|  Commissioning
drug and alcohol treatment and support services for
young people, adults, families and carers throughout
Oxfordshire
Drug Treatment Services
Drop in, Open Access and Outreach
An appointment is not needed for drop in, open access
and outreach services as they are there to help people
instantly access drug advice and support. They can carry
out an assessment and referral for structured drug treatment.
Other services that can be provided include:
- Harm reduction advice including the risk of blood
borne virus transmission
- Information on other available services in your
area
- Needle exchange
- Drug related support
- Referral to drug or alcohol treatment or support
services
- Referral to other services including housing, GP,
advise, aftercare
- Support that may be nedded before accessing more
structured treatment
The following are drop in/open access
and outreach services that are available in Oxfordshire:
Community Drug Service
Tel: 01865 403151
www.smartcjs.org
The aim of the service is to reduce the harm caused
by problematic drug use providing a range of interventions
aimed at drug users.
Services provided:
- Assessment
- Brief interventions
- Outreach
- Drug, stimulant specific and alcohol awareness
- Direct access to one to ones and groups
- Signposting and information on services available
in Oxfordshire
- Referral to other structured treatment
- Harm reduction advice and information and specialist
stimulant packs
- Access to alternative and complementary therapies
- Needle Exchange
Access
Drop in and open access sessions are held across the
county you do not need an appointment you can just turn
up.
Please call 01865 290800 for further information
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The Women's Service
3 Collins Street
Hooper House
Cowley Road
Oxford
Mobile: 07771941651
This is a female specific service that aims to meet
the needs of female drug users and provide a safe space
for women. The service is staffed by female drugs workers
who have specialist knowledge of child support issues,
domestic violence and sexual health.
Services provided:
- Assessment
- Brief interventions
- Female specific 1-1 interventions and group work
- Open access drop-in
- Alternative therapies
- Specialist support for female specific issues
- Access to a crèche
- Referral to other services
- Women's Initiative on Street Health (WISH) - Outreach
project aimed at drug using women, in particular,
street based sex workers.
Access
You can be referred to the Women's Service or you can
attend the drop in/open access session which is held
every Friday 10am-4pm at Hooper house.
The WISH outreach project operates every Thursday from
8pm - 12am and outreach workers are present in East
Oxford.
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One to One Session
The assessment will determine whether the individual
would benefit from one to one sessions and/or groups.
Both one to ones and groups are aimed at improving people's
well being. They can include cognitive behavioural therapy,
coping skills and relapse prevention approaches specifically
targeted at drug and alcohol misuse. The interventions
will be agreed between the service user and the key
worker and will be written into a care plan which will
be reviewed regularly.
The individual will be expected to attend their appointments
either weekly or fortnightly depending on their need.
The following services offer one to one sessions:
Oxfordshire Community Drug Service
www.smartcjs.org.uk
Tel: 01865 403151
The aim of the service is to reduce the harm caused
by problematic drug and alcohol use by providing care
planned interventions for drug and alcohol users requiring
treatment throughout Oxfordshire.
Services provided
- Assessment
- Care planning
- Harm Reduction
- Relapse prevention
- Cognitive Behavioural Therapy
- Motivational Enhancement Therapy
- Personal awareness development
- Coping and social skills development
- One to one sessions addressing substance misuse
and needs identified in the care plan
- Stimulant specific one to one sessions
- Access to group work
- Access to acupuncture and complementary therapies
- Referral to other services
Access
You can self refer to this service by calling the number
above or by attending one of the drop in/open access
sessions.
You can also be referred to this service by your GP
or key worker
These services are available throughout Oxfordshire
at a wide variety of venues which include:
Oxford
The Old Music Hall
106-108 Cowley Road
Oxford
Banbury
Banbury Health Centre
Witney
Marlborough House
Marlborough Lane
Witney
Tel: 01993 774892
Abingdon
Didcot
Didcot Baptist Church
There is also a mobile treatment centre that
visits:
Berinsfield
Henley
Thame
Wallingford
Didcot
Abingdon
Wantage
Faringdon
Bicester
Chipping Norton
The Women's Service
Hooper House
3 Collins Street
Cowley Road
Oxford
Mobile: 07771 941651
www.cranstoun.org
This is a female specific service that aims to meet
the needs of female drug users and provide a safe space
for women. The service is staffed by female drugs workers
who have specialist knowledge of child support issues,
domestic violence and sexual health.
