Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.



Published on

Suzanne Hare and Dee Stanford work at Cambridgeshire and Peterborough NHS Foundation Trust. This presentation for the ADEPIS seminar on NPS - held on Monday 19th May - is intended to explore local treatment procedures for NPS users.

Published in: Education, Health & Medicine
  • Be the first to comment

  • Be the first to like this


  1. 1. CASUS Cambridgeshire Child and Adolescent Substance Use Service Suzanne Hare & Dee Stanford
  2. 2. CASUS delivers: • Information, advice to young people • Advice and support to parents / carers or someone affected by another person’s drug or alcohol use. • Training, support and consultancy to professionals working with young people. • Support for PSHE in schools and alternative education settings. • Sessions for groups of young people at risk and in vulnerable situations. • Specialist treatment drug and alcohol treatment for young people, which include psychosocial interventions, family work, harm reduction and specialist prescribing.
  3. 3. Referral Process • A parent/ carer or professional can refer • Self referrals • The young person must consent to referral for treatment. • Phone call 01480 415 278 • CASUS Referral form / letter or CAF ( not via SPA at present) • Confidential advice and information for parents and carers is available from CASUS . •
  4. 4. What is happening in Cambridgeshire? Health Related Behaviour Survey Professor Balding, Exeter University 2002- 2012 Little or no mention of NPS What will 2014 show??
  5. 5. Good News 2011-2012 NTA data tells us… 1) The number of under 18s accessing specialist services for substance misuse in England fell to 20,688 (figure peaked at 24,053 in 2008/2009) 2) The number of young people being treated primarily for class A drugs (such as heroin and cocaine) has fallen by two thirds from 5 years ago 3) Alcohol and Cannabis remain by far the main substances for which under 18s access specialist services in England (92%) 4) NPS. Very small numbers but data capture methods poor.
  6. 6. SUD No - SUD 10yrs 20 yrs Experimentation and SUD
  7. 7. Not so good news • The rise of Poly-pharmacy (“living in the sweet shop...”) – a chemical universe- new substances abound. - The National Poisons Information Service 2012/13 report notes a 49% increase in telephone enquiries and 128% increase in TOXBASE accesses relating to nps • Early (< 16 yrs) exposure to (particularly with early positive self-evaluations) drugs such as cannabis -> associated with poorer prognosis, such as adult dependency (Fergusson et al 2003). • Those young people who do use substances are starting younger, using more, and using stronger varieties
  8. 8. Novel Psychoactive Substances Legal status: legal, Temporary Class, ABC Cost: various Effects: stimulant, depressant, hallucinogen Risk: poisoning, there is no historic data on effects, they are very difficult to treat in A&E, symptomatic relief in only, long term effect are mostly unknown
  9. 9. NPS Treatment • A&E and GPs treat the majority of acute harms arising from NPS • Routine management of intoxication and poisoning evidence of treatment adaption for NPS - “mimic illicit drugs but stronger and potentiated by alcohol etc” • Challenging to provide information and guidance for those seeking healthcare but wish to continue to use NPS. “a new substance every 6 days “ “ mxe OTS” AAPG Drug Strategy
  10. 10. Early Findings from UK’s First National Online Survey of Users of New Psychoactive Substances (Legal Highs) • “legal and therefore safe” - main driver for use – “illusion of safety” • belief that health consequences are mild and will not require treatment. • “have I broken the law?”
  11. 11. CASUS Treatment Model
  12. 12. NPS CASUS Treatment • Primary drug for Rx remains cannabis and alcohol • NPS identified in taking of Drug Hx • Immediate harm reduction messages - Overdose, poisoning, - Hep B - Drug interaction • Psycho-education • Explicit with ‘our concerns’ (heroin, solvents, NPS) • MI to address higher ambivalence • Treatment as usual, including co morbidity
  13. 13. Web: Youtube: CASUStv Twitter: casus_cpft Email: Phone: 01480 415278