Needle Exchange Seminar Tuesday 4 th June 2019

Needle Exchange Seminar Tuesday 4 th June 2019

Geraldine Duggan Belfast City Centre Management

Agenda • Welcome & Introduction- Belfast City Centre Management • Context / benefits of needle exchange scheme for individuals & families / substitution programme- Public Health Agency (PHA) • Multi-agency Approach / Support available- PSNI/ Welcome/ BCC / Belfast Trust / Extern • SISS program/ Harm reduction/ Basic protection / Handling- Extern • Question & Answers

Kelly Gilliland Public Health Agency (PHA) Injecting Drug Use in a Belfast Context

Belfast context q q q There are currently 20 PHA/HSCB funded community pharmacy needle and syringe exchange services in Northern Ireland, four of which are in Belfast. Two of the services in Belfast have been in place for over 17 years with 2 new providers having come on board this year. In the last four years, the number of needle exchange visits by Belfast residents has gone up by 82%.

Role of NSES q q Main aim - to reduce the transmission of bloodborne viruses (Hepatitis B, Hepatitis C and HIV) and other infections. Not just opioids (heroin), but also performance enhancing drugs (steroids), tanning agents, stimulants (cocaine), NPS (mephedrone) … Crucially - a means of contact providing opportunities for harm reduction advice and support to help the person stop injecting.

Low Threshold Services q Advice on q safer injecting practices q minimising the harm done by drugs q how to avoid and manage an overdose q Information about q safe handling and disposal of injecting equipment q Access to q help to stop q drug treatment q blood-borne virus testing, vaccination and treatment services q other health and welfare services

PHA funded D&A Services (Belfast) Drug Outreach Team (DOT) BHSCT Drugs Accommodation Support Project (DASP) and Alcohol Housing Support Service (AHSS) both Extern Street Injecting Support Service (SISS) and Dual Diagnosis Rough Sleepers Service both Extern (pilots, with other funders also) Step 2 services for those ready for help For young people (11 -21/25 yrs) Start 360/ASCERT and for adults (18+) Addiction NI

Belfast SHARPS Working Group BCC, BCCM, BDACT Connections, BHSCT, BPCSP, Extern, PHA, PSNI, Translink, Welcome Organisation q Drug-related litter/cleansing responses q Coordination and targeting of services q Information sharing q Sharing of learning and good practice /drugsandalcoholni. info

www. drugsandalcoholni. info

Starbucks Business Case Study

Multi-Agency Support PSNI / Welcome Organisation / BCC / Belfast Trust / Extern

Caroline Ferguson PSNI- Crime Prevention Officer

1) Business Security Tips 2) Reporting Crime

Reporting Crime Ø Non Emergency 101 Ø Emergency 999 Ø www. psni. police. uk Ø Crime Stoppers 0800 555 111

Intruder Alarm & CCTV Systems NSI & SSAIB ØNational Security Inspectorate (NSI) ØSecurity Systems & Alarms Inspection Board (SSAIB)

Intruder Alarm BS EN 50131 & PD 6662 Ø Grade 1 would only be of interest in domestic properties (without an insurance requirement for an alarm system). Ø Grade 2 would be most domestic properties and low risk commercial (e. g. florists) Ø Grade 3 would be for high-risk domestics and most commercial properties (e. g. Newsagent with cigarette sales) Ø Grade 4 would be for extremely high-risk domestic and higher risk commercial properties (e. g. bullion stores)

CCTV Systems BS EN 50132 -7 The Operational Requirement for. CCTV a system to detect, observe, recognise, and identify using a Rotakin target.

CCTV Detect 10% Observe 25% CCTV Recognise 50% Identify 100%

SIGNAGE www. ico. gov. uk

Susan Duncan Welcome Organisation Life Saving Services

Richard Mc Lernon Belfast City Council- Safer City Coordinator

Lynsey O’Neill Belfast Health and Social Care Trust Drug Outreach Team (DOT)

Drug Outreach Team • We are a Low Threshold High Tolerance Service open 9 am- 5 pm Monday to Friday. • We work with people who are Intravenous drugs users and people who use strong Opiates. • Individuals who meet the above criteria have to be known to The Drug Outreach Team or Community Addiction Team in order to get a referral for treatment. • We work with people who tend not to access existing services and provide outreach to make our service more accessible and engage those service users who otherwise would not present. • We work alongside partner agencies such as Treatment Services, homeless services, Housing, hostels and voluntary/ community sector service.

Referrals to Drug Outreach • Referrals can be made in several different ways to DOT 1. 2. 3. 4. Self Referrals Through your GP Through any service already working with the person Through a friend We do have a referral form for professionals to complete and I will give our contact details at the end if you wish to contact us to get a referral form DOT has an open door policy

Contact Details The Drug Outreach Team GDP House 59 Durham Street BELFAST BT 12 4 GB Alana Mc. Cullough (Team Leader) Lynsey O’Neill (Deputy Team Leader) 07714847337/ 02895 049521 07738117360 / 02895 042469 Leanne Mc. Connell James Mc. Creight Aileen Keenan Zoe Campbell Wilma Kennedy 07858925301/ 02895 041148 07961494582 07546517109 / 02895 044725 07546512965 / 02895 041063 02895 046771 (Outreach Worker) (Team Secretary) TEAM EMAIL FOR REFERRALS Alana. Mc. Cullough@belfasttrust. hscni. net

Natasha Connolly Extern Meeting people at point of need

Street Injecting Support Service- SISS • SISS can be contacted for information and support around inappropriately discarded injecting equipment and provide support to drug users in Belfast City Centre. • Extern also have a Dual Diagnosis street team that responds to people with chronic mental health and addiction issues.