing a pragmatic and effective approach to the use of drugs.

Peter Furlong, the national harm reduction lead for Change Grow Live
Peter Furlong, the national harm reduction lead for Change Grow Live

Peter Furlong, the national harm reduction lead for Change Grow Live, describes the plan to train over 2000 staff as just the first step in this exciting collaboration and feels it well overdue, with many staff who have joined the sector over the last decade not having had the benefit of a clear and confident understanding of the importance of harm reduction when working with drug and alcohol users. 

The three-stage training will encompass the philosophy behind harm reduction, best practice, interventions and working specifically with people at most risk of harm. The training will have a range of expected learning outcomes, enabling a wider understanding of harm reduction as an overarching philosophy when working with people who use drugs and alcohol, and allowing frontline staff the increased ability to be self-aware about the way we all risk allowing our own thinking to get in the way of meeting people where they are in their treatment journey and increasing confidence when managing risks. 

Peter Furlong also said, “We want to regain and refocus on some of the core harm reduction approaches that have lost some prominence in services in the sector, to enable greater confidence and competence in our staff to challenge non-evidence-based practice and policy and stigmatising language and behaviours that often don’t make contacting services for help an attractive option for some people”. Stigma is often a major reason for people not presenting to drug services, along with a perception – and maybe even experience – that abstinence is the only offer from some providers. We aim to really go back to basics and to build staff inclusion and buy-in that a sound and effective knowledge of harm reduction will inform better practice, increase engagement with people outside of structured treatment and include people who use drugs and alcohol in the ongoing design, development and delivery of services. 

The training is just one part of Change Grow Lives wider harm reduction strategy that also encompasses the micro elimination of Hepatitis C, increasing access to structured treatment, enhanced outreach work, continued focus on optimised dosing and improving the coverage and quality of needle and syringe programmes. 


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 Change Grow Live

DDN July/August 2022

‘From the moment I arrived I was surrounded by energy’

DDN July/August 2022We wondered if it would ever happen – and then there we were, with everyone pouring through the doors of our first conference for three years. Overwhelming and exhilarating.

In this issue you’ll find all kinds of impressions of the day, but for me the highlights, alongside inspiring speakers and our team of amazing volunteers, were the connections – reunions, introductions, endless possibilities for working together and sharing ideas. It reminded me that this event is shaped by each and every person who takes part. It’s particularly inspiring to hear from people who haven’t been before. Lydia said she wasn’t quite sure what to expect, but ‘from the moment I arrived, I felt like I was surrounded by people who were full of energy and determination…’

And this is what we need to take away from one day’s event and pass on to colleagues. We have so many different viewpoints and perspectives between us and it’s not always easy to align with others’ beliefs and ways of doing things. But the common aim is to strive for better physical and mental health, safety and wellbeing and to challenge anything that limits our opportunities. A physical event is liberating and life-affirming in so many ways; let’s keep that door open. 

Read the July issue as an online magazine or download the PDF here

Claire Brown, editor

Please send your letters and comment to claire@cjwellings.com

The Forward Trust expands its reach in Southend, Humberside and London

Photo by Priscilla Du Preez on Unsplash

The Forward Trust has been awarded two major new contracts, enabling the organisation to help even more people change their lives for the better.

Southend Treatment and Recovery Service

The Southend Treatment and Recovery Service went live on 1st April and is delivered alongside our partners Open Road. The service helps people 18+ that have issues with drugs and/or alcohol or are impacted by that of a loved one, even if that loved one is not ready to get support themselves.

Support is tailored to each person’s needs, so will look slightly different for everyone. Interventions on offer include: one-to-one and group support; health checks and testing for blood-borne viruses, including Hepatitis C; help to detox; prescribed medication (where appropriate and following a medical assessment), naloxone dispensing and needle exchange; support from peers who have been through similar experiences; and ongoing recovery support.

Dependency and Recovery Service in Humberside and London

Forward has also won a contract to deliver the Dependency and Recovery Service in Humberside and London. The service will help over 8,000 people on probation (prison leavers and those on community orders). It is part of the suite of add-on services that probation teams can commission to provide bespoke wrap-around support to their clients and has been designed to ‘bridge the gap’ between probation and substance misuse services in the community, by building their motivation and confidence.

The service will involve working closely with Probation Teams, developing their understanding of substance misuse and raising their awareness of the support available through community providers of treatment. It will also involve us brokering referrals and helping to address gaps in the criminal justice pathway.

Both contracts will be mobilised through July and August, going live on 12th September.

Read the full blog 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 Forward Trust

Celebrating the achievements of the Addictions Counselling Degree Programme

As Forward’s Addictions Counselling Degree programme draws to a close, programme lead Katherine Jenkins pays tribute to the many achievements of the course and its students.

The origins of the Addictions Counselling Degree Programme can be traced all the way back to 1988, when Tim Leighton created a new addictions counselling course. The year-long programme, which was based on the world-famous Hazelden course for addiction treatment, was taught out of residential treatment centre Clouds House. It had just five students enrol in that first year – a fraction of the many people that would benefit from it over the years!

In the years that followed, Tim expanded that one course into a range of qualifications, including a post-graduate diploma and a Further Education Diploma, with qualifications awarded through such illustrious institutions as Guy’s and St Thomas’ Hospitals and Kings College London. Teaching of the course, which had moved from its initial base in Clouds to several other locations over the years, eventually settled at a place called Manor House, a beloved location in Warminster that became its permanent home and was known as The Centre for Addictions Treatment Studies (or CATS).

The expansion of the qualifications culminated with the creation of a full Foundation Degree in 2003, delivered in partnership with the University of Bath. Two years later, the programme evolved again with the creation of a further year of training, for students who wanted to gain a full Honours Degree. The programme was popular, with around 30 students enrolled each year (some studying full time, some part time).

Students often came from non-traditional routes in order to access the degree programme and some had not been in an educational environment for decades. In addition, around 70% of students had their own personal experiences with addiction – either as someone who had experienced an addiction themselves or as a family member. For many this was their motivation for joining the course and working in the field, but this also presented personal challenges as they learned to reflect on their own views, experience and practice in order to become excellent practitioners. The team never failed to support students to negotiate all of these variables throughout the life of the degree.

In 2015, Katherine Jenkins took over the management of the programme. This coincided with a change of staffing at the University of Bath, and a shift in the academic and procedural expectations of the University. Always keen to meet a challenge, the team went above and beyond to not only make the changes required, but to ensure that the original ethos and level of pastoral care and support for students remained.

The Covid-19 pandemic presented the team with one of its greatest challenges – moving a face-to-face, work-based learning degree programme online in just two weeks. For many, this meant 14 hour working days, seven days a week for several months. The team had to address not only the personal impact the pandemic had on them and their own families, but also its impact on their students. There was a huge shift in the teaching methods and materials used. In addition, many students had to be supported outside of normal working hours as they experienced their own personal challenges. At times those challenges were life-threatening, but the team did not waiver at any point in giving the support needed.

Read the full blog 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 Forward Trust

WDP shortlisted in CIPD People Management Awards

WDP has been shortlisted for its Pay and Reward project in the ‘Best reward or recognition initiative’ category at this year’s CIPD People Management Awards.

These prestigious awards showcase and celebrate the outstanding achievements and contributions made by HR and Learning and Development teams across the UK who are making a real difference in their workplace.

WDP’s new and innovative employee benefits package launched in 2021 following an extensive consultation with staff. It was really important to us to put in place new conditions and benefits that support a happy, healthy, and impactful workforce and this has also helped us to continue to make a significant and positive difference in the work we do.

As well as gathering feedback from our people, we undertook research and benchmarking work, in our sector and beyond. We pushed and challenged ourselves to consider what we could do differently to make a difference. We will be reviewing our offer every two years, demonstrating our commitment to ensuring our pay and reward offer continues to help support us to attract, retain and develop the very best people.

Some examples of our benefits include:

  • Annual leave of 30 days, from start of employment, increasing to 33 days over time.
  • Sick leave of six months full pay, then six months half pay, from start of employment.
  • An additional day’s leave for the following important life events: birthday, getting married/civil partnership, moving house, and child’s first day of school.
  • Access to confidential counselling and practical support via our Employee Assistance Programme
  • Access to Perkbox rewards and benefits, where all WDP staff can enjoy a wide variety of discounts – from fitness and wellbeing providers such as Puregym or Boxx and retailers like Argos or Snow & Rock – as well as freebies from Café Nero or Greggs, and free courses from the Skills Network.
  • Other support we offer includes leave for: IVF (both partners eligible), adoption, gender transition, dependents, miscarriage (both partners eligible), pet bereavement and domestic abuse.

Anna Whitton, CEO of WDP said, “Our team have worked incredibly hard to develop and implement this important project. Being shortlisted for this CIPD award really recognises the careful time and attention invested in developing a strong and diverse employment offer. We are really proud of it!”

Read the full blog 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 WDP

WDP launches newly refurbished site at New Beginnings in Brent

WDP has launched its newly refurbished Cobbold Road hub at its New Beginnings service in Brent. 

The refurbished site was unveiled to service users, local partners and stakeholders at a launch event where attendees also heard from MP for Brent Central, Dawn Butler.

The improvements made to the New Beginnings Cobbold Road hub have created an even more welcoming and positive environment for staff, volunteers and most importantly for service users on their recovery journey.

Some of the key improvements made to the hub are:

  • Brand-new reception area to give service users a warm welcome when they enter the building
  • Larger group room including a kitchen area for service users
  • Soundproof pods for staff to conduct online assessments and keywork sessions
  • Easily accessible needle exchange room
  • Capital Card shop available at all times during opening hours, giving service users the opportunity to access essential items when needed.

Tom Sackville, WDP’s Executive Director of Services, said: “We are delighted to launch our new and improved hub at Cobbold Road. The new site provides a welcoming environment that will encourage people to access the excellent treatment offer that is available from New Beginnings, delivered in partnership with our clinical leads CNWL and service user group B3. We appreciate all the support provided by our commissioners at Brent Council for making this possible.”

The Cobbold Road hub launch event also included networking and a ‘marketplace’ where stands were setup throughout the building including WDP’s IPS Into Work employment service, B3 Brent Service User Council and ELEV8 Young Person’s Service.

Read the full blog 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 WDP

Ban all alcohol promotion, urges Alcohol Focus Scotland

The Scottish Government should introduce legislation to restrict alcohol marketing ‘where it has powers to do so’, says a new report from Alcohol Focus Scotland, including outdoor and public spaces, print publications, merchandise branding, and sports and event promotions.

The action is necessary to address a situation where people are being ‘bombarded by booze ads’ that normalise and encourage drinking at the expense of health, it states.  

Alcohol Focus Scotland chief executive Alison Douglas.
‘The current self-regulatory approach to alcohol marketing is failing to protect people.’ said Alcohol Focus Scotland chief executive Alison Douglas.

People with an existing alcohol problem – or at risk of one – are particularly affected, says the report, along with children and young people. Marketing has become increasingly sophisticated and difficult to avoid, it adds, as drinks companies ‘invest millions’ in trying to build long-term relationships with consumers. Alcohol advertising has undergone a shift from a ‘predominantly product sales model to brand marketing, with a focus on building brand identity and emotional connection with the consumer, creating a deeper, longer-term relationship’, the report states. 

The restrictions would help to address the ‘social norms’ that alcohol companies attempt to create, it says – that ‘regular drinking is normal and desirable’. Any new restrictions should be extended to ‘all forms’ of marketing, it continues, including identifiable fonts, straplines and colours alongside brand names. Displays and promotions in shops should only be visible to anyone planning to buy or browse alcohol, it adds. 

‘The current self-regulatory approach to alcohol marketing is failing to protect people and has led to our communities being wallpapered with promotions for a product that harms our health,’ said Alcohol Focus Scotland chief executive Alison Douglas. ‘Children and young people tell us they see alcohol everywhere, all the time and they worry that adverts make alcohol seem cool and exciting. People in recovery talk of how marketing jeopardises their recovery. But all of us are affected and this has to change. People don’t just have a need to be protected from alcohol marketing they have a right to be protected. A number of other countries have already imposed bans on alcohol marketing and Scottish Government has committed to consulting in the autumn. If we want to create a more positive culture where everyone can realise their right to health, the Scottish Government must use Scotland’s full powers to restrict alcohol marketing.’

Victor Adebowale
‘Alcohol causes huge harm to individuals, families and communities,’ said joint chair of the APPG Lord Victor Adebowale.

Meanwhile, the APPG for Complex Needs has published a briefing note for parliamentarians calling for urgent government action to tackle alcohol-related deaths, following increased levels of consumption during the pandemic by people who were already drinking at risky levels – particularly older, dependent drinkers with other chronic conditions. 

‘Alcohol causes huge harm to individuals, families and communities,’ said joint chair of the APPG and chair of the NHS Confederation, Lord Victor Adebowale. ‘What is less well known is the strain this places on the NHS. At a time when our NHS is struggling with long waits for ambulance call outs and more people than ever presenting at A&E, we need a laser focus on preventing demand wherever possible. We urgently need a national alcohol strategy that ensures that anyone with an alcohol problem has access to support.’

Pride month is a time for celebration and reflection

Photo by Eduardo Pastor on Unsplash

As an IAPT clinician and a member of the LGBTQ+ community I’m honoured to have used my experiences to support others, writes With You’s AJ.

I look forward to June as it is the start of summer and longer days, but also because it’s Pride month. Celebrating the LGBTQ+ community as well as inclusion, and diversity, it falls in June because that’s the month in 1969 when the famous Stonewall riots occurred that led to wider changes in gay rights in America and across the world.

Our sexuality is woven into our being, culture, and society, and affects our interactions on a daily basis. How many times have you asked someone if they’re married or have a partner? This could be an uncomfortable question for some not from a dominant sexuality in their culture or social grouping.

I was uncomfortable with my sexuality when younger and still have an inherent discomfort in me which is a legacy from internalised discrimination that I witnessed and experienced. I was led to believe that being bisexual is a ‘phase’ and was told that I would ‘grow out of it’. Have you ever grown out of a part of your core being? Have you grown out of your arms or your head?

Bisexuality is often an overlooked sexuality of the LGBTQ+ community, and there are limited support groups and resources. Growing up I remember feeling ‘other’ around gay, lesbian, transexual, and hetreosexual groups. This is something that I have witnessed in my career delivering NHS talking therapies (also known as Improving Access to Psychological Therapies or IAPT) and as a counsellor in the charitable sector. I have worked with bisexual clients and members of their family and have been honoured to use my experiences to understand and validate theirs.

My experience is also shared by other members of the LGBTQ+ community including those that fit into the ‘plus’ category such as asexual, nonbinary, and intersex. The same experiences can be witnessed in other individuals who experienced discrimination due to protected characteristics such as religion or disability.

June is a time for celebration and reflection on how we can use our experiences to understand others and seek opportunities for equity for those that are in the minority. It is a time to celebrate our own sexualites and of others around us. I am proud of how far we have come as a society, and have hope that the future generations will experience a more inclusive society.

Read the full blog 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 With You

Worldwide cocaine manufacture hits record high

Cocaine manufacture grew by more than 10 per cent between 2019 and 2020 to more than 1,900 tons, according to UNODC’s World drug report 2022. Cocaine seizures also hit a record high of more than 1,400 tons in 2020 despite the COVID-19 pandemic, with almost 90 per cent of the cocaine seized in 2021 trafficked in containers and/or by sea.

The findings echo EMCDDA’s recent European drug report 2022, which stated that cocaine availability in Europe is now surpassing pre-pandemic levels (www.drinkanddrugsnews.com/european-cocaine-availability-surpassing-pre-pandemic-levels/).

Cocaine trafficking also appears to be expanding to areas outside of the traditional markets of Europe and North America, say UNODC, with increased levels of trafficking to Africa and Asia. The quantities of methamphetamine seized also grew five-fold in the decade to 2020.

Almost 285m people aged 15-64 used drugs in 2020, says the UNODC report – more than 25 per cent up over the previous decade. ‘Young people are using more drugs, with use levels today in many countries higher than in the previous generation,’ it states, with people under 35 now representing the majority of people being treated for drugs issues in Africa and Latin America.

Around 11.2m people were injecting drugs, the document says, around half of whom were living with hepatitis C, compared to 1.4m living with HIV – 1.2m were living with both. Overdose deaths in North America and Canada, meanwhile, ‘continue to break records’ and are driven primarily by ‘an epidemic of the non-medical use of fentanyl’. The treatment gap remains large for women across the world, the report adds. ‘Women remain in the minority of drug users globally yet tend to increases their rate of drug consumption and progress to drug use disorders more rapidly than men do.’

There can be ‘no effective prevention or treatment without recognition of the problem and the necessary funding to address the problem,’ says the report. ‘Public resources are stretched to the limit by competing demands, but we cannot afford to let commitment wane. We need to promote compassion and better understanding.’

Ghada Waly: Seizures hitting ‘record highs’

‘Numbers for the manufacturing and seizures of many illicit drugs are hitting record highs, even as global emergencies are deepening vulnerabilities,’ said UNODC executive director Ghada Waly. ‘At the same time, misperceptions regarding the magnitude of the problem and the associated harms are depriving people of care and treatment and driving young people towards harmful behaviours. We need to devote the necessary resources and attention to addressing every aspect of the world drug problem, including the provision of evidence-based care to all who need it, and we need to improve the knowledge base on how illicit drugs relate to other urgent challenges, such as conflicts and environmental degradation.’  

UNODC’s World drug report 2022 – read it here

We’re here & we’re queer

Photo by Cecilie Johnsen on Unsplash

Rachel Coventry, a Young Person Recovery Worker at With You, talks about navigating being LGBTQ+ in the workplace.

Society has come a long way with equality for the LGBTQ+ community. I’m sure we can all agree that it’s amazing workplaces now have ‘Equality and Diversity’ schemes and training to ensure they’re more inclusive and members of the community feel supported.

However, there’s still room for improvement and a lot of professionals still feel the need to hide part of their identity. According to the 2018 Stonewall report “LGBT in Britain — work report”’:

  • more than a third of LGBT staff (35%) have hidden that they are LGBT at work for fear of discrimination
  • nearly two in five Bi people aren’t out to anyone at work
  • one in eight Lesbian, Gay and Bi people (12%) wouldn’t feel confident reporting any homophobic or biphobic bullying to their employer
  • one in five trans people (21%) wouldn’t report transphobic bullying in the workplace.
  • almost a third of non-binary people (31%) and one in five trans people (18%) don’t feel able to wear work attire representing their gender expression.

With previous employers, I’ve personally experienced micro-aggressions and homophobic slurs. I’m always nervous to start a new job because you just never know how staff and clients are going to react. I used to work with high risk offenders, and I was told by my employer that it would be safer for me to not share or insinuate about my sexuality as a lesbian, to prevent myself from further harm.

