The Club Drug
ClinicCNWL.
Covering….. Why we set-up a “Club Drug Clinic”?
CDC Team and the Services Offered
Main Drugs The Big 4
Key Findings From The Clinic
The Story So Far …..
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
Main Aims of the CDC:
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
What Can We Offer?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
Also…………
• 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
‘Partnerships’Urology
Drug Services
Mental Health
Services
Sexual Health
& HIV
A&E ICU CDC &
Antidote
QR Codes: 1,976 hits
www.clubdrugclinic.com
KetamineCLASS C Substance
CLASS A Substance
Crystal Meth
Mephedrone CLASS B Substance
GBL/GHB
CLASS C Substance
The Story
So Far
Who has attended the CDC?
764 referrals401 admissions75% LGBT25% Heterosexual90% male, 9% female & 1% Transgender
LGBT
Average age 35 years (20-62)
90% White British/White other
55% employed
Most in stable housing
3/4 first drug treatment episode
59% HIV positive
8% Hep C positive
HeterosexualsAverage age 31 years (19-53)
88% White (55% White British)
45% employed
Most in stable housing
60% first presentation to treatment
No HIV or Hepatitis
LONDONUK
• 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
Co-Morbidity
Injecting Drug Use• 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
White British
Gay
35 Years Old
Uses with Friends &
Sexual Partners
Using for approx 8 Years
Injecting Crystal
Using G, Tina & Mephedrone...
Had at least 1 GBL detox...
Employed
Male
First Time in Drug Treatment.....
HIV+
Uses in clubs & for
sex!
Depressed & Anxious
Mr. CDC 2010-13
Working beyond the
doors of the CDC
• Remove barriers to treatment• ‘Sexual Health’ model
• Any borough, any/no GP• Confidential & Non-Judgmental• Self – phone, e-mail (<30 secs!)
• Staff and Clinicians – Referral form
How Do I Refer?
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