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What you should know about Cannabis This page will talk you through the myths surrounding cannabis and how it impacts different parts of your brain. Young people helped create this page, working alongside the Unity service . Therefore, the stories featured relate specifically to Norfolk. Endocannabinoid System and the brain Your brain is made up of billions of cells that send messages to each other all the time. These messages help control how your body works and how you think , feel , and act . You also have something called the endocannabinoid system. It's part of your body that helps keep everything balanced, like your mood, memory, appetite, and even how you feel pain. It works by making natural chemicals called cannabinoids , which attach to tiny spots on your brain cells called receptors . These natural cannabinoids help your brain cells turn "up " or "down " activity in different parts of the brain, depending on what your body needs . This system works smoothly on its own. Helping you feel and function normally . What happens when you use cannabis (get high)? When we use cannabis, we flood our brains with extra cannabinoids . Cannabinoids like THC are not the same as those our bodies make but are similar enough to bind to our receptors. This throws the endocannabinoid system out of balance , which is what causes the "high ". When you use cannabis regularly , your brain gets used to the extra cannabinoids and tries to adapt . This means you'll need more cannabis to feel the same effect (that's called tolerance ). If you stop using, your body can struggle to find it's balance again. That's why people sometimes get withdrawal symptoms , like: Headaches, chills, sweating or stomach pain Feeling moody, angry, anxious or down Trouble sleeping Not feeling hungry Cannabinoid Hyperemesis Syndrome (CHS) can happen to people who use cannabis a lot over a long time . It causes nausea, vomiting, and stomach pain that can come and go. The exact reason it happens isn’t fully known and the only way to get better is to stop using cannabis. The symptoms usually go away after quitting, but it can take weeks or months to feel completely normal again. How cannabis affects different parts of your brain Hover over the boxes below to see more details. Motivation and pleasure (Nucleus Accumbens) Cannabis can make things feel funnier or more interesting than usual. Decision making & thinking (Neocortex) Cannabis can make it harder to focus, think clearly, or make good decisions. Cannabis can make it harder to remember things or make new memories. Memory (Hippocampus) Movement planning (Basal Ganglia) Cannabis can make your reactions slow down. Cannabis may make you feel clumsier or less in control of your movements. Coordination and Balance (Cerebellum) Cannabis might make you feel extra hungry (aka “the munchies”). Hunger control (Hypothalamus) Pain and body functions (Brain Stem & Spine) Cannabis can reduce pain and stop you from feeling like you need to be sick. Stress emotions - fight or flight (Amygdala) Cannabis may make you feel anxious, paranoid or panicky. Drawings by Sam Pearson. Myths Below are some myths about cannabis that we hear often from young people. Hover over the myth to see the truth. “Cannabis isn’t harmful, it’s natural, so it’s fine.” Cannabis can cause harm, especially for young people under the age of 25 because your brain is still developing. It can affect your memory, motivation, and mood and in some cases, it can lead to anxiety, paranoia or worsen mental health. Some people develop a dependency where they feel they must use it every day and get withdrawal symptoms when they stop such as low mood, sleep problems, feeling irritable, loss of appetite or problems regulating your body temperature. Myth 1 “Cannabis helps everyone chill out.” While it might relax some people in the in the short term, it can make anxiety worse for others, and long-term use can impact motivation and mental health. Myth 2 “Cannabis is legal if you have a small amount on you for personal use" Cannabis is not legal in the UK, even if you only have a small amount for personal use. It is classed as a Class B drug, and being caught with it can still get you into trouble and the police will confiscate it. You could receive a police caution, be arrested or have a criminal record. For under 18’s, the police are allowed to tell your parent/carers that you’ve been caught with drugs. Myth 3 “It’s fine to drive after using cannabis. It doesn’t affect you like alcohol does.” Driving high is dangerous and illegal. Cannabis can seriously impair your reaction time, focus, coordination, and ability to judge distance and speed. That means if you get into a car with someone who has used cannabis, even if they feel okay, their brain and body aren’t working at full capacity. This could lead to a crash that harms you, your friends, or someone else. Myth 4 THC Vapes THC vapes are vapes or e-cigarettes that contain THC or THC-like substances. THC (tetrahydrocannabinol) is the main psychoactive ingredient in cannabis - it's what causes the "high." These devices are designed to heat cannabis concentrates that contain THC, turning