NSP provision within Hostels Des Kirby The Hungerford Drug Project Wednesday 1 st July 2009

NSP provision within Hostels

Des Kirby

The Hungerford Drug Project

Wednesday 1st July 2009


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


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


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


More than just an Exchange


PARTNERSHIP

CONFIDENTIALITY

CHOICE


1. What equipment do you take from The Exchange at present and have there been any changes in the last 4 weeks


Equipment Size Amount used per day

Changes in the last 4 weeks (yes / no)

(if yes give a brief explanation)

Barrel

Needle

Citric

Vit C

Sterile Water

Spoons

Filters

Swabs

Foil

Condoms

Crack Pack


Have you had to re-use any equipment in the last 4 weeks?

(if yes, why)


3. Have you shared any injecting / smoking equipment with anyone in the last 4 weeks?

(if yes, why)


4. In the last 4 weeks have you had to lend or borrow / give equipment to anyone else?

(if yes, who and why)


5. In the last 4 weeks have you used any gear that was not prepared by yourself?

(if yes, where and why)


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


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?


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?



Date Returns Barrels Needles Paraphernalialoose S.

binL.

Bin

1ml 1ml(d)

2ml 5ml 10ml

G SB LB SO LO BR swab bin C V water spoon

foil filters


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


Hostels Provide

Regular screening for BBV’s Links with local GP’s and Walk-In Clinics Training and Educational programs Social Activities


Other activities include: Smoothie sessions British Military Fitness Gym Women only sessions (LA Vic only)


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

Documents

NSP provision within Hostels Des Kirby The Hungerford Drug Project Wednesday 1 st July 2009