Opioid Substitution Therapy (OST)

Local Services

There are a range of services available to individuals including but not limited to:

Addiction Psychology Service – The Addiction Psychology Service deliver evidence-based direct and indirect psychological care to support people in their recovery journey in a person-centred and trauma informed way. This includes providing one-to-one interventions, group-based interventions, collaborating with the wider addiction team and providing training, consultation and coaching to staff.

BBV testing/treating and care network – The Lanarkshire wide BBV Network consists of a variety of services focused on preventing transmission of BBV infections (HIV and Hepatitis). It consists of a wide range of services offering prevention advice, BBV testing, specialty services providing treatment/management of infection and care services to support people living with BBV infection.

Community Addiction Recovery Services – provide a full assessment of your needs and co-ordinate your health and social care recovery with you. This may include help with detoxing from alcohol or drugs, substitute prescribing, talking therapies or harm reduction information.

Café Connect – Café Connect is a Harm Reduction Style Café that provides an attractive space for those people who are not ready to access recovery options that require people to be stable and/or abstinent.

The GIVIT – Youth Recovery Service – The GIVIT is an intensive service for young people aged 13-25 living in South Lanarkshire with problematic alcohol or substance use, providing one to one support, CBT counselling, peer mentoring and community based recovery hubs

SACRO – AYE – Sacro provides a support service for people who have been arrested and charged by Police Scotland.

Phoenix Futures Family Service –  provides support to ANYONE 16+ who lives in North Lanarkshire and is concerned about someone else’s alcohol or drug use. We provide loved ones with tools and support to help them navigate and cope with the impact that alcohol and drugs can have on their families and their own personal wellbeing.  

For more information or how to sign post individuals into these services please refer to the local HSCP webpage below.

South Lanarkshire

North Lanarkshire

Missed Dose

It is of vital importance that the prescriber of any patient who misses 3 consecutive days of opioid substitution treatment is informed as soon as possible (Missed doses can now be recorded via NEO). There are a number of reasons for this:

  • There is a risk that the patient may have lost tolerance to the drug and the usual dose may cause overdose. 
  • There is a risk that the patient has come to some sort of harm. Community Pharmacies are an important point of contact for many patients prescribed OST. 
  • There is a risk that the patient has moved to another area and their OST has been prescribed elsewhere.

Scotland is currently in the midst of a drug related deaths crisis and community pharmacy can play a vital role in tackling this, particularly through ensuring effective communication between services. Dose recording is now available through NEO, please see below user guides for support.

NEO Module User Guide

NEO Messaging Guidance

Naloxone

Following the release of the  Drug Death Taskforce Report there was an action for ALL community pharmacies to hold naloxone for administration in an emergency to people who use drugs to reverse the effects of an opioid overdose.

For more details information about the service please read through the service specification which can be found on the link below 

PCA(P)(2023)34 – Naloxone Emergency Supply Service – Additional Pharmaceutical Services

Don’t forget to complete the Naloxone Emergency Supply e-learning modules

Lesson 1 – Drug Related Deaths in Scotland

Lesson 2 – Identifying an overdose

Lesson 3 – Naloxone and its administration