them into an inhalable vapour. Vaping THC may produce faster and stronger highs compared to smoking the same amount, this can increase the chance of adverse effects , such as anxiety, paranoia, dizziness and nausea. THC vapes and liquids are illegal and unregulated . Pure THC oil can be expensive so dealers may dilute or replace THC oil with the cheaper substances such as synthetic cannabinoids (spice) or synthetic opioids (nitazenes) and additives which can be extremely harmful, heavy metals, and oils ). Metals and particles inhaled into the lungs cause inflammation and long-term harm - there is no quality control or lab testing. Psychotic disorders linked to THC use: Frequent high dose use particularly in young people and those genetically predisposed is linked to a higher risk of psychotic disorders. The risk of psychotic disorders developing increases with how young the user is, frequency of use and potency of THC. Acute psychotic episodes - short term hallucinations, delusion, paranoia, or disorganized thinking while under the influence of cannabis or during withdrawals. Cannabis-induced psychotic disorder (CIPD) - a diagnosis when psychotic symptoms occur during or shortly after cannabis use that can’t be explained by another condition. Increased risk of developing schizophrenia or persistent psychotic disorders - in individuals with a genetic predisposition or certain environmental risk factors. Stay Safe Tips For You and Your Mates If you decide to use cannabis, it’s important to know there are always risks . The only way to completely avoid these risks is to not use cannabis. But if you do decide to use it, keep these tips in mind: Holding cannabis smoke in your lungs does not get you any higher. THC is absorbed quickly in the lungs, holding smoke in only increases the amount of tar and other harmful chemicals retained in the lungs. Cannabis comes in varying strains and strengths so your experience on cannabis can differ each time you use. Start by using a small amount and wait for the effects to kick in before deciding whether to use more. Avoid using cannabis when you are feeling low or stressed. Cannabis may provide a short-term relief , but after the effects wear off you may end up feeling anxious or paranoid. Regular cannabis use can impact sleep and appetite. At first, it might seem to help you relax, fall asleep, or increase appetite. Over time your brain adjusts by reducing the sensitivity of its cannabinoid receptors. This leads to tolerance - you need more cannabis to get the same effects, when you stop, you might experience trouble sleeping or loss of appetite until your body readjusts. Take regular breaks from using as the habit can build and form quickly . These breaks can reduce tolerance and reliance on the substance. If you find this difficult then it may be a good time to reach out for support . Do not mix with other drugs as this can negatively impact your experience, intensify side effects and increase the risk of you coming to harm. Mixing cannabis with alcohol increases the chances of “spinning out” and vomiting. Regularly clean out any bongs or paraphernalia. These can be breeding grounds for bacteria if not properly looked after. Young People's Stories Hear from young people in our service about the impact of Cannabis use on their life. Young person - 1 “I first started smoking weed when I was 13 because me and my best friend wanted to experience what it was like to be “high”. It made me feel really chilled out, i found things extra funny and food tasted 10x better. It was so fun I started doing it more often, it went from doing it once a month to most days after college or at the weekends. It is hard to quit as nearly all of my friends smoke weed. If it’s offered to me, the thought of a couple hours of relaxation - no stress, no responsibilities - makes it easy to say yes. Being out with friends and smoking made me forget my pressures and struggles for a while. However, the high came with downsides: I would become paranoid about getting caught and lost all motivation for school work and life responsibilities. I didn’t realise I had a problem until I started wanting to be high all the time. It was a temporary escape from my stresses, college and worries about my future. However these stresses only built up as I avoided them with drugs. I decided to find support once I got caught various times with weed. I was ruining family relationships and finding it harder to get things done in life. My life had become a mess and the relaxation I got from weed became less fun and more stressful. If you are dealing with cannabis addiction I advise spending time with people who don’t use drugs. Being with my friends who wanted to purely spend time together and laugh - not passing round a joint the whole time - was so refreshing. I began to remember the life I used to love before drugs. The hobbies i found fun in and the life experiences Id missed out on through spending my life around drugs.” Cannabis Website Video (1) Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Video Prefer watching instead of reading? Check out this short video about Cannabis to see how it affects people and get the facts you need. Cannabis - Respect Your Brain Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied 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