In another job as a Teaching Assistant a student asked whether I had a boyfriend and I explained that I had a girlfriend. The students were very welcoming and understanding. However my boss at the time found this unusual and pulled me into her office and said that it was not appropriate. I asked her whether the students know that she has a husband, she said yes, so I simply asked, “what is the difference between your relationship and mine?”

In contrast I started my role as a Young Person Recovery Worker at With You in March 2022 and staff have not only authentically accepted my sexuality but have even encouraged me to engage with further advocacy for the LGBTQ+ community. They welcomed my interest in starting an LGBTQ+ support group, and they’ve continued to encourage any ideas I’ve had to better support the community. Since starting, I’ve created an ‘Understanding Me’ group in a Catholic school to help young people. I have spoken openly about my experiences and sexuality, and I have also secured a place for With You to march at Liverpool’s Pride. And I am just getting started.

My managers (Jan, Akeem and Liam) and colleagues supporting me have not only had a positive impact on the young people we work with and the organisation as a whole — but me personally. I feel confident within both myself and my sexuality and I am proud of my journey. But mostly, I am elated to be the person for young people that I desperately needed when I was younger.

Read the full blog 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 With You

Alcohol deaths five times higher in Scotland’s deprived areas

Rates of alcohol-specific deaths are almost five times higher in the 10 per cent most deprived areas of Scotland, according to figures from Public Health Scotland (PHS), with rates of alcohol-related hospital stays eight times higher. 

deprived area of glasgow

Population-level alcohol consumption – which is estimated from retail sales figures – was roughly the same in 2021 as the previous year, says the MESAS monitoring report 2022, which is part of the ongoing Monitoring and Evaluating Scotland’s Alcohol Strategy (MESAS) programme. COVID-19 restrictions were still affecting on-trade premises such as pubs, clubs and restaurants in 2021, meaning that 85 per cent of all alcohol sold in Scotland was through retail premises like off-licences or supermarkets. This proportion fell slightly from 90 per cent in 2020 but is still substantially higher than just over 70 per cent before the pandemic. 

More than 60 per cent of pure alcohol sold in Scotland was between 50 and 65p per unit, compared to 32 per cent before the introduction of MUP. However, alcohol on sale in the UK in 2021 was still 78 per cent more affordable than it was in 1987, says the document. A separate PHS report recently found that MUP has had little effect on the consumption patterns of people drinking at harmful levels, with some now spending less on essentials like food and utilities and more on alcohol. Almost 1,200 people died of alcohol-related causes in Scotland in 2020, an average of 23 per week. Alcohol-specific death and hospital rates are at least twice as high among men, and highest in the 55-64 age range. 

‘Today’s MESAS report shows that population-level alcohol consumption in Scotland has been maintained at a similar level to that seen in 2020, the lowest level observed in the available data,’ said public health intelligence adviser at PHS, Vicki Ponce Hardy. ‘However, it also clearly highlights that significant inequalities persist in both alcohol consumption and the harm it causes. The most recent survey data show that almost a quarter (24 per cent) of adults in Scotland still drink more than the recommended low risk weekly drinking guideline. Among those exceeding the guideline, it’s those in the lowest income group who are likely to consume the most. In the 10 per cent most deprived areas of Scotland, rates of alcohol-specific death were nearly five times higher, and alcohol-related hospital stays were nearly eight times higher, than in the 10 per cent least deprived areas. Like all harm caused by alcohol, this is preventable. Public Health Scotland will continue to monitor and evaluate Scotland’s alcohol strategy, to gauge progress and understand what works to reduce the harm alcohol causes.’

Document at publichealthscotland.scot/publications/mesas-monitoring-report-2022/

More work needed to increase availability of naloxone, says ACMD

More needs to be done to increase the availability and use of naloxone, according to a report from ACMD.

Community pharmacies should be able to deliver take-home naloxone as well as interventions in managing opioid overdose, says the document, while data quality also needs to be improved to allow commissioners to properly monitor how the drug is being provided. 

ACMD chair Professor Owen Bowden-Jones.
‘Naloxone is a life-saving medication and it is crucial that it is easily available to people at risk,’ said ACMD chair Professor Owen Bowden-Jones.

The report cites examples of effective partnership working that it says should be used to model naloxone programmes across the UK, while prison services need to ensure people at high risk of overdose on release have easy access to the life-saving drug. ‘Evidence suggests that the supply of take-home naloxone on release from prison is fragmented across the UK, with only a small proportion of opioid-dependent prison leavers currently being provided with naloxone, even though studies find that a high percentage of these people would willingly accept take-home naloxone upon prison release,’ it says. Ambulance services, hospitals and mental health trusts should also deliver take-home naloxone to those at risk, it adds, with additional training provided for police. 

‘Overall, it is apparent that a national joined-up approach to promote the delivery of take-home naloxone across different sectors is necessary, supported by rigorous data recording to measure progress,’ the document states.  

‘Naloxone is a life-saving medication and it is crucial that it is easily available to people at risk,’ said ACMD chair Professor Owen Bowden-Jones. ‘Only a national, cross-sector approach will achieve this. We look forward to the government response to this report and our findings.’

Meanwhile, Public Health Scotland (PHS) figures show that more than 9,000 take-home naloxone kits were issued in the last quarter of 2021, a 66 per cent increase on the same quarter the previous year and the highest number since Scotland’s National Naloxone Programme began. 

ACMD review of the UK naloxone implementation at www.gov.uk/

National naloxone programme Scotland – Quarterly monitoring bulletin at www.publichealthscotland.scot/

We Fill Vacancies: Happy Employability Day 2022

The Forward Trust celebrates Employability Day 2022 and looks at the challenges we must overcome to build a more productive and inclusive economy.

Today we celebrate our hard work as an employment support provider, helping people to enter and progress in employment. Employability Day is a day for all of us in the sector to shout about our successes and drive understanding about the work of employment support organisations across key stakeholders at a local, regional and national level.

This year’s Employability Day theme is #WeFillVacancies.

Our recent achievements

This year we celebrated another successful year, supporting even more people in prison and the community to progress into sustainable work. Here are some of our highlights.

Restart Jobs Fair 2022

Earlier this week, we held a Jobs and Careers Fair at The Turner Contemporary in Margate. It was a great success, attended by over 100 participants. Annie Gale, Head of Raw Talent and Apprenticeships at Cook Trading Ltd, launched the fair and we welcomed many employers and partners including Umbrella TrainingAvondale CareThe Home OfficeBlue Tech ConsultingHR-GO, Sands Heritage and East Kent College. In the afternoon we enjoyed a great networking session with our partners and employers. Thanks to everyone who came along.

The work must continue to tackle in-work poverty

After the pandemic, the Employment Support sector along with employers and its partners did exceptionally well to support people back into work. The official UK unemployment rate is 3.8% (February-April 2022), 0.2 percentage points lower than the previous three month period, putting the official employment rate up to 75.6%.

Challenges remain, with the employment rate still below pre-pandemic levels and short-term unemployment rising, particularly for 18–24-year-olds. The economic inactivity figure is still 447,000, higher than before the pandemic, especially amongst older people, the long-term sick, and disabled members of society.

The cost of living crisis is hitting hard with real regular wages falling more sharply over the past few months. According to the Learning and Work Institute, ‘regular pay in real terms fell by 3.4%’, the largest single month fall this century.

In work poverty has continued to rise, particularly for low paid workers who are disproportionately likely to have less secure contracts e.g. zero hours or agency work. The Joseph Rowntree Foundation (JRF) found that 57% of zero hour contract workers were in the bottom fifth of earners and they had higher rates of in work poverty.

The JRF in their Making Job Work report stated:“Insecure work is particularly damaging to families living on low incomes. Lack of notice of shifts or hours, for example, makes it difficult for people to plan for family life or their finances. It contributes to the feeling, of being treated not as a human being, but instead as just a number, or a cog in a machine.”

The Forward Trust approach

As an employer, we pay our staff the Real Living Wage and strive to offer better employment contracts. As an employability and skills provider, we work with other employers who do the same and support the Good Work Standard. Employment support providers must work with employers to improve job quality and security. This will play a role in building a more productive and more inclusive economy, as well as contribute to the ‘levelling up’ agenda. 

Employers should also support the development of their staff, including new entrants from disadvantaged backgrounds, by utilising the apprenticeship levy and programmes such as the Adult Education Budget (AEB) and Skills Bootcamps.

Read the full blog 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 Forward Trust

European cocaine availability surpassing pre-pandemic levels

The European drug market has seen a ‘rapid bounce back’ of supply and use following the disruption caused by COVID 19, according to EMCDDA’s European drug report 2022, with cocaine availability now surpassing pre-pandemic levels.

A record 213 tonnes of cocaine were seized in 2020, says the document, and more than 23 laboratories dismantled. A recent report from the Irish Health Research Board (HRB) found that cocaine has now overtaken heroin as the main problem drug for people seeking treatment for the first time in Ireland, representing a ‘tipping point’ in the country’s drug trends (https://www.drinkanddrugsnews.com/ireland-at-tipping-point-with-problem-cocaine-use/).

The ever-evolving European market is still seeing NPS appearing at a rate of one per week, the EMCDDA report states, ‘posing a public health challenge’. Last year saw six new synthetic opioids, six synthetic cathinones and 15 synthetic cannabinoids reported for the first time, with the number of NPS being monitored by EMCDDA now close to 900. Wastewater analysis, meanwhile, revealed increased use of cocaine, crack, amphetamine and methamphetamine in many cities, while the average THC content of cannabis resin is now more than 20 per cent and almost double the level of herbal cannabis.

A record amount of cocaine was seized in 2020

The war in Ukraine has added to the volatility of the market, the document states, with potential shifts in trafficking routes as criminal gangs exploit vulnerabilities or avoid affected areas.

‘Darkweb’ drug markets now seem to be in decline, however, as a result of law enforcement crackdowns and frequent scams, with people turning instead to instant messaging apps and social media to buy and sell drugs.

Drug treatment has largely returned to ‘business as usual’ after the pandemic’s restrictions, the report continues, although many services have retained some COVID-era innovations such as e-health provision. However, there is a need to scale up harm reduction services for people who inject drugs, with only four countries meeting WHO targets of providing 200 syringes per year per person and having 40 per cent of high-risk opioid users on substitute medication. There were an estimated 5,800 overdose deaths in the EU in 2020, mostly associated with ‘polydrug toxicity’.

Alexis Goosdeel: Evidence base is crucial to understanding the complex issues we face

‘Established drugs have never been so accessible and potent new substances continue to emerge,’ said EMCDDA director Alexis Goosdeel. ‘Today, almost anything with psychoactive properties can be a drug, as the lines blur between licit and illicit substances. And everyone can be affected, whether directly or indirectly, as drug problems exacerbate most of the other important health and social challenges we face today. This report arrives at a time when major global events are touching upon all areas of our lives. I firmly believe that we can only address the complex policy issues in the drugs field if we base our responses on a balanced and evidence-based understanding of the problem.’

‘The continued escalation of synthetic drug production within the EU shows us the relentless drive by organised crime groups to profit from the illegal drugs trade, placing public health and security at risk,’ added European Commissioner for Home Affairs Ylva Johansson. ‘It is of particular concern that the partnerships between European and international criminal networks have given rise to record availability of cocaine and industrial-scale methamphetamine manufacturing within Europe.’

Document at https://www.emcdda.europa.eu/emcdda-home-page_en

Ireland at ‘tipping point’ with problem cocaine use

Cocaine has overtaken heroin as the main problem drug for people seeking treatment for the first time in Ireland, according to the country’s Health Research Board (HRB). There has been a threefold increase in the number of cases seeking treatment for cocaine since 2015, from 1,026 to 3,248 last year.

Records from Ireland’s National Drug Treatment Reporting System (NDTRS) show that almost 11,000 cases were treated for problem drug use last year – the database records treatment episodes rather than people, which means the same person could be counted more than once if they had more than one treatment episode in a year, HRB points out. Two out of five cases were new to treatment, with almost a third seeking treatment for cocaine. ‘In 2021, for the first time, the NDTRS recorded more cocaine (3,248) than heroin (3,168) cases among those treated for drugs as a main problem,’ says the agency.

Women now account for one in four cases reporting cocaine as their main problem drug compared to one in five pre-2020, while crack accounted for 17 per cent of cases where cocaine was the main problem – up from 9 per cent in 2015. Polydrug use accounted for almost 60 per cent of cases overall. Recent years have also seen an increase in drug-related violence in Ireland, as rival gangs battle for control of the lucrative cocaine trade.

‘We are observing a sustained increase in cocaine treatment year-on-year,’ said HRB senior researcher, Dr Suzi Lyons. ‘In 2019 we saw cocaine overtake cannabis as the main problem drug; this year the numbers reported as seeking treatment for cocaine exceed those for heroin – which may mark a tipping point in Irish addiction trends.’ The fact that almost two-thirds were mixing cocaine with other drugs was also a concern as ‘mixing drugs can impact recovery and increase risk of overdose,’ she added. However, there had been ‘some positive developments as regards risk behaviour, with the proportion of cases that had ever injected drugs decreasing from around one-third in 2015 to just over one-fifth in 2021. The reduction is even more notable for new cases, and in 2021 only 4 per cent reported ever injecting compared to 15 per cent in 2015.’

Meanwhile, delegates at the Royal College of Nursing’s (RCN) annual congress have voted to lobby the UK government to introduce safer injection sites. ‘Drug deaths are preventable,’ said RCN Scotland Board member Greg Usrey. ‘Safe injecting services are about reducing harm and providing an opportunity for some of our most vulnerable to engage with services they might not access. We need to push for these facilities to be established and to ensure we have the safeguards in place for nursing staff and others working in these services.’

National Drug Treatment Reporting System: 2015-2021 drug treatment data at https://www.hrb.ie/

Read the report here

The cost of living crisis

Photo by Towfiqu barbhuiya on Unsplash

The unfolding crisis in the cost of living is deeply concerning, particularly when considering the disproportionate impact it is having on the most vulnerable within society, writes Turning Point’s chief executive, Julie Bass.

The latest ONS data suggests that Britain’s economy contracted by 0.1% in March, as rising inflation [9% in April] and the burgeoning cost of living crisis takes its toll. The Bank of England warned us earlier this month that a recession is on the cards.

The impact of the crisis is being experienced in multiple ways. We feel it in the unprecedented £693 hike in energy bills. We see it in increased food prices, with food and drink rising by 5.9%. We are hit hard by it in our pockets through the rising cost of fuel – with a steep 13.4% increase in transport costs in the year to March.

Rising inequality

Although cost of living increases affects us all to some degree, the fallout most acutely impacts the poorest within society with existing social, economic and health inequalities further exacerbated.

New research suggests that the increase in gas and electricity bills expected this October could lead to average annual inflation rates of as high as 14% for the poorest 10% of households, compared with 8% for the richest. Recent figures also show that the number of people struggling with food insecurity has risen by a staggering 57% in just three months.

Moving from the economic to social impact, evidence shows that the crisis has a greater effect on women and ethnic minorities.

At Turning Point, we see first-hand the complexities of the expanding crisis expressed in terms of unequal health outcomes and socioeconomic inequality. For instance, within our supported living services, we have seen the impact of the crisis upon individuals with a learning disability and those with mental health conditions.

Dindy Mphi, a locality manager at Turning Point’s mental health service in Cumbria, has observed a significant rise in young people struggling from rising cost of living pressures. Many have been in supported care as children and leave care upon turning 18. However, universal credit payments (which are reduced by 16% for those under 25) are not enough to cover the rising costs of living.

Often alone and unsupported by family, such individuals find it difficult to survive. As a result, many young people we support rely heavily on food banks and cannot afford to pay for essentials such as heating. These financial pressures often negatively impact existing mental health issues. It is clear that currently young care leavers are inadequately supported due to a significant gap in government benefit provision.

Moving on to our Hertfordshire Supported Living Services, we are beginning to see how increasing food and transport costs are affecting people who have a learning disability. At Turning Point, we strive to empower those we support to live their lives as independently as possible. However, benefit provision is failing to keep pace with inflation, and employment is not a possibility for many with a learning disability. This consequently limits the ability for people to be involved in the experiences or things that bring them joy. For those with a learning disability it becomes increasingly a matter of survival, and many are deprived of the financial freedom to live.

Read the full blog 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

Online casino spending highest in deprived areas

Spending on online gaming products like casino, slot and bingo games is disproportionately concentrated in the UK’s most deprived areas, according to a report from the National Centre for Social Research (NatCen) and the University of Liverpool.

The DDN guide on gambling addiction helps identify problems and the available treatment options.

While betting on sports events like racing and football was the most popular overall in terms of numbers participating, gaming carries a higher probability of heavy losses, the document states. 

The research, which was commissioned by GambleAware, analysed almost 140,000 online gambling accounts from seven major providers over the period of a year. It found that almost 30 per cent of gaming accounts came from the most deprived areas compared to 13 per cent in the least deprived. The top 20 per cent of accounts by amount staked generated more than 90 per cent of operator revenue, the report adds, meaning that ‘a vital few customers are providing the lion’s share of revenue for major gambling operators’. Data for sports betting, meanwhile, showed ‘more modest variations across the deprivation range’ in terms of both participation and share of operator revenue. A follow-on survey of almost 2,000 accounts also found that people who only gambled on gaming products – or on both gaming and betting products – were more likely to experience gambling-related problems. 

Slots games accounted for more than 60 per cent of spending on gaming activities, ‘reflecting its dominance in the whole online gambling sector’, says the report, but also took up more of the players’ time. On average, players lost £1.17 per minute playing casino games, 31.8 pence per minute playing slots, 18.9 pence per minute playing poker and 7.2 pence per minute playing bingo. Less than a quarter of casino and poker customers were women, compared to a third of slots players and more than 60 per cent of online bingo players. 

Sky Betting and Gaming was recently fined more than £1m for targeting vulnerable customers, while 888 UK Ltd was fined almost £9.5m for ‘social responsibility and money laundering failings’ including giving a customer known to be earning £1,400 a month a monthly deposit cap of £1,300. Last year research by the University of Bristol and Standard Life Foundation also found that more than 20 per cent of physical gambling premises were located in the most deprived areas of the country, compared to 2 per cent in the least deprived.  

‘This study offers us a globally unprecedented opportunity to understand the online gambling landscape,’ said Professor David Forrest of the University of Liverpool. ‘In contrast to betting, we see that participation and customer losses in gaming were concentrated in more deprived areas and a higher proportion of customers had losses in the thousands of pounds over the year. Whilst political debate and campaigns have focussed on the risks around betting, our research shows it is important to raise awareness of the gambling harms associated with online gaming. Gaming, in particular slots games, is much larger in terms of total online spending by British players and analysis of customer account data throws up more red flags indicative of potential harm from gambling.’

