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Substitute Prescribing

Turning Point has developed a specific approach to the prescribing of medication for people with a dependency on heroin or other opiates, which means that anyone assessed as suitable for a substitute prescription has a choice about what sort of treatment they want to receive.

The choice is about opting for High or Low intensity support?

Whether you want to stop soon or later, if Turning Point are going to prescribe for you then you need to attend a motivational course. These are 90 minute sessions once a week for 4 weeks. After this, you can choose low or high intensity support. If you are not being prescribed for, they can still help you with a drug or alcohol problem.

  • High intensity support is a mixture of groupwork and 1-2-1 sessions with a Turning Point worker. We will work closely and intensively with you to help you with your recovery.
  • Low intensity support has less frequent 1-2-1 sessions and they are largely to check your progress and goals, ensure your safety and review your path to recovery with you.

You can move between low and high intensity treatment as suits you and your goals and plans.

Low intensity treatment

Low intensity treatment means:

  • You will be supported in working towards positive recovery goals
  • You will get one days methadone at a time and the chemist may watch you take it (in private)
  • You will have appointments every 6 weeks and a review with a doctor or nurse every 12 weeks
  • There are health checks at appointments
  • Missing appointments may result in changes to your dose or your prescription being held for you to collect in person
  • You can use some other Turning Point Somerset services, but not all.

High intensity treatment

High intensity treatment means:

  • This is treatment aimed at supporting you in changing and stopping your drug or alcohol use
  • You can receive support with other issues too such as housing, relationships etc.
  • You will have access to appointments with your keyworker at a frequency agreed with you
  • You will have access to groupwork such as the Recovery Skills Programme
  • Missing groups or appointments may result in changes to your prescription or dispensing arrangements and they will discuss these with you
  • There is access to short term counselling and other psychological therapies to support you in your goals of stopping your use of drugs or alcohol
The choice is about opting for High or Low intensity support


The people that are receiving a prescription in order to change their behaviour, cease their illegal drug use and enter recovery, can access:

  • a wide range of Talking Therapies to support them and/or
  • Community Detoxification or Inpatient Detoxification and/or
  • Residential Rehabilitation.

To find a Turning Point service near you click here.


Office Address:
Somerset Drug & Alcohol Partnership
Somerset County Council
County Hall (PP B3S 2)
Taunton TA1 4DY
Email:
sdap@somerset.gov.uk
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