PIED outcomes tool

Written by Nigel Brunsdon on 16 December 2011.

chest Back in June I released the NSP Outcomes Tool This was an attempt to make a simple to use but flexable assesment/review tool that could be used in the relativly short time that most needle transactions happen in. Because of the need to make it so simple it unfortunatly didn't include anything around the use of steroids and other performace/image enhancing drugs (PIEDs).

So now I've designed a companion form to the NSP tool specifically for use with PIED users.

PIED tool

PIED/Steroid use has been on the rise in the UK for a few years now. Each year at the annual meetings of the National Needle Exchange Forum we get reports from around the UK and in some cases PIED use accounts for more than 50% of NSP visits. This is why back in 2010 I released the first 'Steroid assesment' which provides a very detailed look at someones use, but can take wuite a while to use fully.

This new tool is has been written to be easy and intuitive to use, but still be robust enough to enable workers to have in-depth conversations and keep track of outcomes and work done with this group of users.

The tool itself is a single page based on a mind-map. This includes areas of discussion around the main topics for working with PIED users (steroids, injecting injury, BBV etc) as well as other topics that are often discussed in NSP but that workers rarely ever document (education, housing, employment). Recording of these discussions and related outcomes are increasingly important when it comes to talking to commissioners and maintaining funding.

Like the NSP tool this records both the risk factors and the protective factors, resulting in a 'score' that can be tracked.

Supporting notes

As with all downloads on the site this has extensive worker notes that explain the whole process. I've also included a detailed example of how to 'score' the sheet and a tracking tool to monitor each individuals scores. Within the notes are some tips on the kinds of advice to give, although I would encourage any service seing a significant number of PIED users to make sure that their staff have sufficent training to work with this group.

If you decide to use this tool, or the other companion form then I'd really love to know what you think of it.