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Biden administration launches harm reduction-based drug strategy in face of record deaths

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[…] is the first to ‘champion harm reduction to meet people where they are and engage them in care and services’, the White House states, as interventions like naloxone and NSP are often still restricted or underfunded at community level. Less than 7 per cent of the 41m people needing treatment for substance issues were […]

Danish lessons

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[…] residents and social agencies, when able to use in safe and sterile conditions. Together with the NGOs Gadejuristen and Antidote, BF campaigns for the increased availability of naloxone (a team of BF members has been trained and licensed to administer naloxone, the first non-health personnel in Denmark to be permitted to do so); for […]

Sharing the Love

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[…] Gaps’ There were also ‘massive gaps’ in prison harm reduction, and barriers to effective therapies such as hepatitis C medication, which was ‘extraordinarily expensive’ in some countries. Naloxone, ‘one of the most cost-effective interventions in public health’, was still not enough of a priority in tackling the ‘massive issue’ of overdose. The data on […]

Homepage Features Tab

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[…] Oscar, the DDN baby! Jason and Elizabeth met at a DDN conference and brought little Oscar to meet us at this year’s event       Take-home naloxone in prisons Research consultant, Arun Sondhi, from the Centre for Public Innovation (CPI), talks to DDN about the findings of his latest research into take-home naloxone […]

Service user involvement

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[…] Our tips for other groups would be keep it fun, keep it real and keep it positive!   CoAct Mat Southwell, of CoAct, who co-chaired the lunchtime Naloxone – keeping up the campaign session, urged service user groups to lobby their local areas for naloxone provision. ‘It was great to see a better balance […]

DDN260109

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[…] treatment cash • More herbal cannabis on sale • News in brief 8 LETTERS AND COMMENT Don’t dismiss harm reduction; call for NTA change; buck passing on naloxone; FDAP event 9 POST-ITS FROM PRACTICE Dental pain needs recognising not ignoring, says Dr Chris Ford. 16 JOBS, COURSES, CONFERENCES, TENDERS CENTRE PAGES PULL-OUT: RESIDENTIAL TREATMENT […]

Responses to the new drug strategy

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[…] the rise in drug-related deaths is ‘dramatic and tragic’, but proposes no concrete action plan to reduce them. For example, the strategy comments on the importance of naloxone to prevent overdose deaths but proposes no national systematic approach to naloxone provision, nor any new funding for this vital intervention. It is shocking that while […]

Agents of change

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[…] the harms and social isolation of drug users until there is enough political will to develop a drug policy which truly reflects the value of human life. Naloxone is not the answer to saving the lives of people who use drugs. Harm reduction is, of which naloxone is one important component. The proper support […]

Another record year for England and Wales drug deaths

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[…] are occurring are people who have used drugs for a long time and have underlying health issues as a result. Through measures such as increased provision of naloxone, easier access to safe needles and syringes, and testing and treatment for diseases such as hepatitis C, Humankind is focused on ensuring that people who use […]

A guide to fentanyl – Meet the fentanyls

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[…] heroin users, but people using any white powder drug – populations that are likely to be harder to reach with harm-reduction messages and less likely to have naloxone at point of overdose. Issuing warnings about fentanyls is a finely balanced judgement call, as premature warnings about ‘dangerous drugs’ can be counterproductive. On the one […]

Raising the alarm on synthetic opioids – why the UK should not be complacent

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[…] check drugs for synthetic opiates, through drug checking services in healthcare settings, in the nighttime economy and core community settings. A continued and accelerated role out of naloxone to key frontline public servants such as police, prison officers, GP’s and wider charitable services – with dosage required to address synthetic opiate overdose. Ease of […]

DDN Conference 2023 on the day

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[…] Session two, Conference Hall PARTNERSHIP WORKING Peer power – a story of co-production Cranstoun’s team share their dynamic harm reduction initiatives. Alistair Bryant describes the PACKs peer team’s naloxone distribution and Luke O’Neil explains how they used innovative tech to create BuddyUp. From policy to practice Laura Pechey from the government’s Office for Health Improvement […]

