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I want to know more about substance use

There are students who may use substances and who experience minimal or no side effects or detrimental effects on their life and studies. However, some students may become dependent on substances to cope with emotions, manage mental ill health or the stressors of academic study. Be aware of the dangers associated with addictive substances so that you can make informed decisions about the way you live your life and care for your health.

  • Research the risk, reduce the risk of harm

For some, substance-use will have minimal or no side effects.  For others, substance-use will have detrimental effects.  Some may become dependent on substances to cope with emotions, manage mental ill health or the stressors of academic study.

Be aware of the dangers associated with substance-use so that you can make informed decisions about the way you live your life and care for your health.

Before taking any substance, we encourage you to research the risk and reduce the risk of harm.

  • Find out more:

    • Drugs

      Experimenting with drugs can sometimes be presented as part of the "student experience". But drugs are illegal for a reason. As well as the risks to your mental and physical health, the legal penalties for drug possession can be severe. Middlesex students found to be using or dealing drugs on campus or in halls of residence may have sanctions brought against them.

      There are also legal substances for sale with potential health risks – called ‘legal highs’. However, just because these drugs are legal does not mean that they are safe for use and many are found to contain substances very damaging to health. Like illegal drugs, users are often unaware of what substances they are taking or in what dosages, with obvious implications for health.

      The best way to minimise your risk from drugs is not to use them. If you still wish to continue using drugs, find out as much information as you can about any drugs you're using, including the risks, the potential for addiction and what happens when you mix one drug with another or with alcohol.

      Further information and advice:

      • Drugs and Me– an A to Z of information and educational materials on substances which is accessible, objective and comprehensive.
      • DrugScience- detailed, evidence-based information drawn from the latest pharmacological research, on drugs and their properties, applications, effects and risks.
      • FRANK - honest information about drugs with practical advice and signposting to support.
      • The Loop - offering harm reduction advice and services.
      • Change Grow Live - offer harm reduction advice, counselling, access to suitable medications and further signposting if required. If you are considering taking illegal substances, or are already using substances, speak to them for non-judgmental information and advice in a confidential space.
      • Narcotics Anonymous (UKNA) – for people who need help with a drugs problem.
    • Study’ and ‘smart’ drugs

      You might have heard of 'study drugs' or 'smart drugs'. These are drugs prescribed for conditions such as narcolepsy in other people and sold to students to try to improve exam performance. However, there is no consistent evidence to suggest that use of study or smart drugs can help people to remember information. By taking drugs prescribed for other people, you cannot be certain of what drugs are contained in the substance, or in what quantity. It is very dangerous to take unknown substances and by doing so you put yourself at risk of serious harm. The risk to you can be sudden and harmful after just one use and repeated use can lead to addiction.

      Find out more about the risks of 'study' drugs.

      Watch this short clip on the dangers of 'study' drugs below:

      The Side Effects of Study Drugs

      Further information and advice:

      • Drugs and Me– an A to Z of information and educational materials on substances which is accessible, objective and comprehensive.
      • DrugScience- detailed, evidence-based information drawn from the latest pharmacological research, on drugs and their properties, applications, effects and risks.
      • FRANK - honest information about drugs with practical advice and signposting to support.
      • The Loop - offering harm reduction advice and services.
      • Change Grow Live - offer harm reduction advice, counselling, access to suitable medications and further signposting if required. If you are considering taking illegal substances, or are already using substances, speak to them for non-judgmental information and advice in a confidential space.
      • Narcotics Anonymous (UKNA) – for people who need help with a drugs problem.
    • Alcohol

      Drinking in moderation can be an enjoyable and usually harmless feature of student life. However, drinking and getting drunk regularly can have potentially serious physical, social and academic effects. Even drinking to excess just occasionally can be damaging.

      In the short term, drinking too much can impair academic performance because it affects concentration and makes you more likely to miss classes, hand in work late and do badly in exams. It can also put you at immediate risk of serious harm. The healthy choice in the short term is to take extra care to protect yourself and your friends if you are going out drinking. For example, know your own limits, make sure you know how to get home safely, stay in groups of people you know and do not leave with strangers.

      In the longer term, regularly drinking too much can cause liver disease, an increased risk of heart attack, weight gain and a number of different cancers. If you've had a heavy drinking session, you should remain alcohol-free for a full 48 hours to give your body time to recover.

      Use this alcohol tracker tool to check how much you're drinking.

      Read more about alcohol and how to cut down.

      Need help with your alcohol intake?

