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DDN070909

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[…] not job done,’ he adds. ‘That's job star ted.’ Acknowledging that drug problems are themselves complex, will the focus still be on funding treatment for heroin and crack – particularly as alcohol plays such a major devastating role? ‘The reason we focus on heroin and crack is that they cause most problems for most […]

News in brief

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[…] both houses have now agreed on the text of the bill, which is waiting for the final stage of Royal Assent before becoming an Act of Parliament. Crack on The number of people estimated to have started using opiates and/or crack in 2013 was between 5,000 and 8,000, according to Home Office statistics. The […]

DDN060605

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[…] The Scottish Police Bill has been approved by Parliament, giving the go-ahead to mandatory drug testing and referral on arrest – part of a package of measures cracking down on knife crime and drug-related offences. Justice Minister Cathie Jamieson said it would ‘encourage people with drug problems into treatment to deal with the root […]

Psychoactive challenge

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[…] about substances that their clients are experimenting with. As with any new development, a flurry of new responses emerges. In an echo of the period after the crack strategy was published, some agencies are creating ‘NPC worker’ posts. Elsewhere, commentators are using use the emer­g­ence of NPCs as evidence for stricter laws or as […]

A guide to fentanyl – Meet the fentanyls

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[…] have cropped up in place of other products including benzodiazepines and stimulants such as MDMA or cocaine in the UK and Europe, and sold internationally mixed with crack cocaine. Becoming more widespread could impact not solely on heroin users, but people using any white powder drug – populations that are likely to be harder to […]

Please Mr President

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[…] administration urging it to implement more alternatives to incarceration for non-violent drug offences. Among the policy recommendations are measures to reduce the sentences of those jailed for crack-related crimes, to make them ‘more consistent with the magnitude of the offence’. Offences related to crack dealing, which has been largely confined to America’s black community, […]

Drug poisoning deaths hit highest level ever

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[…] authority health spending (DDN, September, page 4). ‘Drug treatment services across the country have seen an increase in the number of people seeking help for opiates and/or crack cocaine, and this is only likely to increase further as the effect of increased opiate availability and purity is felt,’ said chief executive Simon Antrobus. ‘Meanwhile, the […]

Smoking crack cocaine

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A4M0NW Smoking crack cocaine

At the cutting edge

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[…] biggest consumers in a ‘buoyant’ cocaine market, with purity levels at their highest for a decade, while Kevin Flemen wonders in DDN if the recent growth in crack use indicates a move towards social acceptability. ‘I’m probably more anxious about crack this time around than I have ever been working in the field,’ he […]

Number of people in alcohol treatment up by 10 per cent

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[…] treatment for powder cocaine was up by 11 per cent to 21,298 – slightly below 2019-20’s peak figure of 21,396 – while the number entering treatment for crack was at its lowest level since 2015-16. The number of people using crack with opiates fell from more than 21,000 to less than 19,000, although the […]

DDN201106

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[…] decade. In particular, the HIV prevalence has been rising since 2002 among those who have been injecting for less than three years. Increasing evidence suggests that injecting crack cocaine is a major factor. The report also found that while levels of HIV remain high among current IDUs in London, with around one in 25 infected, […]

DDN 050516

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[…] with complexity. Treatment is not just about prescribing (although it is impor tant). It is about understanding that a 19-year-old with a one-year histor y of smoking crack needs a ver y different inter vention from a 40-year-old entrenched methadone maintenance client. It is about understanding the natural histor y of the disease and […]

Time to Breathe

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[…] cent of people entering substance misuse treatment in England smoked tobacco. In the 2016 NDTMS report, 45 per cent of people treated for illicit opioid use smoked crack cocaine and 17 per cent smoked cannabis (Hulin, 2019). Despite the high levels of smoking, only 2 per cent of people were recorded as having been offered […]

DDN1905

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[…] more powers to doctors to prescribe.’ MH– ‘Hold on, you talking about legalisation?’ SM– ‘You have a better idea? More and more people are taking heroin and crack cocaine as we speak.’ MH– ‘But legalising it will make more people take drugs.’ SM– ‘The facts say the opposite, look at countries with liberal policies like […]

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

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[…] year, compared to around 4,600 in 2005/06, says Club drugs: emerging trends and risks. While the numbers remain low compared to those needing treatment for heroin or crack they are further evidence of shifting patterns of use, as overall UK drug use continues to decline (DDN, November, page 5). Club drug users make up […]

