The document discusses a "Club Drug Clinic" that was set up to: 1) understand what drugs people are using and risks; 2) develop evidence for treatment; and 3) provide tailored assessment and treatment for those struggling with club drugs. The clinic found reductions in heroin and crack use in the population since 2005. Key services offered include: information, substance use assessment, medical treatment, psychological treatment, and support for relatives. Main findings were issues with urology, mental health, HIV, and injecting of methamphetamine in the LGBT population.

2. 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 …..

3. 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

6. 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

7. 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

8. • 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

9. Urology
A&E
ICU
Drug
Services
CDC &
Antidote
Sexual
Health
& HIV
Mental
Health
Services

10. QR Codes: 1,976 hits

13. CLASS C Substance

14. CLASS A Substance

16. CLASS B Substance

17. CLASS C Substance

19. 764 referrals
401 admissions
75% LGBT
25% Heterosexual
90% male, 9% female & 1% Transgender

20. 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

22. • 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

23. • 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

24. 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!