The research ‘adds to the growing body of evidence showing that harms from gambling are falling disproportionately on the most deprived communities,’ added GambleAware CEO Zoë Osmond. ‘The current cost of living crisis along with the economic fallout of the pandemic can only exacerbate this further – which underscores the need for concerted system-wide action to prevent gambling harms.’

Patterns of play at https://natcen.ac.uk/

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Meanwhile, the government’s new smoking review has found that without further action England is on course to miss its smokefree 2030 target by at least seven years, with the poorest areas not meeting it until 2044. Among the document’s recommendations are more investment in high-quality support, making prevention ‘part of the NHS’s DNA’, promoting vaping, and increasing the age of sale by one year every year from the age of 18 ‘until no one can buy a tobacco product in this country’. 

The Khan review: making smoking obsolete at https://www.gov.uk/

Gilead Sciences and WDP partner up to eliminate hepatitis C

WDP and Gilead Sciences have formally partnered for a second time to support sector-wide efforts to eliminate hepatitis C virus (HCV) in drug and alcohol services by the end of 2023.

As part of this renewed partnership with Gilead, WDP has recruited a dedicated hepatitis C coordinator to help its services achieve this 2023 target.

WDP has over 2,500 service users in treatment across the Barts, South Thames, West London and Cheshire and Merseyside Operational Delivery Networks (ODNs). WDP’s hepatitis C coordinator will be liaising with these ODN teams to better understand local needs and challenges as part of initial project planning and also to ensure ongoing high-quality partnership work.

In addition to this, WDP’s hepatitis C coordinator will also be working in partnership with the Hepatitis C Trust (HCT) and other organisations to improve pathways and take-up of testing and HCV treatment.

WDP initially received a Gilead grant in December 2019 to help increase its HCV testing and treatment uptake, enhance its data recording, and to apply its award-winning Capital Card to its HCV pathway. The addition of the Capital Card meant service users could earn points by engaging in HCV testing and treatment appointments and spend their points on positive activities and products in their local community.

Alongside NHS and Gilead jointly-delivered training to WDP teams, these interventions delivered a 114% increase in BBV testing uptake in WDP’s adult community services between September-December 2020, compared to the same four-month period the previous year, despite lockdown and other Covid-related protections.

Yasmin Batliwala, Chair of WDP said, “We are extremely pleased to be continuing our partnership with Gilead Sciences on this important work. WDP is committed to eliminate hepatitis C in its drug and alcohol services by 2023 and although this is an ambitious target, we are confident that we have the right partners and people in place to help make this a reality.”

William McCully, Director, Patient Access to Care, Gilead Sciences added, “We are delighted to partner with WDP to deliver on the ambition to eliminate HCV in drug treatment services in England by the end of 2023 and look forward to supporting WDP’s hep C coordinator, the wider WDP team and the NHS to drive testing, diagnosis and linkage to care.”

Read the full blog 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 WDP

Almost half of MDMA sold at festivals last year was fake

Forty-five per cent of the substances sold as MDMA at English music festivals last year contained no MDMA at all, according to research by The Loop. Two years previously just 7 per cent of the MDMA sold was fake, constituting ‘a substantial shift in the UK drugs landscape between 2019 and 2021’.

The rise in ‘copycat’ ecstasy was caused by lack of demand as a result of COVID lockdowns and compounded by Brexit-related supply chain issues, says the study, which was produced in association with Cardiff and Liverpool universities and published in the journal Drug Science, Policy and Law. Most of the substances sold as ecstasy instead contained drugs like cathinones or caffeine, with The Loop warning of the risks of similar unknown substances being sold during this summer’s festival season.

The study was based on the results of almost 800 substances tested by The Loop at festivals before and after the pandemic. It found that the presence of MDMA in substances being sold as the drug fell from 93 per cent to 55 per cent between 2019 and 2021. Synthetic cathinones and caffeine, meanwhile, each accounted for a fifth of the substances sold as MDMA last year despite being ‘virtually absent’ in 2019. Two of the three most common cathinones identified by The Loop were still legal in the Netherlands last year, but have since been banned.

A recent survey of almost 50,000 people across Europe by EMCDDA found that almost half of respondents reported using less ecstasy since the beginning of the pandemic (https://www.drinkanddrugsnews.com/europeans-using-more-cannabis-since-pandemic/). There have also been reports of traffickers into the UK focusing on smuggling more lucrative drugs like cocaine and heroin, for which the penalties are the same as the class A MDMA.

The Loop recently launched the UK’s first ever Home Office-licensed drug testing service in Bristol, where one person died and 20 were hospitalised in a single weekend last year as a result of a ‘rogue batch’ of ecstasy (https://www.drinkanddrugsnews.com/uks-first-home-office-licensed-drug-checking-service-launches-in-bristol/)

The Loop’s Fiona Measham: sharp rise in synthetic cathinones linked to a ‘unique combination of events’

‘The sharp rise in synthetic cathinone prevalence in the UK in the summer of 2021 coincided with a unique combination of events including Brexit and the reopening of nightlife after 16 months of lockdowns, months ahead of other European nations,’ said The Loop’s director, Professor Fiona Measham. ‘This isn’t the first time we have seen cathinones being sold as ecstasy at UK events. In 2014, shortly after the banning of mephedrone, methylone made its debut on the UK drugs scene. After methylone was also banned, N-ethylpentylone emerged in 2017. In the latest festival season, three other cathinones reared their heads.’

‘This study illustrates how cathinones are mis-sold as MDMA during periods of scarcity in the MDMA market,’ added co-lead author Dr Michael Pascoe of Cardiff University. ‘Without laboratory tests, it’s impossible to tell what’s really in the drugs people purchase – and the pandemic and Brexit appear to have exacerbated this issue. Rapid onsite testing, dissemination of alerts, harm reduction information and associated risk communications through media and social media channels provide vital ways to inform drug-users, practitioners and policymakers to help reduce drug-related harms at festivals and beyond.’

Study at journals.sagepub.com/doi/full/10.1177/20503245221099209

Jubilee Celebration – Biscot House

Social Interest Group’s Biscot House held a BBQ with royal games to celebrate the Queen’s Jubilee on Monday 30th May.

Residents supported staff and the activities coordinator to decorate the project in preparation for the event.

In typical Biscot style, the rainy weather didn’t deter them; they simply set up the food table inside.

The support worker took the lead in cooking the BBQ food. She brought in some brilliant games and a quiz to keep everyone entertained, and the residents chose which games to play.

They played bingo – PK the winner, won an Ed Hardy bag which he was very pleased with!

For most, it was their first time playing bingo and everyone really enjoyed it. Rather than shouting bingo, residents chose which royal they wanted to be and had to shout their name whilst holding up a picture of their face.

They went on to play Higher or Lower, which a very competitive resident AC won.

Read the full blog 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

Forward’s Employment Services Directorate celebrates another successful year

Photo by Amy Hirschi on Unsplash

The Forward Trust’s Employment Services Directorate had a successful year in 2021/22, supporting even more people in prison and in the community.

In 2021-22 we’re proud to have helped:

  • 4,290 learners in prisons with information, advice and guidance support
  • 885 learners and unemployed participants in the community
  • 338 individuals in the community to progress into jobs, apprenticeships, and self-employment.

Here are some of our highlights:

  • We launched the DWP Restart Scheme in Thanet in conjunction with Reed in Partnership, expanding our existing work that supports Kent jobseekers into exciting and sustainable careers
  • We supported new apprentices to gain the skills to succeed in the employability sector through our Employability Practitioner Apprenticeship Level 4 Standard
  • We launched our new Adult Education Budget services in London and Kent, promoting green skills and opportunities in the sustainability sector
  • Our Adult Education Budget learners featured in FE News after speaking on green skills at the AELP Green Summit
  • We delivered new prison education information, advice and guidance services in London, Swaleside, North Sea Camp and Bullingdon prisons
  • We became a Kickstart Gateway, supporting over 27 Kickstarters including five employed within our own directorate
  • Our enterprise support continues its exciting growth, in the past year supporting 112 entrepreneurs through one-to one-support, masterclasses and our revamped Enterprise Club, along with our first ever Enterprise Challenge event won by Dipped in Creativity.

A special thanks to all our commissioners, funders, employer partners, apprenticeship provider partners, volunteers, mentors and our staff.

Read the full blog 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 Forward Trust

MUP having little effect on dependent and harmful drinkers

A wide-ranging study has found ‘no clear evidence’ of changing alcohol consumption patterns among people drinking at harmful levels since the introduction of MUP, according to a report from Public Health Scotland (PHS). Some ‘economically vulnerable’ groups were also spending less on essentials like food and utilities and more on alcohol, the report adds.

The study, by the University of Sheffield, Australia’s University of Newcastle and Figure 8 Consultancy Services employed a ‘large programme of mixed-methods research’ to examine patterns of alcohol purchasing and consumption among people drinking at harmful levels, including those dependent on alcohol and people engaged with treatment services. It also studied the impact on other key groups, such as family members and people living in remote or rural areas. The research included interviews with people presenting for treatment, harmful drinkers in the community, treatment providers, family members, carers and others. Data for the study were gathered both before and after implementation of MUP in 2018, and in Northern England as well as Scotland to enable comparisons to be made.

MUP, which was designed to target the cheap, strong drinks favoured by harmful drinkers, was found to have had little effect in terms of severity of dependence or consumption patterns. However, there was also ‘little evidence’ of negative consequences such as acute withdrawal, shifts to illicit substances or increased levels of crime. People with alcohol dependence also reported low levels of awareness and understanding of MUP, saying they had received little information before its introduction.

Previous studies found that off-sales in Scotland fell by up to 5 per cent in the year after MUP was introduced compared to England and Wales (www.drinkanddrugsnews.com/scottish-off-sales-down-5-per-cent-in-year-after-mup) and that the policy has had a ‘lasting impact’ on consumption levels in heavier-drinking households (www.drinkanddrugsnews.com/mup-has-had-lasting-impact-on-drinking-levels). However, the country’s level of alcohol-related deaths increased during the pandemic despite lower alcohol sales (www.drinkanddrugsnews.com/alcohol-deaths-in-scotland-up-during-pandemic-despite-falling-sales).

‘People who drink at harmful levels, and particularly those with alcohol dependence, are a diverse group with complex needs who often experience multiple interacting health and social problems,’ said public health intelligence advisor at PHS, Helen Chung Patterson. ‘They are therefore unlikely to respond to MUP in one single or simple way. Many are likely to drink low-cost high-strength alcohol affected by MUP and are at greatest risk from their alcohol consumption. This population therefore have the potential to benefit the most from MUP but may also continue to experience harms. This research further develops our understanding of and insights into this important population and how they have responded to MUP across a broad range of areas. It’s crucial to build the evidence base in this area as part of our overall evaluation of MUP.’

Prof John Holmes: People respond to MUP in different ways

‘We know from previous studies that MUP reduced alcohol sales, including among those who bought the most alcohol before the policy,’ added study lead and professor of alcohol policy at the University of Sheffield, John Holmes. ‘Our study shows that people with alcohol dependence responded to MUP in very different ways. Some reduced their spending on other things but others switched to lower strength drinks or simply bought less alcohol. It is important that alcohol treatment services and other organisations find ways to support those who do have financial problems, particularly as inflation rises.’

The report has led to headlines like ‘SNP’s alcohol unit price policy “just drove drinkers to spend less on food”’ in the Telegraph, and Holmes has since taken to Twitter to state that ‘our results are not a final judgement on whether MUP works’ and ‘when we say ‘NO CLEAR EVIDENCE of a reduction in consumption’ we chose our words carefully. There is evidence and counter-evidence. We definitely can’t conclude MUP reduced consumption among people drinking harmfully but we’re also not able to conclude that it didn’t.’

Dependent drinkers were better served by other interventions such as treatment, he stated, adding that there had been a ‘significant’ drop in the prevalence of hazardous drinking of more than 3 per cent.

 

 

 

 

British Columbia launches ‘healthcare over handcuffs’ decriminalisation experiment

The Canadian province of British Columbia (B.C.) has announced a three-year exemption under the country’s Controlled Drugs and Substances Act to remove criminal penalties for possession of drugs for personal use. British Columbia, which includes the city of Vancouver, is the first Canadian province to receive the exemption, with the aim of reducing ‘the shame and fear associated with substance use’.

The exemption is ‘not legalisation’, the province states, and will come into force next January and run until January 2026. Adults in possession of 2.5g or less of certain drugs will not face arrest or charge, or have their drugs seized, with police instead offering information on treatment and other support ‘with referrals when requested’. The exemption will cover opioids including heroin and fentanyl, powder and crack cocaine, MDMA and methamphetamine. It will still be illegal to possess the drugs in schools, childcare facilities or airports, however, and the province will work with health and law agencies, the federal government, people with lived experience and indigenous communities to monitor outcomes and address any unintended consequences. Canada became the first G7 country to legalise cannabis in 2018 (DDN, November 2018, page 4).

Kennedy Stewart: Decriminalisation is a ‘groundbreaking step’

The province has also been increasing its residential rehab and harm reduction provision in response to Canada’s ongoing opioid crisis. Last saw more than 2,200 drug-related deaths in B.C., more than 25 per cent up on 2020’s figures and the equivalent of six deaths per day. ‘Decriminalising possession of drugs is a historic, brave and groundbreaking step in the fight to save lives from the poisoned drug crisis,’ said Vancouver’s mayor, Kennedy Stewart. ‘Today marks a fundamental rethinking of drug policy that favours healthcare over handcuffs, and I could not be more proud of the leadership shown here by the governments of Canada and British Columbia.’

‘Substance use is a public health issue, not a criminal one,’ added B.C.’s mental health and addictions minister, Sheila Malcolmson. ‘By decriminalising people who use drugs, we will break down the stigma that stops people from accessing life-saving support and services.’

Trafficking of synthetic drugs in East and South East Asia hits ‘record levels’ says UNODC

Meanwhile, production and trafficking of synthetic drugs in East and South East Asia hit ‘record’ levels last year, according to a new UNODC report. Organised crime groups exploited the pandemic and political instability in parts of the ‘Golden Triangle’ region of Thailand, Laos, and Myanmar to produce ‘extreme’ volumes of methamphetamine, with more than 170 tons seized in 2021 and street prices dropping to an all-time low.

‘The scale and reach of the methamphetamine and synthetic drug trade in East and Southeast Asia is staggering, and yet it can continue to expand if the region does not change approach and address the root causes that have allowed it to get to this point, including governance in the Golden Triangle and market demand,’ said UNODC regional representative for Southeast Asia and the Pacific, Jeremy Douglas. ‘Organised crime have all the ingredients in-place that they need to continue to grow the business, including territory to produce, access to chemicals, established trafficking routes and relationships to move product, and a massive population with spending power to target.’

Synthetic drugs in East and Southeast Asia: latest developments and challenges 2022 at www.unodc.org.    Read it here

Change Grow Live shares volunteers’ stories for Volunteers’ Week 2022

During Volunteers’ Week (1st – 7th June), Change Grow Live will be celebrating the contribution of its amazing volunteers across the country.

It’s a chance for us to highlight the enormous positive impact they have on the lives of the people we support.

We asked volunteers from across the organisation to share their stories and experiences of their time at Change Grow Live. We also asked staff from the services they volunteer at to share their thoughts about how their volunteers help to make a difference. 

Stephen’s story

Stephen is a volunteer at our service in Camden. He started out as a peer mentor, using his own experiences to help others make positive changes.

“I have been volunteering at Change Grow Live for some years now. Both Change Grow Live and the Single Homeless Project were really supportive in my own recovery, and six years later I’m clean and sober. Each day of volunteering is another day in recovery, and it’s a constant reminder of my journey.

“Becoming a peer mentor, and now a volunteer has been an amazing way of paying back my debt of gratitude. I can inspire and encourage others, because of my first-hand experience of addiction.”

Jane works at the same service as Stephen. She told us:

“Stephen has been an incredible volunteer. He helped us as a service throughout the pandemic. He has become an integral part of the team and has developed such skills and knowledge that he would be hard to replace! We are so grateful to you Stephen – your support has been immeasurable.”

Alisha’s story

Alisha volunteers as an Independent Visitor. In this role, she supports young people who are living in care or with a foster family.

“I work in law as my day job, which can be stressful but rewarding. Volunteering gives me the opportunity to have some fun, engage in an activity with the young person I support, and make a small but positive difference in her life. It’s nice to be that person somewhere between a professional and a friend, and to build that level of trust and relationship which allows her to come out of her shell and gain confidence. I have been volunteering for a year now and each visit I see progress.

“I first started as a volunteer because my sister found it rewarding, and because I had my own experiences with children’s charities when I was young. I am hoping my volunteering brings the person I’m working with stability, new experiences, growing confidence and memories to look back on later.

“Before Christmas we went ice skating together. She had never been before but after some prompting and encouragement, she felt comfortable enough to hold onto my arm around a few laps of the ice. Towards the end, she was skating on her own and even asked her foster carer to see the progress that she had made! It’s the little things but they make such a big difference.”

Peshva works at the same service as Alisha. She told us:

“It’s clear from any interaction that you have with her, that Alisha is just a really lovely person to be around. She is encouraging and supportive of others, passionate about her role and has a positive outlook to life. She may not always recognise how valuable these attributes are and how they can help someone along in their own journey, so we try to remind her! Alisha will not be expecting me to say any of this – I hope she doesn’t mind as it’s my small way of saying thank you to her.”

Read the full blog 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 Change Grow Live

Signing Up

volunteers

 

Just do it

– Tiggy

After leaving their job in hospitality due to the pandemic, Tiggy decided to volunteer with Humankind after an online employability quiz suggested they’d be suited to a career in a caring role.

Tiggy contacted Humankind’s LGBT+ support service – a cause close to their heart – and landed a volunteer role facilitating peer support groups for young people and leading on student outreach for the service. Having previously worked in the hospitality industry, Tiggy had lots of soft skills like being able to communicate well with a wide range of people, and they were able to apply these in their volunteer role. ‘The main thing I gained was getting to know the young people, having that opportunity to be there for them, knowing the service was a place where I felt comfortable, and learning about how Humankind works as a company,’ says Tiggy.

When a job vacancy in the service became available, Tiggy’s supervisor encouraged them to apply, but they passed on it as they didn’t feel they had the confidence, knowledge, and skills for the role. Fortunately, Tiggy’s supervisor kept encouraging them, and when a role came up a few months later, they got it. While it has been a big step up, they feel supported, saying: ‘Everyone’s got each other’s backs and if there’s ever anything I’m unsure about, I know I’ve got more than one person I can call upon.’

