change, grow, live – health and social care charity

Drug and alcohol services

group session photo

Our drug and alcohol services support adults and young people to understand the risks their drug or alcohol use pose to their health and wellbeing, and support them to reduce or stop their use safely. We deliver safe, high-quality services that provide value for money and exceed performance targets.

Our integrated services address the needs of the whole person and encompass housing, education, training and employment as well as psycho-social and clinical substance misuse treatment. Once stability or abstinence has been achieved, we provide aftercare to help maintain recovery and reduce the likelihood of relapse.

We work with the families and friends of people affected by drug or alcohol use to help develop and maintain strong, loving and stable relationships critical to successful recovery. We also prioritise the safeguarding of children and vulnerable family members affected by the substance use of a family member.

We provide specialist support for alcohol, all illegal drugs, New Psychoactive Substance (NPS), prescription and over the counter (OTC) medication and steroids.

Our approach to treatment

  • We take an asset-based approach to recovery through which individuals build on their existing skills and strengths and are encouraged to participate in the co-production and self-direction of their recovery plan and take ownership of their goals.
  • We use group work to bring people together to gain insights into their own and other people’s lives and motivate them to take ownership of their recovery goals.
  • We are heavily focused on harm reduction and are committed to reducing deaths from overdose.
  • We encourage participation in mutual aid and other support networks that enable people to gain the confidence to take active control of their recovery out in the community.
  • We use mobile technology and online case management to deliver services directly to people in communities and provide 24/7 online recovery support.
  • We use rich data from our services to understand what works and to develop and improve our interventions. We also use data from our case management system to target interventions where they will be most effective.
  • We involve peer mentors in many aspects of service delivery to provide visible evidence of recovery and encourage peer-led activities to extend the level of support available.

Our treatment options

Our treatment options include:

  • One-to-one professional support using motivational interviewing and node-link mapping to co-produce recovery plans.
  • Prescribing services with family focused prescribing policies to safeguard children and vulnerable adults.
  • Access to clean injecting equipment and advice on safe usage and harm reduction via our needle exchanges (including for steroids).
  • Screening and assessment, physical health checks, wound care and testing and vaccinations for Blood Borne Viruses (BBVs).
  • Training and distribution of naloxone to equip service users to respond effectively to potential opioid overdose.
  • Safe, medically supervised detoxification (detox) and stabilisation services in the community or at a specialist inpatient facility.
  • Psychological therapies including counselling, cognitive behavioural therapy (CBT) and mindfulness to improve mental health and emotional wellbeing.
  • Specialist help for those with a dual diagnosis of mental health and drug use.
  • Access to mutual aid and other support groups, including support for people from BAME and LGBT communities.
  • Comprehensive aftercare programmes to help support sustainable recovery.
  • Employment, training and education advice, with links to training providers and employers.
  • Support from peer mentors and the potential to train as a peer mentor.
  • Support for family and friends to help build their resilience and reduce the likelihood of relapse post treatment.

Ongoing support

There are a number of options for ongoing support including: relapse prevention advice, post-treatment check-ups, mutual aid, volunteering and peer mentoring opportunities.

Our outcomes

  • More than 13,000 people beat their addiction with us last year.
  • Fewer people returned to services for additional support after leaving (31% better than the national average).
  • Last year eight out of ten young people leaving structured treatment had overcome their substance misuse.

Click here to read our most recent impact report, or click here to visit the Evidence & Impact hub.