Drugs

When it comes to using substances, it’s crucial to consider three key factors that can influence the risk associated with substance use: the drug itself, the set (your mental state), and the setting (the environment and people around you). Adjusting even one of these elements can dramatically alter the level of risk involved.

1. Drug

The type of drug used plays a huge role in determining the risk involved. Different drugs have different effects — for example:

• Ketamine may have sedating effects and can impair movement and perception.

• Cannabis can produce a feeling of euphoria but can also cause anxiety or paranoia for some people.

• Cocaine is a stimulant, leading to feelings of energy or confidence but also increasing the risk of dangerous behaviours, heart problems, and addiction.

The way a drug affects someone varies from person to person. What might have a mild effect on one individual could have a much stronger or even harmful effect on someone else. Choosing different drugs can significantly change the level of risk, from less risky to far riskier, depending on how the drug interacts with your body and mind.

2. Set

The mental state (or "set") of the person using the substance is another critical factor. Your emotional and psychological condition before taking a drug can significantly influence how it affects you. For example:

• People with anxiety, depression, or poor mental health may have a more negative experience when using certain substances, possibly worsening these conditions.

• Negative emotions like stress or sadness can amplify the risks associated with drug use, increasing the likelihood of bad trips, panic attacks, or further risky behaviour.

Taking a substance when you're in a poor mental state increases the chance of having a harmful or unsafe experience. It's important to assess your emotional wellbeing before using any substance.

3. Setting

The environment in which the drug is used and the people you are with can also significantly impact the level of risk. Being in a safe, familiar place with trusted people can reduce the likelihood of harmful situations. Consider the following:

• Safe spaces: Make sure you are in a comfortable and secure place where you can easily exit if needed.

• Trusted company: Stay around people who you trust and who will look out for you. Being with people who encourage risky behaviours or who you don’t feel safe with can heighten the risk of harm.

The right setting can help create a sense of control and safety, reducing the chances of accidents or negative experiences.

When supporting young people around substance use, it is important to prioritise harm reduction. Harm reduction aims to minimise the negative health, social, and psychological impacts of drug use. As a professional, here are some key strategies to adopt:

1. Establish Open and Non-Judgemental Communication

Create an environment where young people feel safe, respected, and understood. Avoid being judgemental or punitive when discussing drug use, as this can create a barrier and discourage openness. By building trust, you can better understand their experiences and offer support in a way that is empathetic and effective.

• Ask open-ended questions: Encourage conversation with questions like, "What have your experiences been like?" or "What do you feel when you use substances?"

• Listen actively: Acknowledge their feelings and concerns without offering immediate solutions, unless necessary.

2. Educate on the Risks and Effects of Drugs

Provide young people with accurate, evidence-based information about substances, including the short-term and long-term effects, risks of dependency, and potential physical or mental health consequences. The goal is to help them make informed decisions and understand the potential harm involved in using drugs.

• Talk about drug types: Ensure they understand the varying risks posed by different substances (e.g., cannabis vs. alcohol vs. stimulants).

• Explain the risks of mixing substances: Emphasise how combining drugs, including alcohol, increases the likelihood of dangerous outcomes like overdose.

3. Encourage Safer Practices

If young people are using substances, encourage them to adopt safer use practices to minimise harm. These can include:

• Not sharing needles or other paraphernalia: Sharing needles can transmit infections like HIV, Hepatitis B, and Hepatitis C. Encourage clean and personal use of substances.

• Staying hydrated and taking breaks: Especially when using stimulants or substances that can dehydrate the body (e.g., ecstasy or alcohol).

• Taking a smaller dose when trying a new substance: Understanding that tolerance to a substance varies is key to reducing overdose risks.

• Not using substances alone: Encourage them to be with trusted people who can help in case of emergency, such as during a bad reaction to a drug.

4. Provide Resources and Support

Ensure young people have access to appropriate services that can provide support if they need it. Some young people may be struggling with mental health issues, stress, or peer pressure, which can contribute to substance use. Offering referrals to services like drug counselling, youth services, and addiction support can provide vital help.

• Provide contact information for local substance misuse support services, helplines, or youth-friendly outreach teams.

• Familiarise young people with the Talk to Frank service (in the UK), which offers anonymous and confidential advice on drugs.

5. Monitor and Assess Mental Health

Substance misuse is often linked to mental health struggles. Encourage regular discussions about emotional well-being and be vigilant for signs of mental health issues like anxiety, depression, or self-harm, which can be worsened by drug use. Early intervention for both drug misuse and underlying mental health issues can reduce harm and support recovery.

• Encourage young people to talk about how they’re feeling emotionally and address any concerns they might have regarding their mental health.

• Offer referrals to mental health services or school counsellors if needed.

6. Focus on Long-Term Wellbeing

Finally, make sure young people know that their long-term well-being is a priority. Help them develop healthier coping mechanisms for dealing with stress, peer pressure, or emotional challenges that don’t involve substances.

• Promote alternative coping strategies such as exercise, art, music, or social activities that don’t involve drugs.

• Encourage self-care and positive activities that promote physical and mental health.

Key Message:

As a professional, your role in harm reduction is to support young people by providing information, promoting safer choices, and offering resources for both prevention and recovery. The goal is to empower young people to make safer decisions, minimise risks, and seek help when needed.

Cannabis is one of the most commonly used recreational drugs worldwide, and it’s legal in some places for medical use. In the UK, however, it remains illegal for recreational use. Despite this, cannabis use continues to be widespread among young people, often due to its availability and growing perceptions of its relative harmlessness. However, like any drug, cannabis carries risks, especially for young people.

What is Cannabis?

Cannabis comes from the Cannabis sativa plant and can be consumed in various forms. The two most well-known compounds in cannabis are THC (tetrahydrocannabinol) and CBD (cannabidiol). THC is the psychoactive compound responsible for the "high" people experience, while CBD is non-psychoactive and often used for medicinal purposes, such as treating anxiety or pain.

Cannabis is typically consumed in the following ways:

• Smoking: In joints (cigarettes) or pipes.

• Vaping: Using a vaporiser to inhale cannabis vapour.

• Edibles: Consuming cannabis in the form of cakes, chocolates, or drinks.

Effects of Cannabis

The effects of cannabis can vary depending on the individual, the method of use, and the potency of the cannabis. Common short-term effects include:

• Euphoria: A sense of well-being or heightened mood.

• Relaxation: A feeling of calm or relief from stress.

• Altered Perception: Changes in the way the user perceives time, space, and colours.