January14

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[…] he change that has been buffeting the drugs field for the last five years was neatly contained in two images shown at HIT’s latest Hot Topics conference, held in Liverpool in November. On the first slide, shown to a captivated audience at the Foundation for Art and Technology, appeared an encrypted message sent to an online drug dealer. It appeared as a stream of 500 or so random letters and numbers. Total gobbledygook in fact. The second slide was the same email before being encrypted. It simply read: ‘Dear XXX. Please can I order some heroin? I’d like three grammes to my house in London at this address.’ What investigative journalist Mike Power, the author of  Drugs 2.0: The Web Revolution That’s Changing How the World bets High was showing the audience was how easy it is, with a bit of online know-how, to order any drug you want on the internet and get it delivered, no questions asked, to your front door from anywhere in the world. No shady bedsits or risky street corner transactions, just a polite email requesting to be sent one of the most vilified substances on the planet. Accompanied by other, highly fresh Hot Topics talks on  naloxone, legal highs, club drugs, the drug trade, harm reduction, sex work, employing users and policing, Power’s presentation shed light on the world’s rapidly changing drug market, and with it, a whole new raft of problems for those working in the harm reduction sector.  By way of Colombia, Cambodia, Liverpool and China, he described how recent developments in the way drugs are produced, sold and consumed has led to him to deduce that regulation is the only sensible way of stemming the decades of ‘bloodshed’ created by the war on drugs. What set him going on his investigation into the modern drug trade, he explained, was a story he covered in deepest Colombia in 2007, accompanying a UN-sponsored team whose job it was, backed with heavily armed Colombian soldiers, to destroy, field by field, as many coca plants as they could.  Power asked one of the coca farmers what he was going to do next in order to feed his family. The farmer explained that, economically, coca was the only feasible crop to grow. As soon as the soldiers had moved on, he’d start planting coca in the next field.  At the time, with cocaine use rocketing across much of the West, Power knew that what was happening in the Colombian field was indicative of the ‘relentless, circular, insane story’ of the drug war ‘that fascinated […]

Bristol issues warning after six heroin deaths

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[…] and we remain committed to collaborating with our partners to ensure that those in need receive the necessary assistance and support.’ ‘Countless’ lives have been saved by naloxone. Over the last ten days ‘countless’ lives had been saved by naloxone, added treatment team service manager at Bristol Drugs Project (BDP), Lydia Plant. ‘BDP can […]

Jan14

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[…] he change that has been buffeting the drugs field for the last five years was neatly contained in two images shown at HIT’s latest Hot Topics conference, held in Liverpool in November. On the first slide, shown to a captivated audience at the Foundation for Art and Technology, appeared an encrypted message sent to an online drug dealer. It appeared as a stream of 500 or so random letters and numbers. Total gobbledygook in fact. The second slide was the same email before being encrypted. It simply read: ‘Dear XXX. Please can I order some heroin? I’d like three grammes to my house in London at this address.’ What investigative journalist Mike Power, the author of  Drugs 2.0: The Web Revolution That’s Changing How the World bets High was showing the audience was how easy it is, with a bit of online know-how, to order any drug you want on the internet and get it delivered, no questions asked, to your front door from anywhere in the world. No shady bedsits or risky street corner transactions, just a polite email requesting to be sent one of the most vilified substances on the planet. Accompanied by other, highly fresh Hot Topics talks on  naloxone, legal highs, club drugs, the drug trade, harm reduction, sex work, employing users and policing, Power’s presentation shed light on the world’s rapidly changing drug market, and with it, a whole new raft of problems for those working in the harm reduction sector.  By way of Colombia, Cambodia, Liverpool and China, he described how recent developments in the way drugs are produced, sold and consumed has led to him to deduce that regulation is the only sensible way of stemming the decades of ‘bloodshed’ created by the war on drugs. What set him going on his investigation into the modern drug trade, he explained, was a story he covered in deepest Colombia in 2007, accompanying a UN-sponsored team whose job it was, backed with heavily armed Colombian soldiers, to destroy, field by field, as many coca plants as they could.  Power asked one of the coca farmers what he was going to do next in order to feed his family. The farmer explained that, economically, coca was the only feasible crop to grow. As soon as the soldiers had moved on, he’d start planting coca in the next field.  At the time, with cocaine use rocketing across much of the West, Power knew that what was happening in the Colombian field was indicative of the ‘relentless, circular, insane story’ of the drug war ‘that fascinated […]

Five charts that show why people leaving prison need naloxone

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People leaving prison are far more likely to die of a drug related cause. We know the overdose reversal drug naloxone saves lives, we just need to put this knowledge into practice. Research by King’s College London found that in England and Wales male prisoners are 29 times more likely to die in the […]

Substance Misuse Nurse

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[…] health care services for identified health issues. Provide education, health promotion and screening for blood borne viruses (BBV). Provide Hepatitis B vaccinations when indicated. Contribute to CGL’s Naloxone Strategy by training staff and service users in the use of Naloxone. Ensuring Naloxone is distributed to service users at every opportunity. Develop therapeutic alliances with […]

Coronavirus guidance issued for providers and commissioners

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[…] ‘keep face-to-face contacts between staff and service users to a minimum’ and minimising use of biological drug testing, it says.  Provision of harm reduction measures and take-home naloxone, should be increased where possible Given the pressure the on NHS and other services it will ‘mostly be necessary to defer drug detoxes, especially inpatient’, the […]

