Transcript “I`ve got a taxi waiting…”

The Pink Palace
NEX for the 21st Century
“I’ve got a taxi waiting…”
• One at a time
• Physical space unwelcoming and
uncomfortable for users and workers
• Shared entrance with those in
treatment, including relatives & carers
• Room also used for duty calls and crisis
interventions
• Queue in the corridor created a
perceived need to hurry up
• Works hidden away
What were we doing
wrong?
• Service user reviews were
irregular, uninformative and lay
dormant
• Campaigns were pre-scheduled
and often did not meet the current
needs of IDUs
• We couldn’t track trends in drug
use
Physical Changes
• NEX moved across the street, with a
discreet entrance, just for IDUs
• Accessible by parents with pushchairs
• Decorated in an open-planned, trendy
style
• Works on open display in baskets
• Privacy available in a separate room
• No queue
Peer Education
• Empowers
• Promotes discussion
• Engages service uses and
encourages participation
• Strengthens messages and
weakens misinformation
Service Provision
• Two Physical Health Nurses providing
daily sessions
• Separate duty cover daily from 1-5pm
• Immediate referral to treatment
services
• Evening session
• Collaborative working within Bradford
Needle Exchange Scheme, training
pharmacy staff in NEX delivery
Campaigns
• Began monitoring the subjects of
conversations and interventions to
identify current issues
• Campaigns now designed to be
responsive to these issues
• Campaigns are consequently more
timely, more relevant and more
visually arresting
Reviews
• Made compulsory at 6 month intervals
• Forms expanded to ask more questions,
designed to maximise our knowledge
• Risk assessment score matrices
developed for each major drug of
injection
• Each IDU has a Risk Score applied to
reflect the level of risk they take in
using their drugs
• Individualised Harm Reduction Plan
Risk Database
• Developed to track changes for both the
individual and the district as a whole
• To allow easy identification of IDUs who
take specific risks
• To develop targeted campaigns towards
those individuals
• Evolved into Action Research, enabling
more accurate reporting of trends in
injecting drug use in the district
• Enabled us to better meet the needs of
every service user
For the first time, we
are able to measure the
effectiveness of our
Harm Reduction
interventions and report
outcomes for every NEX
user
Timelines
• Each IDU will
have a graph
timeline which
maps the shifting
pattern of their
substance use
NEX NEWS
• Quarterly newsletter
developed to
communicate our
Action Research
findings, promote
services offered by
Project 6 and deliver
Harm Reduction
messages