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Experts by experience – full referenced version
[…] Shanahan, M., Mutch, C., Rea, F., Ryan, A., Batey, R., Winstock, A. (2007). A randomized trial of effectiveness and cost-effectiveness of observed versus unobserved administration of buprenorphine– naloxone for heroin dependence. Addiction, 102(12), 1899-1907 Gerra, G., Saenz, E., Busse, A., Maremmani, I., Ciccocioppo, R., Zaimovic, A., Somaini, L. (2011). Supervised daily consumption, contingent take-home […]
Harm reduction first
[…] shared insight from Ireland’s first medically supervised injecting facility in Dublin, which had recorded more than 800,000 visits and responded to 98 overdoses without a single death. Naloxone and oxygen were on hand and the model was built on low barriers – there were no restrictions to access and people could come and go […]
US alcohol-related liver disease deaths double in two decades
[…] in 2017 – provisional data for the year to September 2024 shows an almost 24 per cent fall in overdose fatalities compared to the previous year, thanks to factors such as data-driven distribution of naloxone and improved access to treatment. Alcohol-associated liver disease mortality available here US alcohol-related liver disease deaths double in two decades
The Loop warns about deadly nitazene pills
[…] charity is urging people to test their drugs before use – with either nitazene testing strips or a professional drug checking service – and to always carry naloxone. ‘Don’t take drugs alone,’ it states. Earlier this year Public Health Scotland (PHS) issued a warning after an increase in ‘sudden collapse’ overdoses – some of […]
Community connections
[…] use contract, enabling Dear Albert to perform targeted lived experience roles and lead on certain initiatives. Locally, Turning Point provides regular training to Dear Albert members including naloxone distribution and needle exchange, so there’s increased opportunity to spread support across a larger area. SHARING WORKSPACE Dear Albert manages Turning Point’s aftercare caseload and leads […]
Drug deaths taking toll on UK life expectancy
[…] or protocols to support those at the greatest risk, can prevent overdoses and subsequent fatalities. As well as this, we must support and expand the provision of naloxone, a drug that can reverse the effects of an opiate overdose and provide overdose training for drug service users, drug users not in treatment, family and […]
Cranstoun response to new synthetic opioids report
[…] Megan Jones, said, ‘We welcome the measures in this report, so far as they relate to reporting and data sharing, and working to expand the carriage of naloxone. ‘There seems to be a lack of ambition when it comes to really getting upstream and preventing the harm which synthetic opioids pose to our communities’ […]
Lucie Jones – I am a…
[…] interventions, as well as developing treatment plans to aid their chances of recovery. As a prescriber, you might be offering vaccinations and tests for blood-borne viruses, issuing naloxone or initiating opiate substitute therapy. You could be referring to pathways for treatment, giving harm reduction advice, or improving health outcomes. WHAT DO YOU FIND MOST […]
Unintended consequences
[…] a much higher risk of overdose. What’s more, they may not be aware of how to respond to an opioid overdose, and are less likely to carry naloxone. Given this context, it’s vital that our services are able to provide a safe supply of benzodiazepines for people who are dependent on these drugs. Maintaining […]
Scottish drug-related hospital stays up by 15 per cent
[…] a decrease and then the current rise. Public Health Scotland last month issued a warning after an increase in ‘sudden overdoses’ that often require multiple doses of naloxone to reverse, with its quarterly RADAR report from earlier in the year warning that the presence of nitazenes and other potent synthetic drugs meant the country’s […]
The power of persistence
[…] outreach van is packed full of essentials many of the women need, but often can’t buy for themselves. From condoms and wipes to vitamins, panic alarms and naloxone, Zoe hands out the daily essentials needed to help active users. Also in her van are two drawers of snacks – a favourite among many of […]
More than 30 people now taken ill in Camden, say police
[…] however they continue to liaise with hospitals and other agencies,’ the update states. The council says it is working with local outreach teams to increase access to naloxone and other support, as well as issuing alerts to local healthcare and accommodation services. ‘Analysis of substances recovered shows that what users believed to be heroin […]
US overdose deaths down by a quarter
[…] of the decade, says CDC, and shows a ‘continued steep decline’ in mortalities. ‘Multiple factors’ have contributed to the fall, says CDC, including ‘widespread, data-driven distribution of naloxone’, better access to evidence-based treatment, and shifts in the illegal drug supply. The number of non-fatal overdoses – as measured by emergency department admissions – has also […]
