Back to Health & Wellbeing
Updated 15 January 2025

Substance Support Services

Non-judgmental help for drug and alcohol issues, where to find support, and how it links to housing.

Relevant for:
Currently Homeless
At Risk

Important Warnings

  • Some hostels and supported housing have strict rules about substance use. Ask what the rules are before moving in.
  • Substance services can have waiting lists. Ask for crisis support or harm reduction services while you wait.
  • Do not feel ashamed. Addiction is a health issue, not a moral failing. You deserve support.

  • Substance use problems are common among people experiencing homelessness. You are not alone, and help is non-judgmental.
  • You can access free NHS drug and alcohol services, including detox, rehab, counseling, and harm reduction (e.g., needle exchange, substitute prescribing).
  • Engaging with substance services can help you access housing. Many hostels and supported accommodation require you to be working with a drug or alcohol service.
  • You do not have to be "ready to quit" to access services. Harm reduction services are available to help you stay safe while using.

  • You have the right to access free, confidential drug and alcohol services through the NHS.
  • You should be treated with respect and without judgment, regardless of what substances you use.
  • You cannot be refused housing services solely because of substance use, though some services may require you to engage with treatment.

Next Steps

Important Action

Contact your local drug and alcohol service

Search online for "drug and alcohol service" + your area name. You can self-refer without a GP.

Ask at a day centre or outreach service

Homeless services often have links to substance support. Ask staff to help you access services.

Consider substitute prescribing

If you use opioids, you may be prescribed methadone or buprenorphine to reduce harm and support recovery.

Access harm reduction services

Needle exchanges, naloxone (overdose reversal), and safer use advice are available without judgment.

Tell your housing advisor

If you are working with a substance service, tell your council or housing advisor. It can strengthen your housing application.

External Resources

Was this page helpful?