Help with Drug Addiction


We work in collaboration with the Community Addiction Team to provide substitute prescribing of Methadone or suboxone for help with opiate addiction.

We have an Addictions counsellor who consults at the surgery weekly, and patients see both the GP and counsellor, at alternate appointments.

Sister Everett will offer health check ups while you are in to see the Counsellor to help you to maintain or improve your health.

If you or anyone close to you is affected by drug addiction problems we can offer advice and support.

Check out this website for help and advice:




 Determined   –    Compassionate  –       Road to Recovery 

Phase 1 – Engagement/Assessment:  Getting to Know You

Duration:  12 weeks


  • To establish a positive working relationship with Addaction Staff.
  • Working to resolve any acute crises
  • Learn about the services on offer
  • Comprehensive assessment of my strengths, needs and risks in the areas of: physical health, emotional health, employment/support, substance use, legal and family/social.
  • Meeting my current needs such as: substance use, physical and emotional health, social networks and detox.
  • Help with motivation to make changes I want.
  • Learning opportunities for my emotional and educational well-being.
  • Promote abstinence/stability

Completion Criteria:

  • Completed assessment process and have an initial recovery plan in place.
  • Completed withdrawal from substance use.
  • Completed service induction.
  • Attended regular scheduled and agreed psycho-educational and motivational sessions.
  • Achieved 30 days abstinence/stability.

Checklist of Group Sessions: 

Contracting Structure & Routine

Key Work

Why attend Groups

Module 1

Three Ways of managing emotions

Module 2

Thinking Choices Blowing things out of proportion

Module 2

Thinking Choices Jumping to Conclusions

Module 2

Thinking Choices Over – Generalisation

Module 2 Thinking Choices Inner Bully

Module 2

Thinking Choices Negative Glasses

Module 2

Thinking Choices thinking in Extremes

Module 3 Mindfulness

Module 4

Coping with Cravings Dealing with Ambivalence

Module 4

Coping with Cravings High Risk Situations

Week 4 –

Learning Review

Module 4

Coping with Cravings Individual Planning

Module 4

Coping with Cravings Distractions

Module 4

Coping with Cravings Craving Busting

Module 5 Building Life Equipment

Module 5

Building a New Role

Module 5

Building Meaningful and Life Satisfaction

Module 5

Building Confidence without drugs or alcohol

Module 5

Building Sobriety

Module 6

Managing Everyday Memory Problems

Module 7 Triggers &

Risks 1

Module 7 Triggers &

Risks 2

Module 8

Emotion Surfing

Week 8

 Learning Review

Module 9

Safe Sensation Seeking

Module 10

Goal Planning

Peer Support – Alcoholic Anonymous Peer Support -SMART Recovery

Peer Support – Welcome to R.A.F.T. &


PEER SUPPORT – Narcotics Anonymous Peer Support – Wired in Breaking Free Online:  Computer Assisted therapy Effects of Alcohol and Drugs on the Body
Week 12 – Final Session

 Recovery Quote’s

“By changing attitudes and finding solutions through our own program of recovery, we can regain our sense of hope, serenity, freedom, and joy….”

“Recovery allows me to break on through to the other side and see the world form a different perspective by the bondage of active addition.”

“Recovery is not something you get, it something you work for.”

“Just because you’re having a bad day doesn’t mean you’re having a bad life.”

“You have to change you’re playthings, playmates, and playgrounds to change you’re future.”

“If you always do what you always did, you’ll always get what you always got!”

“We all used for the same reason, to change the way we feel.  We feel the way we feel because we think the way we think.  The…. program helps me to change the way I think, thus the way I feel, without having to pick up an intoxicating substance.”

It’s not what you KNOW in recovery that keeps you sober.  It’s what YOU DO that keeps you sober







G51 4RY

TEL:  0141 425 1800

Fax:  0141 440 5873



The Adelphi Centre 12

Commercial Road Glasgow, G5 0PQ

Website : South East Alternatives – Adelphi Centre Gorbals

Monday – Thursday 9am-5pm, Friday 9am-4pm

TEL:  0141 4297229

E-MAIL: [email protected]







G51 3RR

TEL:  0141 276 8740




G20 9PY

TEL:  0141 276 3010


Botulism – be aware

What is Botulism?

