Simple Signposting to Better Health and Wellbeing
Berkshire West
Self-care and National Support Services
It sounds like you want to cut down on your drinking/drug use, what do you think your next step is?
Would you like more information on the support that is available to help you cut down on your alcohol/drug use?
National support
- A GP is a good place to start. They can discuss your problems with you and get you into treatment. They may offer you treatment at the practice or refer you to your local drug service. If you're not comfortable talking to a GP, you can approach your local drug treatment service yourself (details of local services can be found in the section below).
- If you're having trouble finding the right sort of help, call the Frank drugs helpline on 0300 123 6600 (24hrs a day, 7 days a week). They can talk you through all your options. FRANK gives confidential information, advice and support for anyone concerned about alcohol and illegal drugs.
- If you are concerned that you or someone you care about has a problem, you can also contact Drinkline on 0300 1231110 (Mon-Fri 9am - 8pm, weekends 11am - 4pm). The Drinkline service provides free and confidential information and advice to callers who are concerned about their own or someone else's drinking.
- As well as the NHS, there are charities and private drug and alcohol treatment organisations that can help you. Visit the Adfam website to see a list of useful organisations. Private drug treatment can be very expensive, but sometimes people get referrals through their local NHS.
- Alcoholics anonymous support the recovery and continued sobriety of individuals. Meetings are available online and in person. Helpline: 0800 917 7650 or email help@aamail.org or live chat via their website at www.alcoholics-anonymous.org.uk.
- National Association for Children of Alcoholics (NACOA) provide information, advice and support for children of alcohol-dependent parents and anyone concerned with the welfare of a child. Helpline: 0800 358 3456 or email helpline@nacoa.org.uk
- Whether you want to cut down on your alcohol or go totally alcohol free, download the Try Dry app by Alcohol Change UK. The app is available on Android or Apple and can help you track your drinking and set goals.
- You can also get further information on drugs and alcohol from the NHS website: Alcohol advice - NHS and Drug addiction: getting help - NHS
Self-care (alcohol)
Tips on cutting down
Make a plan
Before you start drinking, set a limit on how much you're going to drink.
Set a budget
Only take a fixed amount of money to spend on alcohol.
Let them know
If you let your friends and family know you're cutting down and it's important to you, you could get support from them.
Take it a day at a time
Cut back a little each day. That way, every day you do is a success.
Make it a smaller one
You can still enjoy a drink, but go for smaller sizes. Try bottled beer instead of pints, or a small glass of wine instead of a large one.
Have a lower-strength drink
Cut down the alcohol by swapping strong beers or wines for ones with a lower strength (ABV in %). You'll find this information on the bottle.
Stay hydrated
Have a glass of water before you have alcohol and alternate alcoholic drinks with water or a soft drink.
Take a break
Have several drink-free days each week.
Self-care (illicit drugs)
Illicit drug use has risks but there are ways to reduce the risk of harm, overdose or infection when using drugs.
Avoid being alone
If you’re using drugs alone it’s important to be extra cautious around how much you take and how often you take it.
Be cautious
If you’re using drugs, start low and go slow. Start with a small amount (sometimes called a test dose) and wait at least 2 hours before taking any more.
You should start low and go slow as the drug may:
- not have taken full effect
- not always be what you’re expecting it to be
- contain adulterants
- be mis-sold
- contain a different amount than you’d expected
If you don’t feel the effect as quickly as you’d expect, don’t assume the drugs are bad quality. They may contain another substance that takes longer to kick in.
Avoid mixing drugs
Avoid mixing drugs (including alcohol and medicines). Mixing drugs can cause unexpected and unpredictable results. This is a major risk factor in drug related deaths in England.
Drugs and driving
It’s illegal to drive if either:
- you’re unfit to do so because you’re on legal or illegal drugs
- you have certain levels of illegal drugs in your blood (even if they have not affected your driving)
Remember, drugs can be detected long after the effects have worn off. The detection period will depend on factors including the:
- drug type
- dose
- frequency of use
Dealing with an overdose
There’s a greater risk of overdose if you:
- mix drugs
- take drugs alone
- take drugs after a break
- take higher purity drugs
- inject drugs
When someone overdoses it’s important to get them help as soon as possible.