DDN1401

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[…] our trainers and our courses. 10 years of consistently high quality service. One day courses (£110 + VAT) Introduction to drug work 23 Jan or 25 Sept Crack cocaine awareness31 Jan Personality disorders26 Feb Alcohol & poly drug use 27 Feb Difficult & aggressive behaviour17 March Women & drugs23 April Engagement & assessment15 May Diversity4 […]

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

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[…] 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 […]

DDN 050516

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[…] with complexity. Treatment is not just about prescribing (although it is impor tant). It is about understanding that a 19-year-old with a one-year histor y of smoking crack needs a ver y different inter vention from a 40-year-old entrenched methadone maintenance client. It is about understanding the natural histor y of the disease and […]

Government announces ‘largest ever’ increase in treatment funding

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[…] is possible.’   Statement from André Gomes, Laura Garius, Kirstie Douse and Claire Robbins, Release ‘The strategy rightly recognises that half of people dependent on opiates and crack cocaine are not in treatment, and that drug addiction co-occurs with a range of health inequalities, especially mental health issues, homelessness, and deprivation. Investment in improving the […]

Ketamine use: advice from the experts on harm reduction

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[…] the Dance Drugs Alliance, he was committed to the interests and health of clubbers, and has also been involved in the development of a professional response to crack use. They developed a simple checklist for GPs, which breaks down predominant crack-user issues into primary health problems and makes it easier for GPs and drug […]

DDN Sept_2022

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[…] among Labour voters, with 76 per  cent believing that the government  isn’t doing enough to tvackle  addiction issues and 70v per cent  that the government is failing  to reduce drug-related harm.  Among those surveyed overall, 7  per cent reported having had an  addiction problem themselves, with  b0 and bb per cent respectively  reporting that they’d had a  friend or family member with a v problem. While less than a vfifth  believed that criminalisation of  people who used drvugs was the  right approach, there was little  support for decriminalisation of  most drugs. Although  45 per cent supported  the decriminalisation of  cannabis and 28 pevr cent  magic mushrooms, just  b7 per cent supported  decriminalising MDMA  and b5 per cent cocaine.  The figures for heroin  and  crack cocaine were  bb and b0 per cent  respectively. More than half  of respondents, however,  backed the introduction of  consumption rooms, with  just a quarter stating that  they were actively opposed.  This reflects the findings  of a separate poll of b,500  people carried outv by Redfield and  Wilton Strategies on behalf ovf the  APPG for Drug Policy Reform, which  found that 49 per cent supported  overdose prevention centres. The  poll also revealed that more than 60  per cent supported drug checking v facilities at festivals and 67 per  cent supported naloxone provision,  while the most popular outcome  for people found in possessionv  of small quantities of drugs was  education or treatment rather than  prosecution.  The Redfield and Wilson results  ‘fly in the face of conventional  political wisdom – vseemingly held  […]

COVID fails to dent ‘resilient’ European drug market

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[…] restrictions on movement, travel and social gatherings were eased in summer 2020. Among the worrying developments linked to the pandemic are signs of a possible increase in crack cocaine availability and use in some countries.’ A rise in benzodiazepine misuse was also noted, including in prison populations, reflecting high levels of availability and low cost […]

Deprived areas bear brunt of public health cuts

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[…] Seizures of class A drugs, however, increased by 13 per cent in the year to March 2020, with seizures of cocaine up 10 per cent. Seizures of crack were up by 7 per cent to their highest level since 2008, while the quantity of crack seized increased by 35 per cent – the largest […]

DDN120207

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[…] Februar y Lambeth Council has proposed launching a website to ‘name and shame’ people convicted of drugs offences within the borough. The move is an attempt to crack down on perceived ‘drugs tourists’ who come to Lambeth to buy drugs. No date has yet been announced for the website’s launch. South London Press, 2 […]

DDN190606

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[…] social problem in this country at the moment. Crystal meth, a derivative of amphetamine, is a potent drug when smoked, and gives an intense ‘rush’ similar to crack cocaine. It can be highly addictive, and is associated with psychotic behaviour. The ACMD’s advice, which was supported by the Association of Chief Police Officers of England, […]

Drug poisoning deaths highest ever

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[…] authority health spending (DDN, September, page 4). ‘Drug treatment services across the country have seen an increase in the number of people seeking help for opiates and/or crack cocaine, and this is only likely to increase further as the effect of increased opiate availability and purity is felt,’ said chief executive Simon Antrobus. ‘Meanwhile, the […]