The Matthew Project is a Norfolk charity offering free, confidential support for young people dealing with issues around drugs, alcohol, or family substance use. Our services include YouCan (help for under-19s affected by a family member’s substance use), Unity (support for under-19s impacted by personal or others' substance use), and On Track (guidance for 13-24s facing barriers to education or employment). Welcome! Here you can see our young people services that we run at The Matthew Project. Our services aim to support, empower and advise young people. YouCan If your worried about a family member or relative using drugs/alcohol, use the button below to see how we can help. This service is for: Age under 19's Living in Norfolk Impacted by family/relative drug/alcohol use Read More Unity If you are worried that your own drug/alcohol use is having a significant impact on you or others around you, click on the button below to see how we can help. This service is for: Age under 19's Living in Norfolk Want to stop/reduce drugs/alcohol use Read More On Track Do you have barriers making it difficult to find/stay in education/employment. Use the button below to see how we can help. This service is for: 13 - 24 year olds Living in Norfolk At risk/not in education or employment Read More Accessibility We believe all young people should have equal access to information and support regardless of barriers. To see how we do this follow the button below. Read More Have Your Say We value our young peoples feedback and ideas. If you would like to see how you can have your say, please follow the button below. Read More Your Stories Want to know about another young persons experience? Click the button below to see some short stories from other young people we have helped. Read More What's New Load more

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

Resources to help inform you and keep you safe around drug and alcohol use. Resources Substances Information Click the buttons below to learn more about different substances. Click Here Ketamine Cannabis MDMA Alcohol Cocaine Click Here Click Here Click Here Click Here Assembly Video The assembly video explores common myths around alcohol and cannabis, and shares information about our services for under-19s in Norfolk who are affected by substance use, whether their own or that of a family member. You can view the video below: Assembly Video_V0.4 Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Here you can find resources for other sites, helplines and more. If you know of any resources that you think would be helpful to add to the list, please contact us via email. Details can be found here . Important Notice In an emergency situation, or if you feel you, or another person is at risk of immediate harm, call 999 for urgent support from police, fire or medical services. You can also access non-urgent police support by calling 101 and non-urgent medical advice by calling 111. (*) Asterisk marked resources will take you to an external page not monitored by us. While we check these sites to make sure they are secure, we are not responsible for any information collected by/or given to them. Drug & Alcohol Information and Support CGL* Support for those affected by, or using, substances who are over 19yrs. Number: 01603 514 096 More Info Talk to Frank* Information about drugs, their effects and the law. More Info NACOA* For children of problematic drinkers. Chat advisers are available. Number: 0800 358 3456 More Info Alcohol Education* Supports parents, carers, teachers and community leaders to keep young people safe around substances. More Info Drug Wise* Promotes evidence-based information on drugs, alcohol and tobacco. Not for individual support, just information. More Info Other Helplines & Websites Childline* Call 0800 11 11 for support or help for children aged under 19. More Info Kooth* Online wellbeing community. Free, safe and anonymous online support and counselling. More Info CEOP* Provide information and advice on how to keep children and young people safe online. More Info YESS Norfolk* Supports young people aged 10 – 18 across Norfolk recognising that young people are experts in their own lives. More Info Samaritans* Call 116 123 for support and awareness around suicide. More Info Young Minds* Young people and children's mental health charity. Has a 24/7 crisis text support at: 85258 More Info The Mix* Helps with mental health, money, homelessness, finding work, breakups and more. More Info SHOUT* Text SHOUT to 85258 for wellbeing support 24/7. More Info First Response* Urgent 24/7 mental health support service for Norfolk and Suffolk. Number: 111 (Option 2) More Info Norfolk FYI* Trusted help, advice and information for 11 to 24 year olds around their health/wellbeing. More Info Family Support / Concerned Others Family Lives* Parenting Support 24/7. Parent line on 0808 800 22 22. More Info Just One Norfolk* Local support for young people, parents and professionals. Parent Line: 0300 300 0123 / 07520 631 590. More Info ADFAM* Support for family members affected by drug and alcohol issues. More Info

