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We need to talk about medical marijuana

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...user The curse of COVID makes writing about substance misuse treatment virtually impossible. Not only has localism fractured treatment policy and practice over the years, but now COVID has completely...

Soapbox

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...decriminalised for personal use in 2002 and treatment has been promoted in preference to prosecution, only 14.2 per cent of problematic drug users are in contact with drug treatment services....

Emergency measures

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...as safe consumption rooms and heroin-assisted treatment. I echo this sentiment and am in no doubt that radical action is needed across Wales. People must have access to basic treatment...

Soapbox

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...lowest proportion of drug users in treatment. In Portugal, where drugs were decriminalised for personal use in 2002 and treatment has been promoted in preference to prosecution, only 14.2 per...

Harm reduction on a knife edge

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...and treatment. It can be the first tentative step on a longer treatment journey.’ For many it will also offer the right environment to discuss OST and life-changing options for...

Post-its from practice

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...talking about treatment optimisation. By that I don’t mean just increasing the dose of OST prescribed, but also increasing the psychosocial interventions and making sure that all aspects of treatment...

Drug deaths in England and Wales up again

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...could have been prevented if more people were able to readily access treatment. More people would come into treatment if a wider range of treatment options were available across England. The...

Breaking Ties

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...The Lancet (February 2019) taking buprenorphine through an injection every four weeks can offer a viable treatment option for those who find it difficult to attend treatment or keep to...

Letters

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...claire@cjwellings.com by Wednesday 21 May to be included.   Peddling quackery I write in response to the article about homeopathy-based treatment in your recent edition (DDN, April, page 16). At...

Zero tolerance, zero cure

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...of retention in abstinence-based treatment, which is the only method of treatment available in Russia, has nothing to do with low effectiveness of this method of treatment. The Russian Government...

Puncturing the myths?

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...practice from accepted evidence-based treatments. Building on that essay, I want to explore how language may be blurring the lines between alternative and conventional treatments, and why resistance to acupuncture...

Model of choice: a new addiction paradigm?

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...see addiction as a chronic disease, we should not see previous treatment as a poor prognostic indicator, convey to service users the expectation of complete recovery after one treatment episode...

A step ahead

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...the time the child or the family friend will come into treatment and the family’s only known chaos, so you’re putting someone who’s been through treatment back into that environment...

Residential Drug and Alcohol Treatment from ANA Treatment

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...productive life. ANA views Secondary Treatment as applying the tools learned in primary treatment and developing them into strategies for lifelong living and abstinence. ANA’s programme is modular, flexible and...
Drug Strategy

Change Grow Live welcomes long-term Drug Strategy that signals a new era for treatment

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...drug treatment and harm reduction. We back the strategy’s acknowledgment that addiction must be treated as a chronic health condition. This is a significant breakthrough for drug treatment and a...

Counter culture

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...suit their condition – ‘if you’re on OST [opioid substitution treatment] you get one kind of treatment, if you’re a drinker you get another one, and so forth.’ But there’s...

Into the matrix

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...and work in organisations, which coalesce into whole treatment systems. All of these affect the treatment’s feasibility and impacts – contexts variously of greatest interest to frontline staff, supervisors and...

Getting a fix on figures

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...area. For the first group, heroin use may have accelerated and extended an existing criminal career and for some of the second group heroin may have kick-started a criminal career.’...

Tsunami of Need

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...multiple problems heroin assisted treatment and residential rehabilitation.)’ Professor Dame Carol Black So, what happens when people who are already struggling to stay alive lose the fragile links to the...

More questions than answers

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...is a reluctance to back service options for which there is supporting evidence, such as heroin assisted treatment (HAT) and drug consumption rooms (DCRs). HAT has a lengthy history in...

Residential Drug Treatment from Promis

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...collected from anywhere in the country, and an extensive family programme is also available. In addition to substance misuse, PROMIS residential drug treatment offers a range of proven, effective treatments...

Power of ten

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...not in treatment at the time, or had never been in treatment, she stressed. ‘Treatment is protective.’ Some of the deaths were undoubtedly being driven by supply – ‘deaths go...

Heroin deaths double in just four years

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...state of the treatment sector, however, said Release executive director Niamh Eastwood. ‘Since 2010 we have seen a worrying implementation of abstinence-based treatment under the government’s ideologically-driven “recovery” agenda. This...

Nearly two thirds of opioid users in treatment, says PHE

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Sixty per cent of England’s opioid users are now in treatment – one of the highest reported international rates – according to an evidence review by Public Health England (PHE)...

Heroin deaths double in just four years

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...state of the treatment sector, however, said Release executive director Niamh Eastwood. ‘Since 2010 we have seen a worrying implementation of abstinence-based treatment under the government’s ideologically-driven “recovery” agenda. This...

Out of Harm’s Way

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...was particularly driven by the arrival of cheap brown powder heroin in the ’80s and crack cocaine in the ’90s. My thoughts and feelings about drug and alcohol treatment at...

Countdown to hep C eradication

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...treatment numbers accordingly. ‘From the get-go we insisted on outreach treatment, and we insisted on using the cheapest drugs. The strategy is to get out there and find and treat,...

Loaded dice?

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...a real role for the treatment sector here? ‘Expert and experienced in the medical treatment of addictions, these services could play an important role in tackling adult gambling disorder,’ said...

A fighting chance

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Military veterans do not tend to do well in traditional treatment settings. Jacquie Johnston-Lynch explains how Tom Harrison House is tackling the challenges head on I met Peter and Simeon...

