Derby Substance Misuse Service. Drugs & Alcohol Guide. Your Route To Recovery.

Size: px
Start display at page:

Download "Derby Substance Misuse Service. Drugs & Alcohol Guide. Your Route To Recovery."

Transcription

1 Derby Substance Misuse Service. Drugs & Alcohol Guide. Your Route To Recovery. Assessment Support Employment Advice Residential Rehab Recovery Detox Information Treatment

2 2

3 Inside Need help?...5 Speak To Us...5 Triage/Working Out Your Options...6 What Is Treatment...10 Cannabis/Legal Highs/Stimulants/ Ketamine/Cocaine users...12 Alcohol Users...13 Heroin & other Opiate Users...15 Harm Reduction Services...18 Detox and Residential Rehabilitation...19 Drug and Alcohol Information

4 This booklet is about drugs and alcohol, where to go for help and support in Derby, and what to expect if you, or someone you know, need help. Derby s drug & alcohol services have moved to new premises at St Andrews House (the old benefits office). The telephone number for drug support is and for alcohol support The new premises have brought a range of services under one roof to deliver the best possible care within a modern, 21st century treatment setting. The new treatment centre has been set up to provide a more streamlined assessment system, known as the Single Point Of Entry, that will ensure you get the help you need without a lot of messing around. The following information will help you understand the options that are available and which ones would be suitable for you. 4

5 Need Help?: Your first step to getting help is recognising that you need help in the first place. Some of the signs that your drug or alcohol use is getting out of hand might be: it s always playing on your mind or you have a strong desire to use (craving) using more now than when you first started spending too much time or money on it getting into debt because of it it s becoming more important to you than other things (family, friends, job, etc.) difficulty controlling its use continuing to use despite it causing you some form of (health, legal, social or financial) harm Speak to us If you think you may need help, call us on: for drug support or for alcohol support. You can speak to one of our friendly advice workers and they can help you by outlining your options. This could mean just giving you some simple advice and reassurance, or you could arrange a time to come into the office for a chat and go through a triage process, which is explained on the next page. There s no pressure - you won t have to give us loads of personal information or answer any questions you don t want to. 5

6 TRIAGE/WORKING OUT YOUR BEST OPTIONS: Triage is just a simple term that describes an initial assessment to find out how serious your situation might be. Your triage can have a number of outcomes. OUTCOME 1 For example, you might have some low-level issues around drugs or alcohol, so the help you receive will involve simple advice, information and guidance. OUTCOME 2 If you have more complicated issues around, say, drugs and alcohol, health, housing, benefits and employment, etc., a more structured package of care and treatment might be right for you. This might mean you will be allocated a keyworker. Keyworker A keyworker is an experienced drugs worker who will set agreed targets, work out a care plan with you (what you are aiming to do and how you are going to do it), explain each part of the process, and help you work through and resolve some of these issues over time. But don t worry, everything you say is held in the strictest confidence, no-one else will know what you ve told us unless you want them to. We are bound by the same strict rules of confidentiality as doctors. We can only pass on information about you to another person or organisation if you agree first. 6

7 The only exceptions to this are if any information relates to you harming yourself or someone else or situations where children may be at risk of harm. Your key-worker will talk this through with you to make sure you understand the boundaries of confidentiality. You will get to know and trust your key-worker, and they you, so you can work together to ensure your treatment is successful. They will coordinate your contacts with other agencies and monitor your progress towards agreed goals by completing a summary outcome profile, after each meeting. This is so your keyworker can ensure your care package is tailored to meet your needs, because no two people are the same. Comprehensive Assessment But, in order to help you make the decisions that are right for you and work out an effective care plan, they will need to get as clear a picture as possible of what makes you tick. So, obviously, they will need to ask you a bunch of questions, a more comprehensive assessment. The more honest you are about your lifestyle and current situation the more successful your decisions will be. It is important to get your assessment right so you and your keyworker can agree the best plan for you. Of course, assessment is not a one-off event, it will be ongoing over the course of your treatment to ensure you are on track, to make any changes that might be helpful, and to help gain a profile of your treatment journey. 7

8 Care Plan A care plan can include help with things like: finding accommodation finding a training course or employment legal advice and support emotional support and relationship advice counselling physical and mental health check substitute drugs drugs and alcohol harm reduction advice It all depends on your needs as defined by your assessment. OPTION 3 A level 3 triage response means that a number of complex needs have been identified requiring urgent medical, social, legal, or other interventions. This might include: immediate physical treatment for things like abscesses, thrombosis, lung or liver problems, etc. immediate mental treatment for things like severe anxiety, depression or psychosis urgent relocation because of domestic violence or threats from others... If you do have any issues that need immediate help, your assessment will highlight these and you will get the support you need. 8

9 The Law If you ve been nicked, however, the courts have the option to refer you for treatment if they think drugs or alcohol have played a part in your offending behaviour. This means a course of treatment would be a requirement of the sentence and you would have to attend the Drug Intervention Programme (or DIP) at St Andrews House. 9