Tiggy still loves facilitating one-to-one sessions, peer support groups, days out and activities with the young people they support. This is when the job is most rewarding: ‘Any time a young person mentions they’ve thought about something I’ve said and applied it, that they’re feeling better or less alone, it’s wonderful. It’s amazing to have a direct impact that’s so visible.’

Tiggy’s advice to anyone thinking about volunteering? ‘Do it! If it’s an area you’re considering working in, or something you care about, then it’s a great space to be able to make a difference.’

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Grab the opportunity

– Anthony

After more than a decade of working hard and playing hard in my spare time, my lifestyle finally caught up with me. I burnt out in spectacular fashion, descending into addiction, and losing my job and my home in the process. Life became a matter of survival until I engaged with WDP, and was helped to gradually rebuild from the ground up. I was encouraged to attend training to become a peer mentor by my keyworker, and when the opportunity came up to help welcome new service users in the induction group I took it – even though I wasn’t sure sharing my experience of recovery would be relevant to anyone else. However the positive response I got from the group members hearing from someone who had been in their position and had managed to turn things around made me realise I could have an impact.

The role helped me build my self-esteem back up and I felt like I had some purpose again. With the confidence that brought me, I decided to go back to studying and enrolled on a counselling course.

Over the three years I’ve been at college I‘ve continued to volunteer at WDP in various roles, and I recently did some great experiential training with other volunteers that gave me a boost in my skills.

Finally, impossibly, I’ve come full circle and am helping train a brilliant new group of peer mentors. I’d never have believed it if someone had told me that one day I’d be in front of a class teaching, but here I am. If you’re someone who’s considering taking up a volunteering role, my advice is to grab the opportunity. The experience that I’ve had at WDP has been encouragement to challenge myself in a supportive environment. It has allowed me to build skills that have opened up options for me to get back into work and turned what was a very difficult time in my life into something meaningful.

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ddn conference 2022

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All-round support

– Matteo

I’ve been volunteering at WDP since October 2020, starting out as a volunteer recovery practitioner. I used to work in the fashion industry, but I made the decision to change careers because I wanted to make a difference to people’s lives. I feel that I can make use of what I have learnt from my own recovery journey to help others facing similar difficulties with substance misuse. Having studied psychology at the University of East London, I also wanted to apply my psychology background to my volunteering and work.

The best thing for me about volunteering [at WDP] is the wide range of professional training that’s available. I’ve had the opportunity to learn and develop by shadowing some very knowledgeable mentors and by attending many courses. I was also able to gain valuable experience working with services users by co-facilitating health trainings and non-dependent groups.

As well as helping service users with their drug and alcohol issues, I’ve also been able help them with other areas of their life. Some of our service users don’t have access to the internet and they struggle to fill in online forms, which can make it difficult for them to access essential services like benefits and housing support. I’ve helped people access benefits and food vouchers by supporting them with form filling and contacting agencies. My volunteering experience has also helped in my own personal life as I’ve developed transferable life skills such as boundary setting, SMART goals, and office etiquette.

Volunteering has boosted my self-confidence and sense of achievement, and has helped me achieve my career goal to work in the drug and alcohol field. I will soon be starting a full-time paid position at WDP as a navigator practitioner. Don’t be afraid to try new things – volunteering is a life-changing experience.

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Making the connection

– Dan

I was in treatment at Derbyshire Recovery Partnership when my key worker first introduced me to Recovery through Nature (RtN), run by Phoenix Futures. I connected with the programme straight away – I thought it was a brilliant opportunity not only to connect with nature but also to people with similar experiences as me in a safe environment. After two years of being on the programme, I finished treatment and became a volunteer. This was just as the country went into the first lockdown, but fortunately I was able to keep volunteering as the gardens still needed to be maintained. I’m not sure what I would have done without RtN at this time.

I had to leave my job when I came into treatment. It was so linked to my using that I didn’t feel I could go back into that same kind of environment, but volunteering has opened up opportunities for me to get back into employment. Soon I will be starting to do some paid sessional work for Phoenix.

As a volunteer it’s really important that you can talk to and connect with a wide range of people. I think that’s definitely one skill I’ve developed, and having lived experience helps with that. I just wanted to help people, like people helped me. I wanted to give something back and volunteering has been a great way for me to do this.

Some names have been changed at volunteers’ request

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A valuable investment

Change Grow Live on being awarded the UK quality standard for organisations working with volunteers

We’ve been awarded the Investing in Volunteers standard, which shows the value we place on volunteering. However, it’s also a celebration of the volunteer experience at Change Grow Live.

‘We have a strong history of volunteers who make an enormous contribution to our services and the lives of those that use our service around the UK,’ says Chris Benfield, our head of volunteering and accredited learning. ‘Achieving Investing in Volunteers is a ringing endorsement of the efforts of staff across Change Grow Live in making it a safe and rewarding place to volunteer. The report has also identified several areas of outstanding practice. I couldn’t be happier.’

This is the first time that our approach to volunteering has been externally assessed, and it showed excellence in all areas of our work. More than 50 volunteers and 16 staff from across 20 services – including our chief executive officer, Mark Moody – took part in the assessment, with a further 145 volunteers participating in a related survey.

Here’s a short selection of the insights shared by our volunteers in the assessment:

‘Volunteering has brought me on in my life and growth so much. I can’t thank everyone enough. The growth we’ve been given and the support to go for employment within Change Grow Live has been amazing.’

‘Volunteering is inclusive – there are no restrictions. Equality and diversity is definitely there. You meet people from all walks of life and different types of volunteers.’

‘They look for things that will suit you. You’re not just asked to do things – they put you in places where you will thrive.’

‘The support is absolutely amazing. There are regular check-ins and they are very accommodating. There are regular one-to-ones. I’m blown away by the support.’

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Buddying Up

Cranstoun’s new overdose prevention app is looking for volunteers, says project lead Peter Krykant

Peter Krykant
Peter Krykant, Project Lead at Cranstoun

At Cranstoun, we’re always looking for new ways to support people who use drugs and bringing innovations from across the globe to improve what we can offer to communities in the UK and Ireland. We’d been thinking for some time about what we can do more of to support some of the people at higher risk of drug-related harm, especially those who use drugs alone and are maybe at higher risk of overdose.

That’s why we’ve developed BuddyUp – a new app which will work across the country, no matter who the local drug and alcohol support provider is. We’re going to be launching imminently and we’re currently on the search for volunteers. It’s a simple premise – people can download the app and have access to a Cranstoun volunteer at the other end of a free phone line. That volunteer would be able to activate an emergency plan that they had setup with the app user so that they could access physical support. This could be accessing their location to send help from an emergency contact, which could be a friend, family member or the ambulance service – it’s always on their terms. The app user can work with our volunteers to easily set up their own emergency plan which can be triggered should they become unresponsive. A similar app was developed by the Brave Co-op in Canada, who we’ve been working closely with in producing our new piece of technology.

We’re well underway in looking for volunteers to be supporters and life savers by being on standby to help prevent overdose and potentially death. Initially we’re looking for volunteers based on four hours spent logged into the app per week, with full training, equipment and aftercare offered. This would be a really great opportunity for anybody wanting to play a part in saving lives and preventing drug-related deaths. We also anticipate it would stand our volunteers in good stead for careers in our sector and others.

More on the BuddyUp app at cranstoun.org/buddyup

Visible Recovery

Last year, Dan Carden MP took the brave step of discussing his struggles with alcohol in a House of Commons speech. Since then, as he tells DDN, he’s become a passionate campaigner for better alcohol treatment, an end to stigma and the power of recovery communities.

Dan Carden MP‘I hope my openness today can help challenge the stigma that stops so many people asking for help,’ Dan Carden told the Commons in an emotional and widely shared speech in July 2021. ‘Nothing would mean more to me than turning the pain I’ve been through, that I’ve put my family and loved ones through, into meaningful change.’

‘I’m amazed, really, by the response I’ve had,’ the MP for Liverpool, Walton tells DDN. ‘I still get emails every week from people who’ve just seen it, or the speech has been shared in their AA WhatsApp groups or other recovery places. The number of people who’ve reached out and told me their stories and what they’ve been through has been wonderful.’

His alcohol use had been the result of ‘desperate isolation’ and ‘shutting down’ his personal life, he said in the Pride Month speech, as he had not come out as gay until he was in his 20s. He later stated that suppressing who he was had left a trauma, and he’s learned from being in recovery that ‘you’ve got to do the work to uncover what it is that’s driving these behaviours’, he says now.

Persistent Stigma

‘I think everyone accepts that there’s stigma around addiction, and it took me a long time to decide to speak about it in the way I did,’ he says – he was already in his third year of recovery when he made the speech. ‘I wasn’t really expecting to do it but I saw a debate come up on Pride and I thought, “if there’s ever going to be a time to do it, this is the speech I want to do it in”.’

He’d long been aware of the impact alcohol was having on him, and had been giving up drinking for ‘a couple of months at a time, really out of necessity,’ before entering treatment. ‘I knew the damage it was doing to my body, my brain, my relationships – you might give up booze for a month or two, but you’re not actually treating the addiction.’

First steps

His first real attempt at seeking help came after a ‘particularly bad episode’, when his brother took him to an AA meeting in London. As an MP, that must have been a very stressful experience? ‘I’ll tell anyone about AA and recovery and all the rest of it these days, but going to that first meeting was terrifying,’ he says. ‘I’ve met so many people who are regular AA attendees since, and everyone goes through that fear – you can be from any profession or community, people are so fearful of the stigma. Because we don’t treat it as an illness, we treat it as a character flaw.’

It was that fear of walking into an AA meeting in the community as an MP – along with working in an institution famous for its drinking culture – that’s led him and some colleagues to set up a weekly Parliamentary estate AA meeting as a ‘safe space’ for anyone struggling with alcohol. ‘I understand that AA isn’t everyone, but this is the first step towards achieving a long-term goal – that anyone who works on the Parliamentary estate who needs support, has it’, he says.

Treatment vacuum

He’s described the ‘vacuum’ of treatment when it comes to alcohol, and believes it remains the poor relation compared to drugs. While drug deaths are at an all-time high, they’re also accompanied by record increases in alcohol deaths (www.drinkanddrugsnews.com/alcohol-specific-deaths-up-almost-20-per-cent). ‘But you’ve got action being taken on drugs, the Dame Carol Black review, the additional funding, all of which I absolutely welcome,’ he says. ‘You’ve also got the gambling review and new legislation coming forward on that, and more action being taken on smoking. And nothing on alcohol.’

The new drug strategy, of course, was shaped by the recommendations of the Independent review of drugs. This is why he’d ‘love to see a full Dame Carol Black-style independent review on alcohol’, to inform the long-awaited alcohol strategy that will one day replace the decade-old current version.

‘Because you’ve got to look at everything from the industry to advertising to recovery and treatment,’ he states. And, of course, it’s such a part of our culture. I don’t want to stop people drinking, but I think we have to be honest about the very powerful role that the alcohol industry plays – that’s something that hasn’t really been looked at.’

Minimum Unit Pricing

He’s previously tabled an amendment to the Health and Social Care Bill calling for minimum unit pricing to be implemented in England because ‘it’s crazy that we’re being left behind on this’, he says. ‘We know that the most harmful alcohol products are often the cheapest, and we know that alcohol does the most damage in the most deprived communities. There isn’t one thing that can be done to solve this problem, but I think proper pricing, and taxation, is a first step.’

One obstacle to reform, alongside the industry’s lobbying power, has been the way MUP is often misrepresented in sections of the media, and he’s been energetic in his efforts to put the record straight. ‘I receive a lot of correspondence from constituents concerned about the impact taxation and minimum pricing will have on the hospitality industry, and I use that as an opportunity to write back and explain that it’s not the case. Minimum unit pricing wouldn’t even touch a drink in a pub, it’s entirely focused on the most harmful forms of alcohol that you get in the off-trade. I support local pubs, I support responsible drinking, and I think the tax changes that Rishi Sunak has brought in are at least taking us in the right direction – so that the tax actually follows the strength of alcohol in the drink.’

Fully funded

Last year he wrote a joint letter with the Forward Trust calling for the recommendations in the Dame Carol Black review to be fully funded. While the government went a long way towards doing that with its announcement of substantial new investment late last year, a number of people have warned that unless the sector can show real results in terms of reducing deaths and crime it may well be the case that the Treasury halts the funding after the first three years (DDN, February, page 8; March, page 9). Does he think this is a real risk?

‘Honestly, I’d be amazed if the funding was removed after three years,’ he says. ‘I’ve already been to see some of the projects – like in Liverpool, with We Are With You – where the funding has come forward this year, and they’ve already got statistics to show that crime is down. We’ve had ten years of cuts, the highest drug deaths on record, and a criminal justice system that’s overflowing with people who’ve committed crimes in relation to their own drug use.’

What’s needed is a health response, he states, and he’s supportive of community sentences and some of the diversionary schemes being implemented by police and crime commissioners, which were encouraged in the Black report and endorsed by the drug strategy. ‘The criminal justice system is on its knees at the moment in terms of backlogs and prison places and all the rest of it, so this the evidence-based response that we need. “Tough on drugs” has failed as a strategy.’

Equality act

So, aside from funding, what could be done to improve access to alcohol treatment? ‘One thing I’m fighting for now is a change to the Equality Act, which covers other mental health conditions, because currently addiction is excluded,’ he says. The act legally protects people from discrimination and ‘if we could make that change – so that the presumption is that if someone is suffering with addiction it can be understood to be an illness and something that support should be provided for – it would go a long way to changing the culture and making sure the proper support is delivered.’

Stigma, shame, and fear clearly remain significant barriers to treatment, however. ‘When we’re at a low point it’s hard to accept that what we’re suffering with is a chronic health condition,’ he says, which is where education and nationwide anti-stigma campaigns could help people feel less alone and ‘safe to seek help’. Early intervention is also key, he believes, which means improving GP screening, combined with a ‘no-wrong-door policy – wherever you turn up for help, you should receive the care you need, regardless of if you have history of substance use disorders’.

Obviously the places with the highest rates of drug- and alcohol-related deaths and harm, such as the North East, are also the most deprived, and he believes that improving treatment needs to be a central part of any ‘levelling up’ agenda. ‘I witness the alarming levels of unmet need and the devastating impact untreated addiction has on families and community,’ he says. ‘We cannot simply arrest our way out of the country’s addiction crisis, we cannot punish the already marginalised into recovery, and we cannot end the pointless cycle of harm without evidence-based policy.’

Person centred

Dan Carden MPWhen it comes to recovery, people have long argued over what it really means – how would he define it? ‘It’s different for everyone and I wouldn’t try to prescribe my own routes to anyone else, but I think you’ve got to have a balance of abstinence and harm reduction. I think it’s got to be understanding this is an illness, and trying to provide the right support to the person so that it’s person-centred.’

Having come from a position where he didn’t know what recovery ‘even looked like’, he says, he’s become passionate about the power of recovery communities. ‘They’re proof that change is possible, they’re role models to us all. The more we celebrate and support recovery communities, the more people who are still suffering will ask for help. Since sharing about my own struggles, I’m dedicated to championing visible recovery.

‘Addiction is incredibly isolating, and one of the best ways to deal with that is to provide a community to someone who’s suffering,’ he states. ‘I’ve seen it work, I meet people and speak to people every week who owe their lives to recovery communities in all different forms. We live in a society where there is more and more isolation, and people face incredible struggles. Finding ways in which we can support recovery communities is the one thing that must never be left out. Ensuring that they get the support and recognition in all of this is vitally important.’

Extending our REACH

Homelessness is not a single issue say REACH team members Dr Stephen Donaldson, Ben Sweeting, Richard Croall, Emily Crowe, Hanna Powers, Sandra Rees, Luke Jarvis and Claire Robinson.

Read it here in DDN magazine

REACH team members
REACH team members Dr Stephen Donaldson, Ben Sweeting, Richard Croall, Emily Crowe, Hanna Powers, Sandra Rees, Luke Jarvis and Claire Robinson.

When COVID-19 hit it was clear that we had vastly underestimated the number of people who were homeless, and at its peak several measures were put in place to ensure that those experiencing homelessness were temporarily housed.

It has been well established that homelessness is not a single issue, with many people experiencing a variety of complex needs – including mental health, substance misuse, physical health, adverse childhood experiences, neurological difficulties and self-harm, all of which impact on a person’s stability, health and wellbeing. It has been well established that these complex needs, if not addressed, have the overall impact of reducing life expectancy, which is lower among the homeless population compared to other clinical populations. One of the reasons for this is that those with complex needs often sit within the gaps of statutory services, which leads to limited engagement and treatment access. The result is a person left feeling unable to be helped, living day by day, and feeling that they are constantly at the ‘wrong door’.

Substance misuse and mental health issues are prevalent within the homeless community, and have been shown to both increase the risk of – as well as maintain the cycle of – homelessness. While the issue of causality is complex, the reality is that those experiencing complex mental health and substance misuse issues can be harder to house, can find it hard to maintain their tenancy, are more open to abuse and exploitation and ¬– from our experience locally – are more likely to continue a cycle of fluctuating between a tenancy and the streets.

To address the needs of those experiencing homelessness locally in Scarborough and Whitby, Scarborough Borough Council, alongside partners in health and social care, took an innovative approach in early 2021 and decided to develop a multi-agency partnership team where the identification, assessment, housing and care needs of people who were experiencing homelessness could be addressed. The team is informed by a Housing First approach to support stability and help people move out of homelessness and into recovery.

Housing First is an evidence-based approach that aims to provide housing stability to those who have complex and repeat experiences of homelessness. For many of those experiencing homelessness, a psychologically safe place where they can address these needs can feel unrealistic and extremely challenging. The result, sadly, is that people often share with us that they experience a vicious circle which is hard to thrive and survive in. The aim of a Housing First approach is therefore to support people to access housing and have the help they need to maintain their tenancy, while also offering an intense and personalised care approach alongside their accommodation needs. The hope is to ensure that homelessness is addressed alongside the wider health and social care needs people are facing.

REACH stands for reducing exclusion for adults with complex housing needs, and the team consists of housing, mental health and substance misuse practitioners. By having a multi-agency, multi-professional approach the hope is that stability can be achieved – both physical stability in terms of housing, as well as psychosocial stability through consistent tenancy support, social engagement, substance misuse and mental health interventions. As the person’s needs are being assessed, formulated, and addressed by a multi-agency team, therapeutic attachment with the team supports a therapeutically consistent, collective and psychologically safe approach to the person’s care.