Changing the nitazene narrative
[…] past few years reflected the ‘changing face of nitazenes’ as WEDINOS started to find them in heroin. ‘We put out a leaflet and gave reassurance around using naloxone,’ he said. The service had also played a key role in prison safety – HMP Parc reported spice deaths but the blank pieces of paper being […]
Less than half of prison leavers have settled accommodation
[…] 1,155 prison staff investigated for supplying drugs. Almost 10 per cent of men surveyed by inspectors reported that they’d developed a drug problem while in prison, while naloxone provision for people on release also remains inconsistent. More than one in five women and almost a third of men said it was easy to get […]
New research targets opioid receptors
[…] important research.’ Last year, DHSC announced that 11 projects exploring the use of AI, wearable technology and virtual reality to help people overcome triggers for drug use and alert emergency services and naloxone carriers in the event of an overdose could be rolled out if they proved successful. New research targets opioid receptors opioid dependency
Forward’s rough sleeper breakfast clubs: empowering lives through community
[…] them. Toiletries, clothes, rain ponchos, and backpacks – all proper quality stuff too – offered to each guest. In recent months, they have handed out over 220 naloxone kits to this community alone – a lifesaving intervention (Q2 24-25). Guests enjoying the dinner club I left the club feeling inspired by the work being […]
Back to the future
[…] New York created a safe harm reduction space, while Dr Nabarun Dasgupta from the Remedy Alliance for the People in North Carolina spoke about drug checking and naloxone development, underpinned by true altruism. We enviously listened to these stories of activism and courage, including Lynn Jefferys from EuroNPUD’s description of how Jeremy Kalicum and […]
Local heroes
[…] engage people who might otherwise avoid other service offers and locations. Once embedded in communities, the hub provides resources like needle and syringe provision, hepatitis C testing, naloxone and testing strips to enable people to check for nitazenes, fentanyl and xylazine. ‘The service means people can test their heroin before putting it in their […]
Danger zone
[…] a more dangerous time to take drugs’. SEPTEMBER The government announces plans to ban xylazine – the effects of which, as a non-opioid, can’t be reversed by naloxone – along with 21 other drugs. As the minimum unit price in Scotland goes up by 15p the country records its highest alcohol-specific death toll since […]
Startling statistics
[…] partners on the evidence base for behaviour change. Public health campaigns must start from a point of compassion. We’ve learnt from work we have done around promoting naloxone and safer injecting equipment that the most effective approaches are developed in conjunction with people who use drugs. The 30 per cent increase in cocaine deaths […]
Number of adults in treatment up by 7 per cent
[…] PHS figures – at 30 per cent to 28 per cent. Of the people who’d used opioids in the previous month, 63 per cent had a take-home naloxone kit. Opium production in Afghanistan remains more than 90 per cent down on 2022 levels Meanwhile, opium production in Afghanistan remains more than 90 per cent […]
Number of countries supporting harm reduction at highest ever level
[…] like methadone or buprenorphine – up from 88 in 2022. There are also consumption rooms established in 18 countries, most recently Colombia and Sierra Leone, while take-home naloxone programmes are available in 34 countries. However Iran, which mentions harm reduction in its national HIV policy, executed nearly 160 people for drug-related offences last year, […]
Drug-related deaths up more than 10 per cent
[…] evidence-based drug treatment and recovery services in the autumn budget, and a long-term commitment in the spring spending review. Steps to increase the supply and accessibility of naloxone must be implemented as soon as possible, and we want the government to go even further, and ensure it is available to all opiate users and […]
Recovery Month reflections: Forward’s in-person recovery event for London-based staff
[…] for those who attended. She was joined by Mark Ash, our Lived Experience Coordinator, and Nathan Naine, a Peer Mentor. Several partner agencies delivered informative sessions, including naloxone training from Turning Point and presentations from The Bridges, Forward Connect, and Catch 22. These talks were aimed at enhancing understanding and collaboration among participants. The […]
Number of young smokers at lowest recorded level