10 What is treatment? You and your keyworker will work out what is best for you, based on your individual needs. The amount of support you require with depend on the substance you use, how often and how much. Regardless of what you use some of the common approaches we use in Derby are outlined below (for heroin use, please read the additional information on page 15). It s good to talk Keyworking is a way of helping you come to your own decisions about your lifestyle and help you to make changes. The keyworking styles outlined here are used in both alcohol and drug treatments. Here is a brief description of two of the most commonly used keyworking styles. Motivational Interviewing (MI) Motivational Interviewing (sometimes known as Motivational Enhancement Therapy or MET) is a way of working with you to help you see the benefits of changing some aspects of the way you are currently living your life. It is about working with you, rather than telling you what to do. The aim is to help you to identify the things you feel you want to change, rather than telling you that you should change. Over time, these changes will become part of your lifestyle and can be kept going alongside stability in other areas such as relationships, housing, employment, etc. 10

11 International Treatment Effectiveness Project (ITEP) ITEP is commonly referred to as mapping in the form of a manual used by skilled keyworkers with their clients. Mapping is a visual communication tool for helping to share information between you and your keyworker and is aimed at changing your thinking patterns. Mapping is useful as sometimes we all struggle to find the words to describe exactly how we are feeling or what we are thinking. t also can be really helpful if you want to explain to family, friends or others what is happening to you. ITEP is structured, focused and practical and is effective in helping change habits and aid recovery. 11

12 Cannabis/Legal Highs/Stimulants/ Ketamine/Cocaine: If you would like to do something about the substances you do use, then we can help here too, whether it s cannabis, legal highs, ecstasy, stimulants, ketamine, cocaine or whatever. Your key-worker will work with you to agree a care plan, what you are aiming to do and how you are going to do it. The structured treatment may be similar, using MI and ITEP and will concentrate on helping you to change your relationship with whatever it is you re using. Initially, this might involve what s called brief interventions. This is simply your key-worker helping you to view your substance use from a different angle by suggesting you think about your patterns of use, motivation to use, and the good and bad things about what you use. Pretty soon you will notice a reduction in how often and how much you use. Taking this a step further might involve looking at what s called the cycle of change. This is, basically, taking stock of where you are now and then coming up with a plan about where you d like to be in the future and how you will get there. For example, say you wanted to cut down on smoking cannabis, then it makes sense to look at how much you use, where and who with you use, how often, how much you spend, etc. Once you ve got an idea, your keyworker will be able to help you see where you can make 12

13 the changes and plan how to make those changes. Your key-worker will also help you to review your progress, learn from slip-ups, and keep you motivated as change happens. These are just two of the ways, there are more, that your key-worker can help you sort your head out, get a grip on your substance use and support the changes you want to make. Alcohol Users: To detox from alcohol you need to ensure you have got specialist help and support from one of our treatment services as unsupervised withdrawal from alcohol can cause a fatal seizure. Some people can detox using gradual drink down reductions in the amount they drink whilst others may need medication to help them. Following an assessment your keyworker and doctor will discuss the best options for you. If you need medication to help you, some of the ones that may be used are described below: Benzodiazepines (tranquillisers) Librium is the tranquilliser most often prescribed for the management of alcohol withdrawal. It is used in the short-term (2-4 weeks) to help treat the symptoms of severe anxiety that are a common feature of alcohol withdrawal. 13

14 Acamprosate (Campral) Acamprosate helps to restore your brain chemicals to normal levels and helps to prevent relapse. Patients treated with acamprosate have a greater ability to stay off alcohol but, like all relapse prevention, it is more effective when combined with counselling. Disulfiram (Antabuse) Disulfiram on its own does nothing, but when mixed with alcohol it brings on severe nausea and vomiting. Disulfiram is only used in extreme cases, however, and success depends on the client s willingness to keep taking the drug. 14

15 Heroin & other Opiates: If you have been using opiate drugs, like heroin, and your assessment suggests you would benefit from structured treatment, what can you expect? The best approach for you might be a referral into Derby Substance Misuse Service where a range of choices are available. This might include: keyworking substitute drugs drug-free support residential rehabilitation, or aftercare You and your key-worker will work out what is best for you, based on your individual needs. Opiate substitute drugs Sometimes, it might be helpful to use prescribed drugs to help bring stability, support keyworking and encourage behaviour change. There is a wide range of drugs used in treatment, here are brief descriptions of some you may have heard of. Your doctor and keyworker will discuss which medication would be best suited to your needs. Please note that although the medicines are listed below they may not all be suitable for your treatment Methadone Methadone is sometimes used as a substitute for heroin in treatment. It is not a cure for heroin addiction, but it can help to stabilise you on a regulated dose so you can get your life back on track. Methadone is a prescription-only drug and can only legally be used by the person to whom it has been prescribed. 15

16 Methadone is addictive and can cause an overdose if taken by those not used to it. If kept in the home, extra care is needed over storing it safely if there are young children about. Some clients, who don t want to keep it at home or have only recently started treatment, take their medication daily at the pharmacy, which is known as supervised dispensing. A measured daily dose is usually taken once, in the morning. If the dose is correct there should be no need to take methadone or heroin - again that day. Most people would be prescribed methadone on a reducing basis (for a detox) over a specified time. By reducing the daily dose, whilst at the same time making efforts to regain a stable lifestyle through counselling, methadone can be a useful tool in assisting you towards recovery. Buprenorphine (brand name Subutex) Subutex is another medication that is prescribed as a heroin substitute. It, too, is not a cure for heroin addiction, but it can help to stabilise you on a regular dose so you can get your life back on track. Subutex is a prescription-only drug and can only legally be used by the person to whom it has been prescribed. Some people prefer Subutex to methadone as they feel it is easier to reduce the dose and stop using altogether more quickly. Subutex also has an antagonist effect on opiates, which means that it blocks their effects. Like both heroin and methadone, Subutex can cause dependence and overdose, so the same safety rules apply. 16