Services provided
- Assessment
- Care planning
- One to one sessions addressing substance misuse
and needs identified in the care plan
- Access to group work
- Open access drop-in
- Alternative therapies
- Specialist support and advice for female specific
issues
- Access to a crèche
- Referral to other services
- Women's Initiative on Street Health (WISH) - Outreach
project aimed at drug using women; in particular,
street based sex workers.
Access
You can self refer to this service by accessing the
drop in/open access session held on a Friday from 10-4pm.
You can be referred by your GP or key worker.
SMART CJS Counselling Service
The Annexe
The Old Music Hall
54a Marston Street
Oxford
Tel: 01865 403210
Alan Buckley: 07712 945811
Fax: 01865 403224
www.smartcjs.org.uk
SMART offers short-term counselling to anyone in Oxfordshire
who has current issues around drug or alcohol use. Part
of the focus of the counselling will be to explore what
role substance use plays (or has played in people's
lives). By understanding how they use substances to
manage their feelings and relationships, and recognising
how their sense of whom they are is tied into using
them.
Services provided
Up to twelve 50-minute sessions
Review after 6 weeks
Access
Before accessing this service it is important to have
a full and honest discussion with your key worker about
whether it is the right time to see a counsellor. If
there are immediate, pressing needs around substitute
prescribing/medication or housing, it might be best
to address these beforehand. It is important to be aware
that being in a counselling relationship involves challenging
yourself beliefs, and experiencing parts of yourself
that you may have avoided for many years; it also frequently
involves talking about events or issues that you may
never have spoken about to anyone else.
As a key worker if you would like to discuss a referral
further please contact Alan on the number above.
If you and your key worker feel that you are ready
for counselling then they will a referral. The service
will aim to offer you an assessment within 3 weeks though
this may be longer if there is a waiting list.
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Groups
Group Treatments
Often people find treatment within a group setting
beneficial. As part of the individuals treatment package,
a range of groups can be chosen that are delivered in
various locations across the county.
There are dedicated groups for drug users, alcohol users
and female service users.
Please contact the Women's service directly for details
of the Women's only groups. The following are the types
of groups available and a brief description of what
each entails.
Introduction to Treatment
- Four sessions, 4 week open rolling group
- Suitable for initial DRR clients and clients new
to the treatment system
These introductory sessions are standalone sessions
and can be completed in any order. The sessions explore
drug and alcohol awareness, harm reduction, treatment
options and group dynamics.
Motivational Enhancement
- A six session group
- Suitable for clients assessed as requiring an additional
motivational intervention
This module works to increase a person's awareness
of potential problems caused, consequences experienced
and risks faced as a result of their drug/alcohol use.
The module focuses on increasing individual awareness,
thinking about change, making change happen and setting
and working towards goals.
Cognitive Behavioural Therapy
Substance Misuse - Making Changes
- An eight session group
- Suitable for clients assessed as needing to address
problematic substance misuse issues and suitable for
structured group intervention
This module is all about change. It focuses on thinking
and behaviours that are needed to create and maintain
change within a framework of identifying individual
need and setting goals to meet those needs. Particular
attention will be paid to positive thinking and problem
solving.
Cognitive Behavioural Therapy
Crack Cocaine
- A seven session group
- Suitable for clients needing to address problematic
crack/cocaine use and who are suitable for a structured
group intervention
This module will engage participants in identifying
the effects of their crack cocaine use and how they
can identify and implement changes by understanding
individual patterns of use. It will additionally support
individuals by focussing on relapse management, reducing
harm and identifying and creating long term plans.
Cognitive Behavioural Therapy
Alcohol
- An eight session group
- Suitable for clients needing additional support
addressing their alcohol misuse and who are harmful
or moderately dependant alcohol users
This module is all about change. It focuses on thinking
and behaviours that are needed to create and maintain
change. It will look at individual need and setting
goals to meet those needs. It especially focuses on
positive thinking and problem solving.
Offending Behaviour
- An eight session group
- Suitable for clients that have been through the
criminal justice system as a result of substance misuse
This module will offer participants the opportunity
to consider their offending behaviour and examine the
impact offending has on their lives and on others. It
looks at social exclusion and the pressures to change
and offers practical strategies in both addressing offending
behaviour and identifying other sources of satisfaction.
Alcohol Awareness
- An eight session group
- Suitable for clients with a range of alcohol abuse
and dependence levels; harmful, hazardous and moderately
dependant. Clients who are suitable for group intervention
The main themes of the module include the overall impact
of alcohol on behaviour and health, the effects on family
life and relationships, The sessions show how to reduce
risk, where to get help and how to make progress. They
will also look at different options for the future and
what to do if things go wrong or setbacks occur.