[…] issues could be rolled out if they prove to be successful. The projects include a chest-worn sensor that monitors breathing and sends an alert to emergency services and naloxone carriers if an overdose is detected, and the use of virtual reality to help people overcome triggers for cocaine use. Around £12m in funding has been […]
Community is key
[…] allowing the service user to choose what’s best suited to their needs. With the rise of service user advocates fostering a peer-led approach that includes initiatives like naloxone peer-to-peer distribution, I feel there is real change in the air. I also believe there will shortly be safe injection facilities to reduce drug-related harm. Kaleidoscope […]
Strong suit
[…] and individuals directly affected by substance use, and it was great to meet so many of you in person. We took part in insightful workshops, including essential naloxone training from Cranstoun, panel discussions, and networking sessions, all aimed at enhancing the support and resources available to those battling addiction. Harm reduction, holistic therapies, and […]
Cranstoun response to Scottish drug deaths: evidence must prevail to prevent tragedy
[…] substance in Scotland. This compounds the need for services including same day prescribing of opioid substitutions (such as methadone or buprenorphine), DAT, and provisions for access to naloxone. Medical Assisted Treatment standards & delays It is with great relief that the first sanctioned overdose prevention centre in Scotland will open in just a […]
Government announces plans to ban xylazine
[…] or heroin, xylazine has been associated with dangerous side effects such as large skin ulcers. As it is not an opioid its effects cannot be reversed by naloxone in the case of an overdose, with the years 2018 to 2021 seeing the number of US xylazine-involved overdose deaths increase from just over 100 to […]
Scottish drug deaths up by more than 120
[…] through our £250m national mission on drugs, including opening a safer drug consumption facility pilot, working towards the opening of drug-checking facilities and widening access to life-saving naloxone. We will also continue to improve access to residential rehab, where we’re on track to meet our target for additional placements, and drive the rollout of […]
Stronger Together – Via at the DDN Conference 2024
[…] B3 ran a session at the conference, showcasing the impactful work they do in Brent, including their collaboration with our New Beginnings team to deliver a peer-to-peer naloxone programme. The GLOVES programme is a 6-week initiative using boxing skills to aid recovery ‘Our Reintegration Coordinator, Andreas Kavalierou, also attended with boxing gear, demonstrating our […]
Six new nitazenes detected in ‘rapidly evolving’ European drug market last year
[…] possible market shifts, by ensuring adequate prevention and treatment, including access to opioid agonist medicines and harm reduction services, as well as making available sufficient supplies of naloxone,’ EMCDDA says. Potent synthetic substances, new drug mixtures and changing patterns of use all ‘pose a growing threat in Europe,’ EMCDDA states. ‘People who use drugs […]
Oregon recriminalises drug possession
[…] having on their communities,’ said president of the Foundation for Drug Policy Solutions, Dr Kevin Sabet, at the time. Despite more than $260m being allocated to treatment, naloxone distribution, employment services and housing services, overdose numbers in Oregon rose faster than the national rate, with most people failing to take up the voluntary offer […]
Strength in numbers
[…] options. Once someone has completed their initial assessment, we can help them right away with things like testing for blood-borne viruses and harm reduction interventions including free naloxone kits and training. If we’re able to secure a GP summary, and with other relevant tests completed, we can safely prescribe them medication that same day. […]
Make It Happen! programme
[…] harm reduction café, head and shoulder massages, taster sessions on auricular acupuncture, yoga class, film show, photo booth (all day). 1.45pm-3.00pm: ‘Perspectives’, chaired by Alistair Sinclair, UKRF Naloxone – Nigel Brunsdon, Injecting Advice and HIT Visible recovery – Lancashire User Forum (LUF) Hep C van – Jim Conneely, Hepatitis C Trust The case for […]
Letters January 2014
[…] and so need the opportunity to learn. Resistive cases ‘who just don’t get it when it comes to embracing recovery’ may well be contenders for OST or naloxone, but the other 70 to 75 per cent have been proving for 48 years that they are enthusiastic and successful students when it comes to training […]
Overdose prevention centres could save ‘thousands’ of lives, says major evidence review
[…] our review showed is that OPCs can help save lives in an urgent and growing drug-death crisis in the UK. Alongside other essential public-health strategies such as naloxone availability and real-time drug testing, the adoption of OPCs in areas of need will help reduce the enormous costs facing our communities.’ Overdose prevention centres, safe […]