• Increased Appetite: Often referred to as the "munchies."

• Anxiety or Paranoia: Some users may experience heightened anxiety, fear, or panic.

The strength of cannabis has increased over the years, especially with skunk (a potent form of cannabis), which can be several times stronger than the cannabis used in the past. Stronger cannabis can lead to more intense effects, including psychosis in vulnerable individuals.

Risks of Cannabis Use

While some people may use cannabis recreationally without apparent long-term effects, there are significant risks, especially for young people. These include:

1. Mental Health Issues: Cannabis use, particularly heavy use or use at a young age, has been linked to an increased risk of mental health disorders, including anxiety, depression, and psychosis. Cannabis can exacerbate underlying mental health conditions and, in some cases, trigger schizophrenia in individuals with a predisposition to the disorder.

2. Impaired Cognitive Functioning: Cannabis use can affect a young person’s memory, concentration, and learning abilities. These effects can impact their performance in school and affect their ability to retain information.

3. Addiction: Although not as addictive as some substances, cannabis can still lead to dependency. Studies suggest that around 9% of people who try cannabis will develop a dependency. This number increases for those who start using cannabis at a younger age.

4. Impaired Driving: Cannabis can impair coordination, reaction time, and judgment, making it dangerous to drive or operate machinery while under the influence.

5. Respiratory Issues: Smoking cannabis can irritate the lungs and lead to similar issues as smoking tobacco, such as chronic bronchitis and respiratory infections.

6. Social and Legal Consequences: In the UK, cannabis is classified as a Class B drug, and possession can result in a fine, a caution, or, in more serious cases, an arrest and criminal record. Engaging with dealers or distributing cannabis can lead to more severe legal consequences.

How to Support Young People Around Cannabis Use

If you’re a professional supporting young people, here are some steps you can take to help them make informed decisions about cannabis:

1. Open Conversations: Start by having open and non-judgmental conversations about cannabis use. Ask young people what they know about cannabis, their attitudes towards it, and any experiences they may have had with it. Encourage them to think critically about the risks involved.

2. Educate on the Risks: It’s important to provide factual, age-appropriate information about the risks of cannabis use, particularly the impact it can have on mental health, cognitive function, and physical well-being.

3. Discuss the Social and Legal Consequences: Make sure young people are aware of the legal implications of cannabis use in the UK, including the potential for criminal charges and the impact on their future.

4. Offer Support for Mental Health: For young people who may already be experiencing mental health issues, be sure to offer appropriate support. Encourage them to speak to a mental health professional if they have concerns about their wellbeing, and direct them to services that can help with both substance misuse and mental health issues.

5. Promote Healthy Coping Strategies: Cannabis is often used by young people to cope with stress, anxiety, or peer pressure. Encourage alternative, healthy coping strategies such as exercise, mindfulness, art, or talking to someone they trust.

Ketamine is a powerful drug that is typically used as an anaesthetic in medical settings but is also used recreationally for its hallucinogenic and dissociative effects.

In the UK, ketamine is classified as a Class B drug, meaning it is illegal to possess, supply, or produce. Despite its legal status, ketamine use has become more prevalent, particularly among young people in club or party environments. Ketamine is often sold in powder or liquid form and can be snorted, swallowed, or injected.

What is Ketamine?

Ketamine is a synthetic drug originally used in medical settings as an anaesthetic, particularly in emergency situations. It is also sometimes used in veterinary medicine. When taken recreationally, ketamine causes a dissociative effect, meaning users feel detached from their body and surroundings. This can result in a feeling of euphoria, numbness, and hallucinations.

The primary effects of ketamine include:

• Euphoria: A sense of intense pleasure or happiness.

• Dissociation: A feeling of being disconnected from your body or surroundings, which can feel similar to an out-of-body experience.

• Hallucinations: Visual or auditory distortions.

• Sedation: Feeling relaxed or drowsy, but in higher doses, it can cause a person to lose coordination and become unconscious.

Risks and Dangers of Ketamine Use

While some users may feel euphoric or enjoy the dissociative effects of ketamine, there are serious short-term and long-term risks associated with its use. These risks can be especially dangerous for young people, whose brains and bodies are still developing.

1. Physical Health Risks:

   • Bladder Damage: Ketamine use, particularly when used frequently or in high doses, has been linked to bladder issues, including pain, frequent urination, and in extreme cases, bladder damage that requires surgical intervention.

   • Impaired Coordination and Motor Function: Ketamine can impair coordination, leading to accidents, falls, or injuries.

   • Respiratory Problems: High doses of ketamine can suppress breathing, leading to oxygen deprivation, especially if mixed with other substances like alcohol.

   • Nausea and Vomiting: Common side effects of ketamine use include nausea, vomiting, and confusion, which can put users at risk if they are in an unsafe environment.

2. Mental Health Risks:

   • Hallucinations and Paranoia: The dissociative effects of ketamine can cause hallucinations and paranoia. These effects can be very unsettling and potentially dangerous if users feel disconnected or detached from reality.

   • Memory Loss: Ketamine can cause temporary memory loss, making it difficult for users to recall events that happened while they were under the influence. This can be particularly concerning in social settings or situations involving sexual assault.

   • Psychosis: Regular use of ketamine can increase the risk of developing psychotic episodes, leading to severe anxiety, confusion, and long-lasting mental health issues.

3. Addiction:

   • Dependency: Ketamine is addictive, and prolonged use can lead to psychological and physical dependency. People who misuse ketamine may find themselves using it more frequently and in higher doses to achieve the same effects.

4. Overdose and Fatality:

   • Overdose: Taking too much ketamine can result in a ketamine overdose, which can cause unconsciousness, slowed heart rate, and respiratory failure, leading to potentially life-threatening situations.

   • Risk of Fatalities: As ketamine is often mixed with other substances (e.g., alcohol or other drugs), the risk of overdose is increased, leading to more severe consequences, including death.

How Ketamine is Used

Ketamine can be consumed in a variety of ways, and the method of consumption can impact the intensity of its effects:

• Snorting: The powder is inhaled through the nose.

• Swallowing: Ketamine can be ingested in its powdered form, typically mixed into drinks or food.

• Injection: Some people inject ketamine, which can lead to faster and more intense effects but also significantly increases the risk of overdose and infection.

How to Support Young People Around Ketamine Use

As a professional working with young people, it is important to approach ketamine use with clear, factual information and provide support to those who may be struggling with misuse. Here are some key points for supporting young people:

1. Educate on the Risks: Provide accurate, evidence-based information about the short-term and long-term effects of ketamine use, especially the mental health risks and the potential for addiction. Help young people understand that the effects of ketamine can be unpredictable and may lead to dangerous outcomes.