DDN2010

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[…] abstinence or maintenance debate becomes irrelevant. The key issue must always be, ‘what does the client want/need/expect from us?’ I have clients who have used heroin and crack cocaine for decades. For many of them, the most important issue is that they get some semblance of control over their drug use, and that they buy […]

The easiest win

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[…] big protective factor just by someone being engaged – but the reality for most people is the drug that’s likely to kill them probably isn’t heroin or crack cocaine. Fifty per cent of our heroin users will not die from heroin, but 50 per cent of smokers will die because they smoke. So whether it’s […]

DDN220908

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[…] treatment drink above recommended safe levels, yet alcohol use is often viewed as a separate problem and not assessed by drug agencies.’ Norfolk nuisance An initiative to crack down on alcohol- related anti-social behaviour in Norfolk has won the Tilley Award for Safer Communities (East). A partnership between Norfolk Constabulary and DAAT, retailers, licensees […]

Playing the long game

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[…] in pubs and clubs and I married a barmaid. She’s part of my story, and I’m part of hers. Her drug of choice at the time was crack cocaine. I knew she took a little bit but over the six years we were together it developed. It was a very volatile relationship – we were […]

Getting real

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[…] this diversity of experience, public perception of ketamine is that it has become a drug that causes significant damage, giving it a status equivalent to heroin and crack. Of greatest concern is the rise in worrying health conditions such as ketamine bladder syndrome and ketamine dependency, which pose new challenges to both people using […]

Two thirds believe government’s drug policy not working

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[…] the decriminalisation of cannabis and 28 per cent magic mushrooms, just 17 per cent supported decriminalising MDMA and 15 per cent cocaine. The figures for heroin and crack cocaine were 11 and 10 per cent respectively. More than half of respondents, however, backed the introduction of consumption rooms, with just a quarter stating that they […]

Government slashes maximum stake for Fixed Odds Betting Terminals

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[…] been calling for a reduction in the maximum permitted stake for years (DDN, September 2014, page 6), with the controversial terminals frequently referred to as the ‘ crack cocaine of gambling’. The move relates to ‘category B2’ FOBT machines, which are mainly located in betting shops, and follows a consultation with the public and the […]

Focus on Residential Treatment: Acer Unit

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Acer’s inpatient detoxification and stabilisation service is for people who have a primary problem with: Opiate use, including methadone as well as heroin Stimulants such as crack cocaine Alcohol Polydrug use, relating to a combination of drugs and/or alcohol. The service admits adults (18-65 years) who have difficulty controlling or eliminating their drug or alcohol […]

Hit Hot Topics: The word on the streets

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[…] the US, scientists ‘couldn’t even use harm reduction in the title of a paper’ for it to be accepted. Drug terminology became the language of fear: ‘ Crack cocaine is the principle cause of urban ghettos’, President Reagan’s drug czar William Bennett had said in the 1980s. Even now, 40 years later, discussions take place […]

Just Be Yourself: support in the LGBT+ community

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[…] actually met someone who didn’t drink. Maybe I would stop drinking now, I thought. Sadly I had fallen in love with someone who was on heroin and crack cocaine and I quite quickly became addicted. My life took a whole new downward turn. The weight fell off and I really did look like an Aids […]

‘Perfect storm’ in young people’s services

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Thousands of young people with substance issues are ‘falling through the cracks’ thanks to a perfect storm of the pandemic on top of years of cuts, according to the Royal College of Psychiatrists (RCPsych). ‘Intervening early will mean many kids won’t go on to have an addiction in their adulthood.’ Analysis of NDTMS data […]
Drug strategy Release

Release’s take on the Government’s new Drug Strategy

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[…] Deliver a world-class treatment and recovery system Achieve a shift in demand for recreational drugs The strategy rightly recognises that half of people dependent on opiates and crack cocaine are not in treatment, and that drug addiction co-occurs with a range of health inequalities, especially mental health issues, homelessness, and deprivation. An additional investment of […]

DDN060409

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[…] in court in England or Wales can be eligible for the provision, which aims to engage offenders in treatment if they have tested positive for heroin or crack. Failure to access treatment or support can mean a greater risk of bail being refused. Testing on arrest – rather than charge – along with required […]

Too many women with drug issues are falling through the gaps

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[…] was part of every relationship I had because I had no idea how to have a healthy open relationship,” Tina said. Eventually she started using heroin and crack cocaine. Decades later, now in recovery and working as a volunteer in her drug treatment service, Tina identifies being around other women as important to her journey. […]

