Page 18 - MELD Stimulant service
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            10.2  POLY DRUG USE FEEDBACK

            At the start of the project, participants were asked whether they were aware of
            any potential risks from mixing substances. Whilst 3 people were abstinent at the
            start of the project, some people discussed their reasons for mixing substances
            such as alcohol and cocaine or alcohol and base. Feedback included:


             Are you aware of any              Feedback
             potential risks of mixing
             substances i.e. poly drug use?
             I know the risks of mixing but I    Heightened cocaine rush which
             don’t care                        outweighed the risk factor.
             Using both helps me stay out later or   Participant was able to stay out later
             else I’d get too drunk            with her friends and felt included. Felt
                                               that unless she joined in, she would
                                               feel excluded from her peer group.
             It makes me feel more confident   Had experienced a lack of confidence
                                               and anxiety from a young age. Used
                                               cocaine and alcohol as a coping
                                               strategy to enable her to mix with
                                               other including family and friends.
             I know it’s dangerous but once I have   When sober would reflect about
             a drink my willpower disappears   behaviour and adverse effect on
                                               herself and family so used alcohol
                                               to try and numb these feelings. This
                                               would then lower inhibitions and
                                               cocaine use would follow.
             I feel lonely and it makes me feel   Had reduced alcohol use but cocaine
             better                            use has increased to cope with feeling
                                               isolated at home.
             I don’t think about the risks     Enjoys partying and doesn’t want to
                                               be put off by thinking about the risks.
             I know people who have died but I   Was aware of people who had died and
             just don’t think about it         were also known cocaine users. Felt that
                                               death was rare and that there must be
                                               other health issues which had caused
                                               death and not just substance use.
             I don’t know why you shouldn’t mix   Was aware that alcohol was a
             cocaine with alcohol              depressant and cocaine was a
                                               stimulant but had no idea what effect/
                                               risks this had on the body when
                                               mixed together.

             Don’t like how I feel the next day   Mixing together led to online
             when I mix *base and alcohol      gambling and financial issues but
             together but it’s hard not to     used as a coping strategy to block out
                                               past trauma.

            *Base is a stronger form of amphetamine
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