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Dr Alexander Margetts, Clinical Psychologist David Stuart, Antidote Manager clubdrugclinic.cnwl@nhs.net BAHSHE, York. 06/07/12 CLUB DRUGS Slide 2 Talk Overview Why Club Drugs? New Users, New Drugs The Club Drug Clinic LGBT perspectives What to do? Q&A Slide 3 Heroin and Crack Cocaine use decreasing Alternatively, in 2010, 300,000 16-24yrs had tried Mephedrone....... Slide 4 DrugPercentage (lifetime) Ecstasy89.5 Cocaine84.6 Ketamine66.1 Benzodiazepines42.0 Mephedrone41.3 GHB15.2 Crack13.6 Heroin6.7 Winstock et al. Addiction 2010, 106, 154-161 Drugs used by clubbers Slide 5 UKDPC: Drugs and diversity 2010 LGBT Drug use Slide 6 New Users, New Drugs GBL/GHB Crystal Methamphetamine Ketamine Mephedrone Legal Highs Slide 7 Colourless, liquid solvent. Pipette into a drink or use nail varnish pads Similar effects to alcohol: relaxed, euphoria, sex drive and sensuality Used mainly for sex and clubbing Difficult to get the dose right V. easy to overdose going under Physically addictive very quickly with dangerous withdrawals if dependent Will require medical detox if become dependent outpatient or inpatient depending on severity and risk factors GBL/GHB Slide 8 Methamphetamine, crystal, Ice, Glass, Tina, Yaba, Krank, Tweak Tablet, powder or crystals smoked, injected, inserted Can be taken in runs lasting days, sexualised use in MSM community Intense rush, euphoria, exhilaration, energy, sex drive, confidence, sociable appetite Risk contracting BBVs through injecting, sharing pipes, risky sex. Paranoia, psychosis, impulsivity Crystal Methamphetamine Slide 9 K, Ket, Green, Special K, Super K, Vitamin K, Lady K, Cat Valium, Kit- Kat, Horse Tranquiliser Anaesthetic white powder or liquid usually snorted (ketamine inhalers), occasionally injected Euphoria, transcendental-like experiences, mild hallucinogenic High doses can lead to a K- hole Ketamine Bladder & Cramps Ketamine Slide 10 Meph, MC, m-cat, 4-MMC, Miaow, Meow Meow, Bubbles, Bounce, Charge, Drone, White Magic Powder or tablets, snorted, mixed with a drink, injected Stimulant: euphoria, speediness, increased sex drive Anxiety, heart palpitations, hallucinations, agitation, psychosis The original Legal High, criminalised in 2010 following media activity. Many more sprung up since. Mephedrone Slide 11 Psychiatry Psychology Peer Support Sex Health/HIV Hepatology Urology A&E/ICU Clinical, Research, Consultation Club Drug Clinic: One Stop Shop Slide 12 Club Drug Clinic Consultant Psychiatrist & 2 Training Drs Clinical Psychologist + 2 Assistants Clinical Nurse Specialist Sexual Health Worker Employmen t Specialist ANTIDOTE Drug Workers & Volunteers Research Assistant The Team..... Slide 13 Information and advice Assessment of what the client is using & the problems it might be causing Assessment of other problems physical, psychological Keyworking individual and group Specific medical treatments Specific psychological treatments Sexual Health Testing Training, teaching, consultation Research How we help Slide 14 Remove barriers to treatment Sexual Health model Any borough, any/no GP Confidential & Non-Judgmental Self phone, e-mail (