New Drugs: New StrategiesNew Drugs: New Strategies

Laura MacEwen Laura MacEwen

Crew Online Support CoordinatorCrew Online Support Coordinator

www.crew2000.org.uk

Who are Crew?Who are Crew?

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Scottish charity established in Scottish charity established in 19921992Developed out-with Developed out-with mainstream drugs fieldmainstream drugs fieldCrew philosophy: “We neither Crew philosophy: “We neither condemn nor condone drug condemn nor condone drug use but believe there are ways use but believe there are ways to reduce harm for the to reduce harm for the significant numbers of our significant numbers of our fellow citizens who decide to fellow citizens who decide to use them”use them”

How is our service different?How is our service different?

Service tailored to psychostimulant usersService tailored to psychostimulant usersPositioned close to scenePositioned close to sceneLow threshold access to serviceLow threshold access to serviceMeets people where they are at in their drug Meets people where they are at in their drug useuseDoesn’t wait for people to become Doesn’t wait for people to become problematicproblematic

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Stepped care approach

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New New drugsdrugs

Ince

nse

Ince

nse

Legal Legal

HighsHighs

LegalsLegals

Herbal HighsHerbal Highs

Research ChemicalsResearch ChemicalsPlant FoodPlant FoodRoom OdorizerRoom Odorizer

Bath SaltsBath Salts

New Psychoactive New Psychoactive SubstancesSubstances

NPSNPSD

esigner Drugs

Designer D

rugs

Novel Novel

PsychoactPsychoact

ive ive

SubstanceSubstance

ss

Party Party PillsPills

New Drugs: New Issues?New Drugs: New Issues?New drugs, new names – can’t keep up!New drugs, new names – can’t keep up!I’ve never heard of it!I’ve never heard of it!““It’s an epidemic”It’s an epidemic”We have never had a problem with this group beforeWe have never had a problem with this group beforeMental health issues are rifeMental health issues are rifeInjecting of new substancesInjecting of new substancesWe are already at capacity!We are already at capacity!Lack of servicesLack of servicesChain of those affected – parents, family, friends…Chain of those affected – parents, family, friends…

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Working with someone affected by drug use…

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Tools and Techniques

Brief interventionsTracking patterns of useIdentifying and developing strategies for managing triggersLooking at pros and cons of change

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Pro and Cons of Change

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Benefits of doing nothing Costs of doing nothing

Costs of change Benefits of change

Tools and Techniques

Brief interventionsTracking patterns of useIdentifying and developing strategies for managing triggersLooking at pros and cons of changeGoal setting – SMARTHarm reduction

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Drug counsellingResidential treatmentPrescriptionFellowships and self helpSleep managementAlternative therapies (such as auricular acupuncture)

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Other Treatment Options

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MY CREW and Online Services

Online ServicesOnline ServicesAccessible 24/7Out of hoursRemote and rural areasHard to reach groupsComplementing services and reducing pressureWaiting listsNew drugs/ NPS

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• Accessible information• Up to date for new drugs• Assessment of use• Out of hours chat room support• Support for users and workers

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User GroupsUser GroupsRecreational usersService users in treatmentThose in recoveryWorkers

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Immediate information, advice and support

MY CREW AppMY CREW App

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Accessible self-helpChecking, logging and tracking useAvailable 24/7Free on Android devices

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Online resourcesOnline resources

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Available from the SDF website www.sdf.org.ukAvailable from the SDF website www.sdf.org.uk

Online resourcesOnline resources

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Forums are a good source of informationForums are a good source of information

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Concise informationConcise information

In print and onlineIn print and online

What’s in the packet?What’s in the packet?

Most commonly used Most commonly used substances substances

Harm reduction Harm reduction informationinformation

Benefits: Benefits: What our service users sayWhat our service users say

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AccessibilityAccessibilityAnonymityAnonymityBreaking down stigmaBreaking down stigmaOpennessOpennessOut of hoursOut of hoursStepping stoneStepping stoneOnline alreadyOnline already

Putting it into practicePutting it into practiceCase Study 1Case Study 1

• You are a worker in a drop in. A young person You are a worker in a drop in. A young person comes in with questions about a list of substances comes in with questions about a list of substances that her friends use and she is thinking about trying that her friends use and she is thinking about trying herself: Mr White, Charly Sheen and Pandora’s box.herself: Mr White, Charly Sheen and Pandora’s box.

• What’s going on for you?What’s going on for you?• What can you do?What can you do?• What is available for you/ the young person/ her What is available for you/ the young person/ her

friends?friends?

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Putting it into practicePutting it into practiceCase Study 2Case Study 2

• You are Paul, aged 21 and regularly use substances You are Paul, aged 21 and regularly use substances when you go out. You have tried a few new drugs when you go out. You have tried a few new drugs but have noticed that you are using more than you but have noticed that you are using more than you used to and that your use is starting to impact on used to and that your use is starting to impact on your life. You want to cut down but feel stigma your life. You want to cut down but feel stigma about going to a drugs service.about going to a drugs service.

• What’s going on for you?What’s going on for you?• What can you do?What can you do?• What is available for you?What is available for you?

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Putting it into practicePutting it into practiceCase Study 3Case Study 3

• You are a parent and have just found a pack of You are a parent and have just found a pack of “Annihilation” in your 17 year old son’s room.“Annihilation” in your 17 year old son’s room.

• What’s going on for you?What’s going on for you?• What can you do?What can you do?• What is available for you/ your son?What is available for you/ your son?

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What you can doWhat you can do

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Face the challenges of new drugsFace the challenges of new drugsUtilise online services and other resources Utilise online services and other resources to benefit you and your service usersto benefit you and your service usersLook for relevant training opportunitiesLook for relevant training opportunitiesMake links with other organisationsMake links with other organisationsUse existing skills and experienceUse existing skills and experience

Feedback Needed!

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mycrew@crew2000.org.uk

www.mycrew.org.uk

laura@crew2000.org.uk

Any questions?Any questions?

Keep in touch!

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Visit – www.mycrew.org.ukEmail – laura@crew2000.org.uk

Facebook – Crew: Mind AlteringTwitter – @Crew_2000