17 Other opiate treatment drugs Lofexidine (Britlofex) BritLofex is the brand name of a prescribed medication called lofexidine. There is no high with BritLofex, it is not addictive and doesn t reduce cravings for heroin, so is not prescribed as a heroin substitute. BritLofex is used to ease the withdrawal symptoms from heroin. It doesn t stop withdrawal symptoms altogether, but dilutes the physical effects to make detox easier. BritLofex should only be used under medical supervision as part of a monitored detox regime. It is usually taken for the period of withdrawal, seven to ten days on average but this may vary, and should be reduced towards the end. BritLofex should not be stopped abruptly, as this can cause a sudden rise in blood pressure. Naltrexone (Revia; Depade) Naltrexone stops the high from opiates like heroin and so helps to prevent a relapse. It does this by blocking the opiate receptors in the brain, so if you take heroin nothing happens. Before using naltrexone you must have detoxified and have no opiates in your system for at least 14 days. Taking naltrexone whilst still having opiates in your system will bring on withdrawal symptoms. Naltrexone tablets have to be taken every day, so if you forget, or decide not to take the tablet, and use heroin you risk having an overdose. 17

18 Harm Reduction Services: Obviously, change doesn t happen overnight, it can take a while before you ve achieved the changes you want to make. So while you are still using it s important to make sure you are not causing any harm to yourself or others. A specialist harm reduction team are based at St Andrews House who can offer advice, information and access to a needle and syringe exchange programme. A large number of pharmacies in Derby also offer needle and syringe exchange programmes, look for the sign on the left for those offering the service. 18

19 Detox and Residential Rehabilitation: Most people will detox off their drugs, alcohol or medication in the community with support from our services. For a small number of people this might not be possible in the community for a variety of reasons. If you can t detox in the community you might be suitable to be referred to residential rehabilitation. Detox - what s that all about? If you ve been using opiates (like heroin) one of the things your outcome profile might indicate is when you are ready for a detox or planned withdrawal. Regularly using opiates means your body gets used to a certain dose so you have to use more to get high. A detox means to reverse that process by first stabilising you on a substitute drug like methadone or Subutex and then reducing the dose over time until your body gets used to having less and less. This makes the withdrawal symptoms less noticeable and easier to handle. And don t be put off by all the hype about withdrawals, they will be as bad as you think they are going to be - with the right support, commitment and attitude you will be OK. Residential Rehabilitation Another detox option is residential rehabilitation, this is only offered to individuals who have previously undertaken a community detox but have relapsed and are willing to engage in a programme of intensive support in a residential unit. These units are often located outside of Derby in a different part of the country. 19

20 Most residential rehabilitation programmes last between 3 and 12 months and there are lots of different types of programmes available. If you think residential rehabilitation might be better for you then you should speak to your keyworker who will discuss your options. After-care Coming off - or changing the way you use - drugs or alcohol is the easy part. What can be much more difficult is maintaining abstinence and living a drug-free life, as this also requires lifestyle changes. For some this may require coping and relapse prevention techniques to help you maintain your recovery, mending broken relationships, finding employment, training opportunities, accommodation and new friends. In Derby there is a specialist Aftercare Service for both drugs and alcohol called New Futures. If you ve been treated by our drug or alcohol services they will offer you a referral to New Futures when you are ready to leave treatment. However, you can also directly access the service via the Single Point Of Entry if you feel you may benefit from this kind of support. Information about all our services is available from St Andrews House. Call us on and see how we can help you. 20

21 Drugs A Quick Reference Guide 21

22 Alcohol AKA Appearance: Status: Method of use: Effects: Harms: Booze, ale, drink, bevvy. Liquid, various colours. Central nervous system depressant. Drink. Drowsiness, de-stressed, excitement, confidence. Addiction, psychosis, various cancers, aggressive behaviour, respiratory failure (overdose), potential for accidents or violence. 22

23 Cannabis AKA: Appearance: Status: Method of use: Effects: Harms: Skunk, weed (herbal); rocky, hash (solid). Dried green herbs, solid dark block. Central nervous system psychedelic. Smoked. Relaxation or agitation, hallucinations. Addiction, paranoia, psychosis, lung disease. 23

24 Heroin AKA: Appearance: Status: Method of use: Effects: Harms: Brown, gear. Light brown powder. Central nervous system (Central nervous system) depressant. Smoked, snorted or injected. Drowsiness, warmth, euphoria, destressed. Addiction, constipation, respiratory failure (overdose). If injected, potential for damage to skin and veins, ulcers, thrombosis, and transmission of infections (hepatitis, HIV). 24

25 Cocaine/crack AKA: Appearance: Status: Method of use: Effects: Harms: White, coke, Charlie (powder); rocks, stone (crack) White powder or small off-white solid chunks (crack). Central Nervous system stimulant. Snorted or injected (powder); smoked (crack). Excitement, energy, euphoria, confidence. Addiction, erratic behaviour, heart failure or seizure (overdose), paranoia, psychosis. If injected, potential for damage to skin and veins, ulcers, thrombosis, and transmission of infections (hepatitis, HIV). 25

