Needle Exchange Seminar

1. Needle Exchange Seminar Tuesday 4th June 2019 Belfast City Hall Monday 24th September 2018

2. Geraldine Duggan Belfast City Centre Management

3. Agenda • Welcome & Introduction- Belfast City Centre Management • Context / benefits of needle exchange scheme for individuals & families / substitution programme- Public Health Agency (PHA) • Multi-agency Approach / Support available- PSNI/ Welcome/ BCC / Belfast Trust / Extern • SISS program/ Harm reduction/ Basic protection / Handling- Extern • Question & Answers

4. Kelly Gilliland Public Health Agency (PHA) Injecting Drug Use in a Belfast Context

5. Belfast context • There are currently 20 PHA/HSCB funded community pharmacy needle and syringe exchange services in Northern Ireland, four of which are in Belfast. • Two of the services in Belfast have been in place for over 17 years with 2 new providers having come on board this year. • In the last four years, the number of needle exchange visits by Belfast residents has gone up by 82%.

6. Role of NSES • Main aim - to reduce the transmission of blood-borne viruses (Hepatitis B, Hepatitis C and HIV) and other infections. Not just opioids (heroin), but also performance enhancing drugs (steroids), tanning agents, stimulants (cocaine), NPS (mephedrone) … • Crucially - a means of contact providing opportunities for harm reduction advice and support to help the person stop injecting.

7. Low Threshold Services • Advice on • safer injecting practices • minimising the harm done by drugs • how to avoid and manage an overdose • Information about • safe handling and disposal of injecting equipment • Access to • help to stop • drug treatment • blood-borne virus testing, vaccination and treatment services • other health and welfare services

8. PHA funded D&A Services (Belfast) • Drug Outreach Team (DOT) BHSCT • Drugs Accommodation Support Project (DASP) and • Alcohol Housing Support Service (AHSS) both Extern • Street Injecting Support Service (SISS) and • Dual Diagnosis Rough Sleepers Service both Extern (pilots, with other funders also) • Step 2 services for those ready for help • For young people (11-21/25yrs) Start 360/ASCERT • and for adults (18+) Addiction NI

9. Belfast SHARPS Working GroupBCC, BCCM, BDACT Connections, BHSCT, BPCSP, Extern, PHA, PSNI, Translink, Welcome Organisation • Drug-related litter/cleansing responses • Coordination and targeting of services • Information sharing • Sharing of learning and good practice /drugsandalcoholni.info

10. www.drugsandalcoholni.info

11. Starbucks • Business Case Study

12. Multi-Agency Support PSNI / Welcome Organisation / BCC / Belfast Trust / Extern

13. Caroline Ferguson • PSNI- Crime Prevention Officer

14. Business Security Tips Reporting Crime

15. Reporting Crime • Non Emergency 101 • Emergency 999 • www.psni.police.uk • Crime Stoppers 0800 555 111

18. Intruder Alarm & CCTV Systems NSI & SSAIB • National Security Inspectorate (NSI) • Security Systems & Alarms Inspection Board (SSAIB)

19. Intruder Alarm BS EN 50131 & PD6662 • Grade 1 would only be of interest in domestic properties (without an insurance requirement for an alarm system). • Grade 2 would be most domestic properties and low risk commercial (e.g. florists) • Grade 3 would be for high-risk domestics and most commercial properties (e.g. Newsagent with cigarette sales) • Grade 4 would be for extremely high-risk domestic and higher risk commercial properties (e.g. bullion stores)

20. CCTV Systems BS EN 50132-7 The Operational Requirement for a system to detect, observe, recognise, and identify using a Rotakin target. CCTV

21. CCTV Detect 10% Observe 25% CCTV Identify 100% Recognise 50%

22. SIGNAGE SIGNAGE www.ico.gov.uk

23. Susan Duncan • Welcome Organisation Life Saving Services

24. Richard Mc Lernon • Belfast City Council- Safer City Coordinator

25. Lynsey O’Neill • Belfast Health and Social Care Trust • Drug Outreach Team • (DOT)

26. Drug Outreach Team • We are a Low Threshold High Tolerance Service open 9am- 5pm Monday to Friday. • We work with people who are Intravenous drugs users and people who use strong Opiates. • Individuals who meet the above criteria have to be known to The Drug Outreach Team or Community Addiction Team in order to get a referral for treatment. • We work with people who tend not to access existing services and provide outreach to make our service more accessible and engage those service users who otherwise would not present. • We work alongside partner agencies such as Treatment Services, homeless services, Housing, hostels and voluntary/ community sector service.

27. Referrals to Drug Outreach • Referrals can be made in several different ways to DOT • Self Referrals • Through your GP • Through any service already working with the person • Through a friend We do have a referral form for professionals to complete and I will give our contact details at the end if you wish to contact us to get a referral form DOT has an open door policy

28. Contact Details The Drug Outreach Team GDP House 59 Durham Street BELFAST BT12 4GB Alana McCullough(Team Leader) 07714847337/ 02895 049521 Lynsey O’Neill (Deputy Team Leader) 07738117360 / 02895 042469 Leanne McConnell(Outreach Worker) 07858925301/ 02895 041148 James McCreight (Outreach Worker) 07961494582 Aileen Keenan(Outreach Worker) 07546517109 / 02895 044725 Zoe Campbell (Outreach Worker) 07546512965 / 02895 041063 Wilma Kennedy(Team Secretary) 02895 046771 TEAM EMAIL FOR REFERRALS Alana.McCullough@belfasttrust.hscni.net

29. Natasha Connolly • Extern Meeting people at point of need

30. Street Injecting Support Service- SISS • SISS can be contacted for information and support around inappropriately discarded injecting equipment and provide support to drug users in Belfast City Centre. • Extern also have a Dual Diagnosis street team that responds to people with chronic mental health and addiction issues.