Transcript Diverse Provision of needle and syringe programmes

NSP provision
within Hostels
Des Kirby
The Hungerford Drug Project
Wednesday 1st July 2009
NSP provision within
Hostels
We provide The Exchange Service at:
 English Church’s King George’s Hostel
 Novas Contemporary Urban Centre Soho
 Look Ahead Victoria Hostel
 St Mungo’s Westminster Assessment Centre
All hostels provide accommodation and
support for Westminster’s homeless
problematic drug users
NSP provision within
Hostels
Why Hostels?
 Target group were not accessing the NSP provision
at the time
 DAAT – created a regular multi-agency meeting,
Clean Break, to look at this and all issues that affect
long term homeless drug users and how services
can work in partnership to provide effective support
and treatment
 Organisations encouraged more user involvement
initiatives and steering groups were ideas and
recommendations were sought and fed back to the
Clean Break Meetings
 From this process the idea of taking NSP provision
into highlighted hostels was agreed
NSP provision within
Hostels
Our Clients are:
 Long term entrenched street homeless with
history of substance mis-use
 All are poly drug users, with most injecting
both crack and heroin
 All have or are still involved within the
criminal justice system
 The majority have severe wounds and
infections that require immediate attention
NSP provision within
Hostels
More than just an
Exchange
NSP provision within
Hostels
PARTNERSHIP
CONFIDENTIALITY
CHOICE
NSP provision within
Hostels
1. What equipment do you take from The
Exchange at present and have there been
any changes in the last 4 weeks
NSP provision within
Hostels
Equipment
Barrel
Needle
Citric
Vit C
Sterile Water
Spoons
Filters
Swabs
Foil
Condoms
Crack Pack
Size
Amount used
per day
Changes in the last 4 weeks (yes / no)
(if yes give a brief explanation)
NSP provision within
Hostels

Have you had to re-use any equipment in
the last 4 weeks?
(if yes, why)
NSP provision within
Hostels
3. Have you shared any injecting / smoking
equipment with anyone in the last 4 weeks?
(if yes, why)
NSP provision within
Hostels
4. In the last 4 weeks have you had to lend or
borrow / give equipment to anyone else?
(if yes, who and why)
NSP provision within
Hostels
5. In the last 4 weeks have you used any gear
that was not prepared by yourself?
(if yes, where and why)
NSP provision within
Hostels
6. Have you overdosed or seen anyone
overdose in the last 4 weeks
(if yes, where, why and did you/they do)
Can you explain what you would do in an
overdose situation
NSP provision within
Hostels
7. Are you Hep C or HIV positive?
Yes I am
positive
When were last tested?: Date(s):
Have you been vaccinated for Hep B
Are you currently receiving treatment?
NSP provision within
Hostels
8. Where are you injecting at present? Have
you started using any new sites in the last 4
weeks? Have you found any new infections,
pains or swelling?
NSP provision within
Hostels
NSP provision within
Hostels
Date
Returns
loose
S.
bin
Barrels
L.
Bin
1ml
1ml
(d)
2ml
Needles
5ml
10
ml
G
SB
LB
SO
Paraphernalia
LO
BR
swab
bin
C
V
water
spoon
foil
filters
NSP provision within
Hostels
We also provide:
 Education Workshops: Rolling program of 10
sessions that look at the different types of
drugs and all related issues associated with
drug use
 Targeted Workshops: aimed at specific
target group ie; crack users
 Nutrition and Diet Workshops
 One to one keywork
NSP provision within
Hostels
Hostels Provide



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Regular screening for BBV’s
Links with local GP’s and Walk-In Clinics
Training and Educational programs
Social Activities
NSP provision within
Hostels
Other activities include:
 Smoothie sessions
 British Military Fitness
 Gym
 Women only sessions (LA Vic only)
NSP provision within
Hostels
Staff support
 Free training to all Westminster Hostel Staff
 Regular Workshops for all frontline staff who
work directly with street homeless clients
 Regular Workshops for all GP practice
frontline staff