1. ‘Crack Packs’ How the first service got started

2. Overview • Need for the intervention • How we started • What's in the packs • Outcomes • Doing it yourself

3. Need • Perception of services • Opiate based (prescribing) • Injector based (exchanges) • White male clients • BBV risks • Largely theoretical, totally logical

4. Need • Usually used pipes.

5. Need • More pipes

6. How we started • Stubbornness • Research • Aiden Gray: crack pipe paper • Neil Hunt, Andrew Preston and Gary Stillwell: Route Transition Interventions • Targeted Proposal • To police, crime reduction focus

7. How we started • High level support • Drug and Alcohol Action Team • Dr Nicholas Pugh, consultant in communicable diseases • Chief Superintendent Bruce Gilbert O.B.E

8. How we started • Sourcing the equipment • Individual search of suppliers. • Contacted 5 NX equipment providers • Shaun at Orion Medical • Having good neighbours • Local head shop

9. The packs • Legal to supply • Lip balm • Chewing gum • Condom (extra strong) • Lube (new addition) • Illegal under Section 9a MDA • Gauzes • 10mm Rubber tubing • Also given • Lighters • Info Leaflet

10. Outcomes • 359 Packs given out during pilot • 61 New clients • 13 Primary crack • 48 Secondary crack • Increased uptake of services • Auricular acupuncture • Vaccination and testing • Increased confidence of both clients AND staff

11. Feedback • How people heard of the pilot • Around ½ had heard of the service via word of mouth • Benefits • People said the packs helped them remain clean and safe • Reported less sharing

12. Feedback • A large number of respondents asked for the inclusion of a glass pipe.

13. Do it yourself • You won’t be the first • You won’t be alone • Use targeted proposals to get support • Police: crime reduction • PCT: health promotion, BBV interventions • Communities: increased engagement

14. Thanks Colleen Hart, Walsall Addaction For allowing access to the 6 month review report. Shaun, Orion Medical For coming up with the goods so fast.

15. Contact details • Nigel Brunsdon • nigel@injectingadvice.com • www.injectingadvice.com (Crack Pipe workshop) • Orion • shaun@orionmp.co.uk • 07876743750 • Walsall Addaction • walsall.prj@addaction.org.uk