Document Detail

Development of an enhanced needle and syringe programme: the First Step programme pilot.
MedLine Citation:
PMID:  15370009     Owner:  NLM     Status:  MEDLINE    
The First Step programme is a new approach to needle and syringe exchange services established to help intravenous drug users reduce harmful drug use behaviours, provide psychoeducation and act as a point of transition enhancing access to other health and community services. The First Step assertive treatment approach was implemented in a medium-sized community area health service and evaluated over an 18-month period. A pilot evaluation of staff training was also conducted, demonstrating a significant improvement in staff skills in assertive outreach, needs assessment, engagement, psychoeducation and referral. Measures of drug-related harm showed the benefits of new early engagement-enhancing psychoeducational interventions, with increases in needles distributed and returned and greater referrals to drug and alcohol and other health services. Training needle and syringe workers towards a more assertive community outreach role gives them the ability to provide psychoeducation and harm minimization strategies and act as a conduit for intravenous drug users to enter treatment.
Michelle Hudoba; Brin Grenyer; Miriam O'Toole
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Drug and alcohol review     Volume:  23     ISSN:  0959-5236     ISO Abbreviation:  Drug Alcohol Rev     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-16     Completed Date:  2004-12-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9015440     Medline TA:  Drug Alcohol Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  295-7     Citation Subset:  IM    
Illawarra Institute for Mental Health, University of Wollongon, NSW, Australia.
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MeSH Terms
Chi-Square Distribution
Community Health Services / methods*
Needle Sharing* / psychology
Needle-Exchange Programs / methods*
Pilot Projects
Substance Abuse, Intravenous / epidemiology*,  psychology,  therapy

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