Resources to help inform you and keep you safe around drug and alcohol use. Leaflets and Posters Download and print our leaflets and posters to use in your school, workplace, community centre, or anywhere that young people may want to learn more about our services. YouCan Leaflet Poster Unity Leaflet Poster On Track King's Lynn and West Norfolk Coaching Kings Lynn and West Norfolk SPACE Great Yarmouth Support Norwich Safe Space Confidentiality Is it safe to talk here? Leaflet Substance Information Ketamine Poster Substance Information Support for Professionals Professionals' Poster Parent/Carer - YouCan Service Parent/Carer Leaflet

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

Information Collecting and Sharing This information on this page is about the information we collect and who has access to your data. We ask you for information so that you can recieve proper care and threatment We keep your information, together with details of your care, because it may be needed if we see you again. What NDTMS is and does: NDTMS is the National Drug and Alcohol Treatment Monitoring System (NDTMS). It is used by PHE to collect information about drug and alcohol treatment in England. If you consent, your treatment service will share some of your treatment information with NDTMS.

See frequently asked questions about our service and what we do. Frequently Asked Questions How do I get support for someone I know/myself? Anyone can get in touch with us to make a referral. This could be a parent, carer or professional or you. If you want to refer yourself or someone you know, you can do this by going to our contact us page to chat with a member of the team in the most accessible way for you. Contact Us What happens when I get referred? We will contact you, or the person referring you and arrange to come and meet, in a place you feel comfortable. What happens if I change my mind? Just let us, or the person who referred you know. Our support is totally voluntary. We understand that people change their minds. You are always welcome to come back. Will you tell other people what I have said? We offer a confidential service. Confidentiality means us not telling anyone else about the things you tell us, we will talk to you about who you are comfortable with us talking to. Sometimes your parents, carers or teachers may be aware that you have been referred to us, particularly if you chose to see us at your school or home, this does not mean we will tell them everything that you tell us, we will discuss this with you and agree what information YOU feel comfortable sharing. If there’s a risk of very serious harm to you, or someone else, we may need to share some of what you have told us, we will try and talk to you and let you know what might happen next. Will you tell me to stop using drugs/alcohol? No we understand this is your choice and people use substances for a variety of reasons. We are not here to judge you, or tell you what to do, we will support you to decide what you want from the support. Do you have to tell my parents that I am working with you? If you are over 13 and we feel you understand what it means to get support from us, we do not need to tell your parents that we are supporting you. If you are under 13, we do need to get consent from your parent or carer to be able to offer you support. This doesn’t mean we will tell them what we talk about with you. Will I get into trouble? We will not share the information you tell us unless we are extremely worried for your safety, our aim would be to keep you safe not for you to get into trouble. How long can you work with people? For the YouCan and Unity service. Our support is not time limited we can continue to support you for as long as you feel you need the support. We can see you weekly, fortnightly, or monthly, depending on what works best for you. For On Track, there are sometimes time limits depending on the service. Contact On Track's for more details. Is there a waiting list? We do have at times a waiting list but we will be in contact within 2 weeks and will always keep you updated of when a meeting will be booked. Can I see you in school? Yes we can come and meet you in a place you feel comfortable this could be at home, school, college, wherever you feel comfortable. Can I talk to you about other stuff? Yes we understand that drug or alcohol issues can be one of the issues you are facing, we will complete an assessment with you that will look at what other support may be useful, this could include mental and physical health, housing, education and relationship advice. Will there be a change in worker? We try not to change your worker, we know it can be difficult when one of our workers leave, if we have to change you to a new worker, we will ask you what kind of person you would feel most comfortable with and try and match you with one of our workers. Can I bring someone with me? Yes we understand it can be a big step meeting someone new. My parents/carers don't drive, how do I get to you? We come to you! We can meet you in a location you feel comfortable such as school and for our holiday activities we can arrange transport so you can attend.

