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:
http://www.nhs.uk/livewell/drugs/Pages/Drugshome.aspx
ADDACTION SOUTH WEST GLASGOW
COMMUNITY REHAB SERVICE PROGRAMME
Determined – Compassionate – Road to Recovery
Phase 1 – Engagement/Assessment: Getting to Know You
Duration: 12 weeks
Aims:
- 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. & S.W.A.N. |
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
CONTACT DETAILS
ADDACTION SOUTH WEST GLASGOW
THE RIVERBANK CENTRE
2 ALEXANDER STEPHEN HOUSE
912 HOLMFAULD ROAD
GLASGOW
G51 4RY
TEL: 0141 425 1800
Fax: 0141 440 5873
SOUTH EAST ALTERNATIVES
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]
SOUTH WEST COMMUNITY ADDICTION TEAM
PAVILION ONE
ROWAN BUSINESS PARK
5 ARDLAW STREET
GLASGOW
G51 3RR
TEL: 0141 276 8740
GREATER POLLOK COMMUNITY ADDICTION TEAM
130 LANGTON ROAD
GLASGOW
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 addiction – free and confidential helpline for people suffering from drug and alcohol addiction in Scotland.
http://www.rehab4addiction.co.uk/
Scottish Drugs Forum
Directory of Scottish Drugs Services
Scottish Needle Exchange Services
www.sdf.org.uk/indexphp?cID=747
Information relating to Botulism
www.nhs.uk/Conditions/Botulism/Pages/Introduction.aspx
Health Protection Scotland