As a team we hope to help as many people as we can to transition from homelessness into housing and recovery. This is not without its challenges, but by holding a collective partnership approach with the person, as a team and within a wider multi-agency approach, we are more likely to make this possible. In essence, togetherness offers the hope that while the road of change can be bumpy, stability, safety and recovery can be a possibility.

Dr Stephen Donaldson is consultant psychologist, Ben Sweeting is advance nurse practitioner and Richard Croall is dual diagnosis nurse at Tees, Esk and Wear Valleys NHS Foundation Trust

Emily Crowe is rough sleeping co-ordinator, Hanna Powers is housing support officer and Sandra Rees is community safety and safeguarding manager at Scarborough Borough Council

Luke Jarvis is holistic support advisor at Beyond Housing

Claire Robinson is health improvement manager at North Yorkshire County Council

Home Advantage

housing humankindIt’s time to take a holistic approach to housing, says Claire McCreanor.

With the latest statistics showing that 17 per cent of people who seek treatment for drugs and alcohol are experiencing housing issues, the correlation between insecure housing and substance use is sadly as strong as ever. The evidence consistently shows that people in treatment with access to safe and affordable accommodation, and appropriate support to help them remain in their home, stand a far greater chance of recovering from substance use.

As one of the largest drug and alcohol treatment providers in the UK, Humankind is primarily known for its work in substance use but we’ve also been working in the housing sector for more than 20 years. For decades, we’ve been using our experience of delivering commissioned services to develop a range of programmes and projects that help get people in a variety of situations into suitable housing, build a secure life and stay in their home.

Nowhere to go

In December 2021, Shelter estimated that 274,000 people were experiencing homelessness and of those approximately 2,700 were sleeping rough. Humankind believes that no one should be without a roof over their head, and we’re proud to be part of initiatives such as No Second Night Out in Bradford which aims to provide short-term emergency accommodation for people who are sleeping rough and connect them to longer-term options. Split across two sites near the city centre, No Second Night Out provides beds for up to 32 people who have nowhere else to go.

The programme, which Humankind delivers on behalf of Bradford City Council, started in 2015 at a site called Discovery House which has 20 beds that anyone who is experiencing homelessness or at risk of becoming homeless can access. Following the success at that location, Humankind was commissioned last year to open another ten-bed facility offering private rooms, including space for couples. At a time when suitable properties were hard to come by, we took the innovative approach of turning an old pub into a new centre called Endeavour House.

Unlike many shelter spaces which operate on a night-by-night basis, people are able to stay at both Endeavour and Discovery for up to a month. This allows staff time to build relationships with the guests and help connect them to services such as Change Grow Live’s substance use hub New Directions, work and skills training and longer-term housing options, therefore increasing the chance of people building sustainable lives once they move on. In addition to these year-round spaces, we also offer cold weather provision which includes emergency beds that are available in particularly inclement conditions. Since 2015, Bradford No Second Night Out has accommodated more than a thousand people, including MC.

MC’s story

MC had substance use and physical health issues and started sleeping rough after being discharged from hospital. MC was connected to the Bradford homeless outreach team by the hospital and they found him accommodation at Endeavour House. While staying at the service, Humankind staff worked closely with the New Directions team to help MC successfully access support to overcome his substance use issues and improve his general wellbeing and within two weeks they secured long term supported housing for him.

Last month, Humankind celebrated our tenth anniversary as a registered provider of social housing and in that time we’ve provided homes for almost 500 people. In addition to operating housing, over the last 20 years we’ve helped approximately 2,500 people to live independently through our housing related support services programme. To date, we’ve refurbished 85 dilapidated properties and turned them into specialist supported housing including hostels, shared houses, one-bed flats and family homes. Many of the residents who move into our properties face issues such as unemployment, substance use, domestic violence, mental health concerns, physical disabilities, anti-social behaviour, or are leaving care.

Private landlords are often reluctant to let properties to people experiencing challenges such as these and the situation is worsening, with recent government figures indicating there’s been a 17 per cent increase in those at risk of homelessness as a result of no-fault evictions from the private rented sector. Even social housing providers turn away people who have a history of rent arrears or anti-social behaviour, which is why Humankind focuses on supporting people who may have no other options available to them. As well as homes, we offer independent living services that help people set up and maintain a home, maximise their income and pay rent, develop their confidence and look after their health and wellbeing. On average, 90 per cent of the people we support go on to move into permanent housing, and every year hundreds manage to secure employment, participate in training and improve their mental and physical health while working with us.

ddn conferenceColleen’s story

‘I first came to Humankind in need of housing after a rough time in my life and straight from a detox. The team there not only made me feel welcome, they ironed out all my “teething” problems concerning my new house and they were prompt, polite and punctual… I have lived with Humankind for six years now and am grateful for the team who have supported me without judgement. I now have the chance to continue life with greater ease and not having to worry about my housing in any way.’

As a sector, we know that connected services and shared expertise are integral to providing effective recovery services. Humankind is proud to work with a wide range of partners and bring our experience and knowledge to a variety of initiatives, including the Greater Manchester Housing First (GMHF) pilot. We are one of several organisations involved in the project, which is part of a nationwide initiative that takes an evidence-based approach of using housing as springboard to enable individuals with multiple and complex needs to begin recovery and move away from homelessness.

The pilot acknowledges that while many factors affect a person’s ability to remain stably housed, they are all more effectively addressed when a person is housed. Alongside organisations with expertise in mental and physical health, criminal justice, housing and other areas, we support people who are facing multiple disadvantages to ensure they have the best possible chance of building stable lives. Since the pilot launched in January 2021, the multi-agency partnership has helped house more than 320 people and the programme was recently named as the best initiative for tackling homelessness at the Northern Housing Awards.

NT’s story

NT came to Housing First with a difficult and traumatic history. After joining the army at a young age and being involved in active combat, NT was diagnosed with PTSD and other mental health issues and his life entered a cycle of instability including substance use, homelessness, anti-social behaviour and offending. When he was not in custody, NT lived a chaotic life and struggled to work with support services or maintain his accommodation. After a year of work by the multi-agency team, Housing First managed to secure housing for NT and helped him move in and furnish his property. The collective determination and commitment by his support team has helped NT realise that he has choices and control over his future.

Diverse approaches such as these have the ability to make a significant difference to the lives of thousands, including many people who use substances – but the work of third sector organisations such as ours can only be part of the solution. For everyone to have access to safe and stable housing, there needs to be sustained investment and policies that focus on increasing social and supported housing. As part of the new drug strategy, the government has committed to invest £53m over the next three years to fund a range of housing support options which will improve the recovery outcomes for people in treatment and reduce the number of people experiencing homelessness. It’s vital that this funding is invested in the communities that need it most and that an integrated approach is taken to addressing housing and substance use in tandem.

affordable housing

Claire McCreanor director of housing at Humankind
Claire McCreanor is director of housing at Humankind

In 2019, the government committed to building 300,000 new homes each year but only a small proportion of these will be affordable and, while the pace of construction has increased, this target is yet to be met. To truly make a difference to the lives of many of the people Humankind supports, the government must ensure that the homes which are being constructed are affordable for people on average and lower incomes. We therefore support Shelter in their call for the construction of more social housing and we urge the government to continue investing in initiatives such as Housing First which are proving successful nationwide and to deliver on their commitment to end no-fault evictions. It is only through the delivery of policies such as this – and continued investment in programmes such as those our sector delivers – that people who use substances will be able to receive the cohesive services that make a real difference.

 

DDN June 2022

‘It turned a difficult time into something meaningful’

DDN magazine june 2022‘The role helped me build my self-esteem back up and I felt like I had some purpose again… It turned a very difficult time in my life into something meaningful.’ In our cover story to mark Volunteers’ Week (p6), contributors speak volumes about the value of being welcomed into the workplace and supported to gain new skills and career goals.

Our other main focus is housing, because as Claire McCreanor points out (p18), ‘the correlation between insecure housing and substance use is sadly as strong as ever.’ We look at how physical and mental health problems, adverse childhood experiences and many other complex issues feed the cycle of homelessness, leaving people to feel they are ‘constantly at the wrong door’ (p14).

Another key component is challenging the stigma that can so often prevent people from asking for – or even accepting – help. So we were really pleased that Dan Carden MP talked openly to us about his own ‘incredibly isolating’ experience of addiction (p10), which has led him to become passionate about the power of recovery communities and ‘dedicated to championing visible recovery’.

You can hear Dan speak at the DDN Conference on 23 June – look forward to seeing you (in person) in Birmingham!

Read the June issue as an online magazine or download the PDF

Claire Brown, editor

Please send your letters and comment to claire@cjwellings.com

“This place has saved my life and given me a new direction”

The pioneering work of Change Grow Live’s Wirral Ways to Recovery Service has been featured in a new BBC documentary.

Staff, volunteers, peer mentors and people who use the service shared their stories and experiences of how the service’s ground-breaking approach is supporting and empowering people to change their lives.

Commissioned by the BBC and filmed in partnership with Change Grow Live, the documentary features a number of staff members including one of Change Grow Live’s service managers, former and current services users, as well as a senior government advisor, Dame Carol Black. Through personal interviews, the documentary explores the reasons why the ‘recovery village’ was set up in Birkenhead, how the concept works in practice and the lived experience of some of the people who use it.

The first part of the BBC documentary – ‘The Road to Recovery’ – introduces 28-year-old Mike, who is in recovery, and has been able to use the services to maintain sobriety for two years. Mike talks openly about his own issues, including his substance use and journey to becoming a peer mentor – someone who is receiving support from the service while also using their own experiences to support others.

The second documentary – ‘Addiction: A Mental Health Crisis?’ – follows Tony’s journey to recovery, and the support he receives at the new Compañeros café, which is run by the Spider Project. Tony is a musician and photographer who has struggled with his mental health and substance misuse for decades. The café has many staff who have experienced similar situations, and it gives Tony a place to talk to others as well as take part in group activities such as music and creative writing.

In his interview with the BBC, Tony said:

“On the face of it, I’ve lost everything – but this place has saved my life and given me a new direction.”

Andrew Cass, service manager at one of the local services, Wirral Ways, said:

“This documentary is a great opportunity for us to shine a light on the work that is being done in Birkenhead, and the positive impact the town’s recovery village partnership is having on service users such as Mike and Tony.

“Although this specific documentary looks at Birkenhead, it is also a true insight into the work carried out by Change Grow Live and its many services across the UK. The charity’s services play a huge role in so many positive stories of recovery and I’m proud to be part of an organisation that strives to provide the very best support to anyone who may need it.”

You can watch the full documentary on BBC iPlayer.

Read the full blog 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 Change Grow Live

Better training needed for emergency call handlers around overdose, says SDF

Emergency call handlers need better training around dealing with overdose situations, according to a new report from the Scottish Drugs Forum (SDF). Some call handlers have been giving advice that conflicts with that provided in naloxone training, says Providing emergency help to someone having an overdose: your experiences.  

The document is based on the survey responses of 285 people who have provided emergency help to someone having an overdose, including family members, healthcare professionals, support workers, emergency service staff and members of the public. Despite the recommendation for improved training, however, the majority of interactions with ambulance call handlers were rated as either very helpful (more than 30 per cent) or helpful (almost 38 per cent) with a minority of participants rating their interactions as unhelpful or very unhelpful.  

The responses also illustrate the need for wider availability of naloxone, says SDF, and for more people to be trained in its use. Around three-quarters of respondents had completed a training course on overdose signs and symptoms and how to use naloxone, with a ‘fairly even’ split between those who had been trained within the last year and those who had been trained more than a year ago.

‘Near fatal overdose pathways’ need to be developed, the document recommends, so that people who’ve experienced an overdose can be offered swift help to reduce the chances of it happening again. People who have intervened in an overdose situation should also be provided with support, it adds, as this can often be traumatic – particularly where family members are involved.

The report also recommends that attention be paid to ‘attitudes and approaches’ during emergency help, in order to reduce stigma. ‘Emergency responders are encouraged to view people experiencing an overdose as vulnerable people requiring immediate support’, it says. ‘When you tell a medical worker that you are an IV user, they put on gloves and mostly treat you like a leper – there are exceptions, I admit,’ said one respondent. ‘They seemed more concerned about why we had a naloxone kit than about helping the person who had overdosed,’ was how another described the ambulance crew. ‘It was the first question they asked when they attended the scene.’

‘This is the first time people offering assistance – sometimes involving naloxone administration – have been surveyed nationally in an opt-in survey,’ said the report’s author, Martin Anderson. ‘It is clear that for some people this is an emotional situation and that the impact of that can remain after the incident is over. Naloxone administration by workers in communities, family, friends, and members of the public is a crucial part of the national mission to reduce drug-related deaths and we need people to feel confident and supported in carrying naloxone, administering it, contact emergency services, and in seeking another supply. This survey will give services and policy makers the information they need to build that confidence and support.’

Document at www.sdf.org.uk – read it here

White paper will set out new sanctions for drugs offences, says Malthouse

The government has reignited the controversy around punishments for ‘middle class cocaine users’ with the announcement that a forthcoming white paper will set out tough new sanctions for drugs offences.

casual drug use
People who choose to take drugs on a “casual” basis will face meaningful consequences

Writing in The Telegraph, crime and policing minister Kit Malthouse said that these would make sure ‘drug users face clear, certain, swift and escalating consequences’. There would be new punishments ‘for so-called “recreational” users who continue to flout the law’, which would become ‘increasingly painful’, he wrote. 

Although the launch of last year’s drug strategy was accompanied by media coverage of ‘cracking down on middle class drug use’, many in the sector separated the politically-driven need to placate parts of the press with the content of the document itself (DDN, February, page 8). Malthouse’s announcement, however, once again raises the prospect of people having their passports or driving licences removed, policies which many believe to be unworkable. The Telegraph article was also accompanied by an announcement that football fans caught with cocaine or other class A drugs at matches will now face five-year banning orders. 

crime and policing minister Kit Malthouse
Crime and policing minister Kit Malthouse

‘We clearly have to act,’ Malthouse wrote. ‘I don’t want to lose any more to this evil menace. Getting to grips with our nation’s drug problem is a key priority for me, the prime minister and the government as a whole, and in December we published a ten-year plan to do just that. But we cannot hope to bring about the complete shift we are looking for without taking action to address so-called “middle class”, or “recreational”, drug use. We cannot seriously reduce demand if we do not send a message loud and clear that people who choose to take drugs on a “casual” or “non-addicted” basis will face tough and meaningful consequences for their part in the misery, violence and degradation that drugs bring.’

The government intended to reduce levels of drug use over the next ten years to a ‘historic 30-year low’, he added. Malthouse, who heads the government’s Joint Combating Drugs Unit, also told the Independent that he strongly opposed London mayor Sadiq Khan’s recent announcement of a London Drugs Commission to look at cannabis legislation. California’s legalisation of recreational use of the drug was ‘widely acknowledged to be a disaster’, he said.  

The Ministry of Justice has also announced a new Turnaround scheme for children and teenagers ‘teetering on the edge of crime’, with a £300m investment over three years for early intervention by local authorities when young people were ‘displaying signs’ such as a history of substance use or poor school attendance. Wraparound support from local youth offending teams could include support with mental health or substance use, as well as mentoring or extra tuition, the government states. 

Mental health first aider provision at Turning Point

Photo by lilartsy on Unsplash

Mandie Doan, Strategic HR Business Partner at Turning Point, discusses the recent implementation of MHFA provision at the organisation.

Why did Turning Point decide to create the MHFA programme? Why now? 

Turning Point is a Health and Wellbeing Provider as well as a Mental Health Provider so we are very aware of the needs of people including our colleagues. The last two years has been very challenging for all and we thought now was the right time to introduce MHFA. As an organisation, our colleague base are far more aware than most about metal health, however we wanted to do more and believed that the MHFA structure would augment what we already have well. 

How was the number of MHFAs decided? (i.e. one aider for every 100 Turning Point colleague) 

We want to grow organically, to learn from the first cohort and amend/improve accordingly with the intention to increase numbers over the next two years. We started by re-recruiting those MHFA that had been trained in other organisations or through Local Authority support locally to help us shape our programme. We’ll continue to review what we think our optimum level will be based on our learning’s as well as understanding what best practice in other similar organisations appears to be. 

Who did Turning Point partner with for the MHFA training and why? 

We partnered with St John’s ambulance as we already had a strategic partnership through Rightsteps. 

What best practice did you lean on in implementation of this initiative? Who was the expert or advisor? 

Together with colleagues who had operated within external organisations and have taken on board their learnings from this. This included the MHFAs, HRDs, HR Service Delivery Manager, MHFA Lead. One of the organisations we spoke to was the Environment Agency, who had been on an embryonic journey when they had first launched five years ago, prior to their partnership with St Johns Ambulance and their subsequent re-launch. We also used materials that are widely available externally for guidance on setting up MHFA programme from the usual big MH providers. 

Governance around the programme looks very well thought out, why is it important to get this right at the outset?  

We are very clear that we must ensure that the MHFAs are set up for success for both themselves and also those colleagues reaching out to them for support. Some of the governance includes: 

  • To have the right executive sponsorship to provide leadership voice, positioning, context and value to create a ‘movement’
  • Terms of reference to give clarity of what the roles are and the boundaries 
  • Have supervision with appropriately qualified support – especially in our environment, boundaries, triggers etc are very real so this support is really important 
  • A mechanism how MHFAs can escalate alternative support for a colleague in need if appropriate 
  • Link with training for refresher every three years. 

The MHFA Governance Network will host regular meetings with all MHFAs who are involved in active support. The purpose of the meetings will be to: 

  • Review and evaluate progress of MHFA contacts, without compromising confidentiality 
  • Provide a forum where MHFAs can ask questions and provide feedback on practice – learning from each other and sharing experiences 
  • Ensure that continued MHFA is required 
  • Provide an opportunity for the MHFA Governance Network  to satisfy themselves that the MHFAs are: Adhering to the MHFA Terms of Reference; point of reflection on MHFA own H&WB to continue and to ensure they are taking appropriate action to maintain their own H&WB, as the role can be demanding and challenging; carrying out their MHFA role to a satisfactory standard; being provided with all appropriate support. 

Read the full blog 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

Scotland sees fall in injecting levels

The percentage of people assessed for drug treatment in Scotland who report that they are currently injecting is now 9 per cent, according to the latest figures from Public Health Scotland (PHS) – down from almost 30 per cent in 2006-07. 

scottish drug useThe figures, which are taken from the Scottish Drug Misuse Database statistics for 2020-21, also show that the number of initial assessments for specialist drug treatment fell to 7,938 from almost 11,000 the previous year, partly as a result of the impact of the COVID 19 pandemic on service provision. 

