Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation

<p>Abstract</p> <p>Background</p> <p>The report presents evaluation results from an intervention using specially produced foil packs to promote a transition from heroin injecting to inhalation (chasing) with injecting drug users (IDUs) attending four needle and syringe...

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Main Authors: Hunt Neil, Pizzey Rachael
Format: Article
Language:English
Published: BMC 2008-07-01
Series:Harm Reduction Journal
Online Access:http://www.harmreductionjournal.com/content/5/1/24
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author Hunt Neil
Pizzey Rachael
author_facet Hunt Neil
Pizzey Rachael
author_sort Hunt Neil
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The report presents evaluation results from an intervention using specially produced foil packs to promote a transition from heroin injecting to inhalation (chasing) with injecting drug users (IDUs) attending four needle and syringe programmes (NSPs) in south west England.</p> <p>Methods</p> <p>Service activity/uptake measures, brief structured interviews.</p> <p>Results</p> <p>Out of 320 attenders, 54% took the foil packs when they became available. Over the period of the evaluation, NSP transactions increased by 32.5% from 1,672 to 2,216. Additionally, 32 new clients (non-injecting heroin users) started attending the service to obtain the foil packs. This group would not otherwise have been in contact with the treatment service. More detailed data from one site are reported for 48 recent injectors who took foil within the NSP where the piloting first commenced. Prior to the introduction of the foil packs, 46% of this sub-group reported chasing heroin in the previous four weeks. At follow up, 85% reported using the foil to chase heroin on occasions when they would otherwise have injected. Among the people who took it, client satisfaction with the quality and size of the foil packs was good and respondents viewed its availability as a valuable extension to the NSP's services.</p> <p>Conclusion</p> <p>These findings suggest that distributing foil packs can be a useful means of engaging NSP attenders in discussions about ways of reducing injecting risks and can reduce injecting in settings where there is a pre-existing culture of heroin chasing. Further research should see whether these findings can be reproduced in other cultural contexts and evaluate whether the observed behavioural changes are sustained and lead to reductions in harm including blood-borne infections and overdose.</p>
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spelling doaj.art-8df103dfd5414e19b311bc54017a82b52022-12-22T03:05:08ZengBMCHarm Reduction Journal1477-75172008-07-01512410.1186/1477-7517-5-24Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluationHunt NeilPizzey Rachael<p>Abstract</p> <p>Background</p> <p>The report presents evaluation results from an intervention using specially produced foil packs to promote a transition from heroin injecting to inhalation (chasing) with injecting drug users (IDUs) attending four needle and syringe programmes (NSPs) in south west England.</p> <p>Methods</p> <p>Service activity/uptake measures, brief structured interviews.</p> <p>Results</p> <p>Out of 320 attenders, 54% took the foil packs when they became available. Over the period of the evaluation, NSP transactions increased by 32.5% from 1,672 to 2,216. Additionally, 32 new clients (non-injecting heroin users) started attending the service to obtain the foil packs. This group would not otherwise have been in contact with the treatment service. More detailed data from one site are reported for 48 recent injectors who took foil within the NSP where the piloting first commenced. Prior to the introduction of the foil packs, 46% of this sub-group reported chasing heroin in the previous four weeks. At follow up, 85% reported using the foil to chase heroin on occasions when they would otherwise have injected. Among the people who took it, client satisfaction with the quality and size of the foil packs was good and respondents viewed its availability as a valuable extension to the NSP's services.</p> <p>Conclusion</p> <p>These findings suggest that distributing foil packs can be a useful means of engaging NSP attenders in discussions about ways of reducing injecting risks and can reduce injecting in settings where there is a pre-existing culture of heroin chasing. Further research should see whether these findings can be reproduced in other cultural contexts and evaluate whether the observed behavioural changes are sustained and lead to reductions in harm including blood-borne infections and overdose.</p>http://www.harmreductionjournal.com/content/5/1/24
spellingShingle Hunt Neil
Pizzey Rachael
Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
Harm Reduction Journal
title Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
title_full Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
title_fullStr Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
title_full_unstemmed Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
title_short Distributing foil from needle and syringe programmes (NSPs) to promote transitions from heroin injecting to chasing: An evaluation
title_sort distributing foil from needle and syringe programmes nsps to promote transitions from heroin injecting to chasing an evaluation
url http://www.harmreductionjournal.com/content/5/1/24
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AT pizzeyrachael distributingfoilfromneedleandsyringeprogrammesnspstopromotetransitionsfromheroininjectingtochasinganevaluation