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Programme

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[…] and unemployment through busine ss and enterprise. The right to treatment - How to deal with services’ requests for reducing scripts. - Steve Brinksman GP on medically assisted recovery and communicating with health professionals in an informed way. - Ken Stringer on asserting your rights to appropriate treatment. - Input from Francis Cook of […]

Making Inroads

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[…] made up of outreach workers, a women’s specialist worker and dual diagnosis coordinator, as well as having a clinical prescribing element to provide rapid OST prescribing, opiate treatment support and health and wellbeing checks such as BBV testing. Most of our days are spent walking the streets and talking with rough sleepers about the […]

Letters and comment

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[…] point where they can run their own lives. Substituting one addictive substance for another does not cure. Talking about one’s addiction seldom cures, nor does so-called ‘ treatment’. But drug-free withdrawal plus training does work in enough cases to make it thoroughly worthwhile. E. Kenneth Eckersley, CEO, Addiction Recovery Training Services (ARTS) Choice is […]

Sustained budget cuts having severe impact on treatment system

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The treatment sector’s ability to absorb funding cuts through efficiency savings and service redesign has been ‘exhausted’, according to the latest State of the sector report. There has already been ‘substantial service redesign and some hard decisions made’ and the system is starting to buckle under the pressure, says the document, which is based […]

Humankind Charity supports World Hepatitis Day with new national Action Plan

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[…] July. Stacey Smith, Nursing Director at Humankind. The action plan aims to further increase testing for Hepatitis C across all Humankind services, ensuring specialist pathways and onsite treatment for the virus.  ‘Hepatitis C is most commonly spread through blood-to-blood contact, such as sharing needles,’ said Stacey Smith, Nursing Director at Humankind, which has drug […]

Review of the year

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[…] drug offenders in the Philippines by president Duterte. SEPTEMBER Hot on the heels of last month’s grim figures from Scotland, the ONS reveals that the number of heroin-related deaths in England and Wales has doubled in the space of four years, to more than 1,200. The highest number of deaths, for the third year […]

Danish lessons

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[…] the Green Light District, request that there is no photography, and emphasise that the cannabis trade remains illegal in Denmark. In 2007, Fogh-Rasmussen’s government introduced medically prescribed heroin, with clinics in four cities, including Copenhagen. A result of parliamentary pressure and a media campaign, this programme has contributed to stabilising the health of its […]

Committee calls for royal commission on drug policy

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[…] of health and wellbeing boards’ performance on local drugs provision. The document highlights residential rehabilitation and the use of buprenorphine as an alternative to methadone as ‘under-utilised’ treatment methods, and calls for improved drug education in schools and action to tackle the country’s prescription drug problem before it reaches similar proportions to that of […]

May issue

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Road to ruin? Challenging the governments recovery road map The government’s ‘roadmap’ for a recovery-based treatment system has rung alarm bells with many respected organisations in the field, despite its declared principles of ‘wellbeing, citizenship and freedom from dependence’ (news focus, page 6). Opposition goes beyond drug and alcohol treatment to those working in […]

Focus on residential treatment: ESH Community Home

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ESH Community Home treatment centre is a fully residential CQC registered peer-led and supported rehab facility for men over the age of 18 whose lives have been adversely affected by their addiction. The property is a smallholding set in four acres of grounds located in the beautiful Warwickshire countryside in the Heart of England, […]

Government plans mandatory levy on gambling firms

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The government is planning a mandatory levy on betting firms to fund treatment services, along with reduced stake limits of between £2 and £15 per spin for online slots games. ‘We live in an age where people have a virtual mobile casino in their pockets,’ said culture secretary Lucy Frazer. The moves form part […]

Local news from the substance misuse field

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[…] able to talk to peers and female support workers about their addictions and recovery. For more information email h.cleugh@addaction.org.uk Weston-super-Mare leads hep c fight Addaction’s hepatitis C treatment project in Weston-super-Mare is being celebrated as an example of best practice in treating people with the virus. During a discussion attended by leading health professionals […]

Matter of life and death

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[…] distribution still a postcode lottery, asks Neil Hunt. I live in Kent, one of 16 sites from the 2010 NTA naloxone pilots for families and carers of heroin/opioid users. Locally, ‘Take Home Naloxone’ (THN) for service users, their families or carers has since become integral to our treatment system due to the numerous, ongoing, […]

Debunking myths: naloxone, the life-saving antidote to opioid overdose

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[…] it does not stay in the body for long, meaning the duration of naloxone can be shorter than other opioids. This is not typically a problem for heroin users because heroin is relatively short-lasting, so it has usually dissipated by the time the naloxone wears off, but this can be an issue for other […]

