Detox for Drug Addiction

At Stepps we view the detoxification programme as a Physical, Psychological and Spiritual process and, where good clinical practice allows, clients will be offered a variety of interventions using the very latest protocols.

The use of prescribed medication from our specialist doctors is only one part of this service. Our basic principals are to use a holistic approach to treatment, underpinned by proven research based methods and updated via Clinical Governance procedures to enable us to offer best practice for our clients and staff development.

For the majority of clients the detoxification process will take seven to ten days, although individuals who have been using certain substances may take longer to regain cognition for them to enter their Personalised Treatment Plan fully.

Medical Interventions for Opiate Detox

The methods used are dependant on the client's use before admission and is negotiated between client, doctor and nursing staff. Although we prefer to use Subutex and Lofexidine, sometimes clients request Methadone in conjunction with Lofexidine.

Methadone - If the client is admitted on a high dose, we will stabilise before reduction and introduce Lofexidine to manage withdrawals. Ideally, we prefer to reduce Methadone and transfer over to Subutex as soon as possible.

Heroin, DF118 and other Codeine proprieties - Again, we are open to negotiation on the detoxification with these substances, but would encourage titration to Subutex.

Subutex - This is a more expensive drug but, in our experience, it is cost effective because clients experience little or no discomfort, sleep is less likely to be disturbed and they are alert and more able to function in the full Stepps programme.

Stimulants - Cocaine, Crack Cocaine and Amphetamines - It is said that there is no direct physical withdrawal affect from these substances but at Stepps we tend to disagree. Just giving up caffeine will certainly show certain physical withdrawals ranging from mild discomfort to real distress. For this reason, we prescribe Carbamazapine for a few days as a mood stabilizer which can have a slight sedative effect. Clients may also need occasional Librium and/or Zopiclone to help relaxation.

Benzodiazepines - We transfer to Diazepam (liquid) and reduce. Towards end doses, we may introduce Carbamazapine to prevent seizures.

Complementary Detoxification Therapies

A variety of herbal teas, including Detox and Sleep, are provided for clients to enhance the detoxification process. All teas and coffees at Stepps are caffeine free.

We also encourage the use of Lavender Oil, Witchazel, Arnica and Methal Salisate to educate clients to take an active part in their recovery and not depend on "another pill or potion for any ailment". Yoga, meditation, relaxation and guided fantasies are all other means of encouragement used at Stepps to set clients on their path to a healthier lifestyle.

In addition we will provide Auricular Acupuncture treatment, massage and reflexology, all found to benefit detoxification and relaxation, for those who would like it.