BEFORE STARTING

How to Choose the Right Alcohol Support

A comprehensive guide to your options in the UK.

What are the options?

Navigating the alcohol services across the UK can feel difficult as there are just so many different systems and pathways which can vary depending on where you live.

Many people ask 'Who do I call? My GP? NHS? Charities? Mental Health Services? Groups like AA? How do I find the best option/options for me?'

Find what works for you

Like most things in life, there is not one single solution for everyone. Alcohol dependence is a complex interplay of biology, psychology, social and environmental conditioning alongside habit.

It's a personal journey and what helps one person may not suit another, and that's OK. That does not mean one service is 'better' or 'worse' than another; the best option for someone is one that works for them.

Research consistently shows that the strength of the match between an individual and their treatment is one of the strongest predictors of success.

A programme that allows you to feel connected, fits your circumstances and addresses your concerns and goals is far more likely to lead to lasting change than one chosen under pressure or without enough information.

So take your time, keep an open mind and look at a variety of options to see what seems like the best fit.
Safety first: If you currently drink daily, or have experienced shakes, sweats, seizures, hallucinations, or confusion when you've tried to cut down, please do not stop or reduce suddenly without medical guidance. Alcohol withdrawal can be medically serious. Speak to your GP or call 111 for urgent advice. In an emergency, call 999.

The web of support

This is a general overview of the main categories of alcohol support you may encounter:
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Conventional Services

The local Drug & Alcohol service in your area, provided by the Local Authority (e.g. the Council) but which may have some crossover with the NHS.

Everyone in the UK has a right to access free-at-the-point-of-care support through these services.

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Mental Health Services

Your local IAPT service offers free NHS talking therapies for common issues such as anxiety and depression. Alcohol use and depression/anxiety often co-exist — but many specialists advise treating the alcohol issue first.

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Charities

‍There are a number of national and local charities that provide support.

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Recovery Community

Usually local hubs or collections of organisations that support people directly in their community.

Also called Lived Experience Recovery Organisations — run by people who have been through addiction and use their recovery experience to help others.

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Peer-Support Groups

Made up of people who have lived experience, including SMART Recovery and 12-step groups like AA.

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Private Services

Many private options, including private counsellors, coaching services, detox services and inpatient rehabs.

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Apps

A variety of self-help and motivational apps that can support people dealing with particular issues, mental health or behavioural change.

What to look for in any provider

Whether you're considering NHS services, a private programme, or a combination of different types of support, these four criteria apply across the board:
01

Registered and regulated in the provider's own name

Any service offering medical detox or clinical treatment in the UK must be registered if it carries out regulated services:
For England, verify at cqc.org.uk/care-services. Be cautious of providers that claim clinical oversight through a third-party arrangement rather than being directly regulated themselves.
02

Structured aftercare following detox

Detox addresses the physical dependence on alcohol. Without structured clinical support afterwards, relapse rates are high.

NICE clinical guideline CG115 recommends that detox should always be followed by ongoing psychosocial intervention. A credible provider will include aftercare as a core part of the programme, not as an optional add-on.
03

Independently verified outcomes

It is reasonable to ask any provider for their outcome data. Results that have been evaluated by a reputable academic or research organisation carry more weight than self-reported marketing claims.
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A personalised clinical approach

Be wary of rigid, one-size-fits-all protocols. The best providers conduct a thorough assessment before recommending a treatment plan — including a review of your circumstances, drinking history, physical and mental health, home and social environment, and your goals.

Your wider options in the UK

Clean Slate is one option among several and the right choice depends on your personal circumstances. Below is an overview of what else is available.

Your GP

Your GP is your advocate for navigating the healthcare service. They are a great resource for continuity of care and liaising between any specialist teams caring for you. If you have general concerns about your mental health then they can be a good resource too.

As Drug & Alcohol Support is usually provided by the Local Authority (council) rather than the NHS, your GP often just signposts you to contact the services directly (they don't usually need to refer you and you can contact them directly).

Your GP cannot usually prescribe specialist medications to help with alcohol dependence. If speaking to your usual GP feels uncomfortable, you can request a different doctor at the same practice or book a telephone appointment.

