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The Guide to Services in South Yorkshire This document is reproduced with the permission of 'South Yorkshire Parents and Drugs Support'. Should you download this document for use on another website then please include the copyright notice and acknowledge the source. Many thanks. Click on the Links below to be taken to that section. Introduction One of the most stressful experiences for relatives of drug misusers is not knowing where to go for help. There are a wide range of services but it is hard for people to work out which ones are appropriate and most likely to help. South Yorkshire Parents and Drug Support (SYPADS) is a project set up by the four Drug Action Teams in Barnsley, Doncaster, Rotherham and Sheffield. SYPADS provides information and support to relatives and friends of substance misusers. Our work includes running the South Yorkshire Drugs Helpline for families and friends of drug users, providing support to self-help and community groups and the co-ordination of a South Yorkshire Parents Network. This information pack is designed primarily for use as a reference source for new or existing support and community groups. The pack is split into four sections:
This section describes the different types of services available.
We have explained the different types of treatment and interventions, giving a brief description of the drugs most commonly prescribed.
When someone is new to these problems they often do not
know where to go. Parents and drug users need to be pointed in the right
direction. This section lists all the local drug and alcohol services,
self-help and community groups as well as other national organisations. A GUIDE TO SERVICES .......Back to Top
Before you begin to think about seeking help for the drug user, you need to be sure that the drug user wants help themselves. Understandably, it is often the parent who is desperate for their son or daughter to stop using drugs, but for many drug users they do not perceive that they have a problem. Often, their main problem is how to get enough drugs or enough money to pay for them. It is only when the drug user is genuinely motivated to stop using, that treatment can be successful. Motivation means that the drug user has recognised that they may have a problem and feel the need to do something about it, not just to please others, or to overcome a short-term crisis. Parents and others can help drug users to understand this by giving them the opportunity to talk without feeling pressurised. Most people have some motivation, but may need to build on it - it is not just a matter of will power. The services described below are free, usually provided or funded by the NHS (or Social Services departments). Services and treatments vary from area to area but all are confidential and will not pass on information to employers police etc, or in some cases, Social Services departments. For that reason it is not always possible for drug workers to discuss you son's or daughter's treatment, without first obtaining their permission.
GPs are often the first point of contact for people with drug problems. All GPs should provide general medical services and health care for people with a drug problem. A limited number of GPs also provide treatment for drug users. Whether or not a GP provides such a service depends on the individual GP or the practice. You may find that your GP will provide a full service or they may prefer to refer you to one of the Community/Specialist services. One of the reasons that many GP's are reluctant to treat drug users is that they may see them as difficult and demanding and may also have had little experience of treating them.
Street Agencies are usually organisations, providing a drop-in service for drug users. These agencies offer a range of services, including information, advice, counselling, group work, acupuncture, needle exchange and advice on safer injecting. In areas that have a number of services, they may be the initial access point for referral to other services. The different types of treatment offered are explained in section 'What you can expect from Services'. Some agencies provide Outreach Services, these involve workers making direct contact with drug users on the streets and in the community. They are there to give advice and information about drugs and services.
These are teams of specialists, such as nurses, social workers and doctors, providing services for drug users. Some such services are accessible by "drop-in" , while others may require a referral from a GP. Many teams have links with mental health services (for example, by psychiatrists/psychologists in the team), as treatment for problem drug use has traditionally had close links with psychiatry, and some drug users may also have problems such as depression or anxiety. In areas that only have one drug service, these combine the functions of street agencies and treatment agencies. They are usually accessible by "self-referral" or "drop-in" and can provide all the basic services of a street agency, as well as providing more complicated treatments. Different types of treatment offered are explained in section 'What you can expect from Services' Some districts feel that it is important to keep young people and adults separate and have now set up separate services for young people. For details of age limits and addresses see section 'Directory of Services'.
