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Problematic and injecting drug use – findings from the Harm Reduction Database (HRD). Presenter: Josie Smith, Health Protection, PHW. Estimates of problematic and injecting drug use. EMCDDA

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Problematic and injecting drug use findings from the harm reduction database hrd
Problematic and injecting drug use – findings from the Harm Reduction Database (HRD)

Presenter: Josie Smith, Health Protection, PHW


Estimates of problematic and injecting drug use
Estimates of problematic and injecting drug use Harm Reduction Database (HRD)

EMCDDA

  • Problematic drug use – “injecting drug use or long duration or regular use of opioids, cocaine and/or amphetamines”

  • UK estimates indicate around 1% or 10 per 1000 population aged 15 – 64 years

  • Translates to around 20,000 individuals in Wales

  • Injecting drug use – UK estimates indicate around 0.4% of population aged 15 – 64 years

  • Translates to around 8,000 individuals in Wales


Wales hrd data 1 09 10 31 03 11
Wales HRD data Harm Reduction Database (HRD) 1/09/10 – 31/03/11

7277 individuals registered with needle exchange

  • Female – 1004 (14%)

  • Male – 6273 (86%)

    Would expect:

    25% female

    75% male

    Pharmacy?

  • What is the extent of secondary / peer distribution?


Profile of service provision 2011

Profile of service provision 2011 Harm Reduction Database (HRD)


Number of individuals registered
Number of individuals registered Harm Reduction Database (HRD)


Wales data age profile by gender data from all sites activity 01 09 10 to 31 03 11
Wales data – Age profile by gender Harm Reduction Database (HRD) Data from all sites: Activity 01/09/10 to 31/03/11


Profile of substances used by apb
Profile of substances used by APB Harm Reduction Database (HRD)


Details available for analysis
Details available for analysis Harm Reduction Database (HRD)

  • Age

  • Gender

  • Year of first injecting

  • Area of residence

  • Housing status

  • Substances used

  • Blood borne virus monitoring

  • Injecting equipment reuse and sharing behaviour


Uses of data reporting mechanisms
Uses of data / reporting mechanisms Harm Reduction Database (HRD)

  • Provider activity data

    • Planning of opening times, additional services for young people, females, steroid users

    • Address additional health / other needs

    • Address specific risk behaviours with service users

  • Local planning (APB/CSP/SMARTs)

    • Coverage

    • Quality

    • Nature of local injecting (and wider problematic drug use) behaviours

  • National planning (WAG, Public Health)


Next steps improving data quality
Next steps: Improving data quality Harm Reduction Database (HRD)

  • Some services completing client details

  • Other services completing bare minimum - visits to sites reinforcing need to complete client details/assessment in order to provide quality service


Next steps rolling out to pharmacy
Next steps : rolling out to pharmacy Harm Reduction Database (HRD)

  • Working in conjunction with Pharmacy WAG to implement in existing community pharmacy services across Wales (2011)

  • Addition of take home Naloxone section – stat and voluntary sector


All service users and staff from voluntary and statutory services

Regional co-ordinators

WAG

Public Health

Thank you!


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