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Injecting Advice

Harm Reduction Practice

Injecting Without Drugs

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What do you do when someone come into an NSP who isn’t injecting drugs, this week I’d like to talk a bit about someone I recently saw who has a different reason for injecting.

Risk Reduction for Sex Workers

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Sex work can be a challenging line of business! First off, if you’re fortunate enough to make it through the barrage of opinion that tells you you’re in need of rescuing or rehabilitating, well done! Secondly, getting good risk reduction information in the face of punitive, contradictory laws can be really tough, however the purpose of this article is to provide a basic outline of helpful information geared at improving the general safety and well-being of (mostly) street based sex workers. Some of the information will be applicable to anyone working in the industry who is selling sex for money.

Snapping Needles

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This isn’t an article about needles accidentally snapping, but instead the idea of deliberately snapping a pin after use to prevent it from ever being usable as a form of harm reduction.

Stop And Search

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I spoke to someone recently who had had his freshly collected new injecting equipment taken off him during a stop and search by police, he wasn’t charged with anything, and he wasn’t given any paperwork. This isn’t the first time I’ve heard of this happening and it’s wrong.

Emergency Needles

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I’ve got a bit of a bee in my bonnet at the moment (for any of you that have met me, I’m sure that mental image is a great one). This happens a lot, I get very focused on one area of advice and hammer it home in everyone I see. This week it’s convincing people to take enough needles, and making sure they have spare.

Using Real Names

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I’m going to talk today about the idea of using a full name and date of birth for needle programme clients. You see, I think we should use peoples real names. I think there are some very good reasons why we should, and they are mostly for the benefit of the client.

Increasing Returns

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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 programmes 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.

Competing Priorities

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Working in a needle programme can be psychologically a difficult job for some people, but attending an exchange is also a difficult situation for our clients, we have to try and understand the competing priorities both groups face. In a perfect world the advice that workers give would be instantly taken to heart by injectors […]

Really Bad Injecting

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I’m quite a liberal NSP worker at heart; I’m happy to work with people to support them to get to where they want to be, how they want and at their own pace. That of course doesn’t mean I don’t do my best to get people thinking about reducing or stopping, but if they are going to inject I’ll work with them to do it as safely as possible. But today was one of those very rare times that I say to someone, “Look mate, just stop injecting”.

An Unusual Exchange

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Occasionally someone will come though an exchange with injecting issues that don’t fit into any ‘standard’ drug training. The person I saw last week had issues that challenged my background in drug services, mental health services and expectations.
 

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