Lockdown has created a pressure cooker for people in crisis: what to look out for and how to help
2020 has brought the greatest public health catastrophe of our times and caused a huge spike in stress on our societies and on our fellow human beings.
About us
About us
BONDS stands for Beaini Opioid Naltrexone Detoxification System and was first founded by Dr Amal Beaini over 20 years ago. Outcome driven from the start, BONDS has become one of the global leaders in addiction treatment. We are a family run business based in Yorkshire. Our treatment programme places abstinence as a priority. We specialise in opioids, prescription medication, alcohol, cocaine and more. The BONDS team are on hand to help deliver holistic treatment, tailored to your needs. Think your goals are unreachable? We’re here to support you in achieving them.
Outcomes
The BONDS programme has treated more than 12,000 in-patients. 97% of those were abstinent after initial detox and 66% remained abstinent after 12 months. This compares to a national average of 8%. At The BONDS Clinic, we have modified the programme for an out-patient treatment that can be done comfortably, safely and conveniently whilst at home. Our outcomes remain on an equal footing.
The BONDS programme was first published in the year 2000 in Addiction Biology and is one of only a few addiction programmes to publish outcomes. With proven success, we believe in transparency and will work with you towards a brighter future.
Why BONDS?
- High success rates
- Family run and passionate about meaningful, high quality patient care
- Cost-effective compared to competitors
- Addiction free usually in 7-14 days
- Dual diagnosis – tackling often complex co-existing mental health disorders
- Innovative and dynamic treatment programme – helped by patient feedback and constant audit to improve standards
- Decades of combined knowledge and experience in addiction, mental health and general medicine
Treatments
The BONDS Clinic focuses on the whole person through the ‘biopsychosocial’ model.
DID YOU KNOW that up to 70% of those requiring addiction treatment have underlying mental health disorders?
Finding the root cause of addiction is essential. It is not just about a successful detox and the BONDS team is dedicated to making sure you have the best chance of being addiction free now and in the future. ‘Relapse Prevention’ is a critical success factor.
-
Biological/psychiatric and medical features
A bit about the science! The chemicals in our brain should be steady and balanced when we’re well. When there is addiction, craving or mental health disorders, the balance can be affected. Certain substances can give you a pleasurable ‘hit’ but use up a lot of your chemical stores. Our job is to make any withdrawal of harmful substances as comfortable as possible whilst looking out for signs and symptoms that may respond to specific medical treatment, to help your brain chemistry back to happiness.
-
Psychological features
Talking therapies can be useful not only to understand the what, why and how it’s happened, but can also offer practical and solution-focused therapy to support you throughout the recovery and in-turn allow the brain to heal.
-
Social
Re-integration back into the social and professional world is just as important and often challenging in recovery. The BONDS team work with you to support you in taking control and getting back to life.
It’s not just a quick detox, we see addiction treatment as a 12 month programme broken down into stages
It’s not just a quick detox, we see addiction treatment as a 12 month programme broken down into stages
After meeting with the team for an assessment, all the options and packages will be discussed and agreed with you and your loved ones. We may suggest using Naltrexone in the ‘acute detox’ stage.
There are three stages to treatment:
1
Expect to be substance free within a period of 7-14 days. This can be extended to 28 days in some acute cases
Start of relapse prevention medication programme using long acting Naltrexone
Medical team review: this ranges from weekly to daily in the first 28 days depending on clinical requirement
Supportive therapy sessions: this ranges from weekly to daily in the first 28 days depending on clinical requirement
2
Following stage 1 patients access pre-approved therapy networks local to their area for ongoing talking therapy treatment
Local therapy is supported by:
- A minimum of 1 fortnightly medical team reviews with BONDS clinicians and nurses
- A minimum of 1 fortnightly BONDS therapy reviews
3
Continued intensive talking therapies within the patient’s local area
A minimum of 1 monthly BONDS medical team review
A minimum of 1 monthly BONDS therapist review
During stages 2 and 3 the patient will be encouraged to re-engage into family and professional life where at all possible. GETTING BACK TO LIFE is a core driver to successful outcomes at the BONDS Clinic.
