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


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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)

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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

  • 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

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


Number of individuals registered


Wales data – Age profile by genderData from all sites: Activity 01/09/10 to 31/03/11


Profile of substances used by APB


Details available for analysis

  • 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

  • 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

  • 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

  • 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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