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Letters
[…] admired Paul Hayes as a politician but never his policies in regard to recovery from addiction. To spend 12 years on persuading politicians to move addicts from heroin to methadone (akin to moving whisky drinkers to free supplies of vodka) when he well knows that since 1966 there has been an addiction recovery training […]
Inside view
[…] community can bring about genuine change, say Claire Illingworth, Kate Cookson, Monica Sumner and Rachael Ashcroft. Delphi Medical is a leading independent provider of drug and alcohol treatment in the UK, ensuring excellent clinical and psychosocial provision as part of a recovery pathway. We are a part of the larger Calico group, an organisation […]
Reasons to be cheerful
[…] delivering rapid access to evidence-based interventions for a higher proportion of our population who need it than almost any equivalent country. This has yielded major reductions in heroin and crack addiction, very low levels of HIV infection, and declining drug-related crime. Despite static funding between 2008 – 13 and reductions of around 25 per […]
The Dame Carol Black review is a major opportunity to revitalise how we support...
Part two of the review provides ambitious recommendations for a treatment system in need of a boost, says Jon Murray, executive director of services England at With You. The long-awaited part two of Dame Carol Black’s Independent Review of Drugs has finally been published and it is a candid, bold and thorough analysis of […]
PHE: Increase hep C treatment or face liver cancer time bomb
England will see 1,650 annual cases of hepatitis C-related end-stage liver disease and cancer by 2035 if the current low levels of treatment are maintained, according to Public Health England (PHE). Although around 160,000 people are infected with hepatitis C in England, just 3 per cent access treatment each year. However, the burden of healthcare costs associated with untreated hep C means that increasing this […]
The whole detox
[…] After training and working in the fields of mental health and addictions, I developed a dilution titration system to reduce the withdrawal symptoms of and cravings for heroin, while studying for a degree in homeopathy. This was originally a research proposal for my graduating year, but soon developed into a titration for different drug […]
Just ten local authorities have increased treatment spending in last five years
Only ten local authorities have been able to increase their spending on drug and alcohol treatment services in real terms since 2016, according to analysis by the Labour Party for the House of Commons Library. All other councils experienced a ‘real-term’ budget cut, says Labour, with four – Medway, Staffordshire, Tyneside and Wiltshire – […]
What price life?
[…] out naloxone distribution in England prompted a multidisciplinary group to meet in London to campaign for change. DDN reports Last year there were 765 deaths related to heroin and morphine in England – a sharp rise of 32 per cent from the 579 deaths in 2012. The reasons for this failure are the subject […]
Mum’s the word
[…] when my child was young, I’ve been to prison on several occasions, been sentenced to various criminal justice orders and traversed through the whole spectrum of drug treatment. I also had my child put into the care of my mother for a period before regaining full rights. During the last 15 years I’ve worked […]
‘Toughness’ of drug laws no deterrent, says Home Office
[…] Czech Republic, Denmark, Japan, New Zealand, Portugal, South Korea, Sweden, Switzerland, the US and Uruguay, looking at issues including decriminalisation of possession for personal use, consumption rooms, heroin-assisted treatment, drug courts and supply-side regulation of cannabis. ‘Without exception, every country we considered sees drug use as undesirable,’ says the document, and while all were […]
Drugs market has ‘never caused greater harm’, says Carol Black review
[…] harm to society than now’, according to the first phase of Professor Dame Carol Black’s independent review of drugs. Even if more money became available for drug treatment, there would still be ‘a lot of work to do’ to build up capacity and expertise, the document adds. Professor Dame Carol Black: Appointed by government […]
Life and death issues
[…] said CEO of Build on Belief (BoB), Tim Sampey. ‘There are so many that I can’t remember all the names and faces. Drug-related deaths isn’t just about heroin – it’s a much, much bigger subject, and we need to be thinking much bigger. Alex Boyt and Tim Sampey led a thought-provoking debate. ‘What are […]
Hepatitis C: The Time to Act is Now
[…] disease. An important at-risk group are those who inject drugs, where the prevalence is estimated to be 56%.2 The good news is that advancements in testing and treatment mean health service providers have the tools to combat hep C, which was once a challenge. However, continued collaboration is required to achieve the NHS England […]
State of the sector: Time to talk
[…] care the most get them the least.’ Since then, this conversation has grown louder. As the threat of disinvestment has become reality and more of the smaller treatment agencies are forced to close their doors, we find ourselves looking at escalating mortality figures relating to drugs and alcohol and wondering why this is allowed […]
No apparent link between ‘toughness’ of drug laws and use, says Home Office report
