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From Stigma to Support, Changing the Conversation on Substance Use Practice Week is a time for everyone in Norfolk who works with children and young people to learn, connect, and share ideas. This May (19th–23rd), things were a little different. Practice Week was led by young people from across Norfolk, exploring the Flourish framework theme: ‘Understood’. Young people said that they wanted to take the lead in helping adults understand their experiences - in their own words and from their own perspectives. At The Matthew Project, we worked with young people to create a short video called “From STIGMA TO SUPPORT: Changing the Conversation on Substance Use.” The video looks at how stigma can hold people back from asking for help when they need it most. It can feel isolating or even scary to speak up about substance use and that’s something we want to change. Through honest reflections from young people, the video highlights what services can do better to make support more accessible and non-judgemental. It also shows how The Matthew Project is working to challenge stigma and start open, compassionate conversations about substance use. By listening to young people, we can make sure everyone feels understood. 👉  Watch the full video:

"I was 15 when I was referred to the Matthew Project by the safeguarding lead at my school. I needed help to stop smoking cannabis. I'd been smoking for a couple of years and couldn’t do it on my own.   I live with my Mum. She and Dad split up. They were always arguing when they were together. I didn't like it. The memories of shouting and the fact that it didn’t leave much time for me was one of the reasons I started smoking. I felt like cutting and I did sometimes. I was getting bad marks at school, I didn’t want to go, I felt that school was the last place I wanted to be. Cannabis use was affecting my mental health, and I felt anxious and struggled to sleep.  I first smoked cannabis after school. Most of my friends had tried it. Then I would hang out with older mates, and sometimes we smoked at my home. It was hard to say no when they asked. My mum felt helpless to do anything. There was concern about county lines involvement. Then I became at risk of being excluded from school for inappropriate behaviour and no attendance. That's when I asked for help.  The first session with The Matthew Project was about them getting to know me and introducing me to the service. Building a trusting relationship is an important part of their initial work as young people can often feel uncomfortable sharing details about themselves with a professional, they just met.   They asked lots of questions to build a better picture of my life which helped them to create a support plan with me. We wrote down the goals that I wanted to achieve and what would help to get me there. My priorities were to cut down on substance use, improve my mental health, get support with my education, and improve my friend and family relationships. The process wasn’t too formal which put me at ease.   Me and my worker focused on improving my eating habits and sleeping pattern. I started exercising daily for 20 mins, came off my phone before bed and kept my room tidy. I started to feel less tired in the mornings...  Then my worker helped me get back into football which was great because I stopped wanting to smoke so much and I got my appetite back!   After checking with me, my worker also had a chat with my mum as I was worried about telling the older mates that they couldn't come to my house to smoke. It helped her understand how to help me and we have a much better relationship now.  Me and my mum found Unity service really helpful. I think not only did it help with my cannabis use but also with my anxiety and low mood... and it's kept me at school, so I stand a better chance of getting my GCSE's!  I have cut down on my usage massively, although I still smoke sometimes. Unity have kept my case open so I can continue with the support when I need it, which is really reassuring to know. Big thanks to everyone from The Matthew Project that helped me." Do you feel like your worried that your own drug/alcohol use is having a significant impact on you or others around you? If so, click on the button below to see how we can help.

The Flourish Survey 2024  revealed a statistic that almost 1 in 5 young people in Norfolk  said they have no one  or nowhere to get information about alcohol use. At The Matthew Project, we wanted to help change that. With the input of young people, we’ve developed five brand-new substance information pages  on our website designed specifically for young people who want clear, honest, and reliable information. These pages cover: Real stories  from young people we support Harm reduction advice  to help you stay safer Information about how substances affect the brain  and decision-making You can explore the new pages here: 👉 Ketamine 👉 Alcohol 👉 Cannabis 👉 Cocaine 👉 MDMA To help spread the word, we’ve also created stickers and posters  featuring QR codes that link directly to these pages. If you’d like to request a pack  to display or hand out at your school, youth group, or workplace, please get in touch - we’d love to share them with you.