      • Alcoholics Anonymous (AA) – for people who need help with a drinking problem.
      • NHS Alcohol Support – information and useful links to help those struggling with drinking.
      • Drinkline – advice to those worried about their own, or a loved one’s, alcohol use.  Contact their free helpline on 0300 123 1110 (weekdays 9am – 8pm; weekends 11am – 4pm).
    • Alcohol poisoning

      Alcohol Poisoning Symptoms: What to do if you have alcohol overdose

      Please note that this video is directed at a US audience – in England you must dial 999 to request emergency services. 

      Alcohol poisoning occurs when someone has consumed toxic levels of alcohol over a short period of time. In the most severe cases, alcohol poisoning can lead to coma, brain damage and death.

      The signs and symptoms of alcohol poisoning include:

      • confusion
      • severely slurred speech
      • loss of co-ordination
      • vomiting
      • irregular or slow breathing
      • hypothermia (pale or blue-tinged skin caused by low body temperature)
      • stupor (being conscious but unresponsive)
      • passing out and being unconscious

      When to seek medical help

      If you suspect a fellow student may have alcohol poisoning and they are in halls or on campus, contact Security immediately for support. If you are not in halls or campus, dial 999 immediately to request an ambulance. While you're waiting:

      • try to keep them sitting up and awake
      • give them water if they can drink it
      • if they've passed out, lie them on their side in the recovery position and check they're breathing properly
      • keep them warm
      • stay with them and monitor their symptoms

      Never leave a person alone to 'sleep it off'. The level of alcohol in a person's blood can continue to rise for up to 30-40 minutes after their last drink. This can cause their symptoms to suddenly become much more severe. You also shouldn't give them coffee or any more alcohol, put them under a cold shower or walk them around. These won't help someone 'sober up' and may even be dangerous.

      Drinkaware is an independent charity working to reduce alcohol misuse and harm in the UK. They offer a free chat service if you would like to speak to someone about your alcohol intake, advice and support. If you aren’t sure if your level of drinking is ‘normal’, take the self-assessment or the drink aware quiz.

      Adfam is a charity that supports families affected by drugs and alcohol. They also list here a number of other support services

      Change Grow Live (Barnet) offer free and confidential self-referral support if you are concerned about your own drug and/or alcohol use. If you live elsewhere, find your local support service here.

    • Smoking

      Smoking increases your risk of lung cancer and heart disease. It prematurely ages the skin and triples your chance of getting wrinkles around your eyes and mouth. It also causes impotence and reduced sperm count in men, and reduces fertility in women.

      It can lead to gum disease, makes the body store fat around the waist and increases the risk of cellulite.

      Don't assume that smoking will help you through the stress of exams. Nicotine withdrawals can make you feel stressed and anxious and intake of further nicotine alleviates this. This gives you the false impression that smoking is useful for stress management, but it only helps to manage the withdrawal and cravings you feel from smoking in the first place. E-cigarettes have this same effect, though are considered a safer option to cigarettes if they are used as a stop smoking tool.

      If you’re already a smoker, becoming a student could be the ideal time to quit. Going to university or college is a fresh start and a new way of life, and this is your chance to start your new life in a positive, healthy way. There is lots of support to help you quit smoking including services in Barnet.

      Read how the NHS can help you stop smoking.

      Considering cutting down?

      FACT: Nicotine Replacement Therapy (NRT) and prescription stop smoking tablets  can double your chances of successfully quitting.

      FACT: NRT is free from many stop smoking services and GPs and even if you pay the prescription cost, is a lot cheaper than cigarettes.

      FACT: Nicotine does not cause cancer.

      Considering making the switch?

      FACT: E-cigarettes help people to quit smoking.

      FACT: E-cigarettes are 95% less harmful than cigarettes.

      FACT: Switching to e-cigarettes can save smokers £780 per year.

    • E-cigarettes and vaping

      Use of e-cigarettes or vaping has become more popular in the last few years. It is widely understood that vaping is much less harmful than smoking as e-cigarettes do not burn tobacco and therefore do not contain many of the same harmful substances as cigarettes.

      E-cigarettes can be a very helpful stop smoking tool as they contain nicotine. However, for this same reason they are addictive and using them for pleasure rather than as a stop smoking tool will likely lead to addiction.

  • Look after yourself, look after your mates

Staying Safe Programme

Middlesex University have helped develop a 32-module essential student guide to alcohol and other drugs to help you and your mates stay safe.

All students have free access to the course as part of the Student Success Essentials Course.  Click here to access Staying Safe.

  • Access support and guidance

We encourage any student who is struggling with substance use to access support. Below, are links to various options for support at the University, online and in the community.

  • Helpful links

    • University Support Services

      MDXWellnessHub.com | MDX Student Support Navigation Tool

      The MDX Wellness Hub is a support navigation tool created to help you find the support service you need fast, at Middlesex and beyond.

