“…it's that they come and they ask for help and they want it. It's a choice…. It's a three- week waiting list, then they get referred and then they go into an allocation meeting and everything, but it's down to them if they attend their appointments. If they don't they would


go back to the beginning again.” (DA, semi-rural)


“It is ultimately their decision whether they engage, because [you can] knock their door and be annoying and stuff, but it's whether they engage or not.” (FP, semi-rural)


In reflecting on the limited assistance that John would receive with his alcohol problem, a participant in the other semi-rural case study stated:


“They go to [X] Hospital to a ward, they're there for seven days but it's their [service user’s] responsibility to look for any care or any support that they want after the programme… They're there for seven days and it's an intense programme and then after that seven days, bye. See you.” (HL, semi-rural)


In order to experience full residential rehabilitation services, John would need to travel far from this semi-rural area, and on his return it is unlikely that longer-term support would be made available to him:


“If people have got no accommodation and they went through maybe six months of rehab and then they come back to [X]… and start again and they're given an empty shell of a house. They're given no support worker… Basically they come out of rehabilitation, that door shuts behind them and they're on their own, which must be extremely frightening at the end of it. The thing is I mean anybody


214


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