26 Legal Highs * 26 AKA: Appearance: Status: Method of use: Effects: Harms: Mephedrone, Ivory Wave, bubble. White powders. Central nervous system stimulant. Snorted, swallowed, or injected. Excitement, energy, euphoria, confidence. Erratic behaviour, disorientation, paranoia, psychosis. If injected, potential for severe damage to skin (necrosis) and veins, ulcers, thrombosis, and transmission of infections (hepatitis, HIV). Long-term effects, as yet, unclear but addiction potential could be similar to other stimulants. * We use the term legal highs to describe a group of new compounds, some of which are now illegal

27 Tranquillisers AKA: Appearance: Status: Method of use: Effects: Harms: Sleeping tablets, tranx, benzos, Valium,Librium, Ativan, Temazepam, etc. Tablets of various shapes, colours and sizes. Central nervous system depressant. Swallowed, injected. Drowsiness/sleep; warmth, euphoria, de-stressed. Addiction, respiratory failure (overdose). If injected, potential for damage to skin and veins, ulcers, thrombosis, and transmission of infections (hepatitis, HIV). 27

28 Finally... Think of treatment as a pathway on a journey towards recovery - eventually living without alcohol and drugs. The Derby Substance Misuse Service at St Andrews House can, over time, help provide you with stability and direction. But making change work might also include mending relationships, getting a job, increased confidence and independence, and a real sense of selfworth. We can help you to achieve all of these. Other sources of help and advice. 28 Drugscope The leading UK charity supporting professionals working in drug and alcohol treatment, drug education and prevention and criminal justice. W: The Alliance User-led organisation which provides advocacy services to those currently in drug or alcohol treatment, those who have accessed treatment in the past and those who may access treatment in the future. W: T: Talk To Frank National drugs information helpline. T: W:www.talktofrank.com Content and design by Substance. wwwsubstance.org.uk

Getting help for a drug problem A guide to treatment

Getting help for a drug problem A guide to treatment Getting help for a drug problem A guide to treatment Who we are The National Treatment Agency for Substance Misuse is part of the National Health Service. We were set up in 2001 to increase the numbers

More information

Specialist Alcohol & Drug Services in Lanarkshire

Specialist Alcohol & Drug Services in Lanarkshire Specialist Alcohol & Drug Services in Lanarkshire This brochure describes what help is available within Lanarkshire s specialist treatment services. These include the North Lanarkshire Integrated Addiction

More information

OVERVIEW WHAT IS POLyDRUG USE? Different examples of polydrug use

OVERVIEW WHAT IS POLyDRUG USE?  Different examples of polydrug use Petrol, paint and other Polydrug inhalants use 237 11 Polydrug use Overview What is polydrug use? Reasons for polydrug use What are the harms of polydrug use? How to assess a person who uses several drugs

More information

Treatments for drug misuse

Treatments for drug misuse Understanding NICE guidance Information for people who use NHS services Treatments for drug misuse NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and

More information

DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES

DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES 01736 850006 www.bosencefarm.co.uk DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES An environment for change Boswyns provides medically-led drug and alcohol assessment, detoxification and stabilisation.

More information

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug. Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants

More information

A G U I D E F O R U S E R S N a l t r e x o n e U

A G U I D E F O R U S E R S N a l t r e x o n e U A GUIDE FOR USERS UNaltrexone abstinence not using a particular drug; being drug-free. opioid antagonist a drug which blocks the effects of opioid drugs. dependence the drug has become central to a person

More information

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive. Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.

More information

Opioid overdose can occur when a patient misunderstands the directions

Opioid overdose can occur when a patient misunderstands the directions Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription

More information

Helping Someone who has Problems with Alcohol

Helping Someone who has Problems with Alcohol Helping Someone who has Problems with Alcohol Alcohol is one of the most commonly used drugs in our society. It is legal and a depressant, impacting on the brain to affect mood, emotion, co-ordination,

More information

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug.

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug. Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she

More information

Alcohol detoxification

Alcohol detoxification Alcohol detoxification A guide to alcohol detoxification for service users and families. Stockton Treatment Alcohol and Recovery Service Alcohol dependence If you are dependent on alcohol then you will

More information

Drug Abuse and Addiction

Drug Abuse and Addiction Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user

More information

Methadone treatment Information for service users Page

Methadone treatment Information for service users Page South London and Maudsley NHS Foundation Trust Methadone treatment Information for service users Page What can happen if I stop using heroin? If you are addicted to or dependent on heroin, you develop

More information

Reintegration. Recovery. Medication-Assisted Treatment for Alcohol Dependence. Reintegration. Resilience

Reintegration. Recovery. Medication-Assisted Treatment for Alcohol Dependence. Reintegration. Resilience Reintegration Recovery Medication-Assisted Treatment for Alcohol Dependence Reintegration Resilience 02 How do you free yourself from the stress and risks of alcohol dependence? Most people cannot do it

More information

Heroin. How is Heroin Abused? What Other Adverse Effects Does Heroin Have on Health? How Does Heroin Affect the Brain?

Heroin. How is Heroin Abused? What Other Adverse Effects Does Heroin Have on Health? How Does Heroin Affect the Brain? Heroin Heroin is a synthetic opiate drug that is highly addictive. It is made from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears

More information

a five-day medically supervised residential detoxification programme

a five-day medically supervised residential detoxification programme Substance PICU and Acute Misuse and Services Detox Services Psychiatric Cygnet Hospital Intensive Harrogate Care and Acute services a five-day medically supervised residential detoxification programme

More information

Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier?

Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier? Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier? Good News: Medical treatments called opioid (oh-pee-oyd) maintenance can help you! Injecting heroin puts you

More information

Benzodiazepines. And Sleeping Pills. Psychological Medicine

Benzodiazepines. And Sleeping Pills. Psychological Medicine Benzodiazepines And Sleeping Pills Psychological Medicine Introduction Benzodiazepines are a type of medication prescribed by doctors for its therapeutic actions in various conditions such as stress and

More information

Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction

Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction March 3, 2008 By: David Rinaldo, Ph.D., Managing Partner, The Avisa Group In this FAQ What medications are currently

More information

This booklet provides information for people who use heroin The National Drug and Alcohol Research Centre (NDARC) has conducted many interviews with

This booklet provides information for people who use heroin The National Drug and Alcohol Research Centre (NDARC) has conducted many interviews with This booklet provides information for people who use heroin The National Drug and Alcohol Research Centre (NDARC) has conducted many interviews with heroin users, many of whom have requested more information

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

drug treatment in england: the road to recovery

drug treatment in england: the road to recovery The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:

More information

This factsheets covers:

This factsheets covers: Healthcare in Prison Prisoners should have the same access to healthcare services as everyone else. This factsheet looks at what health services you can get if you are in prison and what to do if you are

More information

Opiate Abuse and Mental Illness

Opiate Abuse and Mental Illness visited on Page 1 of 5 LEARN MORE (HTTP://WWW.NAMI.ORG/LEARN-MORE) FIND SUPPORT (HTTP://WWW.NAMI.ORG/FIND-SUPPORT) GET INVOLVED (HTTP://WWW.NAMI.ORG/GET-INVOLVED) DONATE (HTTPS://NAMI360.NAMI.ORG/EWEB/DYNAMICPAGE.ASPX?

More information

A prisoners guide to buprenorphine

A prisoners guide to buprenorphine A prisoners guide to buprenorphine 2 The Opium poppy In the land of far, far away the opium poppy grows. The seed pods of this poppy are scratched until they drip with a sticky resin called opium. Raw

More information

Prescription Drug Abuse

Prescription Drug Abuse Prescription Drug Abuse Introduction Most people take medicines only for the reasons their health care providers prescribe them. But millions of people around the world have used prescription drugs for

More information

Addictions Services Northumberland Patient Information Leaflet

Addictions Services Northumberland Patient Information Leaflet Addictions Services Northumberland Patient Information Leaflet Shining a light on the future Introduction We hope this leaflet will provide you with information that you need whilst being involved with

More information

THE STORY OF DRUG TREATMENT

THE STORY OF DRUG TREATMENT THE STORY OF DRUG TREATMENT EFFECTIVE TREATMENT CHANGING LIVES The story of drug treatment The goal of all treatment is for drug users to achieve abstinence from their drug or drugs of dependency. For

More information

DRUGS? NO THANKS! What are some of the leading factors that cause you to. become interested in experimenting with illegal drugs?

DRUGS? NO THANKS! What are some of the leading factors that cause you to. become interested in experimenting with illegal drugs? DRUGS? NO THANKS! What are some of the leading factors that cause you to become interested in experimenting with illegal drugs? It is easily available: During adolescence, you are trying to figure out

More information

Wairarapa Wellness. A brief overview of mental health and addiction services in Wairarapa.

Wairarapa Wellness. A brief overview of mental health and addiction services in Wairarapa. Wairarapa Wellness A brief overview of mental health and addiction services in Wairarapa. This brochure provides a general overview of the services Pathways, CareNZ and Workwise offer in the Wairarapa

More information

The story of drug treatment

The story of drug treatment EFFECTIVE TREATMENT CHANGING LIVES www.nta.nhs.uk www.nta.nhs.uk 1 The story of drug treatment The use of illicit drugs is declining in England; more and more people who need help with drug dependency

More information

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health?

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health? Heroin Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS 1. INTRODUCTION 1.1 Review Process A Partnership for a Better Scotland committed the Scottish Executive to reviewing and investing

More information

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health?

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health? Heroin Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown

More information

Rekindling House Dual Diagnosis Specialist

Rekindling House Dual Diagnosis Specialist Rekindling House Dual Diagnosis Specialist Tel: 01582 456 556 APPLICATION FOR TREATMENT Application Form / Comprehensive Assessment Form Please provide as much detail as you can it will help us process

More information

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently Asked Questions What is Naltrexone? Naltrexone is a prescription drug that effectively blocks the effects of heroin, alcohol,

More information

Oxford Health NHS Foundation Trust. A guide to Opioid Detoxification

Oxford Health NHS Foundation Trust. A guide to Opioid Detoxification Oxford Health NHS Foundation Trust A guide to Opioid Detoxification If you re considering detox, congratulations. You have obviously been visualising a drug free life and planning your future goals. Detox

More information

Directory for Substance Misuse Services in Caerphilly

Directory for Substance Misuse Services in Caerphilly Directory for Substance Misuse s in Caerphilly Background Substance Misuse services use a tiered approach in their approach and delivering of drug/alcohol services. These are as follows: Tier 1 Interventions

More information

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011 RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for

More information

Alcohol. Problems with drinking alcohol

Alcohol. Problems with drinking alcohol Alcohol Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol. If you are alcohol- dependent then

More information

South Gloucestershire Drug & Alcohol Services. How to get help for drug and alcohol problems. www.southglos.gov.uk

South Gloucestershire Drug & Alcohol Services. How to get help for drug and alcohol problems. www.southglos.gov.uk South Gloucestershire Drug & Alcohol Services How to get help for drug and alcohol problems www.southglos.gov.uk South Gloucestershire Drug and Alcohol Services offer advice, support and treatment to those

More information

Alcohol and drugs prevention, treatment and recovery: why invest?