Nitazenes detected in 25 Scottish drug deaths
[…] same batch, he pointed out, meaning that people needed to be more vigilant. They could reduce risks by ‘dosing low, going slow, avoiding mixing drugs and ensuring naloxone is to hand’, he added, as well as making sure there are people around who could respond in an emergency. Meanwhile, the latest drug and alcohol […]
SDF launches nitazenes resource pack
[…] so long as drug supply is unregulated. But the core message is to try and reduce risk as far as people can and to carry and use naloxone if someone overdoses. We have an imperfect picture of what is happening in Scotland. This is because we’ve been slow to heed warnings and adequately prepare. […]
Street Benzos: Clinical Management That’s Fit for Purpose
[…] supporting people dependent on benzodiazepines across the sector. This approach must include promoting drug testing to all people who use drugs, as well as greater access to naloxone. Additionally, we must improve screening tests to have an understanding of what benzodiazepines – and potentially other substances such as nitazenes – the person has used […]
Review of the year – 2023
[…] local areas that they need to plan how to ‘rapidly understand and assess’ the risks and minimise the impact – including by improving drug information systems and naloxone supply. Scotland’s latest drug death figures show a 21 per cent reduction, however, although the figure is still almost quadruple the level of 20 years ago. […]
Open market
[…] transactions, just a polite email requesting to be sent one of the most vilified substances on the planet. Accompanied by other, highly fresh Hot Topics talks on naloxone, legal highs, club drugs, the drug trade, harm reduction, sex work, employing users and policing, Power’s presentation shed light on the world’s rapidly changing drug market, […]
Most of Northern Ireland’s drug deaths among young people
[…] recent drug deaths’, the document states. More resources, including staff, also need to be allocated to outreach work targeting younger people, it adds, along with enhanced peer naloxone training. ‘The prevention of each of these deaths is possible, making it essential for the Department of Health, the NI Executive, and society to prioritise this […]
A proud tradition
[…] ensuring research continues to guide the future in Wales. Find out more at: kaleidoscope68.org Related Articles Partnership working – the DDN Conference 2023: Cranstoun’s Worcestershire service’s peer-led naloxone team, PACKS – ‘peer-assisted community knowledge and support’. Nitazines – harm reduction information: Release, alongside EuroNPUD and other drug treatment service colleagues in the UK, have […]
Home Affairs Committee calls for shift to ‘public health-based interventions’
[…] be legalised or regulated for non-medical use. Among the report’s other recommendations are a UK-wide, postal-based anonymous drug checking service, centralised funding for diamorphine-assisted treatment, a national naloxone programme for England, and more use of schemes to divert people away from the criminal justice system. Trauma-informed practices should be used by all police forces […]
Dorset Council residents continue to be supported for drug and alcohol use
[…] mentor programme in the South in 2009. This project became an accredited programme in 2011, as well as becoming the second service in England to offer postal naloxone through the web based NSPDirect service. REACH was also the first service to offer postal Dry Blood Spot Testing (DBST) in partnership with the NHSAlliance and […]
Scottish drug deaths down by a fifth
[…] demands the urgent implementation of the full range of evidence-based practice and policy now,’ including monitoring changes in drug supply, including via drug checking services, maximising Scotland’s naloxone programme, implementing safer drug use facilities, widening access to treatment, and decriminalising possession. ‘Everyone seems to know that Scotland has an astonishing rate of drug-related deaths […]
Conference Prog 2023v2
[…] Peer power – a story of co - production Cranstoun ’s team share their dynamic harm reduction initiatives . Alistair Bryant describes the PACK s peer team’s naloxone distribution and Luke O’Neil explains how they used innovative tech to create BuddyU p . From policy to practice Laura Pechey from the government’s Office for […]
‘Cheap and easy’ synthetic drugs transforming markets, says UNODC
[…] heroin supply being contaminated by synthetic opioids. (News August 2023): OHID issues new guidance on dealing with synthetic opioid threats. (Partner Update, Turning Point, August 2023): Synthetic opioids and reducing risk. Cranstoun’s peer-led naloxone team at the DDN Conference 2023 Read more on synthetic opioids in the DDN archive. View vacancies at Cranstoun and other job opportunities on DDN Jobs.