Cultural understanding

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...to treatment, nor are they naïve about treatment services. The realities are closely linked to cultural barriers to access, lack of choice and poor experiences of engagement in available treatment....
CGL hepatitis C

A ground-breaking approach to hepatitis C in North Yorkshire and Humber

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...C.  An innovative approach to hepatitis C treatment Traditionally, drug treatment services have tested and identified people with hepatitis C, before referring them to their relevant NHS Operational Delivery Network (ODN) for treatment. Now,...

Fighting response

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A Calderdale-based service is combining treatment provision with hosting an emerging recovery community. Michelle Foster explains the ‘warrior down’ concept I took a call from a friend in December, who...

The long game

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...and practices, at one place, with pathways to everything that is needed. There is one treatment system that can encompass more than one treatment philosophy, with just one phone number...

Why gender matters in drug and alcohol treatment

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...the challenges inherent in delivering treatment in the community to those who may lack a stable base or support network, struggle to attend structured appointments, or who require additional treatment....

Government rules out benefit sanctions for refusing treatment

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...treatment services. Jobcentre Plus should also work with treatment providers to trial a network of peer mentors ‘to act as advocates and visible symbols of recovery’, it adds, while the...

Partner up

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...treatment provision in the current climate? ‘I think that whilst there are some excellent examples and outcomes out there, there are still many challenges to providing effective, choice-based treatment,’ she...

Addictive behaviours conference

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...percentage of people with drug problems are under criminal supervision.’ However, the outcomes of treatment were ‘multi-dimensional’, he said. ‘One way to think about treatment is to think about the...

Commissioning: What’s the Name of the Game?

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...in local funding that ‘are the single biggest threat to drug misuse treatment recovery outcomes’, says their report, Commissioning impact on drug treatment. The stark truth for the treatment sector,...

Getting it right

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...required to report on how much they spent on alcohol treatment, drug treatment for adults and drug treatment for younger people, she explained. Recovery ambition would need to be maintained...

Addiction Treatment Residential Rehab Guide

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...from personal experience. DDN has published a guide to residential treatment with personal stories and information on different treatment options. Our directory provides a comprehensive list of UK treatment facilities...

Staying Alert

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...has demonstrated anything, it’s the importance of having a robust healthcare system. Drug and alcohol treatment and recovery services form an absolutely essential part of this, but like so many...

We need to talk about Brexit

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...misuse treatment – fields that have a direct impact on around 270,000 people in treatment and a damn sight more out of treatment – a little larger cohort than the...

ACMD: safeguarding treatment vital to avoid more deaths

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...should be provided to ‘support heroin-assisted treatment for patients for whom other forms of OST have not been effective’. ‘We can assert with a good degree of confidence that the...

The last word

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...including mutual aid groups and, where appropriate, heroin-assisted treatment. The criminal justice system can help this, for example by diverting drug-dependent offenders into the treatment system and working with communities...

Letters to the editor – June issue

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...Slight diversion Diverting addicts from courts to treatment. This sounds pretty good. Until we ask: ‘What treatment? Where is the treatment? What is the goal of treatment?’ The current goal...

OST: When enough isn’t enough

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Controlling cravings is an essential part of treatment, says Dr Steve Brinksman.   Sean and I go back a long way. He first started treatment 15 years ago and has...

Legal high deaths ‘could’ top heroin deaths, says CSJ

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...a ‘treatment tax’ added to the cost of alcohol to fund ‘a new generation of treatment centres’ and states that Public Health England and local councils ‘risk giving up on...

Right Place, Right Time

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A stressful year is giving rise to a fresh approach to mental health at Phoenix Futures, as DDN reports. ‘People in treatment are keen to say they’re ok, but a...

Services now ‘on their knees’, says Carol Black

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...equipped to do. We must also improve the pathways in criminal justice settings and enable diversion of drug users into treatment,’ maximising use of community sentences with treatment requirements and...

Accentuate the positive

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Among the now-familiar talk of emerging chall­enges and stretched resources, delegates at DrugScope’s recent conference heard some positive takes on the new treatment landscape. ‘Whatever views people take of the...

Rough Justice

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...hugely important and we won’t reach our aim of reducing the level of deaths in custody.’ More than Treatment ‘It’s much wider than just a treatment need,’ agreed chair of...

working it out

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Four lively workshops saw delegates debate healthcare, user groups, media and enterprise. Doctor’s orders. The right to treatment workshop heard from GPs and service users on how to make sure...

Stuck in the system

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...of ‘one price for an unlimited amount of treatments, so there would be a great incentive to treat as many people as possible. At the moment, the system disincentivises treatment...

Careers

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...to connect people working across the sector including specialist treatment providers and those working in the wider health, social care and criminal justice settings. Careers Working to support people with...

Residential Drug and Alcohol Treatment from Choices

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...be a graduation ceremony taking place in a residential drug and alcohol treatment centre somewhere in the UK, celebrating the achievement of another person leaving treatment drug and alcohol free....

All or Nothing

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...to abstinence-oriented treatment, either through a similar procedure or conventional treatment. The results seemed a clear vindication of the judicious allocation of even physically dependent patients to try to learn...

Phoenix responds to the release of Scotland’s drug-related death figures

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...the deaths being announced today. Many of those deaths could have been prevented if more people were able to readily access treatment. More people would come into treatment if a...

Aggressive marketing and changing attitudes driving increased crack use

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...heroin users’, some dealers were also ‘opening up new markets’ of younger, first-time users who were not using heroin or engaged with treatment services. There was ‘clear evidence’ of county...

Comment from the substance misuse sector

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...also an area where reporting bias may feature. In the Bell study there were 60 sudden deaths positive for methadone (32 in treatment) and seven buprenorphine-positive decedents (none in treatment)....

Residential Drug Treatment from Sefton Park

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DDN Rehab Guide Read the guide Spotlights Editorials Rehab News Directory Sefton Park bases its personalised treatment on the belief that no two clients’ treatment needs are the same W:...