Alcohol and drugs prevention, treatment and recovery: why invest? Alcohol and drugs prevention, treatment and recovery: why invest? 1 Alcohol problems are widespread 9 million adults drink at levels that increase the risk of harm to their health 1.6 million adults show

More information

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013 Hulpverleningsmodellen bij opiaatverslaving Frieda Matthys 6 juni 2013 Prevalence The average prevalence of problem opioid use among adults (15 64) is estimated at 0.41%, the equivalent of 1.4 million

More information

Contents: 1 Services for People with Alcohol Problems. 3 Services for People with Drug Problems. 7 Services for People Who Wish to Stop Smoking

Contents: 1 Services for People with Alcohol Problems. 3 Services for People with Drug Problems. 7 Services for People Who Wish to Stop Smoking Contents: 1 Services for People with Alcohol Problems 3 Services for People with Drug Problems 7 Services for People Who Wish to Stop Smoking 1 Services for People with Alcohol Problems NHS Grampian works

More information

methadonefact.qxd 8/11/01 2:05 PM Page 1 INFORMATION Advantages of methadone treatment DEPRESSANT Methadone maintenance Pregnancy METHADONE

methadonefact.qxd 8/11/01 2:05 PM Page 1 INFORMATION Advantages of methadone treatment DEPRESSANT Methadone maintenance Pregnancy METHADONE methadonefact.qxd 8/11/01 2:05 PM Page 1 INFORMATION Advantages of methadone treatment 10 DEPRESSANT Methadone maintenance Pregnancy METHADONE methadonefact.qxd 8/11/01 2:05 PM Page 2 WHAT IS METHADONE

More information

CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES:

CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES: CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES: At Charles & Sue s School of Hair Design, the illicit use of drugs and/or alcohol by staff

More information

the facts about NALTREXONE

the facts about NALTREXONE the facts about NALTREXONE for Treatment of Opioid Addiction It s not like I woke up one day when I was young and told myself, I wanna be a drug addict. I wanna ruin my life and ruin the lives of those

More information

Criminal Justice Integrated Drug Teams and treatment interventions. Clinical guidance to maximise access to drug treatment

Criminal Justice Integrated Drug Teams and treatment interventions. Clinical guidance to maximise access to drug treatment Criminal Justice Integrated Drug Teams and treatment interventions Clinical guidance to maximise access to drug treatment November 2003 NTA Clinical Guidance to CJIP Teams Nov O3 Page 1 of 17 1. Introduction

More information

A handbook for people who have injected drugs

A handbook for people who have injected drugs A handbook for people who have injected drugs Introduction This handbook has been written for current and ex-drug injectors. It gives information and advice about the hep C virus, and the tests you can

More information

SUBSTANCE MISUSE IN PREGNANCY. An Information Booklet

SUBSTANCE MISUSE IN PREGNANCY. An Information Booklet SUBSTANCE MISUSE IN PREGNANCY An Information Booklet Contents Introduction... 2 Planning a baby... 3 What should I do if I think I am pregnant?... 4 Drugs and their effects on the pregnancy... 5 1) Heroin...

More information

Frequently asked questions

Frequently asked questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs

More information

Detoxification. Dr Keron Fletcher Shropshire

Detoxification. Dr Keron Fletcher Shropshire Detoxification Dr Keron Fletcher Shropshire 1 Stages of treatment Getting stable Staying stable Detoxifying (withdrawing) Staying drug-free 2 Getting stable Medical right dose of methadone/sbx Holds for

More information

Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH. Alcohol Withdrawal

Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH. Alcohol Withdrawal Medications Used in the Treatment of Addiction Developed by Randall Webber, MPH Alcohol Withdrawal MEDICATION Long/intermediateacting benzodiazepines (e.g., chlordiazepoxide/ Librium, diazepam/valium)

More information

Stimulants Notes. What is heroin?

Stimulants Notes. What is heroin? What is heroin? Heroin is an opiate/depressant drug processed from morphine, a naturally occurring substance in the Asian poppy plant. Morphine has been used as a narcotic for thousands of years. According

More information

Update and Review of Medication Assisted Treatments

Update and Review of Medication Assisted Treatments Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment

More information

EPIDEMIOLOGY OF OPIATE USE

EPIDEMIOLOGY OF OPIATE USE Opiate Dependence EPIDEMIOLOGY OF OPIATE USE Difficult to estimate true extent of opiate dependence Based on National Survey of Health and Mental Well Being: 1.2% sample used opiates in last 12 months

More information

Questions to ask before going to rehab by Rehab-Programs.org 2011

Questions to ask before going to rehab by Rehab-Programs.org 2011 Table of Contents Questions to Ask Before Going to Rehab... 1 Do I really need to check into an inpatient drug rehab center?... 2 How long will I stay in the rehab center?... 2 What is the track record

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

The ABCs of Medication Assisted Treatment

The ABCs of Medication Assisted Treatment The ABCs of Medication Assisted Treatment J E F F R E Y Q U A M M E, E X E C U T I V E D I R E C T O R C O N N E C T I C U T C E R T I F I C A T I O N B O A R D The ABCs of Medication Assisted Treatment

More information

Medications for Alcohol and Drug Dependence Treatment

Medications for Alcohol and Drug Dependence Treatment Medications for Alcohol and Drug Dependence Treatment Robert P. Schwartz, M.D. Medical Director Rschwartz@friendsresearch.org Friends Research Institute Medications for Alcohol Dependence Treatment Disulfiram

More information

What is opioid substitution treatment?