Seamless Systems
[…] for the psychosocial teams to commence effective release planning and coordination of continuity of care is crucial, and there has been an increase in the numbers of naloxone kits, training and harm reduction advice disseminated to patients prior to release. Patient feedback Patient feedback has been paramount to determining the next steps on this […]
News in brief
[…] to just over 130 last year from more than 150 in 2010, according to Welsh Government statistics. More than 200 lives have also been saved since 2009 through the take-home naloxone campaign, the government says. Substance misuse in Wales 2012-13 and Working together to reduce harm: substance misuse strategy annual report 2013 at wales.gov.uk
The DDN Conference 2023
[…] and services. It is a fantastic chance to learn about all of the support available, including legal advice and employment guidance, as well as new skills and naloxone training. It’s not all work though! Get involved in sports activities and games, watch films and find out about entering the Recovery Film Festival. Relax with […]
A Different Key
[…] were available when people came into prison, to make sure they were well enough to have interventions, and there was planning around release that included carrying a naloxone kit. ‘We want to replicate in prison the options that people could have in the community,’ she said, including prescribing slow-release buprenorphine injections (which lasted a […]
Bringing care to the streets of Hackney
[…] from other organisations to make sure our high-risk clients are being cared for. “We’re also able to give out food vouchers, harm reduction medicine – such as Naloxone (to reduce death by overdose), and help signpost toward accommodation when the temperatures drop below freezing. “Each week the clinical van will be targeting different places […]
Harm Reduction Information Hub for North Yorkshire
[…] awareness events, and practitioners can discover learning opportunities provided by other agencies across our region. Sessions will cover topics like an introduction to drugs/ alcohol and administering naloxone, a life-saving medication that can reverse the effects of an opioid overdoses. Prior to launching the site, people who use alcohol and other drugs, and experts […]
DDN National Conference 2023
[…] second session focused on peer power. Alistair Bryant and Luke O’Neil from Cranstoun shared genuine examples of co-production to develop their dynamic harm reduction initiatives including peer led naloxone distribution and innovative tech to create the BuddyUp app. Laura Pechey from the government’s Office for Health Improvement and Disparities (OHID) and Lanre Babalola and Ade from […]
Caring and compassionate
[…] a variety of roles within services including providing specialist interventions in physical and mental health, leading on harm reduction initiatives for bloodborne viruses, needle exchange, provision of naloxone, and support with detoxification from alcohol and/or other drugs. Some nurses choose to study at Masters level, including addictions courses, but these are open to a […]
WDP launches newly refurbished recovery hub in West Berkshire
[…] sessions and visit a ‘marketplace’ to showcase different elements of the service, such as: alcohol awareness, BBV testing, needle exchange, employment support, and information and training around naloxone. There was also a stall about WDP’s Capital Card scheme, which enables service users to earn points by engaging in treatment and then spend points on […]
PTBath Primary-Care-Worker-JD-PS 15 hours
[…] that will effectively engage/re-engage and retain service users, prevent drop-out and maximise successful treatment completions To be responsible for providing Needle and Syringe Provision, the supply of naloxone and harm reduction information and advice To support and promote ‘visible recovery’ within the service including a focus on appropriate planned exits from service at all […]