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

http://www.gaydar.co.uk/

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?