East Lothian Substance Use Service (NHS Lothian )

Who is this for?

  • Adults aged 18 years old and over and experiencing difficulties related to alcohol and/or drug use

Who provides this?

  • NHS Lothian
  • Midlothian and East Lothian Drug and Alcohol Partnership (MELDAP)
  • East Lothian Integrated Joint Board


East Lothian Substance Use Service is a multidisciplinary nurse-led community-based service provided in partnership between NHS Lothian, MELDAP and East Lothian Integrated Joint Board.

Based in Musselburgh the service specialises in the assessment, care and treatment of people experiencing a range of difficulties related to alcohol and/or drug use with interventions delivered by Mental Health Nurses experienced in substance use. Nursing staff are supported by:

  • Consultant Psychiatrists
  • Clinical Psychology
  • Social Work
  • Occupational Therapy
  • Third sector colleagues (MELD, Circle Scotland)

This service offers:

  • comprehensive assessment
  • medication-assisted treatment (Methadone, Buprenorphine – SL, Wafer and monthly injection)
  • bloodborne virus testing and treatment
  • advice and support to individuals and their families
  • peer support
  • psychological therapies
  • community detoxification (alcohol and benzodiazepines)
  • referral for inpatient detoxification (alcohol)
  • assessment and referral for residential rehabilitation
  • harm reduction techniques and relapse prevention strategies
  • support to access voluntary work/employment/training
  • practical support for housing and financial issues
  • referral to and joint working with other specialist agencies
  • injecting equipment provision

How do I access this?

  • Self-referrals
  • Referrals by third parties

Is there a cost?


Is there a waiting list?


Location information

  • Public parking available
  • Wheelchair access
  • Translation service available
  • Information in community languages

Opening times

Monday 9.00 am – 5.00 pm
Tuesday9.00 am – 5.00 pm
Wednesday9.00 am – 5.00 pm
Thursday9.00 am – 5.00 pm
Friday9.00 am – 4.30 pm

Contact Details

Caroline Downie
East Lothian Substance Use Service, Esk Centre, Ladywell Way, Musselburgh, EH21 6AB

Types of support on offer:

Support from someone with similar experience
Support in person
Support on the phone

Type of services on offer:

Black and minority ethnic communities
Healthy living
Older people
Substance use

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