On Track is a free service supporting young people in Norfolk to move closer to or get into education, training, employment, or volunteering, while offering guidance and practical help. Welcome to On Track! A free service that supports 13-24-year-olds to move closer to or get into education, training, employment, or volunteering. On this page, you can find out about the four projects young people can participate in. King's Lynn and West Norfolk SPACE A project to support young people aged 16-24 who are not in education, employment or training to access regular positive activities and community engagement. The activities will be in a small group of no more than ten young people who live in Kings Lynn and throughout West Norfolk. The aim of the project is to raise young people’s motivation and support them by building resilience to have hope for the future. Supported by Norfolk Community Foundation through Sir Norman Lamb Mental Health & Wellbeing Fund. King's Lynn & West Norfolk Coaching A project for young people aged 16-24 living in King's Lynn and West Norfolk. We offer 1-2-1 outreach coaching and follow on employability based activities and groups. The project aims to bridge the gap between disadvantaged young people and employment and training opportunities. This project is funded by the UK government through the UK Shared Prosperity Fund. Norwich SafeSPACE A project to support young people aged 13-18 who are not in education, training or employment (or at risk of) to access regular positive activities and community engagement. The activities will be in a small group of no more than ten young people and will be Norwich City based. The aim of the project is to raise young people’s motivation and support them by building resilience to have hope for the future. SafeSPACE is Norfolk Community Foundation Supporting Positive Activities and Community Engagement Fund. Central Gt Yarmouth Engagement Coaching Providing support to 14-19 year olds living in Nelson Ward, Great Yarmouth, who are either NEET (not in education, employment or training), or at higher risk of becoming so. Offering 1-2-1 coaching in school/college or outreach complimented by follow-on confidence and aspiration building activities, groups and community engagement. We are a delivery partner for NRThirty to ensure that young people in Central Great Yarmouth have access to the best possible support and opportunities. Thank you to our funders & partners Get support To access support, click the button below to fill out our referral form. A social worker, teacher, or youth worker can complete it for you, or contact us for help. Click Here Contact us Still unsure? Would you like to talk to someone before deciding if you want to receive support? You can chat with us via email or over the phone - 01603 723845 Email us

Discover the facts about MDMA (Ecstasy), including its effects, risks, and harm reduction advice. This resource provides clear, youth-focused information to help you make informed choices. What you should know about MDMA This page talks through the effects of MDMA, risks and harm reduction. Young people helped create this page, working alongside the Unity service. Therefore, the stories featured relate specifically to Norfolk. ⚠️ Contaminated MDMA ⚠️ Some MDMA in Norfolk has been found to contain other potentially harmful substances, including synthetic drugs called Nitazenes. Nitazenes have been linked to overdoses and even deaths. Risks of using MDMA Hover over the photos below, to see the risks of using MDMA. Physical Health Increased heart rate and blood pressure Dehydration & overheating Nausea, vommiting, & jaw clenching B lurred vision Agitation Feeling Disconnected or Psychotic Symptoms Low Mood or Depression Panic Attacks Memory Problems Mental Health Anxiety, panic, or paranoia Depression or low mood Confusion or memory problems Sleep disturbances Snorting MDMA can cause damage to the nose and sinuses. Bombing MDMA can lead to an increased risk of overdosing Substance-Related Effects MDMA and the Brain MDMA is a type of amphetamine that also has hallucinogenic effects. It changes how your brain works by increasing certain chemicals (Neurotransmitters). MDMA mainly affects four neurotransmitters: serotonin, dopamine, norepinephrine, and oxytocin. Serotonin Serotonin helps regulate mood and body temperature. Dopamine can make you feel excited, focused, and motivated. Norepinephrine increases energy and alertness. Oxytocin , the “love hormone,” helps you feel connected to others. Drawings by Sam Pearson. Serotonin plays an important role in a lot of what our bodies and brains do, it helps us regulate our mood and emotions, often helping us feel calm, relaxed and happy. However, it also plays an important role in many other functions like our sleep, nervous system communication and attention. For this reason, MDMA use can come with a lot of complicated side effects . Users have reported panic attacks, anxiety, low mood and confused episodes, after using MDMA. These side effects can become more significant if you already have mental health problems or use more frequently. If you use MDMA regularly or for a long time, it can change the way your brain is able to use Serotonin , making it harder to feel good naturally. That’s why overuse of MDMA can lead to long-term mood problems, anxiety, or depression. Long term use may also affect memory and your ability to think, remember stuff and