Counseling for a safer injecting behavior

Cedric CharvetCoordinator DCR

www.deregenboog.orgccharvet@derengboog.org

INTRODUCTION• Safe use• Enemies of Injectors / Bacteria and Dirt• The “perfect” Injection• Safe Shooting / Safe Smoking / Placemat• Direct advice and Reality check• Necessary material / 2ml / 1ml • Stericup / Sterifilt• Helping? Each other for injection?• Biohazard containers and Sweeping• Summary

RESPONSIBLE USE

Less risks taking

Fewer overdoses

Less blood transmitted diseases contaminations

BETTER INJECTION TECHNIQUE

Prevention of abscess

Prevention of shake

ENEMIES OF INJECTORS = BACTERIA & DIRT

To avoid bacteria,

only use sterile clean new injection material.

Bacteria lead to Abscesses

To avoid dirt, only use sterile clean new injection material.

Dirt leads to Shake (Dirty shot)

The “perfect” injection ... to avoid Bacteria and Dirt

wash hands regularly and keep injection areas clean

use a new needle and a new filter for each injection

put pressure on wound with clean tissue as soon as the needle retrieved from vein

eventually wipe with alcohol pad

cover needle wound with appropriate plaster

VEILIG SPUITEN / VEILIG ROKEN

SAFE SHOOTING / SAFE SMOKING

NOTHING BETTER THEN DIRECT ADVICE

ObserveSit with the user

Reward positively the good technique Advise a transition from bad to good technique

Repeat and/or correct techniqueRepeatRepeatRepeat

REALITY CHECK

NECESSARY MATERIAL

Drug + Spoon + Syringe + Water + Filter + Alcohol pad + Plasters

Needle type

2ml

1ml

Stericup & Sterifilt

Helping ? each other for injection ?

BIOHAZARD CONTAINERS AND SWEEPING

SUMMARYSafe injection = no sharing + avoid Bacteria and Dirt

A clean injection does not require much = Clean injection material in a clean place to use

Think about Safety – Hygiene - Stress free

Do not use alone BUT learn to inject alone

Inside DCRs, talk to the users, get to know them individually and be around for the first injections and further advice. Repeat.

Thank you for your attention!

For further information feel free to contact me:• ccharvet@derengboog.org• www.deregenboog.org

SOURCES

• Mainline Drug and Health / mainline.nl

• Trimbos Instituut centre of expertise on mental health and addiction / trimbos.org

• De Regenboog Groep AMOC / deregenboog.org

• Stericup Sterifilt , harm red. Material / apothicom.org

• Insite Vancouver Canada / supervisedinjection.vch.ca

• Medicos Del Mundo, Bilbao, Spain / medicosdelmundo.org