NHS / Local Authority community alcohol services

Every area in England has NHS-commissioned drug and alcohol services and most accept self-referrals. These typically offer assessment, key work sessions, group therapy and, in some cases, medically supervised detox.

You can find your nearest service using the NHS alcohol support service finder (nhs.uk/service-search) or by searching via FRANK at talktofrank.com.

These services are free and confidential. The trade-off is that waiting times and treatment intensity vary by area, and the level of ongoing support may be less structured than a private programme.

Private residential rehabilitation

Residential rehab provides an immersive, structured environment away from daily life. Stays typically range from 28 days upwards and costs vary significantly from around £6,000 for a four-week programme to considerably more for specialist or luxury facilities.

Before committing, check CQC registration, ask about aftercare provision and review their most recent CQC inspection report at cqc.org.uk/care-services.

Residential treatment can be the right choice for people who need a period of complete separation from their environment, or whose home circumstances are not safe for a home-based approach. It is generally not necessary for everyone and the evidence on long-term outcomes is mixed unless robust aftercare is included.

Peer support groups

Peer support provides something clinical treatment often cannot: the experience of being genuinely understood by someone who has been where you are.

12-Step / 'Fellowship' Meetings (e.g. Alcoholics Anonymous)

Meetings across the UK, in person and online. The helpline number is 0800 917 7650. More at alcoholics-anonymous.org.uk.

SMART Recovery UK

Evidence-based mutual aid using cognitive behavioural tools. Meetings available online and locally. More at smartrecovery.org.uk.

Both are free, require no referral and you can attend to listen before deciding.

Counselling, therapy and recovery coaching

One-to-one support

Valuable at any stage. The BACP therapist directory at bacp.co.uk/search/Therapists lets you search for accredited counsellors by specialism, including alcohol and addiction.

Trauma-informed

Such as EMDR or trauma-focused CBT can be particularly relevant for people whose drinking is connected to past experiences.

Recovery coaching

This is a distinct discipline from clinical therapy. Coaches work alongside you to build practical, social, and personal resources that sustain long-term change.


J2 ARMS

Our partner, J2 ARMS, offers personalised recovery coaching pathways designed to support individuals before, during, and after clinical treatment. More at j2arms.com.

Helplines and information services

If you're not ready to commit to a programme but want to talk through your situation, these services are free and confidential:

Drinkline

‍0300 123 1110. Free national alcohol helpline. Weekdays 9am–8pm, weekends 11am–4pm.

Drinkaware

Independent information, self-assessment tools, and a service finder at drinkaware.co.uk.

Alcohol Change UK

Guides, research, and tools including the Try Dry app. More at alcoholchange.org.uk.

With You

Free drug and alcohol support across England and Scotland at wearewithyou.org.uk.

For people in Scotland, Wales, and Northern Ireland

Scotland

Contact your local Alcohol and Drug Partnership, or call Drinkline Scotland on 0800 731 4314.

Wales

‍DAN 24/7 is a free, bilingual helpline available 24 hours on 0808 808 2234.

Northern Ireland

Lifeline helpline on 0808 808 8000, or search via the Public Health Agency.

Support for family and friends

‍Adfam is a UK charity that supports families and friends of people affected by alcohol or drug use. They provide confidential helplines, online resources, practitioner training and a searchable directory of local support groups specifically for relatives and carers. For more info visit adfam.org.uk or call 07442 137421 (note this is not a helpline but an enquiry line).

‍Al-Anon (al-anonuk.org.uk) offers meetings and a helpline for families and friends. Nacoa (nacoa.org.uk) provides a free helpline for children and young people affected by a parent's drinking.

Making a decision

There is no perfect moment to start and there is no single correct path. What matters most is that whatever you choose addresses your personal situation and drivers towards alcohol and supports you through stopping drinking and then extends beyond to work on long-term change.

If you are comparing providers, use the criteria in this guide to ask informed questions. A good provider will welcome that scrutiny.

A few things worth remembering

Ambivalence is normal; most people who change their relationship with alcohol did not feel "ready" when they started. Readiness often comes after the first step, not before it. You do not have to do this journey alone.