What you should know about Alcohol This page explains how alcohol can affect your body and share tips for having a safer night out. Young people helped create this page, working alongside the Unity service . Therefore, the stories featured relate specifically to Norfolk. ⚠️ Dangers of Mixing ⚠️ Combining alcohol with other drugs can worsen their harmful effects and increase the risk of overdose. When mixed with other substances it will affect your judgement, leading to risk taking and can cause harm to your developing brain and body. Alcohol and the Brain Alcohol is a depressant - not because it can make you cry, but because it slows your brain down. Messages between your brain and body start travelling in slow motion. That’s why your balance, coordination, and general “acting normal” skills can be affected. Alcohol reaches your brain in about 5–10 minutes after your first sip and can make you feel relaxed or euphoric at first ( due to dopamine release) but if you drink too much , or too often it can also affect your mood and behaviour , causing depression, anxiety, or aggression. Memory (Hippocampus) It also interferes with the hippocampus, the brain’s memory centre. That’s what causes blackouts or difficulty remembering things after drinking. Decision Making (Frontal Lobe) The first part of your brain alcohol hits is the frontal lobe (the decision-making part of your brain), that’s why you might feel extra confident and chatty. Basically, alcohol makes risky choices feel easier. Movement and Balance (Cerebellum) Alcohol affects the Cerebellum, which controls movement, balance, and coordination. This is why people may stumble on or slur their words. Brainstem (breathing and heartrate) The brainstem controls vital functions like breathing, heart rate, blood pressure, swallowing and consciousness. If you drink too much, your brain can slow so much that it forgets to tell your body to breathe, and your gag reflex can stop working so if you vomit, you can’t cough or clear your airway . This is like drowning in your own vomit , which is why alcohol poisoning is so dangerous. Hover over the boxes below to see more details. Impact on the Teenage Brain The brain continues to develop into a person's mid-20s , with a critical period occurring during adolescence (a period of rapid brain development). Alcohol is a neurotoxin that can interfere with this process and alter the way the brain is wired , potentially causing long-lasting changes in brain structure and function: Alcohol can interfere with the development of the frontal lobe , which is crucial for impulse control, planning, and judgement. GABA When you drink alcohol , it increases the activity of GABA (gamma-aminobutyric acid) a neurotransmitter that slows down brain activity. This can depress your brainstem - that’s the bit in charge of keeping you alive by keeping your heart beating and your lungs breathing without you having to think about it! Alcohol doesn’t create GABA; it just makes its effects stronger, like turning up your brain’s “relax mode.” When this happens, your thinking, movement, and reflexes slow down . Risks of using Alcohol Hover over the photos below, to see the risks of Alcohol. Physical Raises heart rate and blood pressure, straining the heart. Weakens memory, immunity, and nutrient absorption, increasing illness risk. Disrupts deep and REM sleep, causing fatigue and poor concentration. Agitation Feeling Disconnected or Psychotic Symptoms Low Mood or Depression Panic Attacks Memory Problems Social Lowers inhibitions and impairs judgment, causing arguments, misunderstandings, or risky behaviour. Long-term heavy drinking can damage health and strain relationships. Frequent drinking can cause mood swings, anxiety, and irritability. Can worsen depression and anxiety and may create a cycle of emotional dependence. Emotional Safer Night Out - Stay Safe Tips For You and Your Mates Planning a night out? Here are some helpful tips to help you stay safe and enjoy yourself. Press the arrow on the slideshow to see information for before, during, and after your night out. Before a Night Out Set a limit. Excessive drinking harms your health, relationships, and sexual safety. It can also lead to poor decisions, aggression, and memory loss. Setting a limit helps you stay in control. Keeping within your limit reduces the chance of injuries and dangerous situations caused by intoxication. Stay hydrated. Alcohol is a diuretic - it makes your body lose water through increased urination. This leads to dehydration, which causes thirst, headaches, and hangovers. Charge your phone before heading out, and bring a portable charger if you can. In case you need to call anyone