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Wednesday 29 March 2017
Derbyshire Healthcare NHS Foundation Trust
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Derbyshire substance misuse service

Female consultation

Derbyshire substance misuse service (DSMS) is a consortium drug treatment service between Derbyshire Healthcare NHS Foundation Trust, Phoenix Futures and SPODA and is currently based at locations throughout the county, including Bayheath House, (Chesterfield), Erewash House (Ilkeston), The Mews (Ripley) and Bankgate (Swadlincote). The team is an open access service and individuals can refer themselves or be referred by another person with their consent.

DSMS provide services to meet the health, criminal justice and harm reduction needs of the county’s substance misusers who are aged 18 and over, offering intensive structured 1-to-1 and non-structured interventions; a mix of high and low intensity levels together with a specialist prescribing programme. The service works with all levels of drug misuse from ‘legal highs’ through to cannabis and cocaine, as well as heroin and crack use. The derbyshire substance misuse service also manages all substance misuse substitute prescribing (primarily for heroin misuse) across Derbyshire.

The aim of adult services is to reduce drug use and its associated impact on individuals, their families and communities and to move service users towards a drug free recovery.

Learn more about the effects of drugs and how to abstain by visiting our live well: drugs page. Or are you struggling with an addiction? Visit our help with addictions page for advice and support.
 

Who is the service aimed at?

  • Adult drug or alcohol misusers, aged 18 years and over, who live in Derbyshire

  • Service users who require a prescribing intervention to address their drug misuse (excluding the misuse of prescribed or OTC medication)
  • Individuals who are at risk of Blood Borne Viruses in relation to their drug misuse.

 

How to access the service

Derbyshire substance misuse service is an open access service and individuals can refer themselves or be referred by another person with their consent. Referrals can be made in writing or by phoning one of the team bases.

Nurses within DSMS provide specialist health screening as well as Hepatitis B vaccinations and Hepatitis C and HIV testing along side advice and support. All those accessing drug treatment in Derbyshire are encouraged to receive a health check and appropriate vaccinations. The main team hubs (Chesterfield, Ripley and Swadlincote) also provide enhanced needle exchange programme which engages with those IV drug users offering confidential support, advice and health assessment alongside the provision of safer injecting equipment. Unlike the rest of the service the needle exchange programme is accessible to anyone who wishes to access health advice, information, or safe injecting equipment (inc. safe storage boxes) without being open to the service. It also liaises with the pharmacy needle exchanges accessible across the county at numerous locations. 

Specialist prescribing is provided by several experienced GPs, two Consultant Psychiatrists and a team of nurse and pharmacist prescribers. Several specialist clinics are provided (Pregnancy, Women and families, Hepatitis/HIV) to increase engagement from high risk or hard to reach groups.

Phoenix Futures provide the low intensity service for service users with 1-to-1 keyworking, care planning, support and complementary therapy such as auricular acupuncture. The aim of both these adult drug services is to reduce drug use and its associated impact on individuals, their families and communities and help service users on towards a drug free recovery.

The high intensity service, provided by Derbyshire Healthcare NHS Foundation Trust, works with the most complex substance misuse service users theses CPNs provide structured harm reduction interventions. The service provides 1-to-1 structured care planned treatment and risk assessment for high risk service users. The Trust's high intensity service also manages substitute prescribing where this is required. These interventions are aimed at supporting service users through particular aspects of their problems including anxiety, depression and anger management issues.