2. Create a Safe Space for Discussion: Encourage young people to talk openly about their experiences with substances without fear of judgement. Create a supportive environment where they feel comfortable discussing why they might be using ketamine and the challenges they face.

3. Promote Healthy Coping Strategies: Many young people use ketamine to cope with stress, anxiety, or peer pressure. Offer alternative coping mechanisms, such as exercise, mindfulness, or talking to a trusted adult or therapist. Help them find healthier ways to manage their emotions and challenges.

4. Encourage Professional Support: If a young person is struggling with ketamine misuse or addiction, encourage them to seek support from substance misuse services or mental health professionals. There are dedicated services available that offer confidential advice and support for those affected by substance use.

   Professional Support for Ketamine Use

   If you or someone you know is struggling with ketamine use, it’s important to seek professional help. There are a number of services available in the Wirral that offer confidential advice, support, and treatment for both young people and adults.

   For Young People: Response Drug and Alcohol Service

   The Response Drug and Alcohol Service offers tailored support for young people dealing with substance misuse. Their team provides confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

   • Contact Information:

     • Phone: 0151 666 4123

     • Email: response@wirral.gov.uk

   You can also visit their website for more details on the services they offer: Response Drug and Alcohol Service.

   For Adults: Wirral Ways to Recovery

   For adults in Wirral seeking help with drug misuse, Wirral Ways to Recovery provides a range of support services, including assessment, treatment, and recovery programmes. Whether you're looking to reduce harm, access treatment, or recover from substance misuse, their professional team is here to help.

   • Contact Information:

     • Phone: 0151 556 7600

     • Email: wirralways@changegrowlive.org

   For more information on their services, you can visit their website: Wirral Ways to Recovery.

5. Provide Information on Legal Consequences: Make sure young people are aware of the legal consequences of using, possessing, or supplying ketamine. In the UK, ketamine is a Class B drug, and possessing it without a prescription can lead to a criminal record, which could impact their future opportunities.

Key Message:

Educating young people about the potential dangers and providing them with support is vital to ensuring their health and safety. Early intervention, education, and access to support services are crucial for those affected by ketamine misuse

Cocaine is a highly addictive and illegal stimulant drug that comes in two main forms: cocaine powder and crack cocaine. Both forms come from the coca plant, and they have powerful effects on the brain and body. Cocaine is classified as a Class A drug in the UK, meaning it is illegal to possess, supply, or produce. Despite the risks, it remains a commonly misused drug, particularly in social and party environments.

What is Cocaine?

Cocaine is a stimulant drug that affects the central nervous system. It works by increasing the amount of dopamine in the brain, which leads to a feeling of intense euphoria, heightened energy, and increased alertness. The two main forms of cocaine are:

1. Cocaine Powder: Typically snorted through the nose, but it can also be dissolved in water and injected. It is a white, powdery substance.

2. Crack Cocaine: A form of cocaine that has been processed into small rocks that can be smoked. Crack cocaine delivers a more intense but shorter-lasting high compared to powder cocaine.

Both types of cocaine can be dangerous, especially when used in large quantities or over extended periods.

Effects of Cocaine

When taken, cocaine produces a number of short-term effects, including:

• Euphoria: A powerful feeling of happiness, increased energy, and invincibility.

• Increased Alertness: Users often feel more awake and focused.

• Increased Heart Rate and Blood Pressure: Cocaine stimulates the heart, which can lead to cardiovascular problems, especially in those with underlying health conditions.

• Talkativeness: Cocaine users may become more talkative, energetic, or restless.

• Decreased Appetite: Cocaine can suppress hunger, leading some users to lose weight.

However, the high from cocaine is short-lived, and users may quickly experience a crash as the effects wear off, leading to feelings of depression, fatigue, and anxiety.

Risks and Dangers of Cocaine Use

While cocaine use may seem thrilling to some, it carries serious risks, both short-term and long-term:

1. Addiction: Cocaine is highly addictive. Repeated use can quickly lead to physical and psychological dependence, with users feeling the need to take more of the drug to experience the same high.

2. Mental Health Issues: Cocaine use can cause anxiety, paranoia, and hallucinations. Long-term use may also lead to severe mental health problems, such as depression, psychosis, and even suicidal thoughts.

3. Physical Health Risks:

   • Cardiovascular Problems: Cocaine can cause heart attacks, strokes, and seizures due to its effect on the heart and blood vessels.

   • Respiratory Issues: Smoking crack cocaine can cause lung damage, difficulty breathing, and even asthma-like symptoms.

   • Overdose: Taking too much cocaine can lead to an overdose, with symptoms such as chest pain, heart attack, stroke, seizures, and even death.

4. Behavioural Changes: Users may engage in risky behaviour, including reckless driving, unsafe sexual practices, or violent tendencies. The impulsive nature of cocaine use can lead to poor decision-making.

5. Damage to Nasal Passages (for snorting users): Chronic snorting of cocaine powder can damage the nasal septum, leading to difficulty breathing, nosebleeds, and in severe cases, perforation of the septum.

6. Legal Consequences: Cocaine is a Class A drug in the UK, and possession, use, or supply of cocaine can lead to severe legal consequences, including arrest, criminal charges, and a potential prison sentence.

How Cocaine is Used

Cocaine can be consumed in various ways:

• Snorting: The powder is inhaled through the nose.

• Smoking: Crack cocaine is smoked, producing an intense, short-lived high.

• Injecting: The drug can be dissolved in water and injected into the bloodstream, leading to an immediate and intense effect.

How to Support Young People Around Cocaine Use

If you’re a professional supporting young people, it’s important to provide them with accurate information and ensure they have access to the support they need. Here are some key steps:

1. Open Conversations: Create an environment where young people feel safe to discuss their experiences and concerns about drug use. Be non-judgmental and allow them to express their feelings and reasons for using drugs. Use open-ended questions to guide the conversation, such as "What made you try cocaine?" or "How do you feel when you use it?"

2. Educate on the Risks: Ensure that young people understand the long-term consequences of using cocaine, including the risk of addiction, physical harm, and the negative effects on mental health. Explain that the "euphoria" is temporary and followed by a crash, which can lead to depression and anxiety.

3. Promote Healthy Coping Mechanisms: Many young people use cocaine to deal with stress, peer pressure, or emotional pain. Offer alternatives like exercise, creative activities, or talking to a professional about their emotional struggles. Help them develop healthier coping strategies for managing their feelings.