Back in the day – DDN 10 year special

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[…] that time. It’s hard to over-state the impact that DDN has had. While the Labour government set up the NTA in 2001 and committed significant funding to treatment, there really wasn’t much of a field back then. The sector was riven between two seemingly intractable camps, those committed to harm minimisation on one side, […]

Facing the challenge

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[…] Futures, while Birmingham GP Dr Judith Yates told the conference that, ‘we know methadone works for most people. There’s no one in the higher-ups that’s advocating time-limited treatment.’ Service user activist Anna Millington, however, stressed that ‘a lot of it is passive aggressive – being made to feel guilty about staying on methadone is […]

Drug poisoning admissions continue to rise

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[…] people in contact with alcohol and drug services, to 14,485 – down 40 per cent from a decade ago. Almost 90 per cent of young people accessing treatment did so for cannabis, with 44 per cent for alcohol, 14 per cent for ecstasy and 10 per cent for powder cocaine. Less than 1 per […]

Why I’m backing the Right to Recovery Bill

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[…] law. We have the right to free healthcare in the UK. But people in addiction don’t get the help they need. Only 40% of people who need treatment in Scotland get it. It’s people in our poorest communities that are most often denied this legal right. That isn’t people choosing not to engage, or […]

Can positive psychology help to treat dual diagnosis?

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[…] – co-occurring substance misuse and mental health issues – have complex needs. The duality of their disorders gives augmented symptoms, leaving clients particularly vulnerable and with poorer treatment outcomes. They require the most support, but in fact receive the least, according to Turning Point’s recent Dual dilemma report. The unmet need of those with […]

Essential purchases

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[…] GP appointments dried up. Dr Mike Taylor from Bristol’s Homeless Health Service and Dr Ben Watson from the ROADS alcohol and drug treatment service agreed that medically assisted detox within the new accommodations could not be managed safely – elective alcohol detoxification would not be possible for the foreseeable future and emergency admissions for […]

On a mission to cure hep C

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[…] sector leads, working in collaboration with a wide group of stakeholders. Our common goal is to implement an integrated plan to drive improvements in the prevention, diagnosis, treatment and outcomes of hepatitis C in people who use drugs, and reduce the spread of the virus. Our ultimate mission is to prevent new infection in […]

DDN March 2019

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[…] very strongly was that we need to take others along with us as we move – not just peers and colleagues, but people who are not in treatment or connected to services. We know that many drug-related deaths are outside of treatment, and Rosanna O’Connor of PHE was among those urging us to reach […]

Drug markets could be ‘flooded’ with Afghan heroin, warns UNODC

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[…] up by eight per cent compared to 2020, to almost 7,000 tons, which could lead to global drug markets being ‘flooded with around 320 tons of pure heroin’, says UNODC. The uncertain political situation since the withdrawal of US troops is driving up prices Afghanistan accounted for 85 per cent of global opium production […]

The easiest win

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[…] there’s that 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. […]

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 […]

Letters

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[…] needed today. With resources increasingly under pressure, independent advocacy may be seen as an unaffordable luxury. However, conflicts frequently occur between service users and professionals in addiction treatment. Some remain unresolved – through impasse, drift, unnecessarily bureaucratic pathways/criteria, clinically imposed decisions, communication breakdown or lack of confidence among service users to broach their true […]

A common thread

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[…] drugs and alcohol in Staffordshire is placing an increasing emphasis on prevention and early intervention, but perhaps the most significant development is the current redesign of the treatment system, which has incorporated a number of asset-based themes. Community assets The first of the ideas being developed is the key role that community assets are […]

A question of why

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[…] confidently deliver effective interventions. In order to do that, useful insights can be drawn from a field that is not necessarily the first go-to within substance use treatment – that of existential philosophy. Existentialism is a philosophy that is concerned with finding self and the meaning of life through free will, choice, and personal […]

Media savvy

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[…] July   It would be hard to imagine a less deserving case for free healthcare than Callie, a US citizen who was jailed in 2007 for supplying heroin and cocaine. I am sorry that he is said to be depressed and to suffer from diabetes and high blood pressure, but he was part of […]

The Losing Hand

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[…] NHS will fully fund its own gambling services from April onwards, following unease among clinicians and patients around the perceived conflict of interest of industry funding for treatment. May will see the NHS open two new gambling clinics, in Southampton and Stoke-on-Trent, to complement its existing services in Leeds, London, Manchester and Sunderland, as […]

It’s My Script

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[…] With restrictions in place and many drug services turning ‘virtual’, daily pick-ups and supervised consumption were changed to weekly or fortnightly scripts. This ‘light touch’ model of treatment had been a game-changer for many people whose lives had revolved around the pharmacy. ‘A lot of people have found this a liberating experience,’ said Hallam. […]