More than half of those assessed in 2020-21 were over 35, compared to less than a third in 2006-07, and as in previous years almost three quarters were male. However, the proportion of people reporting heroin as their main drug has fallen from almost two thirds to 35 per cent over the same period. The sharing of needles and syringes was reported by 4 per cent of people, a figure that has been largely unchanged since the start of the decade but is around a third of the level reported in 2006-07. 

The proportion of people reporting cocaine as their main drug, meanwhile, was 18 per cent, a percentage that has ‘increased sharply’ since 2015-16, albeit with a slight fall after 2019-20. 

Around two thirds of people assessed for drug treatment reported co-occurring health issues – of these, 66 per cent reported mental health issues, almost half reported physical issues and a quarter reported alcohol issues. 

Although there was an 8 per cent fall in suspected drug deaths in Scotland last year (DDN, April, page 5), the figures are from provisional police reports and are different from the official National Records of Scotland statistics compiled from death certificates and pathologists.

Scotland’s drug-related death toll of 1,339 in 2020 was the highest ever recorded for the seventh year in a row, and by far the highest in Europe. Police Scotland recently announced that it would be equipping its officers with naloxone across the whole country (DDN, March, page 4), with Scotland’s lord advocate confirming that police could now issue warnings for class A drugs – rather than automatic prosecution – as part of ongoing efforts to tackle the ‘public health emergency’ of drug-related deaths (DDN, October 2021, page 4). Alcohol-related deaths in Scotland also increased in 2020, despite lower alcohol sales as a result of the pandemic (DDN, March, page 4).

Scottish Drug Misuse Database: Overview of initial assessments for specialist drug treatment 2020/21 at https://publichealthscotland.scot/

SIG peer mentors volunteer at Happy Pants

Peer mentors from SIG Pathways recently volunteered at Happy Pants Animal Rescue, to demonstrate the kind of community projects clients can get involved in.

The Pathways outreach peer mentor coordinator Donna and some of the peer mentors and clients at Pathways experienced something different a on a Monday morning a few weeks ago.

Happy Pants Animal Rescue is a little haven for over 300 unwanted and abandoned animals in Sittingbourne. Turkeys, pigs, chickens, ducks, pigs, dogs, cats, cockerels, chickens and tortoises all reside at the farm.

Pathways were lucky to arrange for five people which included the peer mentor coordinator to have an introductory session at the farm which will then enable them to become volunteers at the farm. Their duties included mucking out, preparing and feeding the animals, as well as general tidying and DIY.

Donna was inundated with volunteers wanting to take part, so there will be a rota so that all clients and peers that are interested, will get to experience working on the farm.

The main reason for organising volunteering at the farm was to allow clients to see that there are community projects they can get involved in, which will address their isolation and boredom, one of the main causes of relapse.

It was great to see the peers and clients get stuck in and they all came away with a big smile on their faces and the will to return weekly. Upon leaving, Donna had to check the car to ensure no sneaky animals wanted to jump in as this is apparently very common with the rescued cats and dogs on the farm; unfortunately none tried to go home with them.

Peers and clients getting close to rescued animals that have been given a second chance, and being around like-minded people in the fresh air, made this activity a resounding success. Who doesn’t love animals?

Many of the animals have had a second chance at life, much like the peers and clients, so they can relate to them.

Read the full blog 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

UK’s drug prevention activity ineffective, says ACMD

Despite ‘reasonably good evidence of what works’, the UK lacks a functioning drug prevention system, according to a new report from ACMD – with workforce competency ‘a key failing’.

Homeless drugs
A sole focus on ‘vulnerable groups’ can be counter-productive.

The Drug misuse prevention review was commissioned late last year in the wake of the new drug strategy to look at the best ways of preventing drug use and dependency among vulnerable groups. 

There is no ‘silver bullet’ to address vulnerability to drug use, the document states. However, the ACMD’s ‘strong advice’ is that ineffective, fear-based campaigns – the so-called ‘scared straight’ approach – should not be pursued, with funding better used elsewhere. The UK should aim for a strategy where prevention is integrated across policy in a ‘whole-system’ approach, it says, which will require investment in workforce training. 

A sole focus on ‘vulnerable groups’ limits the reach of prevention activities and can be counter-productive, the review concludes, potentially contributing to further stigmatisation and discrimination. ‘A focus solely on the characteristics of specific groups is likely to add to stigma and will obscure individuals’ unique differences in need and vulnerability,’ it states. ‘Moreover, it is essential to recognise that: vulnerability possibly associated with a specific group or characteristic does not automatically confer vulnerability on an individual who is a member of that group or shares that characteristic; not all of those who are vulnerable will go on to use drugs; and that drug use of vulnerable individuals will not necessarily escalate to a harmful level.’

Document at:

www.gov.uk/government/organisations/advisory-council-on-the-misuse-of-drugs

US drug deaths up by 15 per cent

The number of fatalities in America’s ongoing drug-death crisis increased by 15 per cent in 2021, according to provisional figures from the Centers for Disease Control and Prevention (CDC).

Last year saw 107,622 deaths, bringing the overall total since the turn of the millennium to more than 1m.

drug deaths usa image of a man
Last year saw in excess of 100,000 deaths

The provisional figures are based on available death records and are subject to change as they ‘may not include all deaths that occurred during a given time period’, says CDC. However, while the number is significantly higher than 2020’s already record 93,655 deaths, the increase was half that of the 30 per cent jump between 2019 and 2020. 

Almost 81,000 of 2021’s deaths involved opioids, compared to just over 70,000 in 2020. There were more than 71,000 deaths involving fentanyl, as well as almost 33,000 involving methamphetamine and just over 24,500 involving cocaine – all up on the previous year – with overdose deaths increasing in every US state except Hawaii. The Biden administration recently launched its first drug strategy, with a marked shift towards harm reduction policies in an attempt to tackle the country’s ‘overdose epidemic’ (DDN, May, page 5). 

Once again, we are devastated by these numbers,’ said Jules Netherland of the Drug Policy Alliance NGO. ‘Over 107,000 of our friends, family and neighbours lost their lives to drug overdose last year. And sadly, we know the numbers will only continue to climb unless our policymakers actually do what is necessary to curb them. The United States has spent over 50 years and well over a trillion dollars on criminalisation – and this is where it has gotten us. We are grateful that the Biden administration has embraced harm reduction as part of their National drug control strategy, but we need to see that commitment met with Congressional funding and a massive scaling up of these health services. While it may not always be politically convenient, it’s time to be guided by the evidence about what works. Overdose deaths are avoidable and a policy failure—it’s time we stop recycling the same policies that got us here and take the actions that are necessary to save lives.’

Provisional drug overdose death counts here 

Introducing Forward’s new Kent Young Persons Project

Photo by Priscilla Du Preez on Unsplash

The Forward Trust has set up a new mental health service for young people due to leave a secure setting in the Kent and Medway area. This Mental Health Awareness Week, project Team Leader Simon King tells us why support like this is so important in helping reduce reoffending.

When I saw that The Forward Trust was advertising a new mental health support service for young people, I jumped at the chance to get involved.

The plan is to provide enhanced mental and emotional wellbeing support for 18–27 year olds in the Kent and Medway area who have been in a secure setting and are about to leave. The project will run from two prisons – HMPs Elmley and Rochester – with the overall aim of helping these young people reduce or end reoffending behaviours and attend services they might otherwise find difficult to access. This was made possible due to a grant we were awarded by the NHS Kent and Medway Clinical Commissioning Group (CCG).

Mental health support for young people has always been a subject that’s held great interest for me. Research on mental health among young adults in prison shows that 18-25 is a critical period in the development of mental health problems and aggressive anti-social behaviour. Furthermore, a study of nearly 50,000 prisoners underlined the link between treatable psychiatric disorders and reoffending, showing that the risk of reoffending increases with the number of diagnosed disorders.

Through my own working experience, I have seen first-hand the need for better mental health support for young people in the prison system. I have found that the vast majority of the people we work with in prisons have some form of mental health and/or emotional wellbeing concern. In some instances, I’ve truly felt individuals could have avoided prison if only they had been offered the right kind of support in the community. I have no doubt any person working in the prison establishment would agree.

Evidence from the 2009 Bradford Report and a later report on mental health in the criminal justice system by Revolving Doors supports this. It suggests that as many as 50% of people aged between 18-25 who have mental health and learning disabilities could have avoided prison if they had had proper access to services in the community or been earlier identified as having these issues.

As this is a new project, we are in the fortunate position to be able to shape and tailor the service specifically to the needs of the young people we’re supporting. Our team will deliver a range of interventions prior to release and in the community to support sustained engagement with a bespoke care plan package created with the client whilst they are in prison. Once released, our dedicated team will support each young person to achieve positive outcomes according to their individual mental and emotional wellbeing needs.

Read the full blog 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 Forward Trust

Sadiq Khan launches drugs commission for London

Mayor of London Sadiq Khan has announced a London Drugs Commission to look at the effectiveness of cannabis legislation, the mayor’s office has announced. The commission will be chaired by former lord chancellor Charlie Falconer QC and made up of independent experts and ‘leading figures from the fields of criminal justice, public health, politics, community relations and academia’.

Sadiq Khan
‘We need to do more to tackle this epidemic and further the debate around our drugs laws’

The aim is to gather international evidence on best practice in terms of public health, prevention and criminal justice responses, the mayor’s office states. While it will consider other drugs besides cannabis it will not be looking at class A drugs, and University College London will assess the health, legal and economic implications for any potential policy changes.

Khan is currently on a fact-finding mission in the US as part of an ‘international evidence-based approach to reducing drug-related harm in the capital’, his office states, including a visit to a Los Angeles cannabis dispensary and meetings with licensed cannabis growers and representatives of the Los Angeles Police Department (LAPD) and city council. Cannabis arrests in California have fallen by more than half since the state legalised recreational use of the drug in 2016.

‘The illegal drugs trade causes huge damage to our society and we need to do more to tackle this epidemic and further the debate around our drugs laws,’ said Khan. ‘We must learn from others when considering our approach, and by examining the latest evidence from around the world and the world-class research from UCL, Lord Falconer and the commission will make recommendations to improve our approach to cannabis to help tackle drug-related crime, protect Londoners’ health and reduce the huge damage that illegal drugs cause to our communities.’ However, a spokesperson for shadow home secretary Yvette Cooper has stated that Labour drugs policy ‘is not devolved to mayors’ and would be set by national government – ‘Labour does not support changing the law on drugs.’

Therapy doesn’t have to be complicated to be effective

Photo by Priscilla Du Preez on Unsplash

With You’s Anna Bate reflects on ten years of delivering NHS talking therapies.

There were a few moments early on in my mental health career that made me think ‘this is an amazing job’. I remember working with someone who was experiencing depression. He stands out because he was having an incredibly difficult time with being bullied at work, and I didn’t know if I could make a difference. We worked together on challenging his thinking and changing his behaviours and eventually he went on to look for another job and was successful. It was incredibly moving to know that I could have supported that change in someone.

This is the tenth year I’ve supported the delivery of NHS talking therapies (also known as Improving Access to Psychological Therapies or IAPT) for With You. During university, I did some care work with people with learning disabilities. My first job after uni was in a prison service working with women doing CBT re-offending behaviour programs. I found this fascinating and really eye-opening work. IAPT felt like a logical next step. I wanted to do more to try to move people forward and help them with their symptoms, rather than the caring roles that I had previously had.

My passion for psychology led me on this journey. I had people in my life who’ve experienced poor mental health and I just wanted to have more understanding so I could help them. I also wanted to break down the barriers to support. I’ve known people who’ve really struggled because mental health wasn’t really a thing that was talked about or understood. It’s often been seen as a failure if someone is experiencing mental health issues, rather than as something that many of us deal with at different points and times in our lives. That’s the kind of thing that spurred me on. Also a bit of good luck at falling into it.

While at With You, I have moved from working directly with clients to a managerial role first within a smaller service and then as contracts manager covering a wider area. My front line experience is invaluable in allowing me to support the whole service to work in a way that helps as many people as possible, without compromising on quality of care. My managerial career has been based on wanting to help staff support people, and I am incredibly proud of all the hard work and accomplishments of the amazing teams I work with. I have learned a lot about supporting people in work and the importance of building relationships within the team to achieve a common goal — helping the people we support.

After delivering IAPT services at With You for a decade, it’s interesting to reflect on the changes I’ve seen. When the IAPT programme began in 2008, it was a new approach and a challenge to the way therapists worked with people with mental health issues. In many ways, the core service still looks very similar but the delivery and processes around the core service have changed dramatically. It is such a fast-paced environment and it never stands still — it’s always innovating, always trying to do something differently, to make it better for the people we support.

Read the full blog 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 With You

UK’s first Home Office-licensed drug checking service launches in Bristol

The country’s first regular drug checking service to be licensed by the Home Office will open in Bristol later this month, provided by harm reduction body The Loop. The organisation has been providing drug-testing facilities at festivals for almost a decade. 

BDP
The sample drop-off and Loop pop-up laboratory are located at Bristol Drug Project.

The new service will combine testing with ‘personalised health advice’, says The Loop, and will be delivered in partnership with Bristol City Council – who are funding the scheme – alongside Bristol Drugs Project (BDP) and local community organisation the People’s Republic of Stokes Croft (PRSC). The free, confidential service will be operated by The Loop’s team of chemists and healthcare professionals, and is designed to build a comprehensive picture of local drug markets as well as reducing the risks around drug use. Last summer, one person died and 20 were hospitalised in Bristol during a single weekend as the result of a ‘rogue batch’ of ‘Tesla’-branded ecstasy pills. 

Drugs handed over will be subject to laboratory analysis, with the results shared ‘as part of a personalised health consultation’. Following its launch on 28 May, the service will operate once a month as well as during events such as Pride or local music festivals, The Loop states. In a survey of face-to-face drug testing brief interventions at music events by the University of Liverpool, more than 90 per cent of respondents stated that it had influenced their subsequent drug-taking behaviour, with many saying they’d be more cautious about using multiple drugs and less likely to buy drugs from strangers.

‘As the first city in the UK to have a regular drug checking service in the heart of the city we will be able to provide communities with access to factual, scientific, evidence-based information about drugs they may consume and that are in circulation throughout the wider city,’ said Bristol City Council’s cabinet lead for public health, Ellie King. ‘This, alongside the one-on-one trained healthcare consultation, will empower people to make safer, informed decisions and access drug treatment and further support.’ 

The Loop’s director, Fiona Measham.
The Loop’s director, Fiona Measham.

‘As the first and only dedicated drug checking service provider in the UK, The Loop has been working for nearly a decade to establish regular drug checking services direct to the public and we are extremely grateful to the Home Office for issuing the licence to be able to offer this vital service,’ added The Loop’s director, Fiona Measham.

‘The Loop has a proven track record of designing and delivering evidence-based innovative interventions to engage with people otherwise not in touch with health services and to support them in making safer choices. Furthermore, the intelligence on local drug markets gained from drug checking is shared with stakeholders to inform emergency services, public health surveillance networks, and wider drug using communities. We would also like to thank our local partners for their support in introducing this groundbreaking multi-agency initiative.’

Reality TV ‘bombarding’ viewers with alcohol imagery

Reality TV shows are exposing people to ‘high levels of alcohol content’, say researchers – a potential driver of alcohol use in young people.

reality tv
Alcohol appears frequently in shows like Love Island, Made in Chelsea and Married at First Sight Australia

Alcohol appears frequently in shows like Love Island, Made in Chelsea and Married at First Sight Australia, says the study published in The Journal of Public Health. 

The research looked at more than 260 episodes of 20 reality TV programmes shown between 2019 and 2020 in English-speaking countries to try to assess the potential exposure children and young people had to alcohol, tobacco and unhealthy foods, measured in one-minute intervals. Alcohol appeared across almost 40 per cent of intervals and in 98 per cent of the episodes studied, with alcohol use – mainly wine and champagne – seen in almost 1,000 of the intervals. Implied alcohol use, meanwhile, such as a person holding a drink, was seen in almost 4,200 intervals across 250 episodes. Alcohol branding was also seen in almost half of the episodes studied, with just under 150 different brands displayed. 

Seeing people drink on TV represented a form of ‘alcohol marketing’ that glamourised drinking, said chair of the Alcohol Health Alliance UK, Professor Sir Ian Gilmore. ‘As alcohol is an age-restricted, health harming product, children and young people in particular should be protected from exposure to alcohol marketing on the television shows that they watch. Numerous studies show that the more often young people are exposed to alcohol marketing, the more likely they are to start drinking at an earlier age. This research demonstrates the extent to which the British public is bombarded by alcohol marketing and imagery. If we expect any change, the government must introduce comprehensive restrictions to ensure that young people are protected from alcohol marketing in all its forms in TV programming.’

Exposure to tobacco, alcohol and ‘Junk food’ content in reality TV programmes broadcast in the UK between August 2019 – 2020 at https://academic.oup.com/jpubhealth

Introducing Change Grow Live’s new deputy chief executive

deputy chief executive, Nic Adamson.
Deputy chief executive, Nic Adamson.

Mark Moody, chief executive of Change Grow Live, welcomes the organisation’s new deputy chief executive, Nic Adamson.

We can’t use the word ‘unprecedented’ anymore, but this is a pretty unique time in our sector.

Covid has rocked our already stretched health and social care system to its core. Demand for our services is increasing. And there’s a growing recruitment crisis that’s not going away any time soon.

But it’s not all doom and gloom.

Dame Carol Black’s recommendations paved the way for an ambitious 10 year drug strategy, a new Joint Combating Drugs Unit, and substantial new investment. And the emphasis on understanding and responding to local needs signalled by Integrated Care Systems may shake up commissioning in ways that I think all of us would welcome.

These initiatives represent a once-in-a-generation opportunity to shift policy and practice not just across drugs and alcohol treatment, but in the way we think about and design services for some of the most vulnerable people in society.

All of which means there’s a lot to do in a very short space of time.

As the largest providers in the sector, Change Grow Live’s focus in the coming months is to build a stronger national profile and partnerships that will help us use our expertise and scale to influence policy, shape practice, and exploit the opportunities we now have to design better, more effective services.

Given the scale and urgency of these tasks, I decided to introduce a deputy chief executive role to lead on strategy, partnership development and communications and external affairs – areas that, as a delivery-focused organisation, we have not paid enough attention to in the past.

I’m pleased to say that following a rigorous selection process, we were able to appoint an internal candidate, executive director Nic Adamson, who will start her new role in May.

Those of you who know Nic know that she will hit the ground running and bring her energy, insights, and passion for people who use our services to the role. I hope you get the chance to meet and work with her in the very near future.

Read the full blog 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 Change Grow Live

Stand up and be counted

Women in the sector are using their power to collaborate and demand change, says Karen Tyrell.

women's drug servicesOver the last decade, the number of women dying drug-related deaths has increased by almost 80 per cent, yet the number accessing treatment has remained stubbornly static. This means that there are likely to be many women out there who are facing substance use alone and this needs to change.

