An alcohol or drug problem

What do you need help with?

If you think they have taken too much

1. Call 999 and ask for an ambulance.
2. Say what they took, how much, when, and whether alcohol or other substances were involved. Keep packets or containers for the crew if safe.
3. Stay with them and follow the call handler's instructions. Do not make them vomit or give them food, drink or a cold shower.
4. If they become unconscious but are breathing, the call handler can guide you. If they stop breathing, follow the emergency instructions you are given.

If opioids may be involved and naloxone is available, use it as trained and still call 999. Naloxone can wear off before the opioid does.

Raise your concern when they are sober

Choose a time when neither of you is rushing and you feel safe. Use observations rather than a label: “I was frightened when you were difficult to wake on Friday” or “I've noticed drinking is affecting work and money. Can we talk about it?” Listen to their view and offer one practical next step.

Find treatment

For ongoing, non-urgent help, a GP or local community alcohol and drug service can explain the options. Services are usually free and many accept self-referrals. Offer to find the number, sit with them while they call or attend the first appointment if they want you there.

Do not tell someone who may be dependent on alcohol to stop suddenly. The NHS says severe withdrawal can include confusion, hallucinations and seizures. They should get medical advice from a GP or alcohol service about stopping safely.

If they do not want help

You cannot make another adult engage with treatment, but you can change what you do. Keep the door open, repeat specific concerns without shaming, and act when safety changes. Do not give cash that may fund drinking or drug use, cover up dangerous behaviour or take responsibility for debts you did not agree to. A lift to an appointment, a meal or help finding a service can still support change.

If you are frightened of them, prioritise your safety. Mental distress or substance use does not make abuse acceptable. Use the safety and abuse guidance.

Protect the household and get support for yourself

• Make boundaries about money, driving, substances in the home and contact specific.
• Keep cash, cards, medicines and valuables secure if needed.
• If a child may be at risk, contact children's social care or the safeguarding guide. Call 999 for immediate danger.
• Contact a family service even if the person using alcohol or drugs refuses help. Your support does not have to wait for their treatment.