4. Encourage Seeking Support: If a young person is struggling with cocaine use, refer them to appropriate substance misuse services. These services can offer guidance on treatment, including counselling, detoxification, and rehabilitation options.

   The Response Drug and Alcohol Service offers tailored support for young people dealing with substance misuse. Their team provides confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

   • Contact Information:

     • Phone: 0151 666 4123

     • Email: response@wirral.gov.uk

   You can also visit their website for more details on the services they offer: Response Drug and Alcohol Service.

   For Adults: Wirral Ways to Recovery

   For adults in Wirral seeking help with drug misuse, Wirral Ways to Recovery provides a range of support services, including assessment, treatment, and recovery programmes. Whether you're looking to reduce harm, access treatment, or recover from substance misuse, their professional team is here to help.

   • Contact Information:

     • Phone: 0151 556 7600

     • Email: wirralways@changegrowlive.org

   For more information on their services, you can visit their website: Wirral Ways to Recovery.

5. Discuss Legal and Social Consequences: Make sure young people are aware of the legal consequences of using or possessing cocaine. Help them understand the potential impact on their future, including criminal charges, a criminal record, and its effect on career opportunities.

New Psychoactive Substances (NPS), also known as "legal highs", are a group of drugs that are designed to mimic the effects of traditional illegal substances like cocaine, ecstasy, and cannabis. These substances are often marketed as legal alternatives, but they can be extremely dangerous and unpredictable. Although many NPS have been banned under UK law, new substances continue to emerge, creating ongoing risks for users.

What are NPS?

NPS are synthetic substances that are designed to produce effects similar to established illicit drugs. They may come in the form of powders, tablets, or liquids and can be smoked, snorted, ingested, or vaporised. Because NPS are frequently altered chemically to bypass drug legislation, they are constantly changing and can have unknown and dangerous effects on both the body and mind.

Some common types of NPS include:

• Synthetic Cannabinoids: Often marketed as “herbal incense” or “spice,” they mimic the effects of cannabis, but are much more potent and dangerous.

• Synthetic Cathinones: Known as "bath salts" or "plant food," these substances are stimulants similar to ecstasy and cocaine.

• Novel Psychoactive Stimulants (NPS stimulants): These mimic the effects of amphetamines or cocaine, leading to increased energy, alertness, and euphoria.

• Hallucinogenic Substances: These substances mimic the effects of drugs like LSD or magic mushrooms, leading to hallucinations and altered perceptions.

Effects of NPS

The effects of NPS vary widely depending on the specific substance, how it is used, and the individual. However, some common effects include:

• Euphoria: A heightened sense of wellbeing or excitement.

• Increased Energy: A feeling of being alert and invigorated, often with increased heart rate.

• Altered Perception: Similar to the effects of hallucinogens, some NPS can cause visual or auditory distortions.

• Sedation or Relaxation: Some NPS can lead to extreme relaxation or sedation, making the user feel drowsy or detached from reality.

• Increased Risk-Taking Behaviours: NPS can impair judgment, leading to risky behaviours such as unsafe sex, aggressive behaviour, or reckless driving.

In addition to these common effects, NPS can also cause:

• Extreme Anxiety or Paranoia

• Hallucinations

• Severe Agitation or Aggression

• Confusion or Disorientation

• Physical Effects: Increased heart rate, sweating, shaking, nausea, and vomiting.

Risks of NPS

NPS are unpredictable and often contain dangerous chemicals that have not been thoroughly tested. The risks associated with NPS include:

1. Health Risks:

   • Toxicity: Many NPS contain substances that can cause severe health issues, including heart attacks, seizures, and organ damage.

   • Overdose: Because the strength and composition of NPS can vary widely, overdose is a significant risk. Overdose symptoms may include difficulty breathing, unconsciousness, and cardiac arrest.

   • Addiction: Some NPS, particularly stimulants and synthetic cannabinoids, can be addictive, leading to long-term physical and psychological dependence.

2. Mental Health Risks:

   • Psychosis: Prolonged or excessive use of certain NPS can lead to psychotic episodes, including delusions and hallucinations.

   • Anxiety and Paranoia: Some users experience extreme anxiety or paranoia, which can persist even after the effects of the drug wear off.

   • Depression: Following the initial euphoria, many users experience a "crash", leading to feelings of sadness, hopelessness, and fatigue.

3. Physical Health Effects:

   • Cardiovascular Problems: Increased heart rate, high blood pressure, and risk of stroke or heart attack.

   • Respiratory Issues: Difficulty breathing or lung problems, especially when smoked or inhaled.

   • Damage to Internal Organs: Some NPS are toxic to the liver and kidneys, leading to organ failure in extreme cases.

4. Legal and Social Risks:

   • Although many NPS are marketed as “legal,” they can still be illegal under UK law, particularly once their chemical composition is identified. Possession or supply can lead to criminal charges.

   • Using NPS can also lead to significant social and legal consequences, including damage to personal relationships, work or school performance, and legal problems.

How NPS are Used

NPS can be used in various ways:

• Smoking: Many NPS are sold as smokable products, such as synthetic cannabinoids (Spice) or herbal incense.

• Ingesting: Some NPS come in powder form, which can be swallowed or mixed with liquids.

• Snorting or Injecting: Certain NPS powders can be snorted or injected for faster effects.

• Vaping: Some NPS are sold as liquids that can be vaped using e-cigarettes.

How to Support Young People Around NPS Use

Supporting young people who may be using NPS involves education, providing accurate information, and directing them to appropriate resources. Here are some key steps:

1. Start Open Conversations: Approach the topic without judgment and provide young people with a safe space to talk about their experiences with NPS. Ask open-ended questions such as, "What do you know about NPS?" or "How does it make you feel when you use them?"

2. Educate on the Risks: Make sure young people understand the unknowns and dangers of NPS, such as the potential for overdose, addiction, and long-term health consequences. Explain that these substances are not regulated and may contain harmful chemicals.

3. Discuss Legal Consequences: NPS may be marketed as “legal,” but many are illegal, and possession or supply can lead to criminal charges. Educate young people on the legal implications of using or possessing these substances.

4. Promote Healthier Coping Strategies: If NPS use is linked to stress, peer pressure, or mental health struggles, offer alternative ways of coping, such as talking to a counsellor, engaging in physical activity, or pursuing hobbies and creative outlets.