solve problems. Daily life can become much harder to manage. Serotonin Syndrome Serotonin Syndrome is caused by too much serotonin being released in the brain at once. This can cause unpleasant problems like diarrhea, twitching, insomnia, shivering, sweats, overheating, rapid heart rate, high blood pressure, and more. In severe cases this can lead to tremors, seizures, irregular heartbeat, and death. Some mental health medications such as SSRI anti-depressants can effect how Serotonin is released; This generally means there is less effect from the MDMA. Taking more may not make any difference, but it will place you at higher risk of overdose . Taking MDMA when on an anti-depressant like this can be a dangerous combination as both increase the brain’s release and use of serotonin. This can result in “Serotonin Syndrome ”. Blood Borne Virus A blood-borne virus is a virus (such as Hepatitis or HIV) that spreads from one person to another through blood. This can happen through sharing snorting equipment like straws and tubes. As a service, we can offer young people the Hepatitis B (Hep B) vaccination to help protect you from the virus. Stay Safe Tips For You and Your Mates If you decide to use MDMA, it’s important to know there are always risks . The only way to completely avoid these risks is to not use MDMA. But if you do decide to use it, keep these tips in mind: Start with a small amount (1/4 or 1/2 of pill), wait 60 minutes before taking more. Every pill/powder is different and how it effects you may be very different to how it effects others you are with. Avoid mixing MDMA with alcohol or other drugs, reactions are highly unpredictable and can cause overdoses or death. Sipping a pint of water over an hour can help to avoid dehydration. Having regular breaks from dancing to avoid overheating. If someone is overheating, take them to a cooler and calmer place, removing outer clothing to cool them down. When bombing (powder wrapped in thin paper, swallowed), MDMA can take longer to kick in . Wait 2 hours before deciding to take more. Snorting - grind into a fine powder , use clean personal snorting tools and avoid using bank notes , limit how often you’re snorting, alternate nostrils and rinse your nose after use with sterile or bottled water, this helps avoid powder sitting in the nose and causing damage to the nasal passage. Having a sober trusted friend to ‘trip sit’ if something goes wrong, they can call help if needed. Do call an ambulance if needed, you will not get in trouble with police and it may save a life. We offer Hep B inoculations - 3 vaccinations. Over 90% effective after the full series. The vaccinations contain non-infectious parts of the virus so it trains the immune system to recognize and fight off hep B if you’re exposed. Use your own clean equipment i.e. straws, snorting tubes What Young People in Our Service Have to Say Hear from young people in our service about the impact of MDMA use on their life. MDMA Video Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied After my 17th birthday I started using MDMA just to try it, but then it became more of a frequent use for 5 months, then it slowed down. When people talked about their MDMA experiences it made me wonder how I would feel on them, as they were described as “cool,” and I then got hooked on them. MDMA now makes me live every day questioning if things are happening. It ruins my work days as I cannot focus, and my relationships with people, as I feel they never understand me. MDMA also increased as my tolerance built up. The one event that made me realise I needed support is when I realised my day-to-day life was unhinged and my only hobby was doing substances. I felt odd living my life, when I realised I can’t remember much of my past and I questioned if things around me were real. I noticed physical changes to my body, such as my face looking horrible, feeling sick all the time, and my heart having problems. The biggest challenge I faced to make a change was to speak up and ask for help. I never asked for help because I felt I was okay and nothing was going to happen to me, but then I felt super uncomfortable with my life and realised my mental health was ruined. The Matthew Project helped me out by realising once you call out for help it will actually help you. Meeting someone new and talking about personal issues does actually take some weight off the shoulders. It’s also taught me new things about the things I do and has taught me better safety for myself. Videos Prefer watching instead of reading? Check out these videos about MDMA to see how it affects people and get the facts you need. MDMA - Respect Your Brain Play Video Did you know: MDMA Play Video How Not To Die From Ecstasy Play Video MDMA Information Watch Now Share Whole Channel This Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Share Channel Info Close About The Matthew Project If you’re under 19 and using ketamine or other substances, our Unity service is here to support you. You won’t get in trouble for reaching out. Click the button below to learn more about the Unity service. If you are 19 or over, you will need to contact Change Grow Live. Unity Service

