Due to the current situation relating to COVID-19, FIRST will be changing its’ way of working with effect from TUESDAY, 24TH MARCH 2020. From that date onwards our contact with clients will be by TELEPHONE ONLY. ALL appointments will be carried out by telephone instead of on a one to one basis. Anyone requiring support should contact us via the Contact Us page on this site or send us a message on Facebook  We hope to be back operating as normal as soon as possible. In the meantime please stay safe and look out for each other. Please check on our Facebook Page for regular updates.


Fife Intensive Rehabilitation & Substance Misuse Team (FIRST) provides a community based rehabilitation service to individuals in Fife with drug or alcohol issues via one to one, group and volunteer support. Our overarching aim and purpose is to provide a quality rehabilitation service to clients who wish to change their lifestyle.
What we do

Our dedicated Workers work together with clients on goals that they wish to achieve whilst in the service. Whether a client's wish is to abstain from drug/alcohol use, or to reduce, FIRST will support clients to achieve this. FIRST will also provide support on a range of issues which may have resulted from past or current drug/alcohol use including employment, housing, benefits, low confidence and self-esteem, social isolation, parenting, relationships, offending, health and more.

The key outcomes for clients who engage with FIRST are:

  • reduction in drug use (includes not using illicit drugs and becoming drug free);

  • reduction in alcohol use (includes drinking within recommended guidelines and abstinence);

  • improvement in physical and psychological health;

  • improvement in social functioning and life context;

  • improvement in personal development.

FIRST offer clients weekly one-to-one appointments and work closely with other agencies to provide the best support possible.


We value our clients and offer an aftercare service which involves checking in with clients at three and six months post discharge if they wish to participate. We also provide a Discharge from Service leaflet which details further support available and contact information for FIRST should clients wish to get back in touch. Groupwork participation can also continue once a client has been discharged.

The successful candidate will hold a Registered Mental Health Nursing (RMN) Qualification and have experience of working with individuals with issues relating to their drug/alcohol use who may also be experiencing difficulties in relation to their mental health as a result of their substance use. 

FIRST's Annual Report for the year 2019 - 2020

A collection of stories, poems and artwork depicting the experiences of some of our clients in the quest to become drug or alcohol free.

FIRST Annual Accounts for year ending 31 March 2020.

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FIRST has no Duty of Candour incidents to report on for the period 1st April 2018 - 31st March 2019.

Duty of Candour

© 2019 FIRST

3 South Fergus Place, Kirkcaldy, Fife, KY1 1YA

Scottish Charity Number: SC034720