Doorstep Challenge

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[…] Police and Crime Commissioner, explained. The office had begun by looking at the scale of the drug problem in the region, with the cost of heroin and crack cocaine users calculated as £1.4bn and the cost of crime committed by the average heroin or crack user as £26,000. A drug policy summit had involved the […]

DDNoct11

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[…] Guns are now two-a-penny and, as drugs have become rife, old- fashioned  villainy  has  gone  out  of  fashion.  You  can  tell  a  great deal about a nation from the quality of its crime. Britain used to boast some of the finest armed robbers in the world. It took a lot more  bottle  to  go  across  the  cobbles  with  a  sawn-off  Purdey than it does to sell  crack cocaine outside the school gates. Richard Littlejohn,  Daily Mail, 13 September True,  convicts  tipped  out  of  jail,  after  completing  precious  little work or education while inside, have dreadful records for falling back  into  a  life  of  crime  –  but  so  do  those  given  risibly  […]

DDN_November_2023

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[…] be done.’ When Spinney Hill Recovery approached Turning Point six years ago, things were starting to get out of control in their community with substances like heroin, crack and alcohol. It now refers clients to Turning Point, which aims to get the client assessed and into treatment within 24 hours. One thing they found […]

DDN230407

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[…] the drug treatment field that the Home Office now estimates that there are 300,000 ‘problematic drug users’ too; men and women who are suppor ting heroin and/or crack cocaine habits by recourse to crimes of one sor t of another. The overlap between all of these populations is a close one. Poverty, marginalisation and criminalisa- […]

DDN April2021

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[…] way forward was to get people bnto servbces qubckly, whbch would also contrbbute to makbng tyhe wbder communbty safer. There were an estbmated 300,000 regbstered herobn and crack users accordbng to PHE, but these numbers were not representatbve because crbmbnalbsatbon hbd drug use away, sabd Jason Kew, chbef bnspector at Thames Valley Polbce. ‘That […]

With You launches needle exchange search engine

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[…] new series of online harm reduction advice, including on safer injecting, responding to an overdose, using naloxone correctly, and safer use of other drugs such powder and crack cocaine and steroids. It also offers advice to those worried about someone else’s drug use.  NSP services were ‘often the first step on the road to accessing […]

The realms of possibility

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[…] He first entered treatment at 19, the beginning of a long period of being ‘in and out’ of services, he says. ‘Once I started using heroin and crack cocaine it was initially a matter of me saying, “I can stop if I want to stop” but it soon became apparent that it wasn’t going to […]

Having a ball

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[…] that you forget there is a life outside of it; you need to remember you can enjoy yourself.’ Daniel, 25, is in recovery from an alcohol and crack cocaine addiction that began in 2007. He knew his attachment to crack came at a price, but it wasn’t until four years had passed and Daniel had […]

DDN060522

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[…] traditionally accessed by white male heroin users’ – which can often prevent users from setting foot within the ver y places that can provide them with treatment. Crack cocaine users are among groups that are often seen as ‘hard to reach’ when it comes to offering treatment or other inter ventions. The work that staff […]