What is opioid substitution treatment? What is opioid substitution treatment? Information on OST for family, whanau and support people Kia ora, Talofa lava, Malo e lelei, Kia orana, Taloha ni, Fakaalofa lahi atu, Bula vinaka, Ni hao, Namaste

More information

PATHWAYS TO RECOVERY

PATHWAYS TO RECOVERY PATHWAYS TO RECOVERY PATHWAYS TO RECOVERY When Faces & Voices of Recovery was launched in 2001, our founding goal was to celebrate and honor recovery in all of its diversity. We believe that everyone has

More information

Relapse prevention clinic

Relapse prevention clinic Relapse prevention clinic Doncaster drug and alcohol services RDaSH Substance Misuse Services Relapse Prevention Clinic Sinclair House 29-31 Thorne Road Doncaster DN1 2EZ Tel: 01302 303900 Treatment, support

More information

DANGERS OF. f HEROIN. ALERT s alert

DANGERS OF. f HEROIN. ALERT s alert AKA > Smack, H, hammer, skag, horse, dope, rocks... WHAT IS HEROIN? Heroin comes from the opium poppy. 1 Heroin is sold as white granules, pieces of rock or powder with a bitter taste and no smell. It

More information

Amphetamines Addiction

Amphetamines Addiction Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Croydon Drug and Alcohol Services. Directory of drug and alcohol services available in Croydon

Croydon Drug and Alcohol Services. Directory of drug and alcohol services available in Croydon Croydon Drug and Alcohol Services Directory of drug and alcohol services available in Croydon April 2012 Croydon Treatment & Recovery Partnership Contact details Lantern Hall 190 Church Road Croydon CR0

More information

HEROIN AND RELATED OPIATES

HEROIN AND RELATED OPIATES HEROIN AND RELATED OPIATES DAVID J. NUTT Psychopharmacology Unit, Bristol University Heroin is a derivative of morphine and both belong to a large family of drugs called the opiates, that were originally

More information

SUBSTANCE ABUSE. Key Concepts. Types of Drugs

SUBSTANCE ABUSE. Key Concepts. Types of Drugs SUBSTANCE ABUSE You have to choose who you want to be in life. This happens by making lots of decisions every day. Using substances is a choice. This is a big choice, because substances have a very real

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

And, despite the numbers, for many people, the Facts About Drugs are not clear.

And, despite the numbers, for many people, the Facts About Drugs are not clear. According to the National Survey on Drug Use and Health (NSDUH), an estimated 20 million Americans aged 12 or older used an illegal drug in the past 30 days. This estimate represents 8% percent of the

More information

DRUG USE. 1300 136 588 ndss.com.au AND TYPE 1 DIABETES

DRUG USE. 1300 136 588 ndss.com.au AND TYPE 1 DIABETES DRUG USE AND TYPE 1 DIABETES 1300 136 588 ndss.com.au The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government administered by Diabetes Australia. Contents Topic Page

More information

Why invest? How drug treatment and recovery services work for individuals, communities and society

Why invest? How drug treatment and recovery services work for individuals, communities and society Why invest? How drug treatment and recovery services work for individuals, communities and society What is drug addiction? Drug addiction is a complex but treatable condition Those affected use drugs compulsively,

More information

Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence

Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence Information for Family Members Family members of patients who have been prescribed buprenorphine/naloxone for treatment of opioid addiction

More information

A Guide to Alcoholism and Problem Drinking

A Guide to Alcoholism and Problem Drinking A Guide to Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol.

More information

Antisocial personality disorder

Antisocial personality disorder Understanding NICE guidance Information for people who use NHS services Antisocial personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

Powder speed, whiz, velocity - Usually snorted, ingested or injected

Powder speed, whiz, velocity - Usually snorted, ingested or injected Dr Christine Watson Powder speed, whiz, velocity - Usually snorted, ingested or injected -most common -Approximately 10% purity -Generally produced locally Sticky/oily/waxy form Base, paste, point, pure,

More information

5317 Cherry Lawn Rd, Huntington, WV 25705 Phone: (304) 302-2078 Fax: (304) 302-0279. Welcome

5317 Cherry Lawn Rd, Huntington, WV 25705 Phone: (304) 302-2078 Fax: (304) 302-0279. Welcome 5317 Cherry Lawn Rd, Huntington, WV 25705 Phone: (304) 302-2078 Fax: (304) 302-0279 Welcome Welcome to Starlight Behavioral Health Opiate Dependence program. At Starlight, we believe that addiction is

More information

DRUGS AND ALCOHOL POLICY

DRUGS AND ALCOHOL POLICY DRUGS AND ALCOHOL POLICY Contents Page Number 1. Definition 1 2. Introduction 1 3. Legal Responsibility 1 4. Identifying A Problem 3 5. Policy Principles 3 6. Procedures 4 7. Other Issues 5 Appendices

