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Supervised humiliation?

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

Diverted methadone

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

Straight to the point – NNEF conference

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

Soapbox

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

Treatment complete?

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

Legal Line – Nicole Ridgwell

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

Hep C: An end in sight?

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

Scotland publishes new treatment standards

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

Government pledges £80 million for treatment services

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

Delivering a blended approach to substance use and mental health provision at New Oakwood...

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...health treatment due to their substance use and struggle to access substance use treatment because of their mental health. People can become stuck unable to get the help they need...

CZAR GAZING – How do we harness political support?

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

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

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

A patient worth saving?

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

Stand up and be counted

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

Sexual healing

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

Number of people in alcohol treatment up by 10 per cent

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...starting treatment stated that they had a mental health treatment need. More than half of all people entering treatment were smokers, although just 4 per cent had been offered referrals...

Strategy for Survival

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

PCCs lead the call for change

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

Primary position

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

Experts by experience – full referenced version

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

Harm Reduction International Conference

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

Ireland at ‘tipping point’ with problem cocaine use

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...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...

CZAR GAZING – Finding the right balance

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

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...

By hook or by crook

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

Deaths in treatment up by almost 30 per cent

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

Olympian struggle

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

Loaded Language

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

Gambling treatment shows improvement for most people

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

Get engaged

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

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

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

Dayhab drug Treatment from Help Me Stop

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

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...

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....

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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...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 announcements of additional funding in England...

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...

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...

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...

Female Friendly

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...when it comes to improving women’s treatment provision. The Collective Voice ‘Women’s Treatment Working Group’ launched on International Women’s Day 2021. Comprised of female leaders who come together to make...

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...

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...

Residential Drug and Alcohol Treatment from ANA Treatment

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...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 increases...

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...

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...

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.’...

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...

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,...

Government pledges housing support cash for areas most in need

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...alcohol treatment will help people who are struggling to maintain independent living. Staff across treatment services and housing in Lancashire, meanwhile, will have a training programme to establish a joined-up...

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...

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,...

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...