[…] Japan, New Zealand, Portugal, South Korea, Sweden, Switzerland, the US and Uruguay, looking at a range of issues including decriminalisation of possession for personal use, consumption rooms, heroin-assisted treatment, drug courts and supply-side regulation of cannabis. ‘Without exception, every country we considered sees drug use as undesirable,’ says the document, and while all were […]
A Sure Start
[…] Overdose Attitudes Scale (OOAS), a validated measure of overdose management competency. 6. Reading material: app users have free access to the book The Everyday Lives of Recovering Heroin Users, based on the lived experiences of people in recovery. • Ed Day is national drug recovery champion and clinical reader in addiction psychiatry at University […]
WDP and partners shortlisted for HSJ Partnership Awards 2023
[…] with the NHS Award, and Most Impactful Project Addressing Health Inequalities Award at this year’s HSJ Partnership Awards, along with its partners in the Hepatitis C Drug Treatment Services (DTS) Provider Forum. The HSJ Partnership Awards recognise the outstanding contributions made to healthcare across the UK and showcase these achievements on a national platform. […]
The Benzo Trap
[…] off the illicit market, with all the risks that this entails. It is the equivalent of having an arbitrary maximum dose of 30ml methadone and saying to heroin users they should reduce themselves off street heroin until they get to this level. This situation also assumes that the person has continued access to illicit […]
Ketamine treatment for people with alcohol disorder shows promising results
[…] to use in their clinics. The University of Exeter and Awakn have also signed an agreement with Devon Partnership NHS Trust to explore the potential of ketamine- assisted psychotherapy in the NHS. The use of drugs like ketamine in addiction and mental health treatment remains controversial, and would require approval from NICE to allow […]
Key Worker – HMP Birmingham
Cranstoun is an independent charity and leading provider of specialist treatment, harm reduction and recovery services to those affected by drug and alcohol use. This is an exciting opportunity to become a part of our high performing psychosocial drug and alcohol service in HMP Birmingham. We provide a range of services for those affected […]
Residential Drug Treatment from Equinox Care
Equinox's residential alcohol treatment service staff at Aspinden Wood are on a mission to make sure every resident becomes stronger, happier and healthier.
Legislation to allow naloxone to be more widely available
[…] proposals. The evidence shows that take-home naloxone given to service users, and training family members or peers in how to administer naloxone, can be effective in reversing heroin overdoses. Because it is only available as an injectable product, naloxone will remain a prescription-only medicine but the legislation will permit people working in commissioned, lawful […]
Young drug and alcohol consumption continues to fall
[…] age group – at 16.3 per cent – it was still down on 19.3 per cent in 2011/12. Meanwhile, a new Home Office report states that declining heroin and crack use over the last decade – particularly among young people – has gone hand-in-hand with lower rates of acquisitive crime. ‘Studies agree that, in […]
Changing with the times
[…] next regular column. Over the past year, we’ve been adapting our ways of working based on our own and our service users’ experiences of advocating for better treatment. We know that quick and low-barrier access to treatment is more important than ever, as we see increasing nitazene contamination in various drug supplies, putting many […]
Rehabs ‘failing’ older drinkers
Three quarters of residential alcohol treatment facilities are failing older adults because of ‘arbitrary age limits’, according to a report from Alcohol Research UK. More than half of alcohol rehabs on PHE’s online directory exclude people at the age of 66, while 75 per cent impose arbitrary age limits of between 50 and 90, […]
New psychoactive substances in Europe
[…] enforcement and drug control policies’. The British government recently moved to introduce a blanket ban on all NPS (DDN, June, page 4). Meanwhile, although problems relating to heroin continue to ‘account for a large share of drug-related health and social costs’ across the continent, demand for the drug appears to be stagnating, says the […]
Afghan opium cultivation drops by 95 per cent
[…] the emergence of harmful alternatives, such as fentanyl and other synthetic opioids’. The experience of the US demonstrates how easily cheaper and readily available alternatives can displace heroin, the report states. ‘The emergence of fentanyl and other potent synthetic opioids has shown that markets can transform; heroin shortages could lead to increased infiltration of […]
Letters and comment
[…] that crime accounts for 90 per cent of the total cost – and the UK’s response relies on the crime fighting capabilities coordinated by the Home Office. Treatment forms a very important part of our drugs strategy and the UK has consistently sought to help individuals who are dependent on drugs by treatment rather […]
Residential Drug Treatment – Routes to funding
UK residents can apply through the NHS for community-based and private rehab. Alternatively, if you have the funds available or have private health insurance, you can access treatment privately.
