Outreach Programmes as a harm reduction interventions in · Outreach Programmes as a harm reduction...
Transcript of Outreach Programmes as a harm reduction interventions in · Outreach Programmes as a harm reduction...
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Outreach Programmes as a harm reduction
interventions in Cracow
Mr. Marek Zygadlo
Director of Monar Krakow, Poland
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MONAR Krakow Drugs Project was established in 1993
We have had:
1/ Out Patient Clinic for drug users and their families,
2/ Monar House – rehab center (therapeutic community model)
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Out – Patient Clinic in Krakow
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Monar House – 40 beds
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Now we have
in Krakow also :
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Detoxification Center – 15 beds
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Shelter
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Hostel
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In 1995 Mr. Jean-Paul Grund –Director of IHRD - visited our project – with proposal of his support for the needles & syringes exchange (NEP) in Krakow
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In 1995 we sent two persons from our staff to Frankfurt for a site visit
Friends from „Drogen Hilfe” –Mr. Urban Veber & Mr. JoschStainmetz showed us their HR activities
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In 1996 we set up needle & syringes exchange program in Krakow „Planta Park”
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Before we started our work on the street we made:
1/ Training for street workers,
2/ Agreement with police
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We made researches:
Really useful in our contacts with City Authorities
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“The needle & syringe life”
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The comparison of results the research
Q: Do you use somebody's needle or syringe ?
July 96
42%
58%sometimes
never
January '97
12%
88%
sometimes
never
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July '96
67%
33% More often
than once
Only once
January '97`
40%
60% More often
than once
Only once
Q: How many times you use the same needle?
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July '96
24%
76%
yes
no
January '97
9%
91%
yes
no
Q: Do another persons use from Your needle
and syringe ?
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July '96
P: Co robisz z brudna igla ?
97%
3% I throw out it
I keep to
exchangeJanuary '97
12%
88%
I throw out it
I keep to
exchange
Q: What do You do with dirty (used) needle?
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Needles & Syringes Exchange
Programs
protect Local Community
Families
& IDU’s
before HIV and HCV infections
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Mr. Dan Bigg from Chicago & Mr. Josch Steinmetz from Frankfurt made The Safer Injection GuideAnd Mr. Grzegorz Wodowski from Monar Krakow adopted it in to Polish context
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Important question of the quality of life…
Slowly we understand – what HR is?
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Work for people undergoing methadone treatment
Close to outreach work existingour Drop-in Center(it is a part of Krakow HR Center)We employing there Clients using methadone
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960Number of secondary exchanges
12.000Number of alcohol swabs handed out
7.500Number of injecting water handed out
2.600Number of condoms handed out
36.200 (59%)Number of collected used syringes
61.000Number of syringes handed out
48.500 (56%)Number of collected used needles
86.500 Number of needles handed out
17.000Number of contacts
800Number of clients
Methwork 2005-2006
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Any positive change makessense
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HR principles
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A Harm Reduction approach to the HIV epidemic threat or problem should include all activities among all target groups – undertaken with the aim of harm reduction or risk reduction for persons involved in risky behavior, their families and their community.
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This is a philosophy and practical approach to problems, including HIV epidemics - for persons involved in risky behaviourand environments. It is based on several principles:
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HR principles
1. Harm Reduction knows that abstention from risky behavior is not always the most important and most suitable manner of helping target groups.
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HR principles
2. Harm Reduction helps in identifying situations in which the Client finds him or herself at present.
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HR principles
3. Harm Reduction finds that
persons involved in risky
behavior can direct their own
behavior and can changethemselves as well.
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HR principles
4. Harm Reduction finds that some types of risky behavior are safer than others.
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HR principles
5. Harm Reduction includes Clients in the creation of strategies and of methods of help for themselves.
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HR principles
6. Harm Reduction takes into consideration the Client’s environment and circumstances, when planning the maximum benefit for the client, their family and community
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HR in practice
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IV pillars of HR
Drug Education
Needle exchange (Outreach)
Substitution Treatment
HR Therapy
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HR Therapythis is new!
http://www.andrewtatarsky.com/publications/
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outreach – work
Good space
to set up & keep
contact
with Clients
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IDU in any room = injection room
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INJECTION ROOM
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Equipment
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disinfections
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Service for Client
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Injection
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Cleaning
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Before…
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Finally we see that:
If you do not know what to do ask to the Client,
If you are specialist –you will „Know – How”
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Integrated approach
"The Integrated Approach ( IA)is the philosophy and practice of
help for drug addict persons,
which respect the patient’s rights
and needs, and admit that the patient and his therapist
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Integrated approach
- they decide together about range
and speed of a positive changes in
convictions, the attitudes and the
patient's behaviors.
The IA gives the same rights for Drug
Free and Harm Reduction solutions."
(Marek K. Zygadlo)
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THANK YOU FOR YOUR KIND ATTENTION !