Page 27 - MELD Stimulant service
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            Through consultation with Client A, she identified that she wanted to try
            massage to see if this would reduce her stress levels and help her to manage
            the physical pain she was experiencing from a number of health issues. During
            Client A’s sessions, she reported that her stress levels had eased and this had
            also impacted upon her drinking levels. As a result of drinking less, she felt less
            urges to use cocaine. She also felt better able to step back from her situation
            and to feel clearer headed to identify what she needed to do in order to try and
            reduce her stress levels. High stress levels were the main contributors to her
            continued alcohol and cocaine use.

            Outcomes:

            •  Reduced alcohol use from 3 nights to 1 night each week. Sometimes
               reported no alcohol use.

            •  Reduced cocaine use to between 0-0.5 grams of cocaine every second or
               third week-end. Sometimes did not report any use.

            •  Reduced physical pain and increased range of motion.
            •  Increased confidence and was able to approach her employer and discuss
               her stress levels (not disclosing drug use) and explore whether she could
               reduce her hours.

            •  External referral made to VOCAL (carer support).


            Client A Quotes


                  “I feel that attending this service for massage
                  has really helped me with stress and sleep.
                  It’s the only time I switch off and I sleep well
                  for a few nights afterwards.”


                  “I don’t want to attend appointments during
                  the day as I work in the community and might
                  be seen coming here.”
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