Post-its from Practice
[…] recognised the name of a man on my list who was booked in to have a minor cyst removed. Dave and his partner Sarah had been using heroin for a number of years when they first joined our practice a while ago now, because they had heard we treated substance misuse in primary care. […]
Post-its from Practice
[…] recognised the name of a man on my list who was booked in to have a minor cyst removed. Dave and his partner Sarah had been using heroin for a number of years when they first joined our practice a while ago now, because they had heard we treated substance misuse in primary care. […]
CZAR GAZING – So how are we doing?
As deputy drug czar for the Blair government, Mike Trace oversaw the expansion of today’s drug and alcohol treatment system. In the second of his series of articles he gives his personal view of the successes and failures of the past 20 years, and the challenges the sector now faces... Read it in DDN […]
CZAR GAZING – How do we get more for less?
[…] Next, we have to be brave enough to do less of something. The demand has increased – from the diversification of drug problems (no longer just daily heroin/cocaine use) and the (perfectly sensible) addition of primary alcohol users to the system. And the resources are reducing – around 20 per cent in the last […]
Establish royal commission on drug policy, says select committee
[…] of Health, says the report, which also recommends the government considers establishing a league table of health and wellbeing boards’ performance on local drugs provision, as ‘ treatment must also be supplemented by housing, training and employment support if required’ to meet the end goal of re-integration into society. The document highlights residential rehabilitation […]
Why are so many children missing out on early help?
[…] Philip Breslin, on behalf of Adfam, explores why so many children are missing out on early help. In January the Government released its annual adult substance misuse treatment statistics for 2021 – 2022. The figures mostly showed little change from the previous year and responses from Local Government, NHS providers and charities struggled to […]
Fewer heroin and crack users, says NTA
The number of heroin and crack cocaine users in England has fallen below 300,000 for the first time, according to figures issued by the NTA. The figure stood at 298,752 in 2010-11, according to Estimates of the prevalence of opiate use and/or crack cocaine use, down from a peak of more than 332,000 in […]
South-west rehab wins European award for addiction treatment
Broadway Lodge, an abstinence-based residential treatment centre for addiction located in Weston-super-Mare, are celebrating an award win at the European Awards in Medicine. They were selected by a judging panel as a finalist along with four other treatment centres across Europe in the ‘Addiction Treatment’ category. Broadway Lodge was chosen as the winner, announced […]
Safeguarding conference 2015 – playing safe
[…] poisonings involve older, rather than younger children – but little is known about how or why these incidents occur. OST is proven to reduce dependence on street heroin, and by doing so it saves lives, improves health and wellbeing and cuts crime. The rightful place of these medications in addiction treatment is not at […]
In it together
[…] been recommended in NICE guidance since 2011 for ‘harmful drinkers and people with mild alcohol dependence who have a regular partner who is willing to participate in treatment’, counselling and therapy that focuses on the couple and parental relationship has never formed any significant part of the alcohol treatment service landscape. In 2009 Tavistock […]
So, how are we doing?
As deputy drug czar for the Blair government, Mike Trace oversaw the expansion of today’s drug and alcohol treatment system. In the second of his series of articles, he gives his personal view of the successes and failures of the past 20 years, and the challenges the sector now faces. Read the full article […]
LGBT drug support
User friendly London Friend chief executive Monty Moncrieff talks to David Gilliver about the treatment needs of the LGBT community and the challenge posed by the ‘chemsex’ scene Established more than 40 years ago, London Friend is the country’s oldest LGBT support charity and also operates what is still the only LGBT-specific drug and […]
Getting Engaged
[…] anyone has come so far has been the establishment of a ‘safe consumption’ van in Glasgow, which has made national headlines despite technically operating outside the law. Heroin-assisted treatment (HAT) – widely accessible in the UK until 1967’s Dangerous Drugs Act put paid to it, and available elsewhere in Europe – is showing signs […]
Joining the dots
[…] was how it’d stay. I realised, with my GP’s help, that you have to put the effort in. Every day on methadone I still wanted to use heroin. If I didn’t put the effort in, someone else would take my place. It’s not been easy and it’s still not easy. I’m still scared of […]
A matter of conviction
[…] both of local drug and alcohol commissioners and prison management. Since this happened, I have been concerned that the focus on the treatment of illicit opiates, particularly heroin, in healthcare contracts left prison drug treatment services slow to respond to new patterns of drug use in prisons and did not recognise the significance of […]
Promotional Feature: Hepatitis C and Me
[…] some kind of liver disease, but I didn’t know much more than that. At that time, I didn’t want to know more. I wasn’t interested in getting treatment. ‘I would often wake up in the morning and feel tired and lethargic. I was never sure whether those feelings were as a result of my […]
Survey demonstrates need for improvement of hepatitis C services
[…] disease. This demonstrates the need for additional education and resources to be made readily available for people accessing addiction support. ‘We need loud voices explaining that safe treatment is now available and they are entitled to it. Clear, simple messages of getting everybody treated, and the possibility that hepatitis C could disappear from communities […]
On the right track
[…] The Hepatitis C Trust show that since the current programme started in 2019, 29,000 people at risk of hepatitis C were tested and 3,800 were supported into treatment thanks to this kind of work. In recognition, health minister Lord Markham recently commented that, ‘Almost every elimination initiative that NHS England manages and commissions…has peer […]
Bringing it together
[…] justice agencies, among others. The government’s Commissioning Quality Standard (CQS) then set out what it thinks good commissioning should look like, with a vision of a person-centred treatment system and integrated approach – a document that was broadly welcomed by commissioning staff. So when it comes to commissioning, what does a strong partnership look […]
It’s where you’re at…
[…] these presentations pointed to unmet needs and unreached groups, the afternoon session highlighted the ongoing needs of the more ‘traditional’ harm reduction clients – particularly those injecting heroin and crack cocaine. Nigel Brunsdon from HIT provided insight into the deeply ingrained rituals – or ‘foreplay’ – of drug preparation and why these can be […]
Three reasons to provide addiction treatment to an employee
Photo by Israel Andrade on Unsplash Delphi Medical outlines why it’s important for employers to offer treatment support to employees struggling with addiction. If you are an HR professional or have any input in the welfare of the people in your business, here are two facts to be aware of: • A YouGov poll […]
Early Day Motion salutes vital role of treatment services
An Early Day Motion has been tabled to recognise the essential role of treatment services and thank the ‘unsung heroes’ on the frontline of drug and alcohol service provision. It also calls for MPs to ensure treatment providers are involved in post-pandemic public health plans. The statement reads: That this House acknowledges the vital […]
Findings from Adfam’s Inclusivity Forum
[…] that some communities are underserved by substance and mental health services; however the scale of the problem remains a persistent data blindspot. The Government’s annual Substance Misuse Treatment Statistics Report, informed by the National Drug Treatment Monitoring System (NDTMS), doesn’t collect data on ethnic identity. The emergence of specialist treatment services for people who […]
Hepatitis can’t wait
[…] this, said Mark Gillyon-Powell, head of programme for HCV elimination at NHS England. The operational delivery networks working with key partners had created clear pathways with curative treatment offered to all, with no limits. Philippa Easterbrook a senior scientist at The World Health Organization provided a global picture of the WHO strategy to eliminate […]
Learning for life
[…] how ANA’s new programme is helping clients to reconnect ANA was founded in 1998 for people who have become reliant on drugs and/or alcohol and provides residential treatment centres in Hampshire. As part of our philosophy of abstinence, we have developed a toolkit to strengthen resilience and recovery capital among our diverse client group. […]
PHE ‘does not recognise’ picture painted in think tank report
[…] report from the Centre for Social Justice (CSJ). The report, which has received extensive media coverage, states that ‘more than 40,000 people’ were being ‘abandoned on state-supplied heroin substitutes’ for more than four years, and that a ‘drug and alcohol crisis’ was ‘fuelling social breakdown’. While England continued to face major challenges from substance […]
Sarah Newton MP comments on the new drug strategy
[…] the rapid emergence of other psychoactive substances, image and performance enhancing drugs, ‘chemsex’ drugs, and misuse of prescription medicines. The pressing needs of an ageing cohort of heroin and crack cocaine users add to the problem. As minister for crime, safeguarding and vulnerability it is my responsibility to ensure that we do everything we […]
A vision to serve
[…] individual in the new public health landscape emerged as a prevalent theme. ‘We were created as a response to what was a frankly appalling drug and alcohol treatment system in Sunderland,’ CEO of Counted 4, John Devitt, told delegates at the London Drug and Alcohol Policy Forum’s recent Our friends in the north event. […]
Coronavirus: Uncharted Waters
The coronavirus outbreak is transforming almost every aspect of our society at dizzying speed. DDN looks at the impact so far on treatment services and their vulnerable client groups. Rough Sleepers are one of the most vulnerable groups. Public health experts have been saying for years that a pandemic on the scale of ‘Spanish […]
Make it stick
Making sure naloxone is in the hands of everyone who needs it, whenever they need it, requires far more than simply handing it out from drug treatment services. DDN reports. Read it in DDN Magazine Despite all the good work that’s been done over the last couple of decades to fight the battle for […]
Kenward Trust Residential Treatment
DDN Rehab Guide Read the guide Spotlights Editorials Rehab News Directory Transforming lives The staff at Kenward Trust residential addiction treatment centre are dedicated to helping their residents transform their lives from the misery of addiction, homelessness and crime. Set in fifteen acres of stunning Kent countryside, Kenward Trust provides a safe space for […]