Reach out

Support is always available. If you'd like to explore whether our programme at Clean Slate Clinic is right for you, or simply want to talk through your situation and learn more about us then you can book a call with us.

There is no obligation, no pressure, we just want to support you whether that is with our programme, or helping you find another service that works for you.

Why Clean Slate Clinic exists

We built Clean Slate Clinic for the people who fall between the existing options, particularly those managing a career, a family and daily responsibilities.

NHS services offer valuable support, but demand can mean long waits and limited treatment. Residential rehab means weeks away from your life at considerable cost. Detox-only services address withdrawal, though the research is clear that detox without psychosocial aftercare does not work in the longer term.

Clean Slate sits between the two. Clinically rigorous, medically supervised and structured for the long term, delivered in your own home.
Clean Slate Clinic client and his dog

This is what Clean Slate looks like in practice

Doctor-led and CQC-registered

Clean Slate Clinic is registered directly with the Care Quality Commission (ID: 1-22152371205). Our clinical pathways are designed and overseen by addiction-specialist doctors and delivered by qualified clinicians. This is not a wellness programme with a medical veneer — it is a regulated clinical service, held to the same regulatory standards as hospitals and the NHS.

A 12-month programme, not a quick detox

Detox is a medical event of stopping alcohol. Recovery is a learning process. Our programme spans three phases over 12 months: assessment and preparation; medically supervised withdrawal with daily clinical reviews; and a recovery and maintenance phase with ongoing clinician appointments and access to SMART Recovery meetings. This reflects the evidence that lasting change requires sustained support.

Home-based by design

Behaviour change research shows that new coping strategies are most effective when they are learned in the environment where they will be used. Removing someone from their daily life can create a false sense of confidence that collapses on return. Our model is built around the opposite principle: supported change in real-world conditions.

Independently verified outcomes

Our treatment outcomes are evaluated by independent academic researchers and not self-reported. We believe that if a provider cannot show you verified data on how their clients do, that is worth noting.

A social enterprise, not a volume business

Clean Slate Clinic is a certified social enterprise (Social Enterprise UK, No. 17863). Our purpose is to make evidence-based addiction treatment more accessible. We exist to deliver good clinical outcomes, not to maximise patient throughput.

Suitability matters to us

We do not accept every referral. Our onboarding process includes a clinical suitability assessment and we will tell you directly if we believe another type of service would better meet your needs. The guide below exists because we mean that.

Who Clean Slate works well for

Our programme tends to be the best fit for people who are drinking at dependent levels, want to make a significant change, but need to continue managing their work, family and daily responsibilities during treatment.

Many of our clients are professionals who have been functioning outwardly while struggling privately; people who need a programme that takes both the clinical and the practical realities of their situation seriously.

If that describes your situation, you can take our confidential suitability assessment or book a call with the team to find out more.

Latest articles

Supporting the families behind recovery: launching our Friends & Family Support Service with Adfam
News and Media
September 18, 2026

Supporting the families behind recovery: launching our Friends & Family Support Service with Adfam

September is Recovery Month. To mark it, we joined Adfam in the City of London to launch our new Friends & Family Support Service, and to make the case for the partners, parents and adult children who hold supporting roles.

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September is Recovery Month. We joined Adfam at Cooley LLP in London to launch our Friends & Family Service, and to make the case for the people who support those in recovery.

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Recovery Month rightly puts individuals in recovery at the very centre. But behind almost every one of them is a partner, a parent or an adult child living with the same illness.

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Adfam is England's leading families and addiction charity, and estimates that more than five million people here are affected by someone else's drinking, drug use or gambling. Opening the event, Chief Executive Vivienne Evans OBE set out why that matters to anyone designing treatment. Adfam's Above and Beyond report found that three quarters of people in recovery credited family members with a significant role in it. Only a quarter said their families received specialist support in return.

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Launching the Friends & Family Service

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That gap is what our new service is built to close. Our Co-founder and CEO, Pia Clinton-Tarestad, launched the Friends & Family offer, delivered with Adfam, extending structured support to the people around every Clean Slate Clinic client. Because our care is delivered at home and online, those people are already part of the picture.

