HEALTH experts are calling for more full-time drug and alcohol support services in the the north-west to reduce alarming rates of heroin overdose. The most-recent Ambulance Victoria statistics show Brimbank had the third-highest rate of heroin overdoses attended by paramedics in Victoria. In 2009-10, there were 111 overdoses during the year, compared to 87 in 2008-09. Heroin overdose attendances by paramedics were also up in Melton Shire, with 23 in 2009-10 compared to 10 in 2008-09. The Stepping Up consortium, which runs the only drug and alcohol support service in Melton, has seen about 200 people from the area since opening in January. General manager Shelley Cross said she was initially worried the four-year pilot project wouldn't reach client targets set by the Department of Health. But the service has already surpassed that target. She said the demand for additional services was strong in high-growth areas like Melton. Team leader Raymond Beacham said there was a need for more full-time services. "We're starting to see more clients come in from Caroline Springs and most of our clients use more than one substance," he said. "Melton never really had full-time drug and alcohol services until we came in and it would make it a lot easier for people to access support if there were more full-time services around." Mr Beacham said services provided education to drug users so they were more aware of what they were injecting. "Most overdoses are accidental and they often occur because drug users don't know the strength of what they are using or they're mixing substances. "People who overdose from drugs are at risk of developing brain damage and can die from it." Family members of overdose victims reflected on their loss on Overdose Awareness Day on August 31. Drug and alcohol support service providers, like Health Works in Footscray, held ceremonies to remember people who died of an overdose, as well as those who live with permanent injuries. Head of clinical services at Turning Point Alcohol and Drug Centre in Fitzroy, Dr Matthew Frei, said substance addictions could be associated with conditions like depression and required medical treatment. "There is a certain stigma attached to drug users and people who die from overdose, but we need to encourage drug users to seek treatment to reduce harm to the individual and the community," Dr Frei said.