Injecting drugs is less common than other ways of using them, but it is the most hazardous. The major risks of injecting are overdose, infection from non-sterile injecting equipment, (including HIV and hepatitis) abscesses and gangrene by missing the vein when injecting and damage from other substances which may be mixed in with the drug, (usually by the dealer to add bulk to the drug). It is important, that if a person is injecting that they have as much information as possible to minimise the risk to themselves and others. Whilst it is understandable that some people may see giving needles and syringes to drug users as condoning their behaviour, contact with such services can often be the first step towards addressing their problem. It also increases the chance of them staying healthier, so that they are less likely to have long-term health problems (which could last well after they have moved away from drug use). Most drug services provide free syringes, condoms and information on safer injecting. Some pharmacies are part of needle and syringe exchange scheme. Participating pharmacies are identified by a special logo - a yellow circle with a yellow and green arrow. All needle exchanges also provide facilities for the safe return of used injecting equipment, some will give disposal bins to users which can be kept at home.
Residential rehabilitation is an option for people who have tried other community-based forms of help to become and remain drug free, but without success. Programmes involve spending a period of several months (sometimes up to a year) in a specialist unit, often away from an individual's home area to break links with drug-using friends and associates. Different units follow a variety of philosophies (some based on religious beliefs) but all provide structured programmes of psychological, educational and social therapies aimed at preparing drug users to achieve and maintain a drug-free life back in society. A list of residential rehabilitation units and their philosophies is available through most drug agencies or the South Yorkshire Drugs Helpline. Places on residential rehabilitation programmes are usually funded by the Social Services Department of the district where the drug user lives. Access to this funding will require a full assessment of an individual's needs and financial circumstances, which can usually be carried out by a social worker in a local drug agency. Funding for residential placements may not always be available for drug users who have not previously tried other locally available treatments. Funding for places is in short supply and it could involve delays.
Community Rehabilitation is a home or community based service aimed at supporting drug users to come off drugs and remain drug free. The benefits of community rehabilitation is that people 're-learn' to live drug free in their own environment, and don't have to leave the area. There are one or two of these programmes in South Yorkshire, access to them may be a bit quicker than residential rehabilitation.
There are numerous self-help and community groups across South Yorkshire, offering support and information to drug users and their families. Some drug agencies run support groups for families.
There are a number of helplines available, for both drug users and their families. These are listed within the section 'Directory of Services' or for further information ring:
Rotherham Doncaster WHAT YOU CAN EXPECT FROM SERVICES .......Back to Top
Drug services vary from area to area, so do not expect all services to be exactly the same but all will offer similar treatment and services. Treatment usually attempts to do one of two things. It either attempts to stabilise the drug use to reduce the harm associated with it, or it helps the drug user to stop using drugs. Sometimes it helps people to stabilise their use before
they try to cut down or stop using. Before any type of treatment or support
can be offered, the drug user will first need to be assessed. The assessment
will take into account: the general health of the drug user, their drug
taking history and their social environment. Described below, are some of the treatments likely to be offered, with explanations of what they involve.
Counselling is an essential part of all treatment interventions and all agencies will provide it in some form or another. It gives the client an opportunity to talk and explore ways of living more resourcefully and towards greater well being. Counselling sessions vary between agencies, some are very structured, others involve a much more informal relationship. Research has shown that very few interventions for drug users (such as prescribing medication) have any long-term benefit, unless accompanied by counselling.
Detoxification is the term used for ridding the body of drugs. If a person is using heroin regularly, they suffer unpleasant (although not life-threatening) withdrawal symptoms when they stop, which includes aches and pains, diarrhoea, agitation and insomnia. "Symptomatic Detoxification" is when medication
is given over a period of time (usually less than 3 weeks) to relieve
the unpleasant symptoms associated with withdrawal. Medication such as
'methadone', or a drug called 'lofexidine' and tranquillisers may be prescribed
to help combat these symptoms. It usually takes place in a person's home.
In-patient detoxification can take place in a special hospital ward, but more usually it is provided on a general psychiatric ward. Some residential rehabilitation units now do in-patient detox. Information about this is available from you GP or through your local drug services. It is usually provided after assessment by a specialist drug worker, and rarely as the first line of treatment. The reasons for offering hospitalisation are usually social rather than medical. It can be helpful if the person is in an environment with other users that could hinder their treatment. Medical admissions are needed for barbiturate users, high dosage tranquilliser users and alcohol dependency, or when someone has developed a mental health problem due to their drug taking.