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The family behind recovery

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Chaired by broadcaster Fi Glover of Times Radio, the panel opened with Will Haydock, Chief Executive of Collective Voice, on where funding for families does and does not reach.

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Dr Aaron J Brown, NHS GP and Managing Director of Clean Slate Clinic UK, and Ellie Brown, LERO Training Development Lead at Recovery Connections, spoke together, in the part of the evening that will stay with most of the room. Aaron and Ellie are partners, and they talked with warmth and candour about Aaron's recovery, from both sides of it.

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Hearing a clinician describe his own dependency alongside the person who lived through it, made visible what statistics cannot. Ellie described the challenges; the vigilance, the unpaid caring work no one records, and the loneliness of it. It was the clearest argument for charities like Adfam.

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The person in recovery gets a treatment plan. The person beside them gets a leaflet, if they are lucky.

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If you are supporting someone through problems with alcohol, help is available for you as well as for them. You can find Adfam's services at adfam.org.uk. Our thanks to Adfam, Fi Glover, our panellists, and Cooley LLP for hosting us.

Adfam partnership, family support for alcohol, help for families of alcoholics, support for partners of people in recovery, friends and family service
Clean Slate Clinic named a finalist in the UK Social Enterprise Awards 2026
News and Media
September 11, 2026

Clean Slate Clinic named a finalist in the UK Social Enterprise Awards 2026

We’ve been shortlisted for the One to Watch Award at the UK Social Enterprise Awards 2026, which recognises start-up social enterprises with a clear vision for the future.

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A different way to do business

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Social enterprises are businesses that trade for a social or environmental purpose, and reinvest at least half their profits to further that mission.

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Our vision for what comes next

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Earlier this year, we published a white paper with addiction charity Adfam and the University of Sussex. It found that over 17 million Britons may be drinking at dangerous levels without knowing it, and that long NHS waiting lists, fear of stigma and the cost of private treatment stop many people from asking for help.

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Our vision is to help move alcohol care away from crisis-led, in-person models and towards earlier, digitally enabled support in the community. Medically supervised home detox reduces treatment costs compared with in-patient care, which means more people can get the right help, sooner.

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We’ve now supported more than 5,000 people across Australia and the UK, and earlier this year we were named Impact Enterprise of the Year at the 2026 Australian Impact Investment Awards. Being shortlisted here in the UK is a proud moment for our growing UK team.

Commenting on being a UK Social Enterprise Awards finalist, Dr Aaron Brown, GP and Managing Director of Clean Slate Clinic UK, said:

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“Being shortlisted for One to Watch means a great deal to our whole team. Too many people wait years to get help with alcohol, often because they can’t take weeks off work, can’t face a waiting list, or worry about being judged. We built Clean Slate to make safe, doctor-led care more accessible. Recognition from the UK Social Enterprise Awards reassures our team and our patients that we’re on the right track.”

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Dr Aaron Brown,GP and Managing Director, Clean Slate Clinic UK

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Find out moreabout the UK Social Enterprise Awards at socialenterprise.org.uk.

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UK Social Enterprise Awards, SEUK awards, social enterprise award, One to Watch, finalist, shortlisted, awards 2026, Social Enterprise UK, Co-operatives UK, award news, Manchester awards
Reclaiming Life: Home Detox & Healing with Dr Aaron Brown
News and Media
August 21, 2026

Reclaiming Life: Home Detox & Healing with Dr Aaron Brown

Dr Aaron Brown, MD of Clean Slate Clinic UK, joins the Your Choices Matter podcast and Elastic FM to discuss alcohol dependence, and why home detox offers a safe, affordable alternative to traditional rehab.

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Reclaiming Life: Home Detox & Healing with Dr Aaron Brown

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In a recent episode of the Your Choices Matter podcast, host David Lilley sat down with Dr Aaron Brown, Managing Director of Clean Slate Clinic UK, for an honest conversation about alcohol dependence and what it actually takes to break free. Aaron brings a rare combination of clinical rigour and lived experience: a York Medical School graduate and former GP partner, he faced his own cycle of dependence after shielding through the 2020 pandemic.

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‍Listen to the podcast & learn more

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Elastic FM