In Middlesbrough there are variety service
available for the treatment of patients with drug dependency.  These service providers’ institutions, their
main goal to help individuals with dependency on drugs and reducing addiction
by early intervention and change their life style in a good manner.

Public Health England (2015) stated that the
guidance for appointing drug misuse services should include examples of best
practice.  The benchmark against other
similar local authority areas need to carried out to identify key areas for
enhancement. These resources together with the findings from the service review
need to inform the alteration of the drug local services. Middlesbrough Council
Public Health Team prioritise the transforming drugs and alcohol services as a
crucial achievement. This transformation pursues to avoid and diminish the
drugs and alcohol related harm, improve outcomes for individuals, families,
neighbourhoods and communities, whilst delivering cost efficiencies. The
Middlesbrough Council stated that the plan to be carrying out a review of the
current service model for drugs and alcohol recovery to achieve a cost
effective recovery oriented service. 

Middlesbrough has a higher
proportion of adults accessing drugs and alcohol services more likely to have
children living with them. In 2014/15, the number of people entering/in
treatment who have children was 1,310, with 720 of them indicating that they
currently have children living with them. This has a significant impact on the
number of children and young people who are subject to safeguarding procedures.
Council’s Risk and resilience team enter a contract value of £214,892 per annum
(funded by a combination of public health grant and the early interventions
grant) to help children for early intervention which includes helping youngster
in school and college.

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In the past three years, there has been
important progress with concern to early intervention, with lots of
inventiveness resulting in positive impacts. These are: Naloxone programme,
preventing opioid-related deaths from overdose by providing take-home naloxone
kits and training to high-risk clients. Fulcrum GP, primary identification,
screening and brief intervention delivered within GP practices across
Middlesbrough by substance misuse professionals. This has resulted over 2,000
patients being screened in the waiting room of their own GP practice with the
majority not having had any previous contact with substance services. Hospital
Intervention and Liaison Team (HILT) this is based on James Cook University Hospital
(JCUH), preventing multiple re-admissions for substance-related issues, screens
patients and A&E attendances, refers into community services, has a
detoxification pathway to ensure continuity of treatment and delivers training
to JCUH staff to raise awareness of substance issues. The Middlesbrough
Recovering Together (MRT) drugs and alcohol service delivers substance misuse
awareness, identification and brief advice training to a wide variety of staff
from a range of organisations. Needle exchange provision across the town,
delivered centrally from the Town Hall and from ten pharmacies serving
communities where misuse is most prevalent, which helps to reduce the harm
related to intravenous drug use (e.g. blood borne viruses, dropping used
needles, access to specialist advice). Senior practitioners integrated into
0-19/family services to ensure substance misuse early intervention provision
and prevention of cases is being escalated into safeguarding.

Within Middlesbrough, the service provision
is being provided through primary, secondary and tertiary cares. Fulcrum GP provides primary and secondary care for
patients with drug problem. According to the Fulcrum GP primary Care services
provided consists of public health services, these services include; treatment for chronic
illnesses resulted from substance abuse, (for example: hypertension, angina,
diabetes, asthma, COPD), mental health services including those for depression,
anxiety and in relation to prevent self-harm reduction, muscular pain, arthritis
and thyroid dysfunction ill health prevention and health promotion, specialist
maternal and child health care services, such as family planning services. They
are provided to approximately 800 drug substance misusers in the Middleborough
area. This service provides rapid access to assessment and treatment in a
primary care setting; providing high quality specialist primary care services
to substance misusers and their families.

has a lower percentage of clients who successfully complete drug treatment and
do not re-present in services within 6 months. For opiate clients, this was
6.6% in June 2015, compared to 7.4% nationally. Successful completions for
non-opiates is 34.8% compared to 39.2% nationally. Since August 2014, opiates
successful completions and representations for non-opiates have increased
steadily to be more in line with national rates

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