MUP having little effect on dependent and harmful drinkers

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[…] 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 […]

Vote of confidence

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[…] a lobbying or a campaigning organisation in the slightest, but what my staff were telling me was that stigma is now impacting people’s ability to move through treatment and achieve the life they want,’ she says. ‘So while we’re seeing a reduction in stigma in mental health, what we’re seeing in addiction is almost […]

Safe Corner

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[…] the smoking of cannabis or opium must be prevented – premises owners do not contravene the act by allowing the possession or injecting of controlled drugs like heroin or cocaine. Yet, based on statements from Sussex Police (a key stakeholder), the Home Office, and the Association of Chief Police Officers (ACPO), the working group […]

Before it’s too late

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[…] significant issues that need to be urgently addressed. This has included people excluded from OST as they’re testing negative for opiates, with clinicians unaware that some ‘brown’ heroin may contain no diamorphine and that nitazenes won’t show up on an OPI screen. There is a colossal training need – for drugs services, wider healthcare […]

Scots record highest ever drug deaths

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[…] drug misuse deaths (involving illegal drugs) fell by 14 per cent to 1,192 in 2011 but female deaths increased by 3 per cent to 413. Deaths involving heroin/morphine decreased by 25 per cent – although these were still the substances most commonly involved in poisoning deaths – with the mortality rate among males falling […]

Recovery rising

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[…] I attended the official launch of Hope Springs, a new recovery centre in Chesterfield, Derbyshire, where Mark Gilman, recovery lead at Public Health England, talked about the heroin explosion on the Wirral in the mid-80s. Mark said that nearly 30 years later, people on the Wirral were ‘finding recovery’ with the same people who […]

Doing it together

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[…] came from Abigail Kearley, Turning Point’s national service user involvement lead. She spoke on behalf of Julie Rose, a mother who tragically lost her son to a heroin overdose. On a day when we were presented with a lot of statistical information this was a powerful reminder of the real people those numbers represent.  […]

Pavilion Residential Drug Treatment

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The Pavilion is a stunning residential drug and alcohol treatment centre situated in picturesque private grounds just outside Lancaster.

National news from the substance misuse field

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[…] seizures of cannabis – down by 17 per cent on the previous year. Overall class A seizures were also down by 10 per cent, despite seizures of heroin increasing by more than 70 per cent. Seizures of drugs in England and Wales, 2014/15 at www.gov.uk   HELP IN SIGHT The first guide to substance […]

Giving the best chance

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[…] one of the biggest challenges faced by the sector. Luke Mitcheson and Danny Hames take questions at the NHSSMPA Conference Psychosocial interventions (PSI) contributed significantly to positive treatment outcomes, but delivering them effectively depended on highly trained staff and good governance, he said. Cutting down on the level of supervision and on skills such […]

News in brief

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[…] treatment providers. The challenge was to ‘keep pace with this growing problem, while continuing to meet the demands of more established substance misuse problems associated with alcohol, heroin and crack cocaine’, said Owen Boden-Jones of CNWL’s club drug clinic. Report at www.rcpsych.ac.uk Hep feedback A global patient survey to reveal how hepatitis C is treated […]

Local news from the substance misuse field

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[…] immediate access to websites, online support groups and advice from professionals. Broadway Lodge is also looking to set up a dedicated facility to support teacher training and treatment of self-harm, including counselling sessions for pupils.   Research project looks to evidence A ‘melting pot’ for researchers, treatment providers and those in recovery has been […]

One Love

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[…] and knew his vocation. Then as a clinician he realised he wanted to make a bigger impact and ‘help to shift the culture around LGBTQ people in treatment’. ‘Addiction treatment can get set in its ways – “this is how we’ve always done it”,’ he says. ‘That’s like a red flag for me. Addiction […]

The Black Review: A shared mission for transformational change

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[…] Commissioners Group and NHS Addictions Provider Alliance look at how Dame Carol Black’s Review of the UK’s drug policies represents an opportunity to renew and reset the treatment and recovery system. As organisations which see the impacts of drugs and alcohol on people, families and communities on a daily basis, we have come together […]

Nearly 100,000 could be unaware they have hep C

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[…] may be unaware they have it, according to the latest figures from Public Health England (PHE). That equates to 95,000 people who could otherwise be getting life-saving treatment, the agency stresses. The hep C virus can have devastating consequences. PHE is renewing its call for anyone who believes they have been at risk of […]