Like heroin, methadone is a painkiller and can also produce a feeling of warmth and drowsiness. It does not however produce the same "high" as heroin but can take away the unpleasant withdrawal symptoms of heroin. Used properly, methadone can be an effective type of treatment as many of the problems faced by users of heroin are a result of having to find the money to buy the drug. There are also health risks of using 'street' heroin, which is often contaminated by other substances or is of an uncertain strength. A prescription for methadone can help stabilise the heroin user's life and health. For some, methadone will be the start of a reduction programme over a period of several weeks or months. For others, they will receive a maintenance dose of methadone for a longer period. Methadone however, is no less addictive than heroin. Many users say that it is more addictive and report that withdrawal lasts longer. It is also possible to overdose on Methadone, even a small amount could be fatal, particularly to a child. An overdose can also occur when someone takes more methadone than they are used to, when mixed with other substances, (particularly alcohol), or when they have a break from it and then start taking it again at an inappropriate dosage. Lofexidine (also known as Britlofex) is a non-opiate drug, prescribed to reduce opiate withdrawal symptoms. As lofexidine can occasionally affect blood pressure, patients have to be assessed and monitored by medical or nursing staff in the initial stages of the treatment. A course of treatment usually lasts for seven to ten days and is prescribed in conjunction with other drugs such as tranquillisers. Excessive doses of Lofexidine may cause dizziness/blackouts.
DF118 (Dihydrocodeine) is a mild-strength opiate drug. It is commonly prescribed for pain relief, and may also be used to alleviate opiate withdrawal symptoms. In some situations it may be prescribed as an alternative to methadone, but due to the high number of tablets that are needed to make an equivalent dose, this is not always easy to manage.
Subutex is a relatively new treatment for opiate addiction. It is an opioid drug, meaning that, like methadone, it has some properties similar to heroin. However, some of its properties are more similar to those of naltrexone, in that it may block out some of the effects of other opiates (thus leading to a reduced effect of any heroin taken alongside it). The risk of overdose is also reduced. It comes in tablet form; the tablets are unusual in that they must be placed under the tongue and dissolved (they will not work if swallowed). It is usually prescribed in the form of a reduction dose over several weeks, and is an alternative to lofexidine detoxification for those who have been on methadone for some time. However, it is considerably more expensive that methadone, and at the current time it is only available at some special services. It should also be remembered that, like all other treatments, it is only as effective as the person taking it wants it to be and is not a magic cure-all. Tranquillisers The most commonly prescribed groups are called 'benzodiazepines' and include Valium (Diazepam), Librium (Chlordiazepoxide) and Temazepam. They are prescribed to treat some of the symptoms of withdrawal such as depression, anxiety and insomnia. Tolerance to these drugs develops quite quickly, so it is easy to become dependent on them. Withdrawal effects can be unpleasant and can include sickness, headaches and anxiety. It is also possible to overdose on tranquillisers particularly when taken with alcohol. Another group of tranquillisers are 'phenothiazines', such as Chlorpromazine (Largactil), and Thioridazine (Melleril). Although of limited use in the treatment of drug withdrawal, they are still frequently prescribed by some GPs.
Anti-depressants are a group of drugs (such as 'Prozac' and 'Dothiepin') that help to reduce levels of depression and low mood, without causing a 'high'. They are not addictive, and may often be prescribed for several months. They are occasionally used with drug users if, after detoxification, they find it difficult to adjust to the changes in their life and are at risk of relapse. If they are prescribed, it should be borne in mind that they take at least two to three weeks to have an effect.
Naltrexone ('Blockers') works by blocking the part of the brain responsible for producing the "buzz" from taking heroin or any other opiates, so if they are taken whilst taking Naltrexone they will have no effect. It is often used in conjunction with counselling in the period following symptomatic detoxification to help a person adjust to a drug-free life To commence Naltrexone treatment an individual must have completed symptomatic detoxification, and be urine-tested to show that all opiates are out of their system.