News in brief

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[…] funding pressures,’ said ASH policy director, Hazel Cheeseman. Reading between the lines: results of a survey of tobacco control leads in local authorities in England at www.cancerresearchuk.org Naloxone notes A new Europe-wide review of the case for distributing naloxone has been published by EMCDDA. Preventing opioid overdose deaths with take-home naloxone includes good practice […]

Life and death issues

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[…] wait­ing till they’re all dead, while constantly saying “we need to do more”.’ What’s mad is that the people who are dying are not in service, while the naloxone doses are being given to those who are in service. But we’re in a situation where the budgets are being cut so severely that people are […]

Becoming visible: homelessness

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[…] a report for the ACMD on how to reduce deaths in 2016, he had recommended opioid substitution therapy (OST), drug consumption rooms (DCRs), integrated services, and ‘putting naloxone everywhere’. Latest data from PHE showed that only 12 per cent of people were leaving prison with naloxone, when the odds of death from overdose were […]

Substance Misuse Nurse

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[…] health care services for identified health issues  Provide education, health promotion and screening for blood borne viruses (BBV). Provide Hepatitis B vaccinations when indicated  Contribute to CGL’s Naloxone Strategy by training staff and service users in the use of Naloxone. Ensuring Naloxone is distributed to service users at every opportunity  Develop therapeutic alliances with […]

News in brief

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[…] said. ‘I am dedicated to supporting women’s progress in the public sector and ensuring gender equality and diversity, particularly through helping the most vulnerable in society.’   NALOXONE ACTION PLAN An ‘action summit on naloxone’ has taken place in London to create an immediate action plan for England ‘to cut the red tape which […]

Final destination?

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[…] suffering from.’ The new Scottish drug strategy (see news, page 4) also had ‘some good things in it’, he added. ‘It endorses things like human rights, take-home naloxone, lived-experience advocacy and it takes a swipe at the UK stance on consumption rooms.’ However, while it was evidence-based that evidence was ‘highly selective’, he argued. […]

Healthy exchange

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[…] to the key developments for needle exchange, trainer and consultant Stephen Molloy wanted to know why all commissioners were not fully aware of the benefits of supplying naloxone. ‘How can we prevent people from standing beside the graves of their loved ones who have died needlessly?’ he asked, before giving a detailed reminder of […]

DDN 2020 Programme

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[…] conference and a commitment to tackle stigma with the help of ‘More than my past’, Forward Trust’s national campaign. In the studio 10.30am – 11.10am Staying Alive Naloxone action! We hear from a dynamic peer-led network about getting naloxone into the right hands. With George Charlton and colleagues. The right dose: Let’s look at […]

Stayin’ alive

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[…] their mate. This group would have no or a very low baseline opioid tolerance to withstand the effects of a nitazene and would be unlikely to have naloxone, putting them at yet further risk. Deaths have escalated throughout 2023, most notably in the Birmingham area in July. Still recovering from a decade of budget […]

DDN3007

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[…] they are witness to an overdose death. Treatment agencies should provide them with information about, and support concerning, the giving of information and attending a coroner’s court. Naloxone, an opiate receptor antagonist, is used to reverse the life-threatening suppression of respiration caused by heroin. Whilst naloxone is often used by ambulance services to ‘revive’ […]

Mind Over Matter

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[…] user sets their agenda for change. The need for harm reduction is as true now as it ever has been in that we need to keep people safe, so naloxone and needle and syringe exchanges are focused on doing this. Mat talked about a time when he was using drugs chaotically, which badly impacted on his life. He […]

Better data sharing needed to tackle opioid crisis, warns Cranstoun 

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[…] heroin supply being contaminating by highly potent nitazenes.  Among the report’s other recommendations are the scaling up of properly funded drug checking services and testing kits, increasing naloxone supply, scaling up provision of diamorphine-assisted treatment, the implementation of overdose prevention centres and increasing the number of people accessing substitute medication and opioid treatment. The […]

Working at WithYou: Emma and Jade’s pharmacy technician journeys

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[…] (left) and Jade (right) What does a typical day look like? Emma: ‘There is no typical day for me. One day I can be training people on naloxone use, promoting world health awareness days, attending incident review meetings, liaising with pharmacies or preparing for audits – the list is endless and exciting.’ Jade: ‘It’s […]

A commuter reads a copy of a newspaper while waiting on the subway with...