Supporting people accessing drug & alcohol treatment for the first time

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[…] a drug and alcohol service. Others have previously had help with us and are coming back and may be dealing with difficult feelings around coming back into treatment. To support people in this moment, we need to make sure people have the best possible start to their treatment with us. However, our data shows […]

Bridging the gap

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[…] leadership and commissioners who can see the benefits of funding particular services. But generally joint working suffers because of a lack of resources.’ If social workers and treatment professionals were really to ‘joint-assess, joint-visit and joint-manage’ everyone with overlapping issues there wouldn’t be enough resources on either side, she states. However, a survey by […]

DDN June 2019

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[…] get the help you, or your loved one requires. www.recoveryhubipswich.com The Recovery Hub Ipswich  Classifi  ed advertising | Services  www.drinkanddrugsnews.com June 2019 | drinkanddrugsnews | 19 •  12-step residential      •   14 individual rooms •    Aftercare available •    Dual Diagnosis Service •    Equine- assisted psoychotherapy  •    Assessment, detoxifi  cation and stabilisation •    16 individual en-souite rooms •    High quality purposoe built accommodation •    Individual services and packages available  •    Residential rehabilitation for young people •    Bespoke 13 week programme of treatment  and activity •    For those who need a omore intensive approach  than can be delivered in the community Please contact our Referrals Team for details of packages of detox and rehab, or to discuss your specifi  c requirements. […]

Policy Scope

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[…] 24-year-olds from 29.7 per cent in 1996 to 20.4 per cent in 2010-11. In 2010-11 there was also a fall of nearly 10,000 in the number of heroin and crack users coming into treatment over a two-year period. Are drug-related deaths rising? The Office for National Statistics says there was a fall of 3.5 […]

Your letters

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[…] We asked them why and it turns out that the IDUs in this area have changed the order in which they prepare their hits. They put the heroin in first, then put in the citric, and then the water – instead of putting the water in before the citric. So we have been reminding […]

In the Picture

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[…] public health crisis with drug-related deaths,’ she said. ‘If fentanyl arrives it will be a catastrophe.’ The network had been identifying regional issues, such as fluctuations in heroin purity in the north and north east of England and reports of ‘really poor’ quality ketamine. There was increased use of Xanax, especially among young people, […]

Another record year for England and Wales drug deaths

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[…] change significantly but we believe that it can be done if drug deaths are treated as a health crisis rather than a criminal matter. For too long, treatment and support for people who use drugs has been side-lined and there needs to be a joined-up national approach to public health planning that ensures people […]

Scots consider methadone evidence

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[…] clinicians and professional practitioners in treating people seeking to tackle their own drug addictions,’ said minister for community safety and legal affairs Roseanna Cunningham. While prescribed drug treatment had saved ‘many thousands of lives in Scotland’, however, it was the responsibility of professionals to ‘determine the most appropriate treatment for each person seeking medical […]

Scotland sees slight fall in drug-related deaths

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[…] poverty and in the failure of our education, care, criminal justice, housing and welfare systems to make effective early interventions to support vulnerable people and their families. The treatment system in Scotland is under scrutiny and there is clearly government concern about the failure to implement new standards in treatment. Leadership in that area is […]

A different way

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[…] far beyond the use of financial inducement by existing services. For example, we could substantially expand contingency management initiatives by redirecting around half of our current drug treatment budget towards the provision of such financial incentives to drug users themselves. Any such scheme would need to be coupled with a programme of drug testing […]

Homepage News Tab

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[…] ingesting opioid substitution therapy (OST) medications, according to a new report from Adfam.     Treatment threatened by constant re-procurement, warns ACMD The quality of treatment for heroin users is being threatened by diminishing funds and ‘disruptive re-procurement processes’, according to a new report from the Advisory Council on the Misuse of Drugs (ACMD) […]

Spreading roots

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[…] and the tender specification accurately reflected the needs of those surveyed. Back then Cumbria, like many other parts of the country, was struggling with the numbers in treatment. Having learned to bring people into treatment and minimise harm, we were finding it difficult to move people through the system, despite service provision that encouraged […]

News in brief

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[…] the highest levels of alcohol-related harm – often those with high levels of social deprivation – are also the most likely to be reducing funding for alcohol treatment, according to Alcohol Concern. Its Measures of change report looks at how the transfer of public health responsibility to local authorities has affected alcohol services. ‘Only […]

No time to lose

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[…] funding’ – ‘we need to address pathways and functions across systems,’ he said. ‘I need to add that stigma is rife,’ commented detective chief inspector Jason Kew, heroin and crack action area coordinator for South East England. ‘I call on all of us to be leaders and change that narrative. Stigma kills.’ Lauren Tapp […]