There are different types of Botulism including food borne, wound and infant botulism. The type of botulism we are concerned about in Scotland is wound botulism.  Wound botulism is the most common type in the UK and since 2000 there have been over 150 reported cases of wound botulism among people who inject drugs.

The mortality rate of wound botulism in the UK is around 5-10%.  Early treatment greatly improves the prospect of a full recovery.

Botulism occurs as a result of infection with the bacteria Clostridium Botulinum.  This bacterium is commonly found in soil, dust, river and sea sediments.  It can and does end up in batches of drugs, contamination can occur at the manufacturing stage, during transportation, at the point where adulterants are added and there is also a risk of contamination at the drug preparation stage.  The bacteria itself is not harmful however given favourable conditions (lack of oxygen) it produces highly poisonous toxins (Botulinum toxins) which can be fatal if not treated quickly.

People with botulism will appear to have muscular weakness or paralysis (flacid paralysis).  This is caused by the Botulinum toxins binding to nerves and blocking the release of acetylcholine .  Acetylcholine is the chemical messenger which is released by nerves and instructs muscles to contract.

How a drug user becomes infected

 There are no means by which a person would be able to tell if the drug they have purchased is contaminated with Clostridium Botulinum – it is far too small to see and does not affect the appearance of the drug.

Wound botulism may develop in people who use contaminated drugs.  The risk is increased if drugs are injected intra-muscularly (muscle popping) or sub-cutaneously (skin popping).  This can happen accidently through a missed hit.  The infection occurs as these forms of injecting offer a better environment for the bacteria to produce toxins (due to the lack of oxygen).

Botulism cannot be passed on directly from person to person.

Signs and symptoms of botulism infection

 Botulism infection can result in paralysis or partial paralysis of parts of the body.  This can be in a wide range of possible symptoms.

These include:

(Please note that not all of these need to be present).

  • Slurred speech, difficulty speaking
  • Difficulty swallowing
  • Difficulty with tongue and lip movements
  • Blurred or double vision
  • Drooping or falling of the upper or lower eyelid
  • Extreme weakness
  • Inflammation at the injection site
  • Paralysis that can affect legs, arms and muscles that control breathing

Staff and people who inject drugs should be aware of these symptoms.

What to do if someone has symptoms

If a person is not treated quickly botulism can lead to death.

If a drug user experiences any of the symptoms mentioned above then they should be actively supported to seek urgent medical attention from the Accident and Emergency department of the nearest hospital.

Ideally workers should:

Accompany the person to Accident and Emergency, or

  • Arrange that a friend or family member attend Accident and Emergency with the person

Botulism is not a common disease and can be difficult to identify and diagnose.  As such it may go undiagnosed by medical staff or diagnosed late which can potentially lead to a more severe clinical intervention for the person.  People presenting may need support in their engagement with A&E. It may be useful to take a copy of this leaflet.

Other support services can offer

For those who are unlikely to be able to stop injecting drugs:

  •  As accidental ‘missed hits’ are a significant risk factor for wound botulism, staff should support the person to adopt better and safer injecting practices, discussing their injecting techniques so that they can inject directly into vein is always important but especially crucial in relation to wound botulism (as well as supporting people to access their local needle exchange).
  •  General harm reduction information related to safer injecting should continue to be promoted (washing hands and injecting site prior to injection, using in a safe, clean and warm environment, only using equipment and associated paraphernalia once, not sharing injecting equipment or paraphernalia , importance of using a filter, not using too much citric acid/vit C, discarding used injecting equipment in sharps containers and returning to needle exchange for safe disposal, Naloxone training).  However using clean needles and paraphernalia will not reduce the risk of wound botulism as it is the drug that is contaminated.

For this who can be encouraged to adopt a safer means of administration:

  •  As an alternative to injecting, where possible smoking drugs should be promoted and services should know where to access foil for smoking heroin (ask local needle exchange if not sure). Staff should discuss smoking technique and provide information on how to smoke drugs effectively.

For those who are interested in reducing their use and would like to look at their treatment options:

  •  Staff should provide support for the person to access their community treatment services for individually tailored treatments.

 Further Information and Useful Links

 (References available on request)

Rehab 4 addictionfree and confidential helpline for people suffering from drug and alcohol addiction in Scotland.

Scottish Drugs Forum

 Directory of Scottish Drugs Services

 Scottish Needle Exchange Services

 Information relating to Botulism

 Health Protection Scotland