Learn about cocaine, its effects on health and the brain, risks, and harm reduction tips. Created with input from young people in Norfolk, this page offers clear, honest information to help you stay informed. What you should know about Cocaine This page talks through the effects of cocaine, risks and harm reduction. Young people helped create this page, working alongside the Unity service . Therefore, the stories featured relate specifically to Norfolk. ⚠️ Contaminated Cocaine ⚠️ Some Cocaine in Norfolk has been found to contain dangerous synthetic substances called Nitazenes. Nitazenes have been linked to overdoses and even deaths. Risks of using Cocaine Hover over the photos below, to see the risks of using Cocaine. Health Increased heart rate High blood pressure Anxiety Depression Paranoia Hallucinations Seizures Agitation Feeling Disconnected or Psychotic Symptoms Low Mood or Depression Panic Attacks Memory Problems Overdose Tolerance can build quickly, so users would need to use more to get the same effects. This increases the risk of overdose. Heart Attack Stroke Damage to the Nasal Passage including nose bleeds, scabs in the nostrils, whistling sound from nose, pain, persistent runny nose and loss of smell. Nasal Passage Cocaine and the Brain The Limbic System Cocaine affects a part of the brain called the limbic system. This area controls things like hunger, sleep, and emotions, and it's also where we feel pleasure and rewards. When someone uses cocaine, it causes a big rush of a brain chemical called dopamine , which makes them feel very good for a short time . Cocaine stops the brain from reusing dopamine, so the good feeling lasts longer. But after the drug wears off, the brain can run low on dopamine, which can lead to feeling sad, tired, or unmotivated. The Limbic System Nucleus Accumbens Drawing by Sam Pearson. The nucleus accumbens (NAc) is the part of your brain that controls pleasure and motivation - basically, how much you want something. When someone uses cocaine, it causes a surge in dopamine, creating a strong feeling of pleasure and reward . Cocaine changes the brain cells in the NAc, making them more sensitive to the drug. These changes make the person feel a stronger urge to use. The brain forms powerful memories of the good feelings connected to cocaine, which trigger cravings . This makes it harder to stop using the drug, even when the person knows it's harmful . Unlike many other pleasurable experiences, the brain’s emotional attachment to cocaine lasts longer, making it more difficult to stop using even after a long gap. Chronic cocaine use can also affect other parts of the brain, not just the areas linked to pleasure. These changes can make it harder for someone to think clearly or reflect on their own behaviour. This means people may not realise how serious their cocaine use has become, or they may struggle to see the harm it's causing in their life. It may reduce how pleasurable everything else feels, like eating nice food. Cocaine can change behaviour and decision-making, and over time, it may reduce a person's ability to recognise the negative consequences of their drug use. In some cases, these brain changes can become long-lasting or even permanent , making recovery more challenging than with some other drugs. Stay Safe Tips For You and Your Mates If you use Cocaine, it’s important to know there are always risks. The only way to completely avoid these risks is to not use Cocaine, But if you do decide to use it, keep these tips in mind: . Don’t mix with other drugs - Mixing cocaine with other substances can increase the risk of overdose or unpredictable reaction. Mixing alcohol and cocaine creates another substance in the body called Cocaethylene. This means it can cause much greater strain on the heart, liver and cardiovascular system. If snorting cocaine, ensure you alternate nostrils. After use, use sterile or bottled water or a saline spray, to flush any residue from your nostrils, this will prevent any left-over substance sitting in your nostrils and causing any damage. Use a clean personal sniffing straw, never share straws, notes or keys as these can lead to the spread of blood-borne viruses such as Hepatitis B and C. We can provide Hep B inoculations – 3 vaccinations. Over 90% effective after the full series. The vaccinations contain non-infectious parts of the virus so it trains the immune system to recognize and fight off hep B if you’re exposed. Crush substances finely, larger bits can damage the delicate lining of the nostril causing cuts that can lead to infection or nose bleeds. Before use, use a saline spray to hydrate nasal lining and reduce irritation. What Young People in Our Service Have to Say Hear from young people about the impact of cocaine use on their lives. Cocaine Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied I first started using cocaine at age 17 as to try it, but it never grew on me much. They say “cocaine gives you a boost” which is what made me try it. I’d thought it would give me a nice energetic feeling, hence why I tried it. Cocaine made me in a terrible mood after using, as I felt really tired and hardly spoke to anyone around me My nose is atrocious, it will be bleeding and it really hurts, but when you sniff it makes it go number so it stops the pain. You’re kind of doing it to get rid of the pain, but in the long run it causes more pain. About The Matthew Project If you’re under 19 and using ketamine or other substances, our Unity service is here to support you. You won’t get in trouble for reaching out. Click the button below to learn more about the Unity service. If you are 19 or over, you will need to contact Change Grow Live. Unity Service