Relapse Prevention
- A six session group
- Suitable for clients stable on a maintenance prescription,
are on a module of community detox or who have achieved
abstinence
The module focuses on equipping participants with skills
and knowledge to maintain change and manage relapse
if it occurs. The sessions focus on previous experiences
of relapse and the identification of cravings and triggers.
Particular attention is paid to participants developing
coping strategies and problem solving techniques.
Managing Emotions
Four separate modules, each four groups Clients can
be booked on one, or a combination of all four according
to need.
Managing Anxiety
This module looks at anxiety itself and its relationship
to thoughts and behaviours. It identifies how it affects
you and ways of relaxation.
Managing Relationships
This module looks at what a relationship is, what the
good and bad qualities of a relationship are, and how
to maintain them. It also looks at the responsibilities
and rights within them.
Anger Management
This module looks at understanding the role and function
of anger, the warning signs and monitoring your own
expression of it.
Emotional Communication
This module looks at understanding emotions and recognising
them in ourselves, and how they are expressed.
Alternative Therapies
Key Workers can also book their clients onto Alternative
Therapies to complement their package of care. These
include massage; Indian head massage, auricular acupuncture
and reflexology. Currently these sessions are reserved
for those accessing the following modules: CBT based
Substance Misuse, CBT based Crack Cocaine, Offending
Behaviour and the four Managing Emotions modules.
Access
Modules are held at the Old Music Hall in Oxford city
and a selection of modules are held in venues across
the county; please ask your key worker for more details.
Individuals must be booked on to the modules by a professional
from within the Oxfordshire drug and alcohol treatment
system.
To book a service user on to a module or to check availability,
please contact the administrator at The Old Music Hall
on 01865 403151. Service user details will need to be
faxed on 01865 403169. Professionals can refer to the
Operational Manual for full module information.
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Medical Treatment
Clinical treatment is another intervention that requires
an assessment and care plan. Clinical treatment for
substance misuse is the provision of safe and appropriate
substitute prescribing primarily for opiates including
stabilisation, maintenance and detoxification. It also
includes treatment for alcohol.
The role of this treatment is to reduce the harms associated
with substance misuse specifically:
- Reduce drug and alcohol related deaths and risk
behaviour,
- Managing addictive behaviour,
- To reduce injecting as a route of use, To reduce
crime and the social ill consequences of drug and
alcohol misuse,
- Reduce the use of alcohol by relieving and reducing
alcohol withdrawal syndrome and delivering treatment
for maintaining abstinence.
- To treat addictive behaviour by stabilising patients
on substitute medication.
- Assist patients to undertake community detoxification.
Reduce the transmission and spread of blood borne
viruses associated with drug and alcohol use.
Clinical treatment is also any treatment provided
in a GP, hospital or inpatient setting. Clinical treatment
for substance misuse should always be part of a package
of care that includes other interventions.
The following are details of clinical treatment services
available in Oxfordshire:
Oxfordshire Shared Care Scheme
Shared Care is the joint participation of specialist
nurses (SCAS nurses),
GPs and
pharmacists in providing clinical interventions
for substance misuse. This will usually involve prescribing
of methadone or buprenorphine (subutex)
Services provided
- Assessment
- Care planning
- Prescribing substitute medications - stabilisation,
maintenance
- nd detoxification
- Supervised consumption or instalment dispensing
- Referral, assessment and facilitates access to in-patient
detoxification
- Health promotion, harm reduction and relapse prevention
advice
- Advice and support for families and carers of patients
- Referral to other drug services for one to one interventions
Access to groups
- Promotion of the uptake of immunisation and testing
for blood borne viruses
- Onward referral for BBV treatment
- Community detoxification
Access
You can access Shared Care/prescribing services via
your GP who will be part of the scheme or can refer
you to one of weekly Oxfordshire's Drug Treatment Clinics
across the county.
Specialist Community Addictions Service
The Rectory Centre
Rectory Road
Oxford
OX4 1 BU
Tel: 01865 455634
www.obmh.nhs.uk
This is a specialist care substitute prescribing service
provided by Oxfordshire and Buckinghamshire Mental Health
NHS Partnership Trust. It is aimed at service users
with serious substance misuse problems that cannot be
managed within the Shared Care Scheme.
