The list of residential services that take people from statutory services are closing at an alarming rate, and those that survive are clearly at significant risk.
Last year came the shock news that in nearby Bristol, Chandos House was to close: https://www.theguardian.com/society/2018/oct/17/closing-residential-rehab-increases-suffering-addicts-chandos-house
This year we saw the excellent Broadreach Service sadly shut its doors: https://www.itv.com/news/westcountry/2019-07-04/recovering-addicts-devastated-at-closure-of-plymouth-rehab-centre-broadreach-house/
We also saw the closure of City Roads after over 40 years of supporting people: https://www.cranstoun.org/news-media/cranstoun-city-roads-announcement/
At Kaleidoscope, we have the excellent Birchwood Residential Treatment Service http://www.birchwoodtreatment.com/
Birchwood offers a great service, often helping some very vulnerable people get through their detox. It supports a huge range of people, but to qualify to get funding you now have to have fairly complex health needs. The placements are days rather than weeks and for many there will be no residential rehabilitation at the end of their time with us. The centre has some amazing staff and its facilities are very good, but from a financial perspective it is a struggle.
The key problem is the continued cuts to drug and alcohol provision. There continues to be lip service to a recovery orientated service but it simply is not working now, and particularly for those with the greatest needs. I have been to many commissioning events, and hear about the huge improvements they want from services whilst at the same time making significant cuts. The two are clearly incompatible and the cost to people with substance issues is huge, but there is also a big impact on our front line services within the NHS.
As the UK Government continues to fail to promote a healthier relationship with Alcohol, the emergency services face the consequences and they are been exasperated by a lack of services to support people.
The cost to hospitals by failing people is also growing as there is no real alternative in supporting people. Sadly the hospital, or in some cases prisons, are not the right places for people to be at. The individual with the drug or alcohol problem needs a specialist service, and the tax payer needs a cheaper and more effective service so people do not continue to go into the circle of addiction chaos.
Meanwhile charities are giving up in providing services to people who need government support to get residential care. CAIS are an example of a charity that recently had to close their rehab last year.
Ty’n Rodyn offered high-quality residential rehabilitation for substance misuse – supporting and enabling people to take control of their lives, free from dependency. The mixed-gender seven-bed unit was based in a converted town house near to the centre of Bangor, North Wales
CAIS have instead invested in the Private Health Care market realising that if they wish to help people they can only do so for those who can afford to pay.
In a time where cuts to services for those who cannot afford to pay for their treatment leads to ever more closures, the private market is enjoying significant success. You of course have an option of getting help anywhere in the world. At a recent ICAAD Conference it was amazing seeing the range of amazing options on offer. A friend from India who used to work with the street people of Delhi has recently made the move to the Private sector and this is his new place of work: https://www.youtube.com/watch?v=blJSUip-qFY
And of course if you have a drug problem where money is no object you could try: https://www.youtube.com/watch?v=1_N10Bn7rVo