5. Encourage Professional Support: If a young person is struggling with NPS use or substance misuse, refer them to local support services. There are many services available that offer confidential and specialised help for those affected by substance misuse.

   If you or someone you know is struggling with ketamine use, it’s important to seek professional help. There are a number of services available in the Wirral that offer confidential advice, support, and treatment for both young people and adults.

   For Young People: Response Drug and Alcohol Service

   The Response Drug and Alcohol Service offers tailored support for young people dealing with substance misuse. Their team provides confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

   • Contact Information:

     • Phone: 0151 666 4123

     • Email: response@wirral.gov.uk

   You can also visit their website for more details on the services they offer: Response Drug and Alcohol Service.

   For Adults: Wirral Ways to Recovery

   For adults in Wirral seeking help with drug misuse, Wirral Ways to Recovery provides a range of support services, including assessment, treatment, and recovery programmes. Whether you're looking to reduce harm, access treatment, or recover from substance misuse, their professional team is here to help.

   • Contact Information:

     • Phone: 0151 556 7600

     • Email: wirralways@changegrowlive.org

   For more information on their services, you can visit their website: Wirral Ways to Recovery.

MDMA (3,4-methylenedioxymethamphetamine), commonly known as Ecstasy, is a synthetic stimulant and psychedelic drug that is popular in party and club environments. It is often associated with raves, music festivals, and social gatherings due to its euphoric effects, enhanced empathy, and increased energy. However, MDMA is illegal in the UK and can have serious risks, especially when misused.

What is MDMA?

MDMA is a synthetic drug that combines both stimulant and hallucinogenic properties. It works primarily by increasing the activity of three neurotransmitters in the brain: serotonin, dopamine, and noradrenaline. This release of serotonin is responsible for the feelings of euphoria, emotional warmth, and the desire to connect with others that are commonly experienced while using the drug.

MDMA is usually taken in pill or tablet form, though it can also be found as a powder. It is commonly sold as Ecstasy or Molly (when in powder form), though the drug is sometimes mixed with other substances, which can increase the risks associated with its use.

Effects of MDMA

When taken, MDMA can cause a range of effects that last for about 3-6 hours, depending on the dose and individual factors. Some of the common effects include:

• Euphoria: A powerful sense of happiness, well-being, and pleasure.

• Enhanced Sensory Perception: Sounds and lights may seem more intense, and some people report a greater appreciation for music.

• Increased Empathy and Emotional Openness: Many users report feeling more connected to others and an enhanced sense of compassion or empathy.

• Increased Energy: MDMA is a stimulant, so it can lead to heightened physical energy, increased activity, and reduced feelings of tiredness.

• Heightened Social Interactions: A sense of closeness with others, making it a popular drug in social settings.

However, MDMA can also cause several unwanted effects, such as:

• Jaw Clenching and Teeth Grinding: This is one of the common side effects, which can lead to tooth or jaw damage if prolonged.

• Nausea and Vomiting: Some users may experience nausea or an upset stomach after taking MDMA.

• Sweating: MDMA can increase body temperature and cause excessive sweating, which can lead to dehydration if not properly managed.

• Blurred Vision: Some people experience visual disturbances after taking MDMA.

• Anxiety and Paranoia: While MDMA can initially create a sense of happiness, it may lead to feelings of anxiety or discomfort after the effects wear off.

Risks and Dangers of MDMA Use

MDMA carries several health risks, both short-term and long-term, especially when used inappropriately or repeatedly. These risks include:

1. Physical Health Risks:

   • Hyperthermia (Overheating): MDMA can raise body temperature to dangerous levels, leading to overheating, dehydration, and organ failure. This can be exacerbated in hot environments, like crowded clubs or festivals.

   • Heart Issues: MDMA increases heart rate and blood pressure, which can cause serious issues for individuals with heart conditions.

   • Dehydration and Electrolyte Imbalance: MDMA increases the need to drink fluids, but excessive water intake without the proper balance of electrolytes (such as sodium) can lead to hyponatremia (low blood sodium levels), which can be fatal.

   • Severe Risk of Overdose: Ingesting too much MDMA can result in overheating, seizures, and organ failure. This is particularly dangerous when combined with other substances.

2. Mental Health Risks:

   • Depression and Anxiety: The serotonin depletion caused by MDMA use can lead to feelings of depression, anxiety, and irritability after the drug has worn off. This may last for several days, affecting mood and wellbeing.

   • Addiction: MDMA is not typically considered physically addictive, but it can be psychologically habit-forming. Some individuals may develop a desire to use MDMA repeatedly to experience the feelings of euphoria and connection, leading to patterns of misuse.

   • Cognitive and Memory Impairment: Repeated use of MDMA can affect cognitive function and memory. Users may experience difficulties with concentration, learning, and decision-making over time.

3. Risk of Contaminated Substances:

   • MDMA is often sold in pill form, and these pills may contain impurities or other substances, such as methamphetamine, caffeine, or other harmful chemicals that can increase the risks of use.

   • Ecstasy pills may be cut with dangerous substances that can cause unexpected effects and increase the risk of overdose.

4. Legal Risks:

   • In the UK, MDMA is classified as a Class A drug, meaning that it is illegal to possess, supply, or produce. Possessing MDMA can result in serious legal consequences, including criminal charges, fines, or imprisonment.

How to Support Young People Around MDMA Use

If you’re working with young people who may be using MDMA, it’s important to provide them with accurate information and support. Here are some steps for providing guidance:

1. Open Conversations: Create a safe, non-judgmental space where young people can talk about their experiences with MDMA or other substances. Ask questions like, "What do you enjoy about using MDMA?" and "Have you thought about the potential risks?" to encourage reflection and open dialogue.

2. Educate on the Risks: Help young people understand the risks associated with MDMA use, including physical health risks, the potential for mental health issues, and addiction. Discuss the potential for contaminants in street MDMA and the dangerous effects of taking unregulated substances.

3. Encourage Healthy Alternatives: Many young people use MDMA in social settings to enhance the experience. Encourage them to find healthier ways to enjoy themselves, such as engaging in physical activities, spending time with friends, or participating in creative pursuits that don’t involve drug use.

4. Support Mental Health: MDMA is often used to enhance emotional experiences, but this can have a significant impact on mental health. If a young person is using MDMA to cope with anxiety, stress, or depression, encourage them to seek professional support and address the underlying issues.

5. Discuss Legal Consequences: Ensure young people are aware of the legal risks associated with MDMA. Explain that it is a Class A drug and that being caught in possession or dealing MDMA can have serious legal repercussions, affecting their future opportunities.