in an emergency or to get a lift home Eat a proper meal. Eating foods rich in protein, fat, and carbohydrates slows the absorption of alcohol, reducing how quickly you get drunk. This helps prevent a sudden spike in blood alcohol levels and protects the stomach lining from irritation. Sort your journey home in advance. Whether it’s public transport, a trusted taxi, or a designated sober driver. Young People's Stories Watch young people from our Unity service share their real stories and perspectives on alcohol - honest and straight from their experience. Alcohol Webpage Video Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Young person - 1 I started using alcohol because it was accessible. I knew it wouldn’t necessarily help, but at the time it felt like it would. At first, it was really good, but then I ended up in hospital and that’s when I realised things were starting to get worse. That’s also when I started working with the Matthew Project. It definitely made my mental health worse, because I noticed that whenever something was wrong, I used more and it didn’t help. The moment I realised I needed support was when I ended up in hospital after a drinking binge. The Matthew Project helped me in multiple ways: harm reduction and just nice having someone decent to talk to. My advice to someone else struggling would be: talk to someone and try to understand what you’re doing and why. Things for me now… I haven’t drunk any alcohol for about a month - that was the thing I was most worried about. I talk to my mum more about things now, and I think she worries less. I don’t go to CAMHS anymore because I feel I cope better, but I know to go back if things ever get worse. Video Prefer watching instead of reading? Check out this short video about Alcohol to see how it affects people and get the facts you need. Alcohol - Respect Your Brain Play Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied 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

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Summer At Home Activities We’re offering activity packs that children and young people can complete at home. There are six different packs available, and you can choose up to two! Pack options include: Baking Pack, Self-Care Pack, Art Pack, Positivity Pack, Growing Pack and Bug Hunting Pack. Click the button below to choose your packs! We’d love to see what you create! Send a photo of your finished project to josie.wood@matthewproject.org to be entered into a prize draw. We’ll be sharing creations on this webpage, so you can also check out what other young people have been making! Important: Please don’t include your face in the photo, this helps protect your identity, as the webpage is open to everyone. Booking Form for Packs Baking Pack Self Care Pack Art Pack Positivity Pack Growing Pack Bug Hunting Pack Baking Pack Self Care Pack Art Pack Show More

We can be contacted Monday to Friday, 9am to 5pm. The only exclusion to this is our live chat which runs Monday to Thursday, 4pm to 7pm. Our Number: 0800 970 4866 Our Email: Unity@matthewproject.org Contact Info Say Hello We will only ask for information you are happy to share but if you would like to be referred we will need to ask extra. Phone YouCan - 0800 970 4866 Unity - 0800 970 4866 On Track - 01603 723845 Email youcan@matthewproject.org unity@matthewproject.org contact@ontracknorfolk.org Social Media Name Phone Email Message Send Thanks for submitting! Live Chat Live chat currently runs from: Monday to Thursday, 4 pm to 7pm (excluding the 27th and 28th of December, where it will be 9am - 5pm) and is for 13yrs or older only. If you are under 13 and would like to talk to someone, please contact Childline on 0800 11 11. If you are over 19, please contact CGL on 01603 514 096. The Live Chat does not run on Bank Holidays. To access the live chat, click on the orange circle on the bottom right-hand side of your screen. This is a confidential service for young people with issues or questions around drugs and alcohol. This is not a crisis helpline. If you require urgent help, please call Childline on the number above or 999. This chat is with real human beings, not an AI or a bot. Visit Us We know it can be daunting going to a new place for the first time and meeting one of our team. This is why we cover all of norfolk and can travel to meet you in a location you feel comfortable in. While we welcome people to visit our centre, we ask that you contact us ahead of time so we can make sure there is a member of our team available to meet you. Address 70 - 80 Oak Street, Norwich, Norfolk, NR3 3AQ Opening Hours Mon - Thu Fri 9:00 am – 5:00 pm 9:00 am – 4:30 pm This is our reception!