Despite this gender disparity in terms of the people who access services, from a staffing perspective approximately 70 per cent of people employed in the substance use treatment sector are women and many of them work in services. I was one of those front-line workers when I began my career more than 20 years ago but as I’ve progressed my career the number of female colleagues around me has dropped.

This lack of women in senior roles has meant that the opinions and experiences of women have often not been heard during decision-making discussions and this, combined with very little gender-specific research, has led to the needs of women not being considered in the design of services. For example, it’s a lot more difficult to pick up a script every day or attend a group session if the pharmacy is on the other side of town, you don’t have access to a car and you have two children in tow.

Women are also a lot more likely to fall into the category of ‘hidden homeless’ – sleeping on friends’ sofas or staying in bedsits and who therefore won’t be connected to services through street outreach staff or hostel workers. Not to mention the fact that women who use drugs or alcohol often face additional stigma which can make accessing services more daunting. A lack of recognition of the inherent challenges that women face has led to:

  • There being no female-only inpatient detox facilities
  • Vastly fewer choices for women who want female-only residential treatment
  • No consistent access to specialist midwifery for women in substance misuse
  • No specialist services for women struggling with both addiction and the menopause
  • No national minimum standards for women’s treatment

‘I’m not sure, with the exception of a few specialist organisations, if we ever had the specialism needed in the sector to fully support women,’ says national head of service, public health and substance misuse at Turning Point, Nat Travis. ‘Traditionally, providers have always seen a greater proportion of males in treatment, often in the region of two thirds to one third and we need to change this and ensure that 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 together to address this issue. Last year, I saw Hannah Shead, CEO of Trevi, present about the female-only residential treatment service her organisation runs. She was really compelling and I reached out for a chat. This got us to thinking about why there isn’t a place for women to come together and use our collective power and voices to improve things at the front line for the women our services are here to support. So we decided to set up a women-only space, under the banner of Collective Voice, but with a broader membership (DDN, April, page 5).

From the start, we’ve tried to come at the problem from a different angle than other cross-organisational meetings (which in themselves are a fairly rare occurrence). We are a time-limited group – we’ve collaborated to build a shared understanding of the problem, and we recognise that focussing on women’s issues are a small fragment of our day jobs. We are forgiving, kind and unafraid. We’ve tried hard to come together with a different perspective. We don’t come to the meetings as representatives of our organisations, or to tell each other how brilliant our organisation is. We come together as women. We share jokes and have developed a space for psychological safety. It’s given us an opportunity to be bolder and to focus more on the needs of women – something we’ve all wondered if we could have done more of in our day jobs, or, as in my case, across my career.

Our aim is to improve the treatment offer for women who access drug and alcohol services, by bringing together senior women with a passion to improve things. We want to ensure specialist women’s drug and alcohol provision is available to all women, irrespective of treatment delivery type or geography, as a right. This means access to gender-specific (and women only) services and spaces; inpatient detoxification, residential treatment and community service delivery.

We know our sector is in flux, with the publication of the new drug strategy, changes in the commissioning landscape and a slew of new standards, processes and systems in development. Our group aims to influence commissioning and outcome monitoring to consider needs through the lens of sex and gender. We also aim to influence performance outcomes which OHID may be considering, to ensure they reflect women’s health and social care needs. We want to influence workforce development activities as well as advocating for the development of minimum standards for women’s services in substance misuse.

There is a risk, in a world of flux, that we end up simply rebuilding the treatment system of the past. That system did not effectively meet the needs of women. We need to create a new system of harm reduction, treatment and recovery for the future, which puts the needs of women at its heart. Women are central to local communities and families and are hugely influential across every domain of life. If we build a women-first or women-centric system, it will benefit everyone within it – not just women.

Basically, we are coming together to stand up for the needs of women, as distinct and separate from men. If you get the chance, please do the same.

For more information: www.collectivevoice.org.uk/womens-alcohol-and-drug-treatment/

Case Study

LORNA: ‘The women’s group I attend is quite mixed in terms of age, ethnicity and life experience. We talked early on about what being a woman means to us as individuals and I think that allowed us to be open with each other. Each woman’s story is different but we all share the experience of being a woman and having a woman’s body. I believe that those shared experiences allow us to connect better than in a mixed group.

I feel it is a more relaxed atmosphere and that conversations flow more easily without men being present. I know I feel safer, more open and less guarded than in a mixed group. I believe that such safety has been the catalyst for me being able to be more reflective, to listen to other women and to support them. It has made an enormous difference to my mental wellbeing. The group has also helped me to feel a greater sense of personal worth and self-esteem. I feel like I’m getting myself back and that I’m becoming a more whole person.’

—–

Lorna attends HAGA Alcohol Service in Haringey

Karen Tyrell is executive director of culture, strategy and external affairs at Humankind, on behalf of the Women’s Treatment Group which includes representatives from Bristol Drugs Project, Change Grow Live, Changing Lives, Cranstoun, Humankind, Phoenix Futures, Trevi House, Turning Point, WDP, With You and Working With Everyone

Mental block

mental health article in DDN magazineAs far back as 2002, research was showing that 70 per cent of people in drug services and 86 per cent in alcohol services had described or reported severe mental health problems in the previous year, said Dr Hauwa Onifade, a forensic psychologist at Turning Point involved in developing services with an integrated approach to co-existing mental health difficulties and substance use. Far too many in this client group were still failing to access the support they needed, she said.

Despite efforts to integrate services, there were ongoing barriers to bridging the gap. In many services there was ‘sequential delivery’, with clients told to address their substance issues before they could access mental health support, or parallel delivery – clients accessing both, but with difficulties in joining them up. Years of diminishing investment had taken its toll, while the transfer of public health functions to local authorities had also led to an ‘accountability gap’ across substance and mental health providers. ‘And of course COVID hasn’t made any of this any easier.’

High Risk

Dr Hauwa OnifadeTurning Point had developed a substance use and mental health (SUMH) toolkit for professionals, condensing research and guidelines from PHE, NICE and elsewhere, she said. The organisation had also been working in Leicester, Leicestershire and Rutland on developing an integrated team, with a pilot launching during the COVID period following an audit of more than 3,000 clients. This had identified two significant groups where there were gaps in accessing treatment – populations involved in injecting drug use who were ‘frequent flyers’ at local hospitals and also presented with high levels of risk around mental health, including self-harm and suicide, and longer-term clients who, although there was little risk of self-harm or suicide, were in high levels of distress and unable to make changes in their substance use as a result.

‘We tend to focus on high-risk populations, almost to the detriment of the other group,’ she said. ‘And even with the high-risk populations we’re not necessarily working with them long-term, so they tend to fall into that pattern of re-presenting to services. A lot of services were involved in their care and a lot of people were aware of their difficulties, but they weren’t necessarily in treatment for very long.’

No Wrong Door

Turning Point’s integrated team had tried to implement the ‘no wrong door’ concept – that all services should have a fully open-door policy – along with a ‘huge focus on engagement and retention’, she told the seminar. There was also a need to focus on client needs rather than just diagnosis – ‘we found that when we focused on diagnosis alone we excluded a high number of clients who were struggling and in distress’.

Turning Point had also conducted a mapping exercise of all the services in the area that could meet the clients’ treatment needs. It found that specialist services for domestic violence, for example, would also work with people who had experienced those issues in the past, allowing the building of links to provide support while clients were on a waiting list. ‘Establishing those networks and looking at the wider availability of resources is really key,’ she said. ‘It’s astounding the number of peer support groups available’, and even organisations like Age UK could address issues of loneliness and provide interim support while clients waited to access other services. ‘So really broadening our idea of what intervention looks like for these client groups, which means we’re able to filter in a lot more options.’

Focusing on being able to deliver genuinely trauma-informed services was vital, alongside breaking down both stigma and professionals’ anxiety around their skill sets. Lack of clinical psychologists in third sector addiction services was a crucial issue, however – ‘I’m astounded by the number of services that don’t have psychologist input’ – and proper support for staff was also a key consideration. ‘If you’re working with people with those high levels of risk, as a professional you’ll likely need some support as well. Without that full structure and that supervision and training element, teams such as this would likely fall apart.’

But barriers didn’t just exist when it came to accessing treatment for co-existing conditions. There were also the legal barriers that prevented the use of substances that could provide potentially life-changing help for depression, anxiety, PTSD and other mental health issues.

Revolutionary

‘It was the first great revolution in psychiatry,’ said professor of neuropsychopharmacology at Imperial College London, David Nutt, of the widespread use of LSD therapy in the US in the 1950s and ’60s. There had been an ‘enormous clinical interest’ in LSD, and to a lesser extent psilocybin, with around 1,000 clinical papers and ‘overwhelmingly positive’ results describing safe and effective treatments.

For researchers and psychiatrists, psychedelics offered the opportunity to ‘ask questions of the brain that hadn’t been asked before, and potentially change brain function in a very positive way’, he said, and it was ‘remarkable’ how few adverse effects there had been. ‘Lower than you’d imagine for untreated populations at the time and certainly better than any treatment they were getting, which was essentially just barbiturates.’

It constituted a ‘remarkable period of enormous enthusiasm’, he stated. ‘But we don’t use them now, because in 1967 the US government decided to ban psychedelics because they thought they were encouraging the anti-Vietnam war movement.’ And – as ‘we’d always done in drug policy exactly what the US told us’ – the UK followed suit, as did the UN.

This meant an end to research, as it was almost always funded by governments, with even those researchers who could access funding from philanthropists unable to get hold of the drugs. It added up to ‘a genuine attempt by the US government and UN to eliminate all knowledge and almost all memory of the drugs, because they were seen as being so challenging to the status quo’.

In 2012, however, money finally became available from the Medical Research Council to study the use of psilocybin in treatment-resistant depression, dependent on an initial safety study. ‘But even that was easier than getting hold of the drug,’ said Nutt. ‘In the end, 32 months of our 36-month grant were spent on bureaucracy, which is all about protecting society from the dangers of magic mushrooms. It’s completely absurd.’

Pessimism bias

The study finally went ahead, involving 20 patients who had all failed to benefit from anti-depressants and CBT. ‘We gave them one dose, one trip of 25mg, and saw a halving of depression scores within a day.’ Even at six months there were still ‘huge’ effects, with some patients in remission after eight years. ‘It opened up the whole field, and now there are 40 different companies working in the field of psilocybin for depression.’

Psilocybin ‘changes the way people think’, he said, helping to remove the ‘pessimism bias’ involved in perpetuating depression. A subsequent ‘head-to-head trial’ of psilocybin versus the widely used SSRI antidepressant escitalopram found that psilocybin was ‘at least as good, and probably better’ on most measures, with ‘remarkably higher’ remission rates (www.drinkanddrugsnews.com/magic-mushrooms-may-be-as-effective-as-antidepressants).

While SSRIs worked by enhancing serotonin in the limbic system – ‘they are to depression what a plaster cast is to a broken leg’ – psychedelics worked in a different part of the brain by disrupting cortical thinking. This helped to break down negative thought patterns and increase wellbeing, without the blunting effect on the emotions that sometimes came with SSRIs.

Studies had now been widened to include areas like anorexia, OCD and pain syndromes, he said. These were ‘internalising disorders where people get locked into thinking patterns they can’t escape, and psychedelics can help them do that’. The drugs also worked well in treating addiction, he stressed, in that they helped to ‘break down the circuits that drive addictive thinking and habit behaviour’, and he was now involved in work looking at whether ketamine could be effective for behavioural addictions such as gambling or pornography.

Maximum benefit

MDMA was now likely to become approved therapy for PTSD in the US from the end of next year, he said. ‘They’ve done one phase 3 study, and the second one’s on its way – if it’s as good as the first I’m pretty sure it’ll get a licence, and hopefully we’ll then be able to use it in Britain. And maybe in the next three years we’ll be able to have psilocybin in the UK, depending on how the next phase 3 trial comes out.’ Psychotherapeutic support provided around the psilocybin dosing was essential, however. ‘I like the idea that we can bring psychotherapy and pharmacology together to maximise the benefits for people.’

‘As George Bernard Shaw said, “Those who cannot change their minds cannot change anything”, and I think what’s pretty clear is that psychedelics can change the minds of our patients. I’m hoping this research can also change the public’s and politicians’ minds about psychedelics and bring them back into medical practice, because it was absurd that they were taken from it. It’s actually the worst censorship of research and clinical practice in the history of the world. And we should rectify it now.’ DDN

The SUMH resource pack – working with people with coexisting substance use and mental health issues at www.turning-point.co.uk/reports

 

Safe spaces

Gender-responsive service provision is more essential than ever at this critical point in the sector’s development, say Francesca Carpenter and Laura Ward.

safe spaces DDN magazine featureOasis Project was established in Brighton and Hove over 24 years ago by four women who felt their needs were not being met by mainstream substance misuse services. Since then, the service has vastly grown to provide a range of gender-responsive services to women, children and families affected by substance misuse across Brighton and East Sussex. Oasis is part of the commissioned structured drug and alcohol treatment delivery partnership in Brighton and Hove.

Unfortunately, women’s needs are rarely met by generic substance misuse treatment services, which are known to be male-dominated environments accessed mainly by male opiate users. For women who have experienced trauma including domestic/sexual violence perpetrated by men, male-dominated settings can be threatening and overwhelming. Whilst it is widely recognised that experience of trauma is a contributing factor in the prevalence of substance misuse across all populations, there are specific connections between women, domestic abuse and substance misuse. Women who have experienced domestic abuse are eight times more likely to develop a substance misuse problem when compared to the general population and may experience specific forms of abuse in relation to their substance misuse, such as control being exerted over their access to substances and prevention of access to support services.

Oasis women's drug treatment projectOasis’ approach includes delivery of treatment in a women-only building, providing a physically and emotionally safe place for women to access support in an environment which recognises the prevalence of trauma and actively seeks to prevent re-traumatisation and promote recovery. Women report feeling more comfortable in a setting they know is women-only, sharing space with peers and drawing on shared connections, without risk of being in groups and settings with a partner, or ex-partner.

Women who misuse drugs or alcohol are often judged more harshly by wider society than their male peers, leading to greater experiences of stigma and shame which can make accessing services more difficult. These experiences are exacerbated further still in the context of parenting, with many women fearing a disclosure of substance use will lead to separation from their children.

Services often work with either adults or with children, which can lead to age-centric thinking and approaches. The context of family at Oasis Project runs through the whole organisation and bridges gaps through wraparound family support for both parents with drug and alcohol misuse needs and children affected by familial substance misuse.

Staff are well-trained and confident in exploring children’s needs with parents and potential risks associated with substance use, and Oasis has an organisational strength around child safeguarding through our work. Our approach is to sit alongside parents to proactively reduce shame, listen to their worries and provide targeted support to reduce risks in the family including delivery of POCAR, a programme for parents whose children are in contact with social services. The relationship established with parents continues through any involvement from children’s social care, and we support parents to understand local authority processes and their rights as parents.

Childcare is a widely reported barrier for parents who need to access services, and Oasis provides a free crèche for any child affected by parental drug and alcohol use. The crèche is a therapeutic setting for children that recognises the importance of the child’s voice, views, feelings, emotions, and personality, giving every child an opportunity for space to thrive. The crèche is also a vital resource for parents, providing the opportunity to participate in activities that support their recovery, including time in the day for themselves.

Oasis provides free arts-based individual therapy for children and young people aged 5-18 years affected by a parent or family members’ substance use. This service is restorative to children who have experienced abuse and neglect in their families and seeks to provide a safe space for their own recovery. It’s important that the needs of children and young people are considered within the context of substance misuse treatment, and the families’ experience held in mind when working with parents. Parents who access Oasis Project tell us they value support being extended to their children.

It is through our specialist experience and dedication to working with women experiencing substance misuse and associated issues that we have been able to embed a responsive and trauma informed culture, practice and environment. Although necessary components, we consider gender responsive care extends beyond the provision of a women-only space, or a women’s worker, but relies upon an ethos which prioritises understanding of and responsiveness to the intersectional and specific needs and structural challenges women experience. This requires an organisational and systemic commitment to working with the root causes of addiction such as trauma, and responding through approaches which enhance safety and empowerment to promote meaningful recovery.

The promise of increased funding for treatment services through Dame Carol Black’s report and the resulting government drug strategy is really welcomed at such a critical point. Our experience has taught us that to meet the needs of women, children, and families through substance misuse treatment providers, we need gender-responsive service provision, and opportunities for joint children and adult commissioning both locally and nationally. This is essential for breaking down silos and creating greater potential for family focused approaches.

Oasis Project has recently been accredited with the One Small Thing Silver Quality Mark for working with trauma.

Francesca Carpenter is head of client services and Laura Ward is CEO of Oasis Project

Case studies

Sally’s story

Sally (24) is mum to Daniel (3). Children’s social services were involved in the family due to concerns about Sally’s alcohol use. Sally had also experienced domestic abuse from Daniel’s father before Daniel was born. Sally had been in care as a child and found social work involvement with Daniel very difficult. Sally and Daniel’s social worker referred Sally to Oasis’ POCAR programme. Sally had a dedicated keyworker, and Daniel would use the crèche whilst Sally attended appointments and groups. Sally told her keyworker she was scared that Daniel would not be able to live with her, that she had no other family support and felt lonely. Sally would drink to cope with her worries.

In POCAR Sally learnt new strategies to cope with stress and worry. Sally’s self-esteem grew which enabled her to re-connect with old friends. With support from her keyworker, Sally stopped drinking and children’s social services reduced their involvement. Sally completed POCAR and continued to use the crèche to give her opportunity to focus on her recovery. Sally is due to start therapy with Oasis to explore some of her past experiences of trauma and build resilience for future.

Taking Control

‘I’m now looking to the future and taking control of my life. It’s not been easy at all, and I have made some mistakes, but I’m learning from them. I’ve got a long way to go but I want to keep getting better and I’m willing to do whatever it takes to get there. I am slowly getting better, I’ve just got to stick at it and trust the process. I have hope which Oasis has given to me. A massive thank you to my key worker, the Oasis staff, and all the women at Oasis. I wouldn’t be where I am today without you.’ Oasis service user

Alongside adult treatment, Oasis also delivers:

  • Young Oasis therapeutic services to children/young people affected by a parent or family member’s substance misuse
  • A free crèche to provide childcare where families are accessing recovery support and parenting programmes including Mellow Parenting
  • POCAR, an intensive psychosocial intervention for parents whose children are in contact with social services due to risks around parental substance misuse
  • Tailored services for young people aged 18-25 including a Young Women’s therapy service and dedicated support to young adults new to treatment
  • Looking Forward, for mothers who have experienced child separation following involvement from family courts
  • SWOP, a specialist sex workers’ outreach service

DDN May 2022

We must be genuine in our efforts to be responsive

DDN Magazine May 2022The number of women dying a drug-related death has increased by a staggering 80 per cent in the last decade, which is why we’re keen to support an initiative to improve women’s access to treatment (p6). We need to replace failing practice with a new system that puts women at its heart, says Karen Tyrell – well illustrated by The Oasis Project’s inspiring work (p8).