Professional Support in the Wirral

If you or someone you know is struggling with substance misuse, including MDMA use, it’s important to seek professional help. There are several services available in the Wirral offering confidential advice, support, and treatment for both young people and adults.

For Young People: Response Drug and Alcohol Service

The Response Drug and Alcohol Service offers tailored support for young people struggling with substance misuse. Their team provides confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

• Contact Information:

  • Phone: 0151 666 4123

  • Email: response@wirral.gov.uk

  • For more details, visit: Response Drug and Alcohol Service

For Adults: Wirral Ways to Recovery

For adults in Wirral seeking help with drug misuse, Wirral Ways to Recovery provides a wide range of support services, including assessment, treatment, and recovery programmes. Their professional team offers confidential advice and treatment to support long-term recovery.

• Contact Information:

  • Phone: 0151 556 7600

  • Email: wirralways@changegrowlive.org

  • For more information, visit: Wirral Ways to Recovery

Nitrous Oxide (Balloon) Use: What You Need to Know

Nitrous oxide, commonly known as laughing gas, is a legal substance that is most often used for its euphoric and hallucinogenic effects. While it has legitimate medical uses, particularly in dentistry and for anaesthesia, it is increasingly being misused recreationally by inhaling it from canisters or balloons. Nitrous oxide is often used in party or club environments, but its misuse can have serious risks.

What is Nitrous Oxide?

Nitrous oxide is a colourless, odourless gas that is used in medical settings as an anaesthetic and pain reliever. In recreational use, it is inhaled from small canisters or balloons to induce a short-lived feeling of euphoria, relaxation, or hallucinations. Nitrous oxide works by displacing oxygen in the brain, leading to a brief high that can last only a few minutes.

Although nitrous oxide is legal to purchase for legitimate purposes, it is illegal to misuse it recreationally by inhaling it from canisters, especially when it leads to harm. It is also sometimes mixed with other substances, increasing the risk of dangerous effects.

How Nitrous Oxide is Used

Recreational use of nitrous oxide typically involves inhaling the gas directly from a balloon or canister. Users often seek a quick and intense high, which may involve:

• Inhaling from balloons: The gas is transferred into a balloon and inhaled, causing a brief but intense feeling of euphoria.

• Inhaling from canisters: Some people also inhale directly from the canisters used to fill whipped cream dispensers. This method is more dangerous as it can lead to the risk of frostbite or direct lung damage.

Effects of Nitrous Oxide Use

The effects of nitrous oxide are generally short-lived, lasting only a few minutes. Some of the immediate effects include:

• Euphoria: A feeling of happiness or giddiness.

• Altered Perception: A sense of floating, dizziness, or detachment from reality.

• Numbness or Tingling: Many users report a tingling sensation in the body.

• Distorted Sound: Some individuals experience changes in sound perception, such as hearing things more clearly or in a distorted manner.

However, nitrous oxide use also carries risks:

• Loss of Coordination: The short-lived high can cause a lack of coordination, leading to falls and accidents.

• Oxygen Deprivation: Inhaling nitrous oxide displaces oxygen in the brain, which can cause unconsciousness or even suffocation if too much is inhaled.

• Injury: Due to impaired judgment, users may engage in dangerous activities, such as driving or performing unsafe tasks, while under the influence.

• Nerve Damage: Prolonged or excessive use of nitrous oxide can lead to nerve damage, causing numbness, tingling, or difficulty walking.

• Risk of Overdose: Inhaling too much nitrous oxide can lead to unconsciousness, and in extreme cases, death due to oxygen deprivation.

Risks of Nitrous Oxide Use

While nitrous oxide is generally considered to have a low potential for addiction, long-term or repeated misuse can cause significant health problems:

• Brain Damage: Prolonged use can lead to long-term cognitive impairment, such as memory loss and difficulties with concentration.

• Vitamin B12 Deficiency: Chronic use can deplete the body’s Vitamin B12 stores, leading to nerve damage and serious neurological conditions.

• Fatal Accidents: The effects of nitrous oxide can impair coordination and judgment, increasing the risk of accidents, including falls, crashes, and other injuries.

Legal Consequences

While nitrous oxide is legal to purchase and use for certain legitimate purposes, it is illegal to misuse it recreationally. Those caught inhaling or distributing nitrous oxide for non-medical purposes can face legal consequences, including fines or criminal charges for possession.

How to Support Young People Around Nitrous Oxide Use

As a professional, you may encounter young people who are using nitrous oxide. Here are some key steps for providing support:

1. Start Open Conversations: Create a safe and non-judgmental space for young people to talk about their experiences with nitrous oxide or any other substance. Start by asking open-ended questions, such as, "How did you first hear about nitrous oxide?" or "What do you like about using it?" This helps to understand their motivations and challenges.

2. Educate on the Risks: Provide factual, evidence-based information about the risks of using nitrous oxide, including the potential for oxygen deprivation, nerve damage, and the legal consequences of misuse. Emphasise that while nitrous oxide may seem harmless because it is legal in certain settings, it can be very dangerous when used recreationally.

3. Offer Alternative Coping Strategies: Many young people use nitrous oxide as a way to relieve stress, anxiety, or peer pressure. Encourage healthier coping strategies, such as engaging in physical activity, mindfulness, creative outlets, or seeking professional support for mental health issues.

4. Provide Support Services: If a young person is struggling with nitrous oxide misuse or any related mental health issues, refer them to appropriate substance misuse services or mental health counsellors. Timely support can help reduce the risks associated with ongoing use.

Professional Support in the Wirral

If you or someone you know is struggling with substance misuse, including nitrous oxide use, it’s important to seek professional help. There are a number of services available in the Wirral that offer confidential advice, support, and treatment for both young people and adults.

For Young People: Response Drug and Alcohol Service

The Response Drug and Alcohol Service provides tailored support for young people dealing with substance misuse. Their team offers confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

• Contact Information:

  • Phone: 0151 666 4123

  • Email: response@wirral.gov.uk

  • For more details, visit: Response Drug and Alcohol Service

For Adults: Wirral Ways to Recovery

For adults in the Wirral seeking help with drug misuse, Wirral Ways to Recovery offers a range of support services, including assessment, treatment, and recovery programmes. Their professional team provides confidential advice and treatment to support long-term recovery.

