Why we set-up a “Club Drug Clinic”?
CDC Team and the Services Offered
Key Findings From The Clinic
Main Drugs The Big 4
Th...
Reduction in both Heroin and Crack use
25,000 fewer heroin/crack addicts in population since 2005

12% fall in injecting d...
1. Better understand what drugs people are
using and what, if any, risks they pose
2. Develop an evidence base for treatme...
Information and advice
Assessment of substance use
Assessment of other problems –physical, psychological

Keyworking – ind...
• Point of care sexual health screening
• Fast-track urology assessment (IPSS, pain
management plans)
• LGBT specific keyw...
Urology
A&E
ICU

Drug
Services

CDC &
Antidote

Sexual
Health
& HIV

Mental
Health
Services
QR Codes: 1,976 hits
CLASS C Substance
CLASS A Substance
CLASS B Substance
CLASS C Substance
764 referrals
401 admissions
75% LGBT
25% Heterosexual
90% male, 9% female & 1% Transgender
Average age 35 years (20-62)
90% White British/White other
55% employed
Most in stable housing

Average age 31 years (19-5...
• Co-morbid mental illness
–Depressive disorder 22%
–Anxiety disorder 8%
–Personality disorder 6%
–BPAD and SCZ < 0.5%

• ...
• Almost exclusively in LGBT (MSM)
population
– 55% had injected a drug at some point
– Approximately 40% of current injec...
White British

HIV+
Using for approx 8
Years

Uses with Friends &

Sexual Partners
Gay
Using G, Tina &
Mephedrone...
Had a...
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
Club drugs and legal highs
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Club drugs and legal highs

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Club drugs and legal highs

  1. 1. Why we set-up a “Club Drug Clinic”? CDC Team and the Services Offered Key Findings From The Clinic Main Drugs The Big 4 The Story So Far …..
  2. 2. Reduction in both Heroin and Crack use 25,000 fewer heroin/crack addicts in population since 2005 12% fall in injecting drug use ‘Trainspotting’ generation of aging addicts Younger people not initiating Heroin/Crack National Drug Treatment Monitoring System
  3. 3. 1. Better understand what drugs people are using and what, if any, risks they pose 2. Develop an evidence base for treatment 3. To provide assessment and treatment tailored to those struggling with the use of Club Drugs
  4. 4. Information and advice Assessment of substance use Assessment of other problems –physical, psychological Keyworking – individual and group Specific medical treatments Specific psychological treatments Support for relatives
  5. 5. • Point of care sexual health screening • Fast-track urology assessment (IPSS, pain management plans) • LGBT specific keyworking through partnership with Antidote • Specific detoxification (GHB/GBL; Ketamine) • Emergency medical pathway
  6. 6. Urology A&E ICU Drug Services CDC & Antidote Sexual Health & HIV Mental Health Services
  7. 7. QR Codes: 1,976 hits
  8. 8. CLASS C Substance
  9. 9. CLASS A Substance
  10. 10. CLASS B Substance
  11. 11. CLASS C Substance
  12. 12. 764 referrals 401 admissions 75% LGBT 25% Heterosexual 90% male, 9% female & 1% Transgender
  13. 13. Average age 35 years (20-62) 90% White British/White other 55% employed Most in stable housing Average age 31 years (19-53) 88% White (55% White British) 45% employed 3/4 first drug treatment episode Most in stable housing 59% HIV positive 8% Hep C positive 60% first presentation to treatment No HIV or Hepatitis
  14. 14. • Co-morbid mental illness –Depressive disorder 22% –Anxiety disorder 8% –Personality disorder 6% –BPAD and SCZ < 0.5% • Co-morbid physical illness –Ketamine-related ulcerative cystitis –Non-compliance with HIV treatments
  15. 15. • Almost exclusively in LGBT (MSM) population – 55% had injected a drug at some point – Approximately 40% of current injectors had shared equipment – Majority of injecting was methamphetamine
  16. 16. White British HIV+ Using for approx 8 Years Uses with Friends & Sexual Partners Gay Using G, Tina & Mephedrone... Had at least 1 GBL detox... Male First Time in Drug Treatment..... Employed Injecting Crystal Depressed & Anxious 35 Years Old Uses in clubs & for sex!

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