More information

Integrating Medication- Assisted Treatment (MAT) for Opioid Use Disorders into Behavioral and Physical Healthcare Settings

Integrating Medication- Assisted Treatment (MAT) for Opioid Use Disorders into Behavioral and Physical Healthcare Settings Integrating Medication- Assisted Treatment (MAT) for Opioid Use Disorders into Behavioral and Physical Healthcare Settings All-Ohio Conference 3/27/2015 Christina M. Delos Reyes, MD Medical Consultant,

More information

For Staff Working for Drug and Alcohol Services in Luton

For Staff Working for Drug and Alcohol Services in Luton Luton Drug & Alcohol Partnership For Staff Working for Drug and Alcohol Services in Luton All the partnership agencies, both statutory and voluntary, are committed to providing the best possible care and

More information

Beyond SBIRT: Integrating Addiction Medicine into Primary Care

Beyond SBIRT: Integrating Addiction Medicine into Primary Care Beyond SBIRT: Integrating Addiction Medicine into Primary Care Community Clinic Association of Los Angeles County 14 th Annual Health Care Symposium March 6, 2015 Keith Heinzerling MD, Karen Lamp MD; Allison

More information

Cambridgeshire Community Services NHS Trust: delivering excellence in drug services across Luton as part of the ResoLUTiONs Pathway

Cambridgeshire Community Services NHS Trust: delivering excellence in drug services across Luton as part of the ResoLUTiONs Pathway Respite House Alcohol Detox Client Information Sheet Cambridgeshire Community Services NHS Trust: delivering excellence in drug services across Luton as part of the ResoLUTiONs Pathway Respite House client

More information

BUPRENORPHINE. the facts about. for Treatment of Opioid Addiction

BUPRENORPHINE. the facts about. for Treatment of Opioid Addiction the facts about BUPRENORPHINE for Treatment of Opioid Addiction U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment

More information

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox?

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox? What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

More information

Down the Up Staircase

Down the Up Staircase Down the Up Staircase Addiction is only a few steps away Supplemental Information on Oxycontin/Heroin Abuse Past & present youth trends? Then Cigarettes Alcohol Marijuana + Now OxyContin Heroin Why do

More information

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated?

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated? and How is it Treated? 1 About this book This E-book has been produced as a guide to help explain some of the fundamental things you need to understand about addiction and its treatment, starting with

More information

Pictures of mouth and neck cancer caused by Tobacco. Narcotics

Pictures of mouth and neck cancer caused by Tobacco. Narcotics Pictures of mouth and neck cancer caused by Tobacco Narcotics Narcotic refers to opium, opium derivatives, and their semi-synthetic substitutes. Such drugs include opium, codeine,morphine, buprenorphine,

More information

Alcoholism and Problem Drinking

Alcoholism and Problem Drinking Page 1 of 5 Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean 'alcohol dependence' (alcohol addiction). Some people are 'problem drinkers' without being dependent on alcohol.

More information

cannabis TOO MUCH TOO OFTEN?

cannabis TOO MUCH TOO OFTEN? cannabis TOO MUCH TOO OFTEN? Okay, so cannabis gets you high. It helps you to relax and unwind and can make you feel good... ...but are you in control of your cannabis use? Or is it controlling you? You

More information

Current Model of Drug Care. Components of a Full Drug Care Service

Current Model of Drug Care. Components of a Full Drug Care Service Current Model of Drug Care Treatment Detox Rehab Components of a Full Drug Care Service (1) (2) (3) (4) (5) (6) (7) (8) (9) Community Preparation Treatment Detox Rehab Community Community Prison work Halfway

More information

Sheffield Future Commissioning of Drug & Alcohol Community Treatment

Sheffield Future Commissioning of Drug & Alcohol Community Treatment Sheffield Future Commissioning of Drug & Alcohol Community Treatment Magdalena Boo, Joint Commissioning Manager Scope of the Plan IN SCOPE Adults 18+ (young people s services are separately commissioned)

More information

Coping With Alcohol Withdrawal

Coping With Alcohol Withdrawal Coping With Alcohol Withdrawal Central and North West London NHS Foundation Trust Addictions Services Alcohol withdrawal When a person is dependent on alcohol and suddenly stops drinking there are certain

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Pain and problem drug use

Pain and problem drug use Pain and problem drug use Information for patients Prepared by the British Pain Society in consultation with the Royal College of Psychiatrists, the Royal College of General Practitioners and the Advisory

More information

Alcohol & Other Drugs GETTING STARTED

Alcohol & Other Drugs GETTING STARTED Alcohol & Other Drugs GETTING STARTED 4 This is Booklet 4 in the Getting Started Series. Getting Started is a guide for people leaving prison. Booklets 1 The First Week 2 Housing 3 Identification 4 Alcohol

More information

MENTAL HEALTH & SUBSTANCE USE

MENTAL HEALTH & SUBSTANCE USE MENTAL HEALTH & SUBSTANCE USE Essential Information for Social Workers A BASW Pocket Guide Supported by: Bedford and Luton Purpose of the guide This guide seeks to support Social Workers in their practice

More information

Alcohol and Dependence

Alcohol and Dependence The facts about... Alcohol and Dependence Five key things you need to know A glass of wine with dinner, a beer after work, a cocktail in the sunshine on holiday. Alcohol makes an appearance in so many

More information