• Contact Information:

  • Phone: 0151 556 7600

  • Email: wirralways@changegrowlive.org

  • For more information, visit: Wirral Ways to Recovery

Psychedelics are a class of drugs that primarily affect mood, thoughts, and perception. These substances are known for their ability to induce altered states of consciousness, often causing visual or auditory hallucinations, and changing how individuals perceive reality. While psychedelics have been used in religious and therapeutic settings for centuries, they are illegal in the UK for recreational use. Despite this, their popularity has grown, especially in certain social and party environments, making it important to understand their effects, risks, and the support available for those who may misuse them.

What are Psychedelics?

Psychedelic substances, also known as hallucinogens, are drugs that alter perception, thinking, and feelings. They work primarily by affecting the serotonin receptors in the brain, which play a role in mood and perception.

Common types of psychedelics include:

• LSD (Lysergic acid diethylamide): A powerful hallucinogen that alters sensory perception and can lead to vivid visual and auditory hallucinations.

• Psilocybin Mushrooms: Often called “magic mushrooms,” these mushrooms contain the psychoactive compound psilocybin, which can cause hallucinations, altered thinking, and a sense of euphoria.

• DMT (Dimethyltryptamine): A potent psychedelic often found in some plants and consumed through smoking or as part of Ayahuasca (a plant-based brew used in certain spiritual practices).

• Mescaline: A naturally occurring psychedelic found in peyote and other cacti. It causes visual distortions and a sense of euphoria.

• MDMA (3,4-methylenedioxymethamphetamine): Often referred to as "ecstasy," it is sometimes considered a stimulant but has psychedelic effects at higher doses.

Psychedelics are usually ingested orally, but they can also be smoked, snorted, or inhaled.

Effects of Psychedelics

The effects of psychedelics are unpredictable and can vary greatly depending on the substance used, the individual, and the setting. Common effects include:

• Hallucinations: Visual or auditory distortions that may include seeing vivid colours, geometric patterns, or altered shapes.

• Altered Perception of Time: Time may seem to slow down, speed up, or become distorted.

• Euphoria: Many users experience intense feelings of joy, connectedness, or spirituality.

• Increased Sensory Perception: Heightened awareness of sounds, colours, and sensations.

• Dissociation: Some people feel detached from their bodies or reality, which can lead to profound spiritual or existential experiences.

However, the effects are not always positive. In some cases, users can experience:

• Anxiety and Paranoia: Feelings of extreme fear, confusion, or suspicion, commonly referred to as a "bad trip."

• Psychosis: In rare cases, intense hallucinogenic experiences can lead to long-lasting or temporary psychosis, causing users to lose touch with reality.

• Emotional Distress: The altered state can sometimes bring up difficult emotions, leading to feelings of sadness, grief, or disorientation.

Risks of Psychedelic Use

While psychedelics are not typically considered physically addictive, they can still pose significant risks, especially for young people whose brains are still developing.

1. Mental Health Risks:

   • Psychosis: Some users, particularly those with a family history of mental health conditions such as schizophrenia, may be at increased risk of developing psychosis or other mental health disorders.

   • Bad Trips: A bad trip can result in severe anxiety, panic attacks, and paranoia, which may cause lasting psychological distress. Some users report experiencing flashbacks or feeling like they are still "tripping" days or weeks after the drug has worn off.

   • Increased Risk of Self-Harm or Suicide: In rare cases, psychedelic use can trigger emotional distress or self-destructive behaviour.

2. Physical Health Risks:

   • Overdose: While psychedelics are not typically associated with fatal overdose, excessive use or combining them with other substances (such as alcohol or stimulants) can increase the risk of dangerous physical effects.

   • Injury: Due to impaired judgment and distorted perception, users may engage in risky behaviours that can lead to physical harm, such as accidents, falls, or dangerous activities.

3. Long-Term Mental Health Effects:

   • Flashbacks: Some individuals experience flashbacks, also known as Hallucinogen Persisting Perception Disorder (HPPD), where they experience recurring visual disturbances long after the drug has left their system.

   • Psychological Dependence: While not physically addictive, some individuals may develop a psychological dependence on the altered states of consciousness provided by psychedelics.

4. Legal Consequences:

   • Illegal Status: All forms of psychedelic drugs are classified as Class A drugs in the UK, meaning their use, possession, or supply is illegal. Convictions for possession or supply can result in serious legal consequences, including fines, warnings, or prison sentences.

How to Support Young People Around Psychedelic Use

As a professional supporting young people, it is essential to help them make informed decisions about drug use and provide guidance if they are experimenting with psychedelics. Here are some key steps:

1. Open Conversations: Create a space where young people can talk openly about their experiences with drugs. Don’t judge them; instead, listen and guide the conversation toward the risks associated with psychedelic use. Discuss what might have motivated their use, such as curiosity, peer pressure, or mental health issues.

2. Educate on the Risks: Provide accurate information on the potential physical, mental, and legal risks associated with psychedelics. Help them understand that while psychedelics may seem appealing due to their mind-altering effects, the risks—such as bad trips, psychosis, and long-term mental health issues—are real.

3. Encourage Healthy Coping Strategies: Many young people may use psychedelics as a way to cope with stress, anxiety, or emotional pain. Encourage healthier alternatives, such as talking to a counsellor, exercising, or engaging in creative outlets. Support them in finding positive coping mechanisms that don’t involve drugs.

4. Discuss the Legal Consequences: Make sure young people understand that all psychedelics are illegal in the UK, and getting caught with them can lead to severe legal consequences, including criminal charges and a criminal record.

5. Encourage Professional Support: If a young person is struggling with psychedelic use or any related mental health issues, direct them to appropriate services such as drug and alcohol support services or mental health counsellors. It’s important that they receive professional guidance to avoid the risks associated with continued use.

   If you or someone you know is struggling with ketamine use, it’s important to seek professional help. There are a number of services available in the Wirral that offer confidential advice, support, and treatment for both young people and adults.

   For Young People: Response Drug and Alcohol Service

   The Response Drug and Alcohol Service offers tailored support for young people dealing with substance misuse. Their team provides confidential, non-judgmental advice, support, and treatment options to help young people make safer choices and manage their substance use.

   • Contact Information:

     • Phone: 0151 666 4123

     • Email: response@wirral.gov.uk

   You can also visit their website for more details on the services they offer: Response Drug and Alcohol Service.

   For Adults: Wirral Ways to Recovery

   For adults in Wirral seeking help with drug misuse, Wirral Ways to Recovery provides a range of support services, including assessment, treatment, and recovery programmes. Whether you're looking to reduce harm, access treatment, or recover from substance misuse, their professional team is here to help.