Phone 999 or go to A&E if:
You or someone else has taken drugs and has symptoms like:
- unconsciousness
- seizures or fitting
- rapid heart beat
- low or undetectable heart rate
- chest pains
- difficulty breathing (snoring or rasping)
- pinpoint pupils
- blue or pale tingling of knees, hands and lips
- severe nausea and vomiting
- hyperthermia (overheating)
The call handler will talk you through what to do. If the patient isn’t breathing, they’ll tell you how to do chest compressions.
Naloxone: get it, carry it, use it
Naloxone is an emergency medication used to reverse the effects of overdoses caused by opioid drugs such as heroin, fentanyl, morphine, methadone and oxycodone.
- if someone overdoses: act fast, don’t wait to see if they will recover – you could save their life
- remember, call an ambulance immediately
- check the person is breathing
- put them in the recovery position: on their side with their head resting on their arm
- give them naloxone as soon as possible
You can contact your local drug treatment and support service for a free naloxone pack for yourself or for someone else who may need it. You will also receive training on how to use the naloxone pack.
Local Support Services
West Berkshire Council Directories
Alcohol support services are listed here
Wokingham Borough Council
For resources in Wokingham go to their website
Reading Borough Council
For resources in Reading go to their website
Self-care and National Support Services
Self Care
NHS Better Health - Lose Weight
Lose weight - Better Health - NHS (www.nhs.uk) – information and advice, and links to offers from approved partners
NHS Weight Loss Plan app, a 12-week programme following NHS advice on losing weight safely. Available from the App Store and Google Play. To find out more you could watch our app demo
Healthy Steps email programme:
Healthy Steps is a budget-conscious email programme designed to encourage families to take steps to improve their health and wellbeing. It provides regular reinforcement and feedback to help families set and achieve goals. Particular focus on lower income families with children aged 5-11.
The programme invites families/parents/carers to complete a quiz, leading to a recommendation of the best NHS approved health options for your family. There are currently three on offer: sugar reduction, 5 A Day or planned cooking. Those who sign up will get eight weekly emails with hints and tips on their chosen theme, as well as weekly challenges. Built-in feedback loops means that they will also be provided reinforcement and encouragement after set-backs to help them in their journey through Healthy Steps.
Local Support Services
West Berkshire Council
See the council directory for services in your area
Reading Borough Council
For Weight and Activity, please use this resource and the Reading council directory
Wokingham Borough Council
See the Wokingham directory
Self-care and National Support Services
Give reassurances that there are lots of sources of support
If you are worried that this person is in crisis, please see section for Suicide Prevention
If no immediate risk take the following steps:
Encourage them to ring:
Samaritans - (All age groups)
Tel: 116 123, open 24 hours a day.
Papyrus - (Young people)
Tel: 0800 068 41 41
Text: 07786209697
Email: pat@papyrus-uk.org
Opening hours
Mon-Fri: 10am-10pm, weekends: 2pm-10pm & bank holidays: 2pm-5pm
SELF CARE
- Encourage the person to contact their GP. Their GP will be able support the person in many ways
- Mind 'The charity for better mental health' has an extensive range of self help resources available
- The NHS have has a range of self-help tools available
- Andy's Man Club provides a weekly talking group, a place for men to come together in a safe environment to talk about issues/problems they be have faced or currently been facing. Meetings take place regularly in different locations across the region, where applicable these can be found in the local support and contact details section.
- For Men -CALM (Campaign Against Living Miserably) offer accredited, confidential and free support to men anywhere in the UK through a helpline and web and webchat service. They talk through any issue with you and offer support, advice and signposting.
Better Health - Every Mind Matters
Better Health Every Mind Matters website. NHS-assured information & advice on common mental wellbeing concerns: anxiety, stress, low mood & poor sleep
Tips to manage mental wellbeing based on Mind’s ‘5 ways to wellbeing’.
