LEAP – The NEN – North Edinburgh News

More funding to support residential rehabilitation placements

New initiatives to increase access to residential rehabilitation across Scotland which will be able to support more than 100 residential rehab placements have been introduced.

Local Alcohol and Drug Partnerships (ADPs) that are experiencing high demand will be able to access extra funding from the new £2 million Scottish Government Residential Rehabilitation Additional Placement Fund (APF).

In addition, a national online service directory will also provide an up-to-date nationwide list of residential rehabilitation providers for the first time.

Drugs and Alcohol Policy Minister Christina McKelvie said: “A recent PHS publication found we are on track to meet our commitment of 1,000 people receiving public funding for residential rehab but we want to do more and we are working hard to remove potential barriers to people accessing it.

“Those working in ADPs have helped design this approach, which complements a range of other residential rehabilitation projects supported by the Scottish Government.

“This demand-led fund will allow ADPs that need the greatest number of placements to draw down on additional funding for these when they need it – helping ensure funding is targeted at those areas which face the biggest challenges in meeting demand and where help is needed the most.

“The online directory of providers will also make it easier for people to access placements. It will help professionals in the sector as well as empowering individuals and their loved ones to access quality residential rehabilitation and identify the service best placed to support them.”

The rehab.scot site contains an up-to-date list of accredited participating residential rehabilitation providers across the country, as well as associated support services, guidance on accessing rehab and a section on lived-experience rehab journeys.

The fund will be delivered by third-sector partners Scotland Excel.

LEAP-Edinburgh-Pathway-v-0.5 Download

Building a fairer Scotland

Consultation on Learning Disabilities, Autism and Neurodivergence Bill

Views are being sought on proposals to better protect, respect and champion the rights of people with learning disabilities, autistic and neurodivergent people.

The Learning Disabilities, Autism and Neurodivergence Bill consultation includes proposals that would provide benefits in many areas of life, including more inclusive communications and mandatory training in the public sector to address the stigma and barriers people often face.

Mental Health Minister Maree Todd said: “People with learning disabilities, autistic people and neurodivergent people make up around 15% of our society and many of them think and see the world differently. This shouldn’t cause them to be stigmatised and disadvantaged and the Scottish Government is committed to ensuring that their rights are respected.

“This public consultation has been designed alongside people with lived experience, and we have worked closely with third sector organisations and support providers to ensure those who know the challenges best are at the heart of any action we take.

“I am keen to hear views from as many people as possible on our proposals. I am confident that, together, we can build a fairer Scotland for all.”

Hannah Roussel and Jim Gault, Lived Experience Advisory Panel (LEAP), co-Chairs said: “This public consultation marks what we hope will be a significant milestone on the journey towards the fair and inclusive society Scotland aspires to be.

“If we get this right, Scotland has the opportunity to become a leading light, not just in the UK, but across the world. We are grateful to the Scottish Government for involving all of us on the LEAP so committedly, seeking always to place the voice of those with lived experience at the heart of this process.

“We on the LEAP are agreed that the status quo is not an option; there must be accountability, people with lived experience must be included, and what benefits us benefits all.

“We urge everyone to seize this unique opportunity to help define the Scotland we all aspire to build here and now, and for generations to come, by engaging with and responding to this consultation.”

Learning Disabilities, Autism and Neurodivergence Bill: consultation

NHS Lothian’s LEAP programme hires ‘peer bridgers’ to ease access to rehab services

The Lothians & Edinburgh Abstinence Programme (LEAP) has become the first rehabilitation service in Scotland to hire people with lived experience to bridge the gap between community treatment and rehab.

LEAP, run by NHS Lothian and partners, is the only therapeutic community rehabilitation for alcohol and other drug dependencies offered by the NHS in Scotland.

Before the launch of this programme, the service was supported by volunteers with addiction and recovery experience but now officially employees six Peer Bridgers.

Peer Bridgers are people with lived experience of addiction and recovery whose role is to support others through rehabilitation and help improve outcomes.

Recruitment began earlier this year, with the most recent bridger joining in June 2023.

Phil Hayes (above, right) is one of the new Peer Bridgers now employed by LEAP.

Phil suffered from substance misuse issues earlier in his life but, thanks to a community programme, moved into recovery over 20 years ago.

Since then, he spent several years learning about the behaviours that led to his own issues around addiction.

Phil said: “I think society in general views recovery as either unattainable or a continual hard slog of fighting your inner demons day in, day out. I want to be able to show people that isn’t the case.

“With the right support and guidance, as well as some honest hard work, anyone can move completely into recovery and be both happy and of value within their wider community.

“The peer bridging project allows me, and the rest of the team, to engage with people from the moment they decide to change their lives.

“We can provide continuity of support and guidance for them to build a life for themselves outside of addiction.”

Recently published research has shown that residential rehabilitation programmes, like LEAP, are effective in reducing the use of substances and have a positive impact on the overall health and quality of life of those with substance use issues.

Research also shows that positive changes in behaviour after residential rehabilitation can be maintained over time.

David McCartney, Clinical Lead for LEAP, said: “Tackling Scotland’s drug and alcohol-related deaths and improving outcomes from substance misuse treatments, including residential rehabilitation, is a national priority.

“LEAP is a unique programme in Scotland. In other areas, the road to rehab can be much more complicated so we’re very lucky in Lothian to have this service.

“There are few people in Scotland whose lives are untouched by the harms of addiction, whether experienced by individuals, their families, friends or colleagues – addiction affects us all.

“We support our service- users through medical and psychosocial interventions within a therapeutic community setting, giving individuals an opportunity to heal from trauma and addiction and continuing to support them after treatment.”

LEAP is part of the services provided by the Addiction Treatment and Recovery Care Directorate in NHS Lothian and is delivered in partnership with the City of Edinburgh Council, the Cyrenians, Encompass and Alcohol and Drug Partnerships.

The service is funded thanks to both Scottish Government as well as the Alcohol and Drug Partnerships.

Extension to Edinburgh’s LEAP recovery service

Residential rehabilitation capacity increased through Scottish Government funding

Additional residential rehabilitation and detox capacity has been created at a life-saving drugs service in Lothian with almost £3.3 million of Scottish Government funding.

Lothian and Edinburgh Abstinence Programme (LEAP) has added eight residential rehabilitation places and four detox places – bringing the total number to 28 and 12 respectively – in one of the first projects to be funded through the Residential Rehabilitation Rapid Capacity Programme.

This contributes towards the Scottish Government’s aim to treble the number of publicly funded residential rehabilitation placements to 1,000 by 2026.

Drugs Policy Minister Angela Constance said: “I am pleased to launch these additional services at LEAP which provide invaluable, life-saving care to people affected by substance use in Edinburgh and the Lothians.

“Of course, work on residential rehab is not just about creating more beds. We want to improve pathways through and out of residential rehab, and LEAP is a perfect example of good practice in this area with their three-month holistic programme of therapeutic care.

“We are investing £250 million over the course of this Parliament in a range of different treatments and services in order that all those affected, and their families, can receive the support which is right for them when they need it. £100 million of this is available for the development of residential rehabilitation services and associated aftercare.”

LEAP Clinical lead Dr David McCartney said: “We are thrilled to be launching significant developments to the LEAP residential rehabilitation service including improved access, greater capacity and more comprehensive aftercare.

“These improvements are being made possible due to investment from the Scottish Government and the Lothian Alcohol and Drug Partnerships. LEAP and our partners will see improved outcomes for our patients and their families who are struggling with addiction to substances, helping them move to recovery – something that will benefit individuals, families and communities.”

LEAP of Faith

£11 million for two drugs projects

More than £11 million has been awarded to two drugs projects to enable them to expand their residential rehabilitation service as part of a commitment to increase the number of beds in Scotland by 50% to 650 by 2026.

River Garden Auchincruive in South Ayrshire will use the funding over the next five years to increase capacity from seven to 56 residents and build a unit to meet the specific needs of women.

NHS Lothian will receive around £5 million to create capacity to support around 600 additional placements over five years at Lothian and Edinburgh Abstinence Programme (LEAP) and increase capacity at the Ritson detoxification clinic from eight beds to 12. This will enable the board to develop a pathway to rehab for those using complex polysubstances and illicit benzodiazepines.

The funding is part of the additional £100 million announced as part of the National Mission to improve access to residential rehabilitation.

In a statement to Parliament on progress with Residential Rehabilitation, Minister for Drugs Policy Angela Constance outlined plans to ensure that by 2026, at least 1000 people are publically funded to go to rehab every year – a 300% increase on the number prior to the launch of the National Mission.

Drugs Policy Minister Angela Constance said: “While there is much to be done to address our drug deaths crisis we are making changes to support people to access the treatment and recovery that is right for them.

“Our commitment to increase the number of publically funded places by 300% and the number of beds by 50% will provide options for those who can safely access and who want to access residential rehab.

“The funding announced for these latest projects comes from the additional £100 million we are investing in residential rehabilitation over the next five and we are determined every penny of that will make a difference.”

General Manager of Royal Edinburgh Hospital and Associated Services David Pickering-Gummer said: “The grant will allow the LEAP service to increase capacity by 40% and increase bed numbers in the Ritson Clinic by 50%, to allow for stabilisation and detoxification prior to transfer to LEAP.

“There will be a greater focus on vulnerable groups and we will employ peers with lived experience to act as ‘bridges’ between community services and rehab. We will also focus on strengthening aftercare provision.

“The team are particularly thrilled to see the ‘Peer Bridge Project’ being funded, which will open the doors a bit more widely to vulnerable groups in keeping with Scottish Government priorities.

“We are grateful to the Scottish Government and to the local Alcohol and Drug Partnerships for having the vision to fund plans which will make a real difference to the lives of patients and their families who are struggling with addiction.”

River Garden Chair William Smith said: “All at River Garden are enormously grateful for the funding support from the Residential Rehabilitation Rapid Capacity Programme.

“This funding will enable the significant expansion of our residential capacity to create additional space for residents, and new staffing resource and facilities that specifically meet the needs of women.

“Existing residents come from across Scotland and we very much look forward to having the opportunity to help many more people sustainably recover from addiction in the beautiful setting and community of River Garden Auchincruive.”

LEAP rehab service fully restored

People living in Lothian with serious alcohol and drug problems can now access help from an expanded rehabilitation service.

The Lothians and Edinburgh Abstinence Programme (LEAP) is providing more placements than ever before thanks to its renewed partnership with the City of Edinburgh Council and support from the Edinburgh Integration Joint Board and The Cyrenians.

Up to 22 people can now benefit from one of the intensive three-month residential placements to overcome their addiction in a safe and supportive environment. The service provides clinical, medical and therapeutic support backed up by two years of aftercare and peer support and a family programme.

The boost will help to significantly reduce waiting times for patients looking to access the service following lockdown. It is in line with Scottish Government priorities for increasing residential rehabilitation provision.

Dr David McCartney, Clinical Lead for LEAP, NHS Lothian explains: “As a direct result of the pandemic we had to reduce service capacity to just 40 per cent. While we continued to provide some patient support remotely, our residential services were reduced to just 8 places.

“With the help of our partners we are back operating the full range of services again, helping even more people to get help and support as quickly as possible.

“The majority of LEAP patients starting the programme complete it. Nearly two thirds of them reach their goal of a long-term successful alcohol and drug-free recovery with significant improvements in their mental and physical health.”

LEAP is currently operating as a partnership between NHS Lothian, the Edinburgh Health and Social Care Partnership, The Cyrenians, Access to Industry and Rehabilitation and Recovery Team Social Workers.

It offers detoxication and therapeutic treatment for people who want to become alcohol and drug free alongside structured, practical support to get into work or education as part of people’s recovery if needed.

Patients can also access psychiatry, psychology and occupational therapy services whilst in treatment.

Lesley Taylor, Registered Manager, City of Edinburgh Council, said: “We’re delighted to be working with LEAP again to help roll-out this essential service.

“Our team have a valuable role in providing accommodation and support, not only for the initial three-month placement but also in assisting individuals address their longer-term housing needs.”

Linda Nichol, a volunteer with NHS Lothian’s subsistence misuse team and former LEAP patient and PEER supporter encourages anyone struggling with addiction to access the service. She said: “LEAP changed my life. It helped me recognise that I had a disease and gave me the confidence and support I needed to turn my life around.

“If you or someone you know is struggling with addiction then ask for help and get referred into LEAP. It is possible to change your whole life beyond your wildest dreams.”

LEAP is open to people who have a serious problem with alcohol or other drugs. Anyone interested in being assessed for residential treatment should speak to their GP, health, support or social care worker.

More information can be found at:

https://services.nhslothian.scot/leap/Pages/default.aspx

LEAP of joy: pioneering programme celebrates 600th success story

A groundbreaking initiative which helps people overcome their addictions has celebrated helping its 600th graduate. Edinburgh resident Angie Dunn is the latest person to complete the Lothian and Edinburgh Abstinence Programme (LEAP), and she joined staff and NHS Lothian Chair Brian Houston to mark the event. Continue reading LEAP of joy: pioneering programme celebrates 600th success story

Emma chooses life to become LEAP’s 500th graduate

A mother-of-two has achieved a major milestone after becoming the 500th graduate of a pioneering drug and alcohol detox recovery programme. Emma Hogg has battled her addiction to alcohol to successfully complete the Lothian and Edinburgh Abstinence Programme (LEAP).

Continue reading Emma chooses life to become LEAP’s 500th graduate

Julie LEAPs forward to enjoy life again

LEAP treats 450th patient

LEAP, the pioneering drug and alcohol detox and rehabilitation service, is celebrating after treating its 450th patient.

Edinburgh woman Julie Bleasdale, 40, marked 12 weeks sober on 14 May after successfully completing the Lothian and Edinburgh Abstinence Programme, (known as LEAP).

Formerly based in Stockbridge, the ground-breaking programme offers clinical, medical and therapeutic help to those who want to get clean from its base at the Astley Ainslie Hospital.

Julie, a mother of six who was referred to the programme when her addiction impacted badly on her mental health, said: “I had no idea that addiction was a disease or that I was suffering from a condition.

“I’d drink at least a bottle of wine every night and I would try to stop but couldn’t stay stopped. Then the drinking would escalate and I’d blame it on stress, or work or being a single parent.

“I never felt I was a good enough mum, I had terribly low self-esteem and I would hide the way I was feeling from everyone. I would be run-ragged taking the kids on trips and days out, trying to be a perfect mum. Then I would binge drink and feel immense shame and guilt, pushing my self-esteem lower and lower, and turning to alcohol again.

“When I was drunk I was like a toddler – any sense of danger would disappear. I’d climb over balconies and disappear with strangers.”

Earlier this year, things came to a head when Julie’s friends were forced to contact police after her behaviour became more worrying.

“I ended up having a mental health breakdown”, Julie remembers. “A full day would feel like a few minutes and I couldn’t account for where I’d been or what I’d been doing. I would be talking gibberish and not making any sense. My friends became increasingly concerned and one night, they phoned the police, who took me to the Royal Edinburgh Hospital.”

Doctors at the hospital, which provides psychiatric and mental health services, advised Julie that it was likely she was suffering from the effects of addiction.

Julie, who is now keen to carve out a career in addiction services, said it came as a shock: “I always thought I had mental health issues. It’s been a revelation to come to LEAP and learn all about addiction as a disease.”

Around 20 patients at different stages of recovery take part in the three month LEAP programme at one time. As well as providing medical care and therapy, patients are encouraged to support each other and are also assisted with housing, education and training.

Julie officially graduated from the programme at a special ceremony surrounded by friends and loved ones.

Dr. David McCartney, clinical lead of LEAP, NHS Lothian said: “Today is a really special day for Julie and her family as it marks a key point in her recovery. LEAP is a challenging and intensive programme aimed at those with the motivation to become substance-free.

“It’s not an easy route but we believe part of our success is down to our partnership with the City of Edinburgh Council and the charity Transition, and also due to the after-care programme we offer which involves peer-support groups and counselling over two years.”

LEAPing on to pastures new

Stockbridge-based LEAP (Lothians and Edinburgh Abstinence Programme) is moving to a new home in Morningside next week.

NHS Lothian’s community based rehabilitation programme is vacating its current Malta House home as the building and land is being sold, and from 11 February LEAP will provide its addiction service in newly refurbished and newly-named Woodlands House, within the Astley Ainslie Hospital site. The building was formerly used by Napier University as a health studies college.

LEAP will occupy two floors of a wing in Woodlands House and staff from other services – including Spittal Street Centre, The Learning Disability Service and the Primary Care Facilitation Team – will also relocate to the three-storey building in the next few weeks.

Dr David McCartney, Clinical Lead at LEAP, said: “It’s a very exciting time for LEAP, having just celebrated our 300th graduate from the Programme and with the prospect of moving into a new and bigger facility. We obviously will be sad to leave Malta House as this is where LEAP first began but the move will allow us to continue to help and support our patients on the road to life changing recovery.”

LEAP is a demanding and intensive 12-week course for people dependent on substances who are motivated to achieve alcohol and drug free lives. It operates seven days per week and offers people structured activities including group work, workshops, presentations and education and training while recreation and relaxation classes also form part of the programme.

LEAP is funded by NHS Lothian and three local Alcohol Drug Partnerships and is operated in partnership with the City of Edinburgh Council and Access to Industry (Transition).