   • Contact Information:

     • Phone: 0151 556 7600

     • Email: wirralways@changegrowlive.org

   For more information on their services, you can visit their website: Wirral Ways to Recovery.

Benzodiazepines are a class of drugs commonly prescribed to treat anxiety, insomnia, and other medical conditions. However, these drugs can also be misused, especially when taken outside of medical guidance. Benzodiazepines are sedative-hypnotic medications, meaning they work by depressing the central nervous system to produce calming and relaxing effects. While they are effective in treating certain conditions, misuse of benzodiazepines can lead to serious risks, including dependence, overdose, and even death.

What are Benzodiazepines?

Benzodiazepines are prescription drugs that belong to a family of sedative medications. They are commonly prescribed to treat conditions such as anxiety, insomnia, and muscle spasms, as well as for seizures or to relax individuals before medical procedures. Benzodiazepines include well-known medications such as:

• Diazepam (Valium)

• Lorazepam (Ativan)

• Alprazolam (Xanax)

• Clonazepam (Klonopin)

• Temazepam (Restoril)

These medications work by enhancing the effects of a neurotransmitter called GABA (gamma-aminobutyric acid), which is responsible for inhibiting brain activity, leading to feelings of relaxation and reduced anxiety.

Effects of Benzodiazepines

When used appropriately and under medical supervision, benzodiazepines can be effective in managing anxiety or sleep disorders. The effects of benzodiazepines include:

• Relaxation and Calmness: The primary effect of benzodiazepines is a reduction in anxiety, leading to a calming and soothing sensation.

• Sedation: Benzodiazepines can induce sleepiness, making them helpful in treating insomnia.

• Muscle Relaxation: Benzodiazepines can help relax muscles, which is beneficial for treating conditions like muscle spasms.

• Amnesia: Benzodiazepines can cause short-term memory loss or impair the ability to form new memories.

While these effects can be beneficial in medical settings, they can also pose risks when misused.

Risks and Dangers of Benzodiazepine Use

Benzodiazepines, especially when misused, can have several short-term and long-term risks. Misuse includes taking higher doses than prescribed, using them without a prescription, or combining them with other substances like alcohol or opioids.

1. Dependence and Addiction:

   • Physical Dependence: With prolonged use, the body becomes accustomed to the effects of benzodiazepines, and users may experience withdrawal symptoms if they stop using the drug suddenly. Symptoms can include anxiety, tremors, sweating, and seizures.

   • Psychological Dependence: Individuals may become psychologically dependent on the calming effects of benzodiazepines and feel unable to cope with anxiety or stress without them.

2. Overdose:

   • Taking high doses of benzodiazepines or combining them with other central nervous system depressants like alcohol or opioids can increase the risk of overdose, which can be fatal. Symptoms of a benzodiazepine overdose include slow breathing, confusion, unresponsiveness, and loss of consciousness.

3. Cognitive and Motor Impairment:

   • Benzodiazepines can impair coordination and judgment, leading to accidents and injuries, particularly when driving or operating machinery.

   • Memory problems and difficulty concentrating are common, particularly with long-term use.

4. Mental Health Issues:

   • Long-term benzodiazepine use can worsen depression, anxiety, or other mental health conditions. Some people may experience increased feelings of sadness or hopelessness after taking benzodiazepines.

5. Withdrawal Symptoms:

   • If someone has been using benzodiazepines for an extended period, stopping suddenly can lead to withdrawal symptoms, which may include anxiety, agitation, insomnia, and in severe cases, seizures.

6. Risk of Mixing Substances:

   • Combining benzodiazepines with alcohol, opioids, or other central nervous system depressants can greatly increase the risk of overdose. This combination can slow down vital functions like breathing and heart rate, leading to death in extreme cases.

How Benzodiazepines Are Used

Benzodiazepines are typically taken orally in the form of tablets or liquids, but they can also be injected in certain medical settings. They are usually prescribed for short-term use, as prolonged use can lead to dependence and other risks. Benzodiazepines are often misused by taking higher doses or combining them with other substances to enhance the effect.

How to Support Young People Around Benzodiazepine Use

If you’re working with young people who may be misusing benzodiazepines, it’s important to provide them with support, guidance, and education about the risks. Here are some steps to take:

1. Open and Non-Judgmental Conversations: Create an environment where young people feel comfortable discussing their use of benzodiazepines. Ask open-ended questions like, "How did you first come across benzodiazepines?" and "What do you feel when you take them?" Encourage open dialogue and listen to their concerns without judgment.

2. Educate on the Risks: Ensure that young people understand the short-term and long-term risks associated with benzodiazepine use, including the potential for dependence, overdose, and mental health issues. Help them realise that the drug can have a significant impact on their physical and mental health, especially with long-term use.

3. Discuss Safe Alternatives: Encourage young people to seek healthier ways of managing stress, anxiety, or sleep issues, such as through talk therapy, exercise, or mindfulness. Offer support in accessing non-addictive ways of managing their emotions or mental health.

4. Monitor for Signs of Dependence: Be vigilant for signs that a young person may be becoming dependent on benzodiazepines, such as increasing frequency of use, seeking multiple prescriptions, or exhibiting withdrawal symptoms. If you suspect dependency, it’s important to encourage them to seek professional help.

5. Encourage Professional Support: If a young person is misusing benzodiazepines or struggling with dependence, refer them to appropriate substance misuse or mental health services. These services can provide counselling, detox programmes, and support groups to help individuals manage their drug use safely and effectively.

Professional Support in the Wirral

If you or someone you know is struggling with benzodiazepine use, it’s important to seek professional help. There are several services in the Wirral that offer confidential advice, support, and treatment for both young people and adults.

For Young People: Response Drug and Alcohol Service

The Response Drug and Alcohol Service provides tailored support for young people dealing with substance misuse, including benzodiazepines. Their team offers confidential, non-judgmental advice, support, and treatment options to help young people manage their substance use.

• Contact Information:

  • Phone: 0151 666 4123

  • Email: response@wirral.gov.uk

  • For more details, visit: Response Drug and Alcohol Service

For Adults: Wirral Ways to Recovery

For adults seeking help with drug misuse, including benzodiazepines, Wirral Ways to Recovery provides a range of support services, including assessment, treatment, and recovery programmes. Their professional team offers confidential advice and treatment to support long-term recovery.

• Contact Information:

  • Phone: 0151 556 7600

  • Email: wirralways@changegrowlive.org

  • For more information, visit: Wirral Ways to Recovery