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HYK6WE A commuter reads a copy of a newspaper while waiting on the subway with a New York Dept. of Health advertisement urging people to carry Naloxone, an antidote for an opioid overdose, seen on Saturday, April 1, 2017. As an opioid epidemic spreads through the country, health departments are urging the carrying of […]

Release naloxone

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WAWY naloxone WEB

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Harm reduction flyers on nitazenes

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[…] doses and wait for peak effects to pass before redosing. Consider staggering doses with a friend to ensure you can help each other if needed. 3. Carry naloxone A no brainer! Especially because nitazenes are showing up in all supply, not just opioids. Get it from your local drug service. Learn how to detect […]

naloxone addaction2

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DDN0311

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[…] on benefits to declare their drug use not end up putting the welfare of society’s most vulnerable at risk? Why aren’t there clear and identifiable strategies on naloxone at DAT level, when it’s proven to save lives? Though the will is there to provide the answers that match delegates’ expectations, evidence and experience, the […]

Naloxone kit_Phillipe

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N Naloxone

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Welsh drug deaths up by almost half 

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[…] the increase in deaths involving benzodiazepines was also concerning. ‘Wales operates a number of effective initiatives aimed at preventing or reducing drug deaths, including the national take-home naloxone programme and access to specialist substance misuse treatment. In the last year, naloxone was used in 288 overdose events, with only three deaths reported. However, in […]

Harm reduction in Belfast

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[…] service, an ‘old-school’ harm reduction outreach service, which engages with this very hidden, vulnerable population. Since starting in October 2017, staff have successfully reversed three overdoses with naloxone, provided and removed large quantities of injecting equipment, supplied naloxone and much more. In addition, they have assisted PWIDs to access accommodation and even treatment. What […]

naloxone activity chart

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reaching_out_naloxone_nov16

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National News July/August 2016

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[…] calls for the continuous assessment and development of appropriate services for users at risk,’ said EMCDDA director Alexis Goosdeel. Health responses to new psychoactive substances at www.emcdda.europa.eu NALOXONE NOTES Updated guidance on widening the availability of naloxone has been issued by the government, covering issues such as who can supply the emergency overdose-antidote, using […]

Naloxone in prisons

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Knowledge exchange

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[…] a call to arms for the sector in responding to where the risks are and applying a broad range of remedies. This includes ensuring the availability of naloxone and also the many related factors, such as ensuring that family groups are not overlooked and are supported in how to manage overdose. Steve Taylor provided […]

Scots record highest ever drug deaths

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[…] – to the extent that services are now seeing their third generation of families seeking help for drugs problems.’ National coordinator of the SDF’s government-funded take home naloxone programme (DDN, August, page 4), Stephen Malloy, added that the statistics were ‘a reminder that the vast majority’ of deaths were opiate-related overdoses. ‘There remains a […]

Testing the limits

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[…] ensure people are equipped to be kept safer from the increased risks posed by contaminated drug supplies. We’ve come a long way in some respects – widespread naloxone availability is a great example of progress, as is some police forces enabling their officers to carry naloxone. We work every day to attract, engage and […]

naloxone tookit

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Naloxone

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DDN2707

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[…] provision. For example, Cornwall had ‘a good network of provision, but the long distances can be a massive problem’. And more specifically – ‘you can only get naloxone here if you’ve just come out of prison’. A London probation officer reported difficulty in helping the large number of people of no fixed abode – […]

Scots record second-highest number of drug deaths

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[…] this group of people, who are likely to have a range of complex needs’, said Scottish Drugs Forum director David Liddell. ‘The Scottish Government’s programme to distribute naloxone – an emergency antidote for opiate overdoses – is one of the measures to help cut the drug deaths toll in Scotland but more needs to […]

Naloxone

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DDN2707

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[…] provision. For example, Cornwall had ‘a good network of provision, but the long distances can be a massive problem’. And more specifically – ‘you can only get naloxone here if you’ve just come out of prison’. A London probation officer reported difficulty in helping the large number of people of no fixed abode – […]

National Crime Agency issues fentanyl warning

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[…] which they get their drugs, and about the drugs they take, maybe starting with just a quarter hit of a new supply’. Drug services should also supply naloxone to ‘all those at risk’, it adds, while any areas seeing spikes in drug-related deaths should contact local coroners to establish if fentanyl is routinely screened […]

DDN Conference 2022 Programme

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[…] chance to enjoy the exhibition ——- 2.30–5pm Session three (with tea/coffee available) PEER POWER Dynamic outreach: Medway Hope How partnership working between services and peers has delivered naloxone and other vital harm reduction interventions in the community and increased engagement with treatment services. A hand up: The Hepatitis C Trust Sharing how their peer-to-peer […]

COVID-19 EuroNPUD) – UK

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[…] in your fridge. oThink how you will manage your dosing across the week to make sure you don’t run out of OST. •Overdose Management and Access to Naloxone: oDue to potential changes in drug supply, make sure you and your community have access to Naloxone. oTake care with drug mixing and avoid overdoing it […]

Highest ever drug death total for England and Wales

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[…] majority of drug-related deaths connected to opiates and benzodiazepines, we need to do everything we can to further scale up our access to opioid overdose reversal medicine naloxone as well as increase access to testing of drug samples to avert a worsening of this crisis. It’s vital the political and financial investment for our […]