      Drugs & Alcohol Drop-in Clinic on Campus | Change Grow Live

      Change, Grow, Live (CGL) are a national health and social care charity who can help you with challenges with drugs and alcohol.
      They’ll have drop in clinics on campus in the Access Centre, every Friday 12pm - 2pm

      GP, Doctor and Vaccinations Clinic on Campus | TheUniDoctor

      The Uni Doctor will be running GP and Vaccination clinics on campus in the Access Centre on Tuesdays in Oct and Tuesdays & Fridays from Nov from 9:30 AM to 12:30 PM

      The 2nd and 4th weeks of each month will include a vaccination clinic.  You don’t have to register with The Uni Doctor, though. You might like to register with a GP that’s closer to where you live in London.  If you do wish to, click here to register with a GP.


      Further help and guidance is also available on the following pages:

      Counselling and Mental health

      Online Wellbeing Platforms

      Health and Wellbeing

    • Community Services

      Adfam – a charity that supports families affected by drugs and alcohol.

      Alcoholics Anonymous (AA) – for people who need help with a drinking problem.

      Change Grow Live - offer harm reduction advice, counselling, access to suitable medications and further signposting if required. If you are considering taking illegal substances, or are already using substances, speak to them for non-judgmental information and advice in a confidential space.

      Drinkline – advice to those worried about their own, or a loved one’s, alcohol use.  Contact their free helpline on 0300 123 1110 (weekdays 9am – 8pm; weekends 11am – 4pm).

      Life-stuff – information on what to do if you think you’ve been spiked.

      Narcotics Anonymous (UKNA) – for people who need help with a drugs problem.

      NHS Alcohol Support – information and useful links to help those struggling with drinking.

      NHS Quit Smoking – links to information and advice to help you quit smoking.

  • What is harm reduction approach to substance use?

Harm reduction is about safer choices.  It’s about minimising risks and providing judgement-free support, advice and help.

Whilst we do not endorse the use of substances, we believe that a harm reduction approach is necessary to protect the wellbeing, health and safety of our University community.  Substance-use is a part of our world.  Many people are not able or willing to halt their substance-use.  Trying to eliminate use altogether is simply unrealistic.

Rather than trying to create a substance-free community, harm reduction focuses on minimising the risk of harm for those who use substances, instead of simply ignoring or condemning or punishing them. It does not, however, minimise or ignore the real and potentially tragic consequences of substance-use.

Harm reduction aims to provide people with the knowledge on how to stay safe and reduce the negative impact of substance use, whilst making sure they know what support is available if they need support or want to make a change.

Harm reduction benefits not only people who use substances, but also their families and the wider community.  By being non-judgemental and valuing each individual as a person with the right to respect and dignity regardless of their substance-use, a harm reduction approach creates safer spaces where those who use substances are more likely to connect with support services and make changes should they desire to do so.

  • What is the University doing to deliver harm reduction?

Click here to read Our Commitment Statement which outlines Middlesex University’s and the Student Union’s joint commitment to implementing a university-wide harm reduction approach.

We have joined up with SOS (Students Organising for Sustainability) to support the delivery of a comprehensive framework of harm reduction interventions, initiatives and practices.  Below is a summary of some of the work we have initiated so far:

  • Project management and governance. We have established a cross-University Steering Group which is developing an action plan to meet SOS accreditation and forthcoming recommendations from a Universities UK taskforce;
  • Research. A cross-faculty team of researchers are delivering a HE Innovation-funded knowledge-exchange project which aims to build consensus for a harm reduction approach across the Higher Education sector;
  • Data. We have conducted a student survey on attitudes and behaviours and will deliver further research into student substance use.  This will help inform our future work;
  • Policies.  We are developing a harm reduction policy which will be included in the university’s regulations for 2024/25.  This includes alignment to university health and wellbeing policies and our mental health strategy;
  • Support.  We continue to build working relationships with community partners and specialists, as well as ensuring up-to-date and evidence-based information, advice and guidance is readily available for students and staff;
  • Training.  We will co-ordinate a tiered training programme and in particular ensure student-facing staff have the appropriate knowledge and skills to recognise and respond to concerns.  To support this objective, all students and staff will shortly have free access to the Staying Safe Programme - a learning platform developed and presented by experts and students, launched with MDX support and funded by the National Institute for Health and Care Research;
  • Campaigns.  We will deliver campaign initiatives to raise awareness and inform safer practices.  This will include harm-reduction schemes, such as alternatives to alcohol nights and working with MDX House to encourage responsible alcohol use.

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