With the vast majority of people in drug and alcohol services reporting mental health problems (p10), similar giant strides are needed in developing services with an integrated approach to mental health difficulties and substance misuse. We’re still creating barriers to accessing services – ‘address your substance misuse before you can have mental health support’ – instead of accepting that there’s no neat pattern of behaviour. As the team from Bath explore (p12), most people experiencing addiction have had traumatic experiences in their lives, so we need to be genuine in our efforts to learn about and respond to this.

If there’s ever a temptation to create a service model and then expect people to fit to it, the distressing story on p16 should serve as a warning. How much time, money – and sheer anguish – could have been saved by consulting the patients as equal partners?

Read the May issue as an online magazine or download the PDF

Claire Brown, editor

Please send your letters and comment to claire@cjwellings.com

Get engaged

Ge engaged trauma article in ddnMost people experiencing addiction have had traumatic experiences in their lives. Trauma can cause a range of effects by disrupting a person’s sense of self, the way in which they navigate the world and the way they function. They may experience depression and anxiety and struggle to manage their emotions, build healthy relationships or trust others. People who experience trauma are at risk of developing serious mental health conditions including post-traumatic stress disorder. Using drugs and alcohol can help to numb the difficult and overwhelming symptoms related to trauma, but over time this puts these individuals at risk of addiction. Some describe substance use as a means of self-medication.

High quality drug and alcohol treatment can improve and save lives. Such treatment needs to be flexible, depending on the individual’s needs – service users should be treated with respect, listened to, receive timely mental health support, have a say in 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 and difficult, with the potential to be retraumatising. Services should ensure risks of traumatisation are minimised – the UK clinical guidelines for drug and alcohol treatment (the ‘orange book’) advocates an approach that aims to achieve this, referred to as trauma-informed care.

Trauma-informed care is not necessarily about treating the trauma or being aware of what has happened. Instead, it’s about adopting methods and principles that acknowledge and account for the fact someone may have had traumatic experience(s). This is done by understanding the effects of trauma and the impacts it may have on people. For example, trauma could cause people to become defensive and aggressive, or they may disengage and withdraw, or have difficulties trusting the intentions of professionals.

The key principles of trauma-informed care therefore are to reduce re-traumatisation and improve treatment experience and engagement. These principles aim to create trustworthiness, safety, empowerment, choice and collaboration.

A masters project undertaken by Fleur Gill and supported by Lee Collingham, Charlotte Dack and Jenny Scott at the University of Bath interviewed 15 people with experience of using drug and alcohol treatment services. Twelve men and three women took part – the youngest was 30 and the oldest 68 with an average age of 46. Their experience of treatment services ranged from five to 30 years, with an average of 17 years, although we didn’t capture this information from five of them.

The study had the aim of understanding whether they had experiences of trauma-informed care within their treatment, and whether they felt this affected their engagement. We used the key principles of trauma-informed care to write the questions, so we could gauge if people’s accounts of their treatment experience seemed to embed a trauma-informed approach. The research also aimed to provide insight into reasons for missed appointments, which is an ongoing issue within drug and alcohol services across the UK and may be linked to a lack of trauma-informed care.

The research found that despite guideline recommendations, most people interviewed had not experienced consistent trauma-informed care. Many felt that they had had little control over their treatment, with a power imbalance between them and the service.

‘I never felt I had any power within any services. I thought they had that piece of blue paper, which was very powerful – the script.’

Many also felt that their mental health needs were not acknowledged or treated, and that their appointments lacked true purpose and meaning, with a sense of superficiality that impacted on their motivation and willingness to engage.

‘He does all that “How you feeling, how’s life” and stuff, but I think it’s just become a case of “yes, no, ok, see you next month”.’

Most participants described missing appointments through forgetting to attend, feeling too intoxicated from using or having other commitments. However, they also described feeling that the appointments weren’t important to them because of this perceived superficiality and ‘tick box’ approach.

‘Would I forget if I thought it was REALLY important? Would I still forget it?… I’ve just got to go in for five minutes say “Yeah, I’m fine” and walk out again, and it’s not gonna be much motivation for me to try and remember.’

The relationship with the professionals delivering treatment, regardless of how trauma-informed their care sounded, was important. A good relationship included feeling listened to, not being judged, feeling like they were given time, feeling empathy and for some, feeling the key worker ‘went the extra mile’. A good relationship with their key worker meant they were more likely to want to attend.

My last key worker, I believe if it wasn’t for her I wouldn’t be where I am today… She showed me empathy and support, but I’ve had some where they’ve felt like a bit of a number.’

However, there were consistent mentions of differences among professionals with regards to their approaches and levels of understanding. Many felt that some professionals still seem to display a lack of compassion or understanding towards addiction, despite working in the field.

‘I can remember the first time I went there he literally said, “Well just don’t use drugs” and I’m like, “You tell me how to do that then!”, cos it’s not that simple.’

Most participants mentioned how much they value staff members with lived experience, and while there is consistent evidence in published studies of the benefits of having staff with lived experience, some services are known to still adopt an approach where staff don’t disclose their experiences.

‘I’ve always found it’s when I’ve had drug workers or whatever who’ve been there and done it, who’ve got experience, they’re always better than the ones who are just textbook.’

In this study we found accounts that seemed inconsistent with trauma-informed care and we also found that positive relationships with key workers, where the client felt listened to, respected and understood, encouraged attendance. Variability among the approaches and attitudes of professionals, and their levels of understanding of addiction, was an important influence on whether the person engaged with appointments.

The benefits of staff with lived experience in supporting meaningful engagement was a key message in these interviews. By supporting more openness and honesty between staff and service users and hiring more people with lived experience, we may increase trustworthiness, safety, empowerment, choice and collaboration in treatment – key underpinning tenets of trauma-informed care.

Our study chimes with the findings of the second part of the Carol Black review, and the need for services to reorientate their approaches to enable people to engage. Finally, it’s important to say that the type of study we did is focused on understanding people’s experiences rather than generalising about the experiences of all who use drug and alcohol services. A larger study would be needed to discover if what we have found is true on a wider and more general scale.

Fleur Gill is an MSc student with an interest in addiction research; Lee Collingham is an expert by experience who supported the research project; Charlotte Dack is a lecturer at the University of Bath; Jenny Scott is a senior lecturer at the University of Bath

Pushed to the Brink

diamorphine article in ddn magazineThree years ago, nine people in the South West of England were going about their daily lives, just as anyone else might, juggling jobs and family life with all the everyday ups and downs.

Each of them was in regular receipt of a diamorphine (heroin) script, which was working well for them in managing their dependence on opiates and giving them a good quality of life.

Then came a letter from their treatment provider – the same letter to each of them, with just their names changed. In line with ‘best practice’ they must have their treatment changed. They needed to choose a different option – oral methadone, MXL (slow-release morphine tablets), or inpatient rehab.

Four of the nine patients decided they had to challenge the decision. Jill and Helen (not their real names) talked to us about what happened and how it affected them.

‘It was clear in the letter that there was no clinical opinion taken on it,’ said Jill. ‘No individual circumstances were taken into consideration – it was done purely on a cost basis.’ She talked to the clinical lead and asked if the patients could have a meeting with the group who had made the decision, ‘to go through our opinion on it and how it was going to affect us, because nobody that made that decision had any of the rest of our personal records. I was quite concerned that the people making the decision couldn’t even put a face to me.’

Advised to put it in writing, Jill went home and wrote down the questions she needed answering. The reply around six weeks later ‘was absolute nonsense’ and didn’t clarify anything. A few more attempts later, and feeling she was being ignored, she contacted Release for advice.

Advocacy

Claire Robbins, Release’s nurse advocate and drugs advisor, explains what came next. Release wrote advocacy letters to the service provider on behalf of the patients. They introduced themselves and talked about the case, and quoted Department of Health guidance aimed at protecting patients on diamorphine. ‘It talks specifically about that group and says, if anything, their treatment should be reviewed and optimised,’ she says.

They wanted to have a conversation; there was none. The provider forwarded the letters to their litigation department and responded: ‘sorry you had to raise a complaint’. ‘We weren’t ever raising a complaint,’ says Robbins.

Release continued to advocate for Jill and Helen, but the provider refused to reconsider their decision to withdraw the medication, despite the fact that the patients had been on diamorphine for years and it having a significantly positive impact on their lives. ‘All we were trying to do was sit down and communicate with them,’ says Jill. ‘But they were not wanting to do it.’

At this stage Release involved the law firm, Leigh Day, with a view to bringing legal action against the provider.

‘We would normally advocate in a way that is respectful to all parties involved, and with the clients’ best interests and rights at the heart of the process,’ explains Robbins. ‘In the vast majority of our cases, we will resolve a problem in a positive way with the provider and the client.’ But it was not possible in this case, so Jill, Helen and the lawyers at Release decided to pursue a judicial review of the decision to withdraw medication. They did this by instructing Leigh Day.

Intimidating process

As part of the legal process, attempts were made to settle the matter. The patients tried to explain how this was affecting them – even mentioning a situation where it had happened to one of them before and led to a relapse – but felt the service wasn’t listening at all.

‘We were stressed out, really worried about it for weeks and weeks before,’ says Jill.

‘I can’t stress enough how negative this was for everybody’s mental health and the duty of care,’ says Robbins. ‘The patients were expected to go through this whole process, which was really intimidating.’

Second opinion

With no resolution and the date of the prescription change looming, the law firm took the case to court. A second opinion from an independent consultant would be sought on the provider’s clinical decision, and in the meantime the judge gave a clear instruction that the provider must do everything they could to make sure the patients’ supply was continued. It was a temporary arrangement that the organisation would have to pay for – more expense for this ‘cost-cutting’ initiative.

Then came COVID, and the temporary arrangement stretched over a year during which the provider had to continue prescribing, as the independent consultant couldn’t meet the patients. When the consultant’s decision did come, it stated that prescribing should continue.

The stress of this experience was felt physically and mentally while trying to lead as normal a life as possible. ‘I lost a lot of my hair,’ says Jill. ‘We didn’t know from one day to the next what was happening.’ But the after-effects of three and a half years of the process have had wider implications for the therapeutic relationship – or lack of it. ‘The relationship had completely broken down and the patients had lost trust,’ says Robbins.

No Support

‘We nursed each other through it – there was no one else I could talk to about it at the time, says Jill. ‘Claire was my only sanity really and I wouldn’t have done it without her. I received no calls to support me through the case from my service, only from my prescriber. He was the one that checked in on us.’

‘We had some behind-the-scenes support from workers who felt they couldn’t speak up or they would lose their jobs,’ added Helen.

Alongside demonstrating that the declared ‘best practice’ was actually very poor practice, the case cost the service a lot of money – ‘the most expensive diamorphine scripts in the world!’ says Robbins. But the outcome showed that the legal process had been essential.

‘At the core of this issue were a small number of patients who were threatened with having their long-term medication terminated without their consent, or even proper consultation,’ comments Stephen Cutter, legal services manager at Release. ‘Respect for patients’ rights must come first but when it comes to certain treatments, like diamorphine or other OST, this principle seemed to be easily set aside.

‘We wish this challenge hadn’t been needed but it does demonstrate how the law can protect the rights of people in drug treatment. Given the importance of their medication we’re relieved that these people got the help they needed, but it’s deeply frustrating it was needed at all and the process caused months of unnecessary disruption and worry to all those affected.’

Relationships are slowly being built, with help of the service’s ‘amazing’ and ‘really trustworthy’ new doctor, who is doing everything he can to tackle the latest crisis – a shortage in diamorphine supply – and is contacting pharmacies in the area to find out what stocks they have. He has assured the patients that the service will honour their prescriptions with any diamorphine they can get, and work carefully with them on titration if they need to find temporary alternatives.

Duty of Care

But the conclusion stands: that it should never have happened at all and must never be repeated.

‘The law on this matter was always clear, namely that a decision to withdraw treatment was imposed upon my clients without regard to the relevant guidance and without securing their consent or engagement,’ says Anna Dews, solicitor at Leigh Day. ‘They were owed a duty of care by their service provider and had been provided with diamorphine as an established medical treatment for many decades. I hope that the resolution of this matter means that no service provider will seek to repeat this type of decision-making in the future.’ DDN

———–

Release are UK experts on drugs and drug laws and provide advice and advocacy. A non-government and non-profit organisation, they campaign for drug policies that respect
the rights of people who use drugs.

Contact 020 7324 2989 for advice or visit release.org.uk

 

Extent of drink spiking unknown, says Home Affairs Committee

Lack of available data means that the ‘true extent’ of drink spiking in nightclubs and bars remains unknown, says a report from the Home Affairs Committee.

Drink Spiking
Spiking is likely to remain an ‘invisible crime’ unless more is done

The report calls for a focused approach to make sure suspected incidents are better investigated and to build up a knowledge base. 

Spiking incidents include putting drugs such as GHB or prescription medications into someone’s drink, or adding more alcohol. Spiking is likely to remain an ‘invisible crime’ unless more is done to improve awareness and support victims, the document says, with issues around data collection a significant barrier to policing. The government is currently considering the creation of a new spiking criminal offence, and the committee also wants to see police forces carry out forensic testing more quickly and ‘to a quality that can be used in court’, as well as venue staff trained to identify spiking incidents. 

‘There needs to be a concerted effort to stamp out spiking,’ said committee chair Dame Diana Johnson. ‘Much more work needs to be done to improve understanding and awareness so that people are reassured that the help will be there should they need it. They need to know that they will be taken seriously and action taken. It isn’t good enough to tell people to put lids on their drinks or normalise taking a testing kit out with you. Everyone should have the right to go out and enjoy themselves without fear. The message needs to be sent to perpetrators that spiking is absolutely unacceptable and will be punished.’

Report at www.committees.parliament.uk

Two leading social justice charities complete merger

The charity Swanswell has completed its merger with Cranstoun, which will see the continued delivery of life-saving services and support for people to rebuild their lives.

The merger process began in 2016 and was finalised at a trustees meeting held earlier this month.

Founded in Warwickshire in 1968, Swanswell led the way in supporting recovery for vulnerable people who use alcohol and drugs and other challenges they face.

The merger is aimed at helping to grow services and world-class innovation to help people rebuild their lives in the areas of substance use and domestic abuse as well as for young people, those who need housing support and people in the criminal justice system.

Swanswell helped to develop and deliver the UK’s first diversionary Drug Education Programme in Avon & Somerset, helping people who use drugs entering the criminal justice system address the underlying causes of their addiction.

Leading ideas like this have continued since the beginning of the merger with Cranstoun, with the launch of education programmes like DIVERT and the Cranstoun Arrest Referral Service operated in the West Midlands.

Cranstoun has over 450 employees working across England to deliver services.

Charlie Mack, Chief Executive at Cranstoun, said, “The wealth of knowledge and experience that the team from Swanswell have brought across to Cranstoun over the past six years has been invaluable.

“Our shared values made the merging of the charities easier. We are committed to our vision to innovate and continue developing world-class services.”

Andy Furlong, who served as Swanswell’s final Chair of Trustees, oversaw the smooth wind-down and closure of the charity’s head office in Rugby. He has now joined the Cranstoun board. He added:

“Together, Swanswell and Cranstoun have over a century’s experience in providing support for some of the most vulnerable people in society.

“By merging, we will be able to do more to innovate and improve delivery for the people who use our services across the country.

“We are proud of our history but filled with excitement for the future. With a new, ambitious strategy guiding us for the coming years, the skills and experiences we have brought together through the merger will help us grow our reach and increase our services.”

Read the full blog 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 Cranstoun

Biden administration launches harm reduction-based drug strategy in face of record deaths

US president Joe Biden has sent his administration’s first National drug control strategy to Congress, focusing on a whole-government approach to the country’s ‘overdose epidemic’. Almost 107,000 people in the US died a drug-related death in the 12-month period to November 2021.

The strategy is the first to ‘champion harm reduction to meet people where they are and engage them in care and services’, the White House states, as interventions like naloxone and NSP are often still restricted or underfunded at community level. Less than 7 per cent of the 41m people needing treatment for substance issues were able to access it, according to the 2020 national survey on drug use and health.

President Joe Biden: a whole-government approach to the ‘overdose epidemic’

The strategy calls for more access to harm reduction interventions like naloxone, NSP and fentanyl test strips, and directs federal agencies to integrate them into care systems. Naloxone, however, will remain prescription only and will not be available over the counter. The administration’s efforts to expand access to treatment will focus on high-risk populations like people experiencing homelessness and people in – or leaving – prison. ‘The Biden-Harris Administration is committed to deploying an evidence-based approach to policy making,’ the White House says, combined with a focus on addressing trafficking and supply. The administration has submitted budget requests for an extra $300m each for the Drug Enforcement Administration (DEA) and Customs and Border Protection (CBP).

Existing harm reduction policies were ‘failing people’ as a result of inconsistency and barriers to access, director of the White House Office of National Drug Control Policy, Dr Rahul Gupta, told CNN. ‘We’re failing to meet them where they are and every one of those overdoses – from an opioids perspective – is reversible. Your zip code defines whether you live or die and that should just not happen. President Biden has made sure that this is an urgent priority, and we need to act with a sense of urgency because this is not a matter of days, weeks or years. It’s a matter of every minute when we lose Americans.’

‘We applaud the Biden-Harris Administration for taking the historic step to support access and funding for harm reduction services and reduce barriers to life-saving medications,’ said Grant Smith of the Drug Policy Alliance NGO. ‘Despite over 1m lives lost to drug overdose over the last 20-plus years, this is the first time an administration has included harm reduction in the National drug control strategy. The administration should continue to focus on its promise of equity by decreasing racial disparities in drug policy and the overdose crisis. Criminalisation approaches only saddle mostly Black, Hispanic and Indigenous people with criminal legal records and often incarceration, which increases their risk for infectious diseases, overdose and death.’ 
 
Prioritising spending on public health rather than enforcement was the best path forward, he stated. With the overdose crisis ‘now costing the US economy over $1tn annually we must embrace the evidence-based public health approaches we know work and save lives. But it must be done outside of the harmful apparatus of the drug war to be effective and provide the kind of racial equity this administration has long promised.’

National drug control strategy at www.whitehouse.gov – read the strategy here