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NHS & Free Addiction Help FAQs

NHS Rehab treatment and other free addiction treatments

How to find free support, NHS routes, self-referral, what to expect at appointments, urgent help, homelessness, goals and alternatives to residential rehab. 

 

Where can I get free help for alcohol addiction near me?

You can use the NHS service finder to locate alcohol addiction support services in your area. These services may offer counselling, CBT, group therapy, and support to stop drinking, and can link you into detox/rehab pathways where appropriate.

Start here: NHS: find alcohol addiction support services.

Where can I get free help for drug addiction near me?

Most drug treatment in the UK is provided by the NHS and charities, and you can often access local services directly. Your local drug service can offer assessment, support, talking therapies, and practical help, and may provide or coordinate prescribing where appropriate.

Start here: NHS: drug addiction getting help and Talk to Frank: find support near you.

Can I self-refer to NHS drug and alcohol services, or do I need my GP?

In many areas, you can self-refer by contacting the local service directly. GP referral is also common and can help if you have complex physical/mental health needs or need a medication review.

If you’re unsure, start with either route — the key is getting assessed.

What happens at my first NHS drug or alcohol treatment appointment?

First appointments are usually focused on understanding your situation. They’ll often ask what you use and how often, your work/housing/support network, physical and mental health, and whether there are safeguarding concerns.

In some drug services, they may ask for a urine or saliva sample to help understand what substances are involved. Then you’ll agree a treatment plan.

Is NHS addiction treatment really free?

In general, NHS and charity-provided treatment is free at the point of use. Private treatment is paid for privately. What’s available and waiting times can vary by area.

What if I can’t stop safely — who do I contact urgently?

If you’re at risk of severe withdrawal, overdose, seizures, severe confusion, chest pain, or you feel unsafe, treat it as urgent and seek urgent or emergency help as appropriate.

For day-to-day support, local drug and alcohol services and your GP are usually the best starting points.

Can I get help if I’m homeless or my housing isn’t stable?

Yes. Services often assess housing because it affects risk and recovery. They may coordinate with housing teams and charities. Being homeless should never be a reason to be turned away.

Can I get help for my loved one, even if they won’t engage?

Yes. Many services offer advice and support to families and carers. You can learn boundaries, harm reduction at home, crisis response, and how to protect your own wellbeing.

Are there free peer support groups, and do they actually help?

Yes. Mutual aid groups can be free and widely available. Some people love them, some don’t — but trying a few is worthwhile because connection is a huge protective factor in recovery.

Can I get treatment if I’m using more than one substance?

Yes — and you should tell services everything you’re using, including prescription meds and alcohol. Polydrug use changes risk, especially around sedation and overdose. Treatment plans can be adjusted to reflect this safely.

Will services judge me or share information with my employer?

NHS care is confidential. Services don’t routinely contact employers. If you choose to tell your employer for sick leave or adjustments, that’s your decision.

Can I choose abstinence or moderation as a goal?

It depends on dependence and risk. Some people aim to cut down, while those with dependence often do best aiming for abstinence, especially if withdrawal risk is present. A proper assessment helps you choose a realistic and safe goal.

See NHS alcohol misuse.

If I don’t want residential rehab, what’s the best free alternative?

For many people, the strongest free alternative is a combined plan:

  • Local NHS/charity drug and alcohol service (key worker + group work + counselling/CBT where offered)
  • GP support for physical/mental health
  • Mutual aid/peer support
  • A practical relapse prevention plan (routine, triggers, boundaries, supportive people)

Residential rehab isn’t the only path — what matters is consistent support and a plan you can stick to.

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