Alcohol, Drugs, Smoking and Vaping
Related guidance
Amendment
This chapter was updated in May 2026.
Supported lodgings providers should help young people understand the risks around alcohol. It is accepted that the more young people know, the more likely they are to make good decisions about how to deal with drinking alcohol. It is good to talk about this subject so that you can give out the right messages and information.
Young people should not typically be given alcohol by supported lodgings providers. However, there might be special or festive occasions when providers want to offer a young person a small glass of alcohol. This should be discussed with the young person’s social worker in advance (and the social worker will discuss it with the young person’s parents if appropriate). There may be a religious or cultural reason that should be considered or alcohol might have been a negative feature of previous home life. Any decision to give a young person alcohol as part of a special occasion must be agreed with the social worker first and be clear in the young person’s care plan.
Where you suspect that a young person has had alcohol, depending on how much they think they have drunk, you may need to:
- Offer fluids - water, squash;
- Monitoring and checking the young person - 10 minutes, 30 minutes, hourly, etc. especially if they go to sleep;
- Contact health professionals for advice i.e. G.P.
- Consider hospital treatment.
You should never ignore a young person who appears drunk or under the influence of another substance. Make sure that:
- If a young person has drunk alcohol it is recorded;
- The young person is aware of the possible conflict between taking prescribed medication and drinking alcohol;
- You are aware of the amount of alcohol in your home and it is securely stored to ensure you know when it might have been drunk.
- The amount you consume in front of young people should be reasonable. Once young people have gone to bed or are visiting their parents, providers and visitors may consume alcohol but you should always be in a position to respond to emergencies, which may mean that one provider should abstain;
- You need to understand that young people may have had experiences of people getting drunk in the past and so may become anxious seeing you having a drink or if another person in the household comes home drunk. A young person should never see a provider under the influence of alcohol.
As a guide, providers should be mindful of the consequences of drinking prior to looking after a young person. Work, performance and the ability to drive can be affected the day after drinking. Similarly, the physical after-effects of drinking could include shaking, excessive thirst, indigestion, headache, sickness and paranoia. This may be apparent to young people and have serious effects on them worrying about you.
See: GOV.UK website.
As a supported lodgings provider you would be deregistered if you are found to be using an illegal drug and/or have a drug or alcohol problem.
Supported lodgings providers do not need to know everything about drugs and substances to respond appropriately and competently to young people that they are caring for.
All young people can be tempted to experiment with drugs, no matter where they come from or their background. Some young people cannot live with their parents because of substance misuse in their family and this may inform how they feel about drugs and their knowledge.
Substances include restricted or prohibited ones, which may have a harmful effect upon a young person, such as:
Aerosols, Gas, Glue, Magic Mushrooms (Amanita), Petrol, Solvents and Amphetamines, Barbiturates, Cannabis, Cocaine, Hallucinogens, Nitrous Oxide (NOS) Hashish and Heroin. This can also include alcohol, cigarettes and tobacco.
Psychoactive substances are also under this term which can cause changes to a young person’s sensation, perception, mood, consciousness, cognition and behaviour.
See also:
It is often difficult to tell if a young person is using drugs, particularly when a young person first takes drugs or only takes them occasionally.
Some possible indications of drug abuse are:
- Sudden changes of mood;
- Irritability;
- Loss of appetite;
- Increased appetite - possibly wanting sweet things more;
- Drowsiness or sleepiness;
- Evidence of being dishonest;
- Unexplained loss of money or belongings;
- Unusual smells, stains or marks on the body, clothes or around the house.
Many of these signs are easily confused with normal growing up. It is vital that you do not make it a taboo subject but perhaps use opportunities such as stories in the media including social media and on TV to start conversations.
It is important not to jump to the wrong conclusion, but speak to the young person’s social worker or your Supported Lodgings Social Worker if you are concerned. Further specialist training is available on drug and alcohol misuse and there are people who specialise in working with children on these issues. Access to these services should be done in conjunction with the young person’s social worker.
You could be held responsible for any illegal drugs that are kept in your home so having clear boundaries about drug use is important.
Young people often have access to a range of domestic products that are harmful and potentially fatal to them when inhaled. You need to be vigilant with young people around aerosol products, nail varnish, corrective fluid, glues etc.
Training is also provided by the Supported Lodgings Service; speak to your Supported Lodgings Social Worker.
See also Young People and Vaping (NHS).
Not all young people will smoke and some may have a period of trying it but they can quite quickly become addicted to cigarettes/vaping.
This guidance applies to the use of tobacco as well as vaping.
Some young people living with you may already smoke or vape. You should support and encourage young people to reduce or stop smoking. You must not purchase these for your young person. You can get support from the designated children in care nurse or the young person’s GP.
Remember:
- It is against the law for retailers to sell cigarettes/cigarette papers, tobacco, electronic cigarettes (vapes) or e-liquids to someone under 18;
- Rules about when, where and by whom is allowed to smoke should be clear;
- To be a positive role model to young people;
- To raise awareness of the effects of smoking and tobacco use and how to live a healthy lifestyle.
Your role is to:
- Consider your own health, your family and young people. If you are offered smoking cessation support, you have a duty to consider taking up the service;
- Be mindful that your behaviour provides a role model for the young people you are caring for and consider the effect of smoking on young people;
- Never buy or give cigarettes/vapes or materials used for smoking for young people. Cigarettes/vapes must never be used as a reward for good behaviour;
- Household members should not smoke/vape inside their home. Put in place family rules about smoking/vaping, making these clear to young people;
- It is illegal to smoke in your car when carrying someone who is under 18 (see GOV.UK, Smoking in vehicles). This applies when people have the windows down or the sunroof open, or are sitting in the open doorway of a car. We apply the same guidance around vaping and would discourage providers and young people from smoking /vaping whilst present in the car together.
If it is suspected that a young person is misusing harmful drugs or substances and no strategy exists to reduce or prevent the behaviour, your Supported Lodgings Social Worker or the Team Manager must be notified, who will consult the young person’s social worker/young person’s advisor. If there is an immediate urgent risk e.g. that the young person or another person may be injured or that a serious crime may be committed, you should take what action is necessary to protect yourself, the young person or others e.g.:
- If there is a risk of serious harm, injury or a serious criminal offence and you are unable to manage safely, the police should be notified;
- If solvents are involved, air should be allowed to circulate freely and naked lights should be extinguished;
- If the young person is unconscious, in a fit, convulsing or otherwise seriously ill, emergency first aid should be given, and an ambulance should be requested. The emergency services should be informed that there are suspicions of drug or solvent misuse;
- The drugs/substances should be removed or confiscated, preferably with the co-operation of the young person.
No further action, beyond making the situation safe and attempting to confiscate harmful drugs or substances, should be taken without consulting your Supported Lodgings Social Worker or Team Manager.
Last Updated: May 27, 2026
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