For most of us when we think of a needle exchange we picture either a pharmacy exchange where someone is given pins and very little else (including information in a lot of cases) or a static site exchange where someone is given a fuller intervention in a nice warm building.

But for services that run street outreach there are other options. This article is about an exchange we did with a heroin injector and the advantages it had both to the user and to the service.

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OK let’s get one thing straight before we start. I’m not obsessive about returns and I don’t think needle exchanges should be as focused on them as most seem to be.

But we live in the real world, a world where people become really angry when someone dumps used works near their home/school/shop/park. Because of this exchanges come under pressure to limit the equipment they give out.

In this article I’ll cover a few good ways of increasing your returns to keep both your commissioners and community happy.

Now updated with 'Needle Amnesty', thanks to Allison for reminding me. 

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