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Displaying results 1–10 of 58 where Type of intervention is Harm reduction

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Project description Intervention type Evaluation type Setting Target group Country Quality level
Title: Local Point of Reception and Information for Party Drug Users
Summary: The local point of reception, information and referral for party drug users aims to reduce the risks related to drug-use in this public. It aims to improve users' knowledge and tries to induce behaviour's changes on the related risks, by providing information on the content of the products and the risks related to that products. >>
harm reduction evaluation of intervention planning, process evaluation low threshold service adults Belgium 1
Title: Syringe exchange Flanders
Summary: Aims to reduce the spread of infectious diseases for injecting drug users by increasing the amount of available syringes and the prevention of other health risks by giving accurate prevention information. >>
harm reduction process evaluation low threshold service, needle/syringe provision adults Belgium 1
Title: Low Threshold Service Ganslwirt
Summary: Established in 1990, Ganslwirt was the first low threshold service based on harm reduction principles in Austria. The care centre is available 24 hours a day and consists of a day centre, an emergency shelter and a medical service. The main objective is the prevention of negative social, psychological and somatic consequences of drug use. >>
harm reduction process evaluation low threshold service, needle/syringe provision adults, children/young people Austria 1
Title: Free Distribution of Risk Reduction Materials Related to the Use of Psychoactive Substances
Summary: La Rose des Vents centre exists to reduce risk for drug users by distributing free sterile injecting materials. A network of 40 pharmacies is involved and, unlike other similar schemes, the concept is based primarily on free distribution, and not needle exchange. >>
harm reduction process evaluation needle/syringe provision adults, children/young people France 1
Title: Outreach Services in the Drugs/AIDS service in the Eastern Region
Summary: The outreach service was initiated in 1998 in response to the spread of HIV infection among injecting drug users. A recent evaluation says that the outreach workers provide a culturally sensitive and unconditional approach with a human touch where information about safe drug use, safe sex and harm reduction measures and treatment options can be provided to drug users not in contact with mainstream services. >>
harm reduction process evaluation needle/syringe provision adults, children/young people Ireland 1
Title: Intensive community-based care for complex addiction problems
Summary: Intensive community-based care programmes were developed for people with chronic and complex problems (often including drug addiction) and may cover a wide range of services (e.g. health care, mental health care, social work, financial support). The general aim of intensive community-based care is to reduce harms for clients, for their direct enviroment and for society. Many of these care programmes exist nowadays in the Netherlands but they differ substantially in many aspects. The effectiveness of intensive community-based care remains unclear, mainly due to poorly description practices concerning the content of this care programmes. Therefore, an instrument has been developed for determining and validating specific aspects that apply to several programmes. These aspects are meant to facilitate: 1) description of these programmes; 2) comparison between (effectiveness of) these programmes and 3) explaining effective ingredients (aspects) of programmes. The ultimate aim of this project is determining short-term and longer term effectiveness of these programmes, to offer useful insights for professional training, and for guideline construction. >>
harm reduction process evaluation outreach/drug scene adults The Netherlands 1
Title: 7 years of the Syringe-Exchange Programme at the Pamplona Prison (Spain)
Summary: Implementation of a pilot programme in a penitentiary to reduce risks through the personalized exchange of syringes, similar to the scheme in place for the population at large. In the 7 years it has been operational, it has proven that such measures are suitable, valid and effective in prison environments. >>
harm reduction evaluation of intervention planning, outcome evaluation, impact evaluation, process evaluation needle/syringe provision adults Spain 2
Title: Educational campaign on hepatitis C for drug users.
Summary: In a pilot study, drug users were informed about hepatitis C to motivate them for test counselling and treatment when tested positive. Several intervention materials were used. Twenty-six professionals were reached and 213 drug users received a test counselling. The level of knowledge about hepatitis C was already fairly high before the campaign started. From the 213 drug users who had a test counselling session, 191 were drug users. From the drug users who ever injected drugs, 73 % were infected with hepatitis C. From the 57 infected drug users, 49 had an active infection and should be referred to treatment, 35 (71 %) participated in an additional diagnosis procedure that took at least several months. Thirteen of these started a Peg Interferon plus Ribavirine treatment with intensive support. >>
harm reduction process evaluation adults The Netherlands 2
Title: National Take-Home Naloxone (THN) Programme Scotland
Summary: In the decade 2002-2012 the number of drug-related deaths (DRDs) registered in Scotland increased and the rate of DRDs is higher than those seen in other parts of the UK. The majority of these deaths are due to fatal accidental opioid ovedoses. Naloxone is a “competitive opioid antagonist”, which can temporarily relieve dangerous symptoms caused by high levels of opioids in the blood by temporarily removing them from receptors in the brain. In the event of an overdose this provides valuable extra time for emergency services to arrive and deliver treatment. The aim of the National Take Home Naloxone (THN) Programme is to contribute to a reduction in DRDs in Scotland through the provision of THN kits and specialist training to opioid users, their friends, family, carers, partners and other people they associate with and who are likely to be in the vicinity if an overdose occurs. Kits are distributed in community health settings and in prisons at the point of liberation. >>
harm reduction outcome evaluation, impact evaluation low threshold service, outreach/drug scene Scotland, United Kingdom 2
Title: SAPS, Creu Roja Barcelona
Summary: In Barcelona in 1992 the Olympic Games brought about big changes to the city . Amongst other aspects, health became a focus point for reflection and improvement. The use of illegal drugs in the depressed urban areas needed to be focused upon as the mortality rate was high due to acute reactions to consumption and the rate of infections equally high as a result of needle sharing and through sexual transmission. In 1990 Spain had already been sat at the top of Europe’s list for the highest percentage of HIV cases with needle sharing being the main mode of transmission; until 2003 this way of transmission was reported as having caused over 50% of the infections amongst drug users . This high incident rate could be attributed to the lack of harm reduction measures amongst injected drug users, more specifically, to the delay in setting up syringe exchange programs (which were initiated in Holland in 1984) and of a methadone maintenance treatment. The first opioid substitution treatment with methadone took place in Barcelona in 1