Although many users of stimulant drugs report that they find it very difficult to cut down or stop using, the withdrawal symptoms are more around an individual's body adjusting to difficult levels of activity and energy. They may also experience a strong psychological need to continue to take the drug. For this reason, 'detoxification' in the way it is used for heroin withdrawal does not occur and prescribing of substitute drugs rarely, if ever, occurs. However, drugs such as anti-depressants may help with restoring an individual's well being, and in cases where the level of use has caused feelings of anxiety, or even paranoia, a tranquilliser (often a 'phenothazine' rather than a 'benzodiazapine') may be prescribed. Counselling and support with stimulant users is an essential part of helping them to adjust to a drug-free life Acupuncture, Aromatherapy and Homeopathic remedies can be helpful for anyone who wants to reduce their drug use, stop using drugs altogether or for people who need extra help in remaining drug free.
Ear acupuncture is available at some agencies and is claimed to be helpful for some people with drug use problems (including users of heroin, amphetamines, crack and alcohol), although the theory behind this is not fully understood or medically proven. The treatment involves five small acupuncture needles being placed lightly in each ear on specific points that correspond to different organs in the body.
Homeopathic treatment means 'Treating like with like' - It is a long-established form of treatment, often using herbal remedies. Homeopathic medicines can be used to help with drug use and related problems. Appointments are available at some agencies to see a qualified homeopath.
Aromatherapy is the controlled use of essential oils with
massage. It is particularly beneficial in aiding relaxation, relieving
anxiety, tension, muscle cramps and for pain control. DIRECTORY OF SERVICES .......Back
to Top Services Provided Access to Medical Services Referral: Open Opening Times: Service Monday Tuesday Wednesday Thursday Friday The Barn Referral: Open Services Provided: Services for young people aged 17 years and under with a drug or alcohol problem. Advice and Information Opening Times: Monday Tuesday Wednesday Thursday Friday Parent's Support Group: First Monday in month.
Referral: Will be considered from any source Services Provided: William Street project is a purpose built residential unit for people aged 18 years and over with an alcohol problem, whose needs cannot be met solely by community based services. The project can accommodate up to six people, including one person with mobility problems. Opening Times: Monday Tuesday Wednesday Thursday Friday Refererrals from outside the Barnsley area are subject
to a weekly 'out of area' payment of £31.00. Referral: Self by phone Services Provided: The exact location of the service is not advertised in order to ensure it remains a safe environment. Drop-in for informal chat with other woman with similar
problems (Tuesday 11.00 am-2.00pm) Opening Times: Monday Tuesday Wednesday Thursday Friday Barnsley Needle & Syringe Exchange Schemes .......Back
to Top Two Pharmacies within the Barnsley area offer a free and confidential needle & syringe exchange service as well as giving advice and information, these are:
Clarkes Chemist, High Street, Penistone
Referral: Open/Self Services Provided: Offers support to people aged 16 and over who have a drug problem. Advice and information There is a waiting list in operation for treatment services Opening Times: Monday Tuesday Wednesday Thursday Friday Saturday The Parents/Relatives support group is held on the first Wednesday of each month, please call for details. Better Deal Referral: by statutory agency Services Provided: Offers support to young people under 16 years of age on young people's terms and within their local communities. Needle Exchange
Referral: Open Services Provided: Provides services to people of any age who think they have an alcohol problem. Information Opening times: Contact between 9.00am and 7.00pm Monday to Wednesday and between 9.00am and 4.00pm Thursday/Friday to arrange an appointment to discuss referral for all alcohol services in Doncaster
Referral: Open/via Doncaster Alcohol Counselling Service
Fulwood House is part of the Doncaster Alcohol Service. It is a residential project consisting of 2 semi-detached, 3 bedroomed houses for people aged 18 and over with an alcohol problem. More details available from the main service.
143 Marshland Road Silver Street
Referral: Open (self-referral encouraged) Services Provided: Advice and information Opening Times: Monday Tuesday Wednesday Thursday Friday Additional Information: Drop-in (including self referrals) and needle exchange services are provided from the Drop-In Centre, at the opposite end of the Doncaster Gate Hospital site from Medway House. Telephone contact for the drop-in is via the main Medway
number Parking for both buildings is available at Doncaster Gate Hospital.
