UK Alcoholism Help
UK Drug Rehab Centers, What types of alcoholism or drug treatment are there? Christian Alcohol Treatment Centers?
People who have problems with alcoholism, drug use or a crystal meth addiction can access help and treatment either through the health and welfare system (through drug advice services or GP referral) or through the criminal justice system if they have committed an offense.
Health and welfare system
Most areas of the UK have 'street agencies' or projects (sometimes called community drug services or teams) which offer a range of services including information and advice, counseling, detoxification and prescribing for opiate users, needle exchanges and sometimes support groups and other services such as acupuncture.these can be accessed by those with a crystal meth addiction. They are usually only open during normal working hours. While they may give information and advice over the telephone advice only see people by appointment and have waiting lists.
GPs and Accident and Emergency (A & E) Units
The main primary health care source for people is their GP and possibly the local hospital A & E department. GPs and hospitals make more referrals to specialist drug services than any other point of contact. As well as referring patients on GPs provide general medical services, information and advice and treatment (especially substitute prescribing) often in partnership with a drug agency or DDU.
DDU (Drug Dependency Unit)
These are usually located in or adjacent to a hospital and specialize in helping problem drug users, especially people who are dependent on drugs like heroin. They provide counseling, detoxification, substitute prescribing and other treatments. An appointment is usually needed and waiting lists can be long.
Needle exchange schemes
These were set up in the 1980s in response to the spread of HIV among drug injectors. As well as giving out clean injecting equipment and collecting used in "works" these services can offer information and advice, health check ups, condoms and safer sex advice and referral to other drug services. Some schemes are based in hospitals or drug projects but others operate from chemist shops. Some also use outreach workers who test injectors on The Streets or in their own homes.
Outreach attempts to bring the service to the user. Detached work involves workers going into the users own environment. Examples include support and needle exchange workers going into user's homes and support workers operating at raves and in clubs. Institutional work is where a service operates on the site of other agencies such as in a health center, college or school.
Residential Services / UK Drug Rehab Centers
Residential treatment / drug rehab centers for programs are heavily dependent drug users who are trying to give up drug use. Residents must usually be drug free on admission. This means that they usually have to undergo detoxification before entry. Programs usually last 3-6 months, but some 12 steps programs last for a year. These services are often based in rural settings. The types of programs vary but tend to fall be one of four main types:
Therapeutic communities operate a hierarchical structure based on which residents work through intense therapy sessions.
Minnesota model - This is associated with the Alcoholics / Narcotics Anonymous 12 step program. It sees addiction as a disease, aims for long term abstinence and includes spiritual as well as practical guidance. (Mostly used in Drug Rehab Centers)
General house programs difference in their approach and are based on group and individual therapy.
Christian Alcohol Treatment Centers or Christian house programs are usually run by Christian staff with or without any required Christian structure. Where there is a specific religious requirement non-Christians will not be accepted.
Telephone help lines
The main one is Ask Frank (Tel. 0800 776600) which offers free, confidential information and advice 24 hours a day.Email Email Frank@talktofrank.com. Others include Drink Line which has advisers available from 9.30am - 11pm during weekdays. Telephone 0800 917 8282.
Self help groups
Narcotics Anonymous (Tel. 020 7730 0009) co-ordinate local support groups for problem drug users around the country. Families Anonymous (Tel. 020 7498 4680) run similar groups for the families of drug users. Both are based on 12 Step, abstinence models.
Criminal Justice System
Many problem drug users are referred for treatment through the criminal justice system. Police Case referral schemes began in 1996 and have since spread. They range from people being given telephone numbers for helping agencies when they are arrested for a drug or possibly drug-related offense to drug workers operating in police stations.
A lot of people enter prison with a drug problem and a lot of drug use takes place within prisons. A range of services have been developed within prisons including in-house treatment, advice and informat ion. Currently provision of clean needles are not allowed although some prisons do provide sterilization facilities. Prison doctors can refer to prisoners on helping services, provided either in-house or by drug workers from projects coming into the prison. Take up of treatment is usually voluntary but the introduction of drug treatment orders and drug testing means that prisoners can now be required to undergo treatment either in prison or while on probation.
Probation work aims to prevent re-offending and part of this work is to minimize alcoholism or drug problems. Probation services usually have good contacts with health and drug agencies and can refer individuals for treatment. They also play an important role in supervising care and reporting to courts prior to and after sentencing.
Different types of treatment
Advice and counseling
Advice on different Addiction Rehab Clinics UK
This can range from individual or group counseling as well as advice about safer use, housing, work, benefits etc.
Opiate detoxification (detox)
The aim of detox is to reduce the amount of drug (usually heroin) from the body to be abstinent prior to support. Doses of the drug are reduced until the user is drug free. Usually this is done over a period of a few weeks but sometimes involves abruptly stopping. Detox programs are available at hospitals but more commonly on a community basis where users remain at home and receive support to deal with withdrawal symptoms and become drug free.
Methadone reduction programs
These involve prescribing methadone to heroin users to control withdrawal symptoms. The aim is to Gradually reduce the quantity prescribed until the user experiences no withdrawal symptoms and is drug free. The degree of reduction and length of time used to Achieve abstinence can vary from a few weeks to several months. Motivation is a key to the success of such programs. Participants regularly review their progress and usually receive therapy and support as part of the program. Methadone reduction programs usually take place in community settings.
Methadone maintenance programs
Here the aim is not to eliminate drug use in the short term, but to stabilize the use by prescribing methadone as a substitute for heroin. The idea is to reduce the need for criminal activity and the harm caused by injecting and to stabilize the user with a view to them giving up drug use in the longer term. Programs are usually delivered in community settings.
Very few doctors in the UK are licensed to PRESCRIBE heroin to street users. In the past some doctors have prescribed heroin, on the basis that many heroin users do not like methadone or continue using heroin while on methadone.
Treatment for stimulant drug users
There is not much specialist care and treatment for people who experience problems with use of amphetamine, cocaine or crack cocaine. While legally permissible or prescribing amphetamine is rare and can be risky. Most agencies offer treatment through counseling, possible referral to residential rehabilitation and alternative (not substitute) or prescribing anti-depressants.
The increase in crack use has led to some specialist agencies offering counseling, cognitive behavior therapy, acupuncture and other alternative therapies and prescribing of anti-depressants.
Services for younger people or anyone with a crystal meth addiction
Most drug services are only equipped to deal with adult users - those over 18 years old. Confusion over legal issues about confidentiality and Informing parents has resulted in some agencies refusing to see the younger age range. However, new initiatives have seen development of projects which cater specifically for younger age groups and the appointment of staff at existing agencies to work with young people