Services provided
- Comprehensive assessment
- Care planning
- Case management
- Community prescribing for service users not suitable
for Shared Care - stabilisation, maintenance and detoxification
Access
You will need to be referred to this service by your
GP or the Shared Care Scheme
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Residential Treatment
Residential Rehabilitation (residential rehab)
The aim of a residential rehabilitation is to help an
individual achieve continuing abstinence from addiction
and to improve their life and functioning in support
of continued abstinence. Residential rehab usually involves
staying in a facility for weeks or months, having a
complete break from the individual's current circumstances.
Residential rehabs normally have a mixture of group
work, counselling and other practical and vocational
activities. There are several types of rehabs:
- " Traditional rehab units, with programmes
to suit the needs of different service users. Different
units have different approaches, for example therapeutic
communities and the 12-Step programmes used by Alcoholics
Anonymous and Narcotics Anonymous.
- " Crisis intervention units (usually in urban
areas) that help people in drug-related crisis. These
are generally shorter stay units.
- " Residential treatment programmes for specific
client groups, for example pregnant women, people
with liver problems and clients with mental illness.
- " "second stage" or "move-on"
supported accommodation, where some clients go to
after rehab.
- " Other supported accommodation, with the rehabilitation
interventions (therapeutic drug-related and non-drug-related
interventions) provided at a different nearby site(s).
Individuals can access rehab through community drug
services and medical treatment services. An assessment
will take place to see whether rehab is the suitable
treatment and to assess which centre would be most suitable
to the individual's situation and needs. People entering
rehab will usually have gone through detoxification
before entering which can be done in the community,
at the rehab itself (if it has an attached detox unit),
or at a detoxification residential unit.
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Aftercare
Aftercare is a support service for drug and/or alcohol
users who have reached the end of a local treatment
programme, are going through a community detox, or are
coming back from residential rehabilitation. The support
the service offers is to help people become or stay
drug or alcohol free and to help them reintegrate into
the community and begin building their lives again.
The individual will be assigned to a worker who will
complete an assessment and care plan, looking at all
of the person's needs and goals. These could include
relapse prevention work, access to courses, IT and training,
employment and counselling.
The following are details of the Aftercare service
available in Oxfordshire:
SMART CJS Aftercare Service - Restart Plus
The Annexe
The Old Music Hall
54a Marston Street
Oxford
Tel: 01865 403210
Fax: 01865 403224
www.smartcjs.org.uk
Restart Plus is an aftercare service that individuals
can access once they have completed, or are near the
end of completing, a drug or alcohol treatment programme.
The service is also suitable for those who are stable
on substitute prescriptions, and clean from illicit
drugs, who are motivated to making further changes in
their lives. The service provides support to individuals
who want to lead a productive and drug free life.
Services provided
- Assessment
- Care planning
- One to one case management
- Peer support
- Relapse prevention
- Use of IT and resource suite
- Access to vocational training programmes and training
agencies
- Development of transferable skills and employment
related opportunities, such as CV writing
- Routes into education
- Access to counselling
- Access to groups
- Mentor support
- Help getting a job
Access
You can self refer to Restart plus or you can be referred
by your key worker as you are nearing the end of your
treatment.
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Young People's Treatment
Support for parents
Although illegal drugs are widely available, only a
very small percentage of young people end up as problematic
drug users, and 'experimenting' with drugs does not
necessarily lead them down that path. For a free copy
of our Parent and Carers guide to drugs and alcohol,
please email reception@oxfordshiredaat.org
and we will post you a copy. There are support services
available to parents and carers, please see the following
link. Families and carers page
Support for schools
Teachers may want help and advice regarding a young
person's drug and alcohol use.
If a young person in your school has been caught with
substances, for advise and help with mediation call,
Bill Russell, School drug consultant
on 01865 428035.
If a young person needs individual support relating
to their drug or alcohol use, refer that young person
to the single point of contact for all schools at Evolve.
Evolve will ensure that the young person is seen by
the most appropriate person which may be a youth worker
or a specialist drugs worker, depending on their need.
Evolve referral
form
Tel: 01865 723909
Evolve
Evolve is Oxfordshire's young people drug and alcohol
treatment service. It is a confidential treatment service
providing community support for young people who have
complex and serious substance misuse issues. It works
with young people on a one to one basis anywhere in
Oxfordshire. Evolve also supports young people who have
drug and alcohol using parents. Evolve can be contacted
on 01865 723909 and for more information please visit
the Evolve website.
Evolve
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