DDN February issue

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[…] onlinb www.drinkanddrugsnbws.com GRAYLING ANNOUNCES TOUGb NPS PENALTIES FOR PRISONERS PEOPLE FOUND SMUbbLINb or using new psychoactive substances (NPS) in prison will face a new range of punitive measures, the government has announced. The Ministry of Justice has written to prison governors setting out the available punishments in a move designed to ‘reinforce the prison estate’s zero tolerance approach to contraband’.  The measures facing prisoners suspected of smuggling or using NPS include having an extra 4b days added to their sentence, removal of privileges such as TV and additional visits, forfeit of earnings, being confined to their cell for up to b1 days and ‘closed visits’ that allow no contact with partners or children. Inmates could also be placed in a higher security prison or – if the NPS is a controlled drug – face prosecution and a further sentence.  Concern has been growing among prison authorities for some time over the use of NPS – in particular synthetic cannabinoids like ‘Black Mamba’ – as they are more difficult to detect and their effects harder to predict than traditional drugs (see news focus, page 6). The substances have also been blamed for increasing rates of drug-related violence and ill health, with prison seizures of the cannabinoid ‘Spice’ rising from a total of 15 in b010 to 430 in the first seven months of last year.  The ministry has also announced that it intends to expand its prison drug testing to include a wider range of controlled substances as well as synthetic and prescription drugs when the technology becomes available. It will also train more specialist dog teams to detect NPS in the prison estate. While Transform said the  crackdowns ‘completely missed the point’, justice secretary Chris Grayling stated that the government was ‘determined to make sure governors have every power at their disposal to detect supply, punish those found using or dealing, and enforce a zero tolerance approach’ towards NPS.  ‘Go onto any prison wing and staff will tell you that whilst we’ve made good headway on drug misuse in prisons, there’s a new phenomenon they are increasingly seeing in the form of so-called "legal highs",’ he said. ‘What we’re also hearing is that these substances seem to be part of the problem around increasing violence in our prison estate. Prisoners should be very clear – if they think they can get away with using these substances, they need to think again. And the same applies to those who are the suppliers, whether they’re inside or outside the prison gates.’ Chris Grayling: ‘Determineb to make sure governors... enforce a zero tolerance approach...’ STRONG MEASURES FOR STRONG BEERS THE PORTMAN bROUP is instructing off- licences, supermarkets, convenience stores and other retailers not to place orders for 500ml cans of 9 per cent Carlsberg Special Brew, Skol Super and Kestrel Super after its Independent […]

DDN16nov09

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[…] are facilitated by a tier 2 service, the harm reduction outreach team, which reports that a greater number of poly drug users – par ticularly heroin and crack users – are now attending. Overdose management groups have been offered for a number of years by Woking’s Xchange project, a drop-in and needle exchange service, […]

Meeting the needs of anabolic steroid users

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[…] services taking their eye off the ball when it comes to steroids? ‘I don’t think so,’ he states. ‘I think the movement away from just opiates and crack cocaine to this much wider area encompassing both enhancement drugs and the novel psychoactives isn’t to the detriment of either. It’s important that we don’t take our […]

The whole detox

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[…] were also on a drug replacement therapy prescription, including detoxing from methadone. The drugs we detox, and which were included in the SWDAS study, are alcohol, cocaine/ crack, heroin, cannabis, methadone, benzodiazepines, amphetamines, methamphetamine, GBL and ketamine. The Tauto-Mod system adopts a tautopathic approach, which involves the drug or substance that has caused the […]

What a long strange trip it’s been

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[…] modern slavery referrals of minors are up by two thirds, mainly because of county lines gangs. 2019 County lines activity is still on the up, as is crack use, and City Roads becomes the field’s latest casualty. Prisons continue to struggle with rising NPS use and Release warns that councils are providing ‘drastically insufficient’ […]

Media Savvy

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[…] between potent strains of cannabis and psychosis, for example, but the fact those strains have spread owes much to their illegality. You could say similar things about crack cocaine and heroin, or Spice, the horrible synthetic cannabinoid that now saturates our prisons. Legalisation of cannabis in some American states has, admittedly, led to a free-for-all, […]

Nurses at drug and alcohol recovery service in Rochdale and Oldham nominated for national...

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[…] name), a male 58-year-old client at ROAR said the nurses had helped him accept help for his substance use.  “I have had substance use issues for over 15 years. I’ve used illicit substances like heroin, crack cocaine, diazepam and pregabalin. I am currently homeless after being evicted from my previous residence,” said David.  “I haven’t liked engaging with services in the past. I have seen the nurses at Turning […]

Government reverses controversial FOBT delay

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[…] the resignation of sports minister Tracey Crouch. The reduction will now be brought forward to next April. It is estimated that the machines – often called the ‘ crack cocaine of gambling’ – can account for around half of betting shop takings, with the Association of British Bookmakers stating that the maximum stake reduction would lead to […]

Counsellor Acorn House 2 days

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[…] BPS.  Knowledge and Skills 4. An excellent understanding o f the complex needs and problems that confront those with a history of problematic substance misuse including crack cocaine (DANOS Unit AB2)  5. Knowledge and ability to plan, deliver and evaluate group work with substance users. (DANOS Unit AI3)  6. Ab le to […]

British Columbia launches ‘healthcare over handcuffs’ decriminalisation experiment

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[…] 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 […]

PCCs lead the call for change

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[…] had started to look at the situation in their area some ‘killer facts’ had emerged – not only were there more than 22,000 people using heroin or crack cocaine but ‘children are affected, social services – the costs are enormous. Half of all burglary is to feed a habit, and the cost on all public […]