Referral: Open .......Back
to Top Advice and information surrounding alcohol and other substances
Monday Tuesday Wednesday Thursday Friday Rotherham Community Alcohol Service Referral: Open Services Provided For people aged 18 and over concerned about their own
alcohol problem Opening times: Monday Tuesday Wednesday Thursday Friday
Weldricks Pharmacy .......Back
to Top Referral: Telephone, written or in person by family worker or self referral. Services Provided: RDP offers support to people over 18 years of age with a drug problem. · Needs Assessment Monday Tuesday Wednesday Thursday Friday Monday Tuesday Wednesday Thursday Friday Sheffield Alcohol Advisory Service Referral: Open Services Provided SAAS provide information, advice and counselling to people over 17 years of age who are experiencing problems with alcohol. The service is also for families and friends of drinkers. Evening sessions are available 3 days a week. An outreach/satellite service is run weekly at Firth Park Advice Centre, Manor Clinic, Northlands Clinic and Pitsmoor Surgery. SAAS provides substance misuse training for volunteers and other organistaions. SAAS also has a six bed dry house where people can live alcohol free. Continuing support is available after moving on to their own accommodation.
Phoenix House Community Services Team
The Phoenix House Community Services Team in Sheffield works in partnership with a wide range of local agencies including probation, social services, health and housing agencies to provide a range of specialist drug support and treatment services in the community. Referral to the team would normally be through contact with partner agencies but to obtain further information you may contact the Community Services Team at the above address or telephone number.
Services provided: Phoenix House Family Centre Services provided: The Sheffield Family Centre offers a 6 month therapeutic programme within a residential setting for parents over 18 years old who wish to address their problematic substance misuse and undertake rehabilitation whilst retaining care of their children. For further details contact the admissions team on 0114 266 9011.
Contact: Donna Linehan This is an outreach service that aims to respond to the
needs of problematic drug users in black and ethnic minority communities,
their families, partners and carers.
South Yorkshire Drugs Helpline Tel: A confidential service for Parents, Relatives & Friends of Drug Users across South Yorkshire
The project aims at developing support services for parents and carers of drug misusers, focusing on providing support and information to both new and existing groups across South Yorkshire. Established a Telephone Helpline for South Yorkshire Parents.
PRID provides information, training and support to new or existing groups dealing with the issues of substance misuse by young people across South Yorkshire. Al-Anon Meetings are held at various locations in Sheffield. Al-Anon is a support group for families and friends of problem drinkers.
Meetings are every Wednesday 7.30pm - 9.00pm
Free and confidential self help group for relatives and friends of drug misusers. Meet every other Tuesday in the High Green area.
This is not in itself a self-help group, it is a project focusing on developing and supporting new and exisiting self-help groups across Sheffield. Hold information on services for Drug Users and their families.
Families of drug misusers meet about once a month in the Crookes/Walkley area to talk about problems, support each other and talk about future issues of common concern.
Provides support to relatives and friends of drug misusers. Meetings are held every Monday at 7.30pm and every Friday at 10.30am- 12.30pm.
A forum which leads into a network of relevant statutory and voluntary agencies working in and around substance misuse.
Free and confidential self help group for relatives and
friends of drug misusers. Sheffield Eight Friends & Families of Drug Users (SEFFAD) An informal group - supporting friends and families of
drug users.
Supported self help group for mainly black women whose lives are affected by their partner's drug use.
Community based partnership bringing together community development workers, education workers, clinical nurse specialists and manager to provide drug services at a local level. Services include: drug and alcohol education for young people, drugs training for local people, volunteers, professional workers.
The group gives help and support to people aged 18 and over, with tranquilliser misuse problems. They also help people with anxiety, depression, panic attacks and agoraphobia. Meetings are held on Tuesdays 10.00am - 12.30pm.
The group provides self-help support for anyone who suffer from depression, anxiety, agoraphobia and to support withdrawal from tranquillisers and anti-depressants.
Support to anyone with tranquilliser problems, depression, anxiety, stress, panic attacks and agoraphobia.
