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‘Crack Packs’

‘Crack Packs’. How the first service got started. Overview. Need for the intervention How we started What's in the packs Outcomes Doing it yourself. Need. Perception of services Opiate based (prescribing) Injector based (exchanges) White male clients BBV risks

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‘Crack Packs’

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  1. ‘Crack Packs’ How the first service got started

  2. Overview • Need for the intervention • How we started • What's in the packs • Outcomes • Doing it yourself

  3. Need • Perception of services • Opiate based (prescribing) • Injector based (exchanges) • White male clients • BBV risks • Largely theoretical, totally logical

  4. Need • Usually used pipes.

  5. Need • More pipes

  6. How we started • Stubbornness • Research • Aiden Gray: crack pipe paper • Neil Hunt, Andrew Preston and Gary Stillwell: Route Transition Interventions • Targeted Proposal • To police, crime reduction focus

  7. How we started • High level support • Drug and Alcohol Action Team • Dr Nicholas Pugh, consultant in communicable diseases • Chief Superintendent Bruce Gilbert O.B.E

  8. How we started • Sourcing the equipment • Individual search of suppliers. • Contacted 5 NX equipment providers • Shaun at Orion Medical • Having good neighbours • Local head shop

  9. The packs • Legal to supply • Lip balm • Chewing gum • Condom (extra strong) • Lube (new addition) • Illegal under Section 9a MDA • Gauzes • 10mm Rubber tubing • Also given • Lighters • Info Leaflet

  10. Outcomes • 359 Packs given out during pilot • 61 New clients • 13 Primary crack • 48 Secondary crack • Increased uptake of services • Auricular acupuncture • Vaccination and testing • Increased confidence of both clients AND staff

  11. Feedback • How people heard of the pilot • Around ½ had heard of the service via word of mouth • Benefits • People said the packs helped them remain clean and safe • Reported less sharing

  12. Feedback • A large number of respondents asked for the inclusion of a glass pipe.

  13. Do it yourself • You won’t be the first • You won’t be alone • Use targeted proposals to get support • Police: crime reduction • PCT: health promotion, BBV interventions • Communities: increased engagement

  14. Thanks Colleen Hart, Walsall Addaction For allowing access to the 6 month review report. Shaun, Orion Medical For coming up with the goods so fast.

  15. Contact details • Nigel Brunsdon • nigel@injectingadvice.com • www.injectingadvice.com (Crack Pipe workshop) • Orion • shaun@orionmp.co.uk • 07876743750 • Walsall Addaction • walsall.prj@addaction.org.uk

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