Plus self-help CBT techniques section Life’s challenges - practical tips on dealing with drivers of poor mental health eg coping with money worries and job uncertainty, maintaining healthy relationships and loneliness
The Mind Plan – free, personalised plan. Answer 5 quick questions on how you’ve been feeling over the last 2 weeks and you’ll get recommendations on practical self-care actions that could help. You can customise the plan and get it emailed to you
Free email support programmes – complete the Mind Plan to sign up for regular emails with further tips on building wellbeing actions into everyday life, or go to the “anxiety” page to sign up for a tailored email programme with expert advice and practical tips to help deal with anxiety
Support Services - Adults
Adults can self-refer to Improving Access to Psychological Therapies (IAPT) services. IAPT is a national NHS programme, which offers evidence based psychological therapies or interventions approved by the National Institute of Health and Clinical Excellence (NICE). IAPT is primarily for treating people with mild to moderate mental health issues such as anxiety disorders, depression and post-traumatic stress disorder.
IAPT treatments are delivered via a stepped care model where patients are initially offered low intensity therapies, such as computerised cognitive behavioural therapy (cCBT) and guided self-help. If these treatments are unsuccessful, or not appropriate for individuals, higher intensity therapies are utilised and include one to one cognitive behavioural therapy (CBT) or interpersonal therapy (IPT). Please see local support and contact details for further information.
Support Services - Veterans
Veterans Combat Stress is the UK's leading mental health charity for veterans. They offer free, confidential 24-hour support to Service and ex-Service personnel who are experiencing mental health issues, including feeling suicidal.
Tel: 0800 138 1619
Web: https://www.combatstress.org.uk/help-you
Support Services - Perinatal
PANDAS Foundation
The PANDAS Foundation is here to help support and advise any parent who is experiencing a perinatal mental illness. We are also here to inform and guide family members, carers, friends and employers as to how they can support someone who is suffering.
Tel: 0843 2898401 (0900 - 2000 hrs, 7 days per week)
Web: http://www.pandasfoundation.org.uk/
Support Services - Carers
The Carers Trust
It is important that you take care of your own health, even if you are busy looking after someone else's health. Being healthy is not only important for you, but it also helps the person you care after too. The website contains some helpful guides on relationship management and information on self-care and respite care.
Support Services - Children and Young People
Children and Young People can contact the 'The Mix which is a leading support service that can help young people to take on any challenge they are facing - from mental health to money, from homelessness to finding a job, from break-ups to drugs.
- Tel: 0808 0808 4994 (Freephone)
- Web: http://www.themix.org.uk/
For Parents
YoungMinds run a free, confidential parents helpline, which parents/careers can call if they are worried about how a child or young person is feeling or behaving. They also run a group called Parents Say, for parents whose children are accessing Child and Adolescent Mental Health Services.
Web: https://youngminds.org.uk/
Talk about the Five Ways to Wellbeing. The mental health equivalent to the dietary advice to have ‘5 a day’ fruit and vegetables for physical health.
1. Connect - With the people around you. With family, friends, colleagues and neighbours. At home, work, school or in your local community.
- As being well connected is good for your mental wellbeing… Is there anything you could be doing more of?
- Can you think of connections that you would like to make or remake?
2. Be Active - Go for a walk or run. Step outside. Cycle. Play a game. Garden. Dance. Exercising makes you feel good. Most importantly, discover a physical activity that you enjoy; one that suits your level of mobility and fitness.
- What activities do you engage in on a regular basis? How would I like to develop this?
- Are there any minor adjustments you can make in your life that can help you to be more active?
3. Take Notice - Be curious. Catch sight of the beautiful. Remark on the unusual. Notice the changing seasons. Savour the moment, whether you are on a train, eating lunch or talking to friends.
- How can you practice slowing down and pausing more often?
- What difference will incorporating this into your daily life make?
4. Keep Learning - Try something new. Rediscover an old interest. Sign up for that course. Take on a different responsibility at work. Fix a bike. Learn to play an instrument or how to cook your favourite food. Set a challenge you will enjoy achieving.
- What would you like to learn about? What interests you? What do you value? What would you find useful?
- What do you need to do to make learning something you look forward to?
5. Give - Do something nice for a friend, or a stranger. Thank someone. Smile. Volunteer your time. Join a community group. Look out, as well as in.
