The Gate, Harrogate

Who we are

The Gate is an integrated recovery service that treats people who are experiencing problems relating to, or dependency on illicit substances. We support all adults (aged 18 and over) who live in the Harrogate and Craven District. We are regulated by, and registered with the Care Quality Commission.

Central to all aspects of treatment is planned care, of a holistic nature that is led by individual need and choice. Treatment outcomes are regularly reviewed, monitored and evaluated by a range of performance measures including: auditing cycles, integrated governance meetings and treatment outcome reporting.

We aim to offer both criminal justice and voluntary service users a choice of community based treatment options that aid engagement, recovery and positive long-term change.

What we do

An integral part of the tier two services we offer is open access harm reduction advice, education and support. We also deliver a needle exchange service and work closely with local community pharmacies to promote accessibility for all service users in rural areas. This element of treatment wraps around the tier 3 services by offering assertive outreach as a means of working proactively to re-engage those who disengage from treatment .

Clinically we have a multidisciplinary team that carryout comprehensive health assessments and offer pharmalogical interventions for those who want substitute prescribing or detoxification. To aid prescribing interventions our nurses offer specialist physical and mental health support, BBV screening/vaccinations and access to primary and secondary health care services. 

To compliment our health based treatments we also offer a wide range of evidence based psychosocial interventions that aim to increase motivation, illicit positive changes in behaviour and support service users to rebuild their individual recovery capital.

It is key for service users that we explore different means of promoting their confidence and sense of self throughout and beyond the end of treatment. One way in which we do this, is to work closely in partnership with allied community based agencies. Those we historically work with include housing, social care/family support, employment and education. Within this final stage of substance misuse treatment we work intensively with service users to help them build meaningful and purposeful links back into their local communities. It is hoped that with participation at this level with community activities, individuals are able to continue their journeys with the support of others and thus promote the potential of sustaining long term recovery.

Next steps

We actively seek to draw upon service users to inform service development as their participation underpins all aspects of service delivery. We achieve this by offering a platform for their voices, expertise through experience and development through groupwork, service user progression and peer mentoring programmes.

We are keen to continually develop the range/accessibility of treatments and positive experiences available to our service users. We now have an established link with local mutual aid organisations and in recent months we are exploring new therapeutic support programmes such as Foundations of Recovery and Breaking Free online.