Alcoholics Anonymous (AA) Meetings are held at various locations AA is fellowship of men and women who support each other to recover from alcoholism. Meetings are held somewhere in the city most evenings. Ex-Users Group Meeting details: M.I.C. Groups These groups are for ex-users who are re-adjusting back into a drug free life as well as current users in need of support. M.I.C. meetings: Manor Group North Sheffield Group Lowedges, Batemoor and Jordanthorpe City Centre Group Narcotics Anonymous NA is a support group for people whose drug use has become a problem, who want to stay off or stop using drugs.
Al-Anon A support group for families and friends of problem drinkers. Alcoholics Anonymous (AA) Meetings are held at various locations AA is fellowship of men and women who support each other to recover from alcoholism. The Barn - Family Support Group For parents of users aged under 18. Families Anonymous A confidential self-help group for families and friends
of drug misusers. DONCASTER Doncaster Parents and Relatives Support Group The Parents & Relatives Support Group is held on the first Wednesday of each month at The Garage. Please make contact with the above number for times. Consibrough & Denaby Drug Awareness Group This is a partnership of local people, local agencies and statutory organisations who are interested in tackling the problem of drug misuse in the area. The group aims to raise awareness about the drug problem in the area and to tailor pro-active initiatives in order to engage particularly young disaffected people into more mainstream activities. The Move Project The project aims to divert the most socially excluded and disadvantaged young people aged 13-19 away from the dangers of drugs by offering Karting facilities, including kart maintenance and computer technology. Al-Anon A support group for families and friends of problem drinkers. Alcoholics Anonymous (AA) Meetings are held at various locations AA is fellowship of men and women who support each other to recover from alcoholism.
NA is a support group for people whose drug use has become a problem, who want to stay off or stop using drugs. Moorends Drug Awareness and Support Group This is a multi-agency community based service, involving local volunteers, Police, Probation, Housing, Education, Careers and Health services. The Bungalow is a base for many community projects aimed to combat the problems of drug misuse in the area. Projects include: arrest referral, drug rehabilitation, home detoxification and counselling.
Parents Support Group A monthly support group meeting for all parents of drug- misusers. Maltby Drugs Awareness Group This is a community group who work towards raising awareness of drug misuse in the Maltby area. They focus on providing support and information to individuals and groups concerned about drug misuse. They also help substance misusers to access services. Al-Anon A support group for families and friends of problem drinkers. Alcoholics Anonymous (AA) Meetings are held at various locations AA is fellowship of men and women who support each other to recover from alcoholism. Narcotics Anonymous NA is a support group for people whose drug use has become a problem, who want to stay off or stop using drugs.
Doncaster Drug Action Team Rotherham Drug Action Team Sheffield Drug Action Team South Yorkshire Police Drug Squad NATIONAL SOURCES OF HELP AND INFORMATION DRUGS Adfam Provides a confidential support and information helpline for families and friends of drug users. In addition information and training to individuals and support groups.
This is an independent national advisory centre. They provide confidential advice to parents on any school related issue, including bullying, health and safety, drugs and exclusions.
Provide balanced and up-to-date drug information to professionals and the public, conduct research and develop policies on drugs and drug-related issues, promote humane and effective ways of responding to drugs and drug use, encourage informed debate and provide a voice for over 800 member bodies working on the ground. Families Anonymous LIFELINE Free confidential helpline for relatives and friends of drug users. Narcotics Anonymous NA is a support group for people whose drug use has become a problem, who want to stay off or stop using drugs. NATIONAL DRUGS HELPLINE Free confidential advice about drugs all day, every day. PADA Provide information and support to families affected by drug misuse, including training, research and education, as well as support and advice to parents whose children have been excluded from school.
Provide information and advice on drug use and legal issues. NATIONAL SOURCES OF HELP AND INFORMATION ALCOHOL Alcoholics Anonymous (AA) Meetings are held at various locations AA is fellowship of men and women who support each other to recover from alcoholism. Alcohol Concern Provides general information about alcohol and alcohol services Al Anon Family Groups Run self help groups for people whose lives are affected by someone else's drinking Drinkline Confidential information and advice about alcohol and services.
South Yorkshire Parents and Drugs Support (SYPADS)
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