- Do you notice what it’s like for you when you give to others?
- What else could you give others that you hadn’t thought of before?
Local Support Services
In an emergency or if someone is in immediate risk of serious harm or injury contact the emergency services. Telephone 999.
Berkshire Mental Crisis Team
If in crisis - the Crisis Resolution Home Treatment Team will respond. This is a specialist team of mental health professionals who provide crisis and home treatment support for adults who would otherwise be admitted to a psychiatric hospital. When needed they also help with admissions to inpatient care and support hospital discharge.
Call the Mental Health Crisis Team on 0300 365 9999
Download this handy leaflet on services that include talking therapies, volunteering opportunities, activities or specific support for carers and those experiencing bereavement.
Berkshire West Directories
Visit the Berkshire West Directories for a catalogue of services
Self-care and National Support Services
Self Care
Get Active - Better Health
The 'Get active - Better Health' - NHS (www.nhs.uk) - website includes access to free online exercise routines you can do at home and offers from approved partners
Active 10 walking app - track your walking habits to increase the number of brisk minutes, which is when the health benefits will be greatest. No Lycra required, and there are lots of benefits of getting out into local green spaces like parks for your mental health too. Available from the App Store and Google Play
Couch to 5k app - easy to follow, flexible programme to get you running 5k in as little as 9 weeks, or longer if you want. Listen to your preferred music player as you run, between motivational messages from your chosen celebrity “coach”. Track your achievements and collect awards as you progress. Available from the App Store and Google Play
How to be more active - Regular physical activity is good for our bodies and minds, but it can be difficult to get started – especially if we're not particularly sporty or have not done any exercise for a while.
Home workout videos - We could all do with a boost to feel better right now – and you don't even need to leave the house to do it! Exercise is great for your mind as well as your body, so clear some space and follow along with our 10-minute home workouts.
Park Run
Why not join a Parkrun in your local area? Did you know that one of the best things about Parkrun and Junior Park run is that you can run, or jog or walk entirely at your own pace. This makes it accessible for those who never could envisage running 2k or 5k and creates an environment where people feel welcome. For those who don’t wish to run, jog or walk there is always the opportunity to volunteer to support your local Parkrun. There is probably a Parkrun local to you…visit http://www.parkrun.org.uk/ for more information.
Local Support Services
Get Berkshire Active
Get Berkshire Active works closely with Sport England. See their website resources and information.
See also the survey results of Berkshire residents' physical activity.
Self-care and National Support Services
NATIONAL SUPPORT
- Call the free Smokefree National Helpline to speak to a trained, expert adviser on 0300 123 1044. All lines are open Monday to Friday 9am to 8pm and Saturday and Sunday 11am to 4pm
- Better Health quit smoking website which includes information about the benefits of quitting, advice on various quitting aids and a local stop smoking service lookup tool
- NHS Quit Smoking App (Apple) or NHS Quit Smoking App (google/android) - a 28-day programme that provides practical support, encouragement, and tailored clinical advice on your mobile/tablet. Includes a savings calculator so you can see how much money you're saving
- Get a free Personal Quit Plan Quitting smoking is easier with the right support. Give up for 28 days, and you're 5 times more likely to quit for good – get your plan now!
- You can also speak to your doctor, pharmacy team or local Stop Smoking Service for expert advice on stop smoking medicines
SELF CARE
- Download the NHS Quit Smoking app from apple or google/android
- Get further information from the National Health Service www.nhs.uk/quit
- Consider using e-cigarettes/ vapes (bought from a reputable retailer) to stop smoking
- Get daily email support - If you would like some extra support, you can sign up for 28 days of stop smoking advice and tips – delivered straight to your inbox. Sign up for email support
- Find your online community - You do not have to do it alone – join others going through the same thing in a friendly and supportive environment. Join the Quit Smoking Support Group on Facebook
Emphasise that quitting will the best thing they will ever do and the NHS Smokefree service can provide the friendly and helpful support they need to quit for good
Local Support Services
Smokefreelife Berkshire
Smoking Cessation across Berkshire is delivered by Smokefreelife Berkshire. They are delivering telephone support at present.