-
Recovery Programme
We view the recovery process as a minimum of 12 months. Although there is no obligation to continue treatment after successful completion of a detox ‘Stage 1’, we would highly recommend moving to Stages 2 and 3 for consolidation and relapse prevention. This may be particularly useful for:
- Polysubstance misuse – where multiple addictions may occur
- Dual diagnosis – where co-existing mental health disorders such as anxiety, depression, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), Bipolar disorder and even psychosis may occur
- Underlying chronic pain issues that may have contributed to the misuse of opioid painkillers
-
What we treat
Prescription and over the counter medication
Opioids such as heroin, morphine, oxycodone, methadone, fentanyl, buprenorphine (Subutex), tramadol and codeine
Alcohol
Benzodiazepines such as Diazepam, Clonazepam and Lorazepam
Cocaine
Cannabis
Ketamine
MDMA 'ecstasy'
Relapse Prevention
Relapse Prevention
Are you or a family member struggling with relapses following a detox?
Following a detox, it can be just as challenging to stay addiction free. Naltrexone may help. As an opioid blocker and potential craving cutter, Naltrexone is most effective in blocking opioids, blocking or reducing ‘the highs’ and has potential benefit for alcohol, cocaine and other addictions. In tablet form, Naltrexone doses can be missed, skipped or stopped, making the risk of relapse higher. Following a team assessment, The BONDS Clinic may offer Naltrexone implants. 100% opioid free at 3 months post detox and 75% at 6 months post-detox, The BONDS Clinic can help you continue your journey to succeed.
Implants
Implants
What is Naltrexone and what are Naltrexone Implants?
Naltrexone is an opioid blocker and craving cutter. It works by blocking the pleasure effects of opioids in the brain. At the right levels, Naltrexone may reduce cravings in any addiction with particularly good evidence for alcohol.
One of the hardest challenges is to remain addiction free long term. With opioids, UK services often switch a ‘bad’ opioid like heroin for a ‘better’ one like methadone or buprenorphine (Subutex), with low success at being opioid free. Naltrexone is almost exclusively taken daily in tablet form, if prescribed at all. With that, there may be temptation to stop taking it and go back to opioids.
Naltrexone implants solve that problem. The slow-release pellets are placed in the fatty part of the abdomen under local anaesthetic similar to a minor surgical day procedure. This can be particularly helpful for relapse prevention, creating the opportunity to stay opioid free and provide vital time needed to work on mental health and wellbeing. With 100% opioid free at 3 months and over 75% at 6 months, a Naltrexone implant can be a powerful tool in the battle with addiction.
Blog
Here are some of our latest articles
Written evidence based report published by Scottish Committee
Medical guidance for treating opioid misuse is heavily skewed towards substitution therapy and often neglects abstinence and evidence-based relapse prevention programs.
Prescription opioids, pain management and addiction
Nearly 24 million opioids, such as codeine, fentanyl and morphine, were prescribed in the England in 2017 – equivalent to a staggering 2,700 packs an hour
Meet the Team
Our core multi-disciplinary team is led by a Consultant Psychiatrist, specialised GPs and includes a Registered Mental Health Nurse and a Substance Misuse and Dual Diagnosis Practitioner and Therapist. We also work with a network of highly skilled practitioners to develop a personal treatment programme to suit you.
Dr Amal Beaini - Medical Director
Consultant psychiatrist and brainchild of BONDS. With nearly 50 years’ experience in a mixture of general adult psychiatry, gender identity disorders, neurodevelopmental disorders such as ADHD, autism and developing pioneering addiction services. Dr Beaini feels he is still always learning from his patients.
Dr Youssef Beaini - Chief Executive
GP specialising in addiction and cardiology. GP partner and multi-award winner for saving lives and reducing heart disease and strokes. With over 20 years’ experience in a mixture of general medicine, cardiology, mental health and addiction services, Dr Youssef is well placed to lead The Bonds Clinic.
Dr Adam Beaini - Director of Implants
GP specialising in addiction, urgent & emergency care, education and training and minor surgery lead. With over a decade experience in a mixture of general and emergency medicine, mental health and addiction services, Dr Adam has is passionate about improving relapse prevention.
Scott Wallace - Therapy Manager
Substance Misuse and Dual Diagnosis Practitioner with over 30 years’ experience in a mixture of addiction and mental health services, Scott is highly qualified, motivated and offers integrated, practical and solution-focused therapy, giving you the best chance at relapse prevention.
Stacey Robertshaw - Lead Clinical Adminstrator
Stacey has a diverse background which includes experience in both administrative management, special educational needs and caring roles. Her attention to detail, focused nature and ability to seamlessly multitask makes Stacey integral to the team.
Nicola Wallace - Clinical Services Manager
Registered Mental Health Nurse with over 20 years’ experience in a mixture of addiction and mental health services, Nicola is vested in true dual diagnosis treatment and passionate about quality of care and holistic treatment.
Coming soon
Coming soon! Our new website and new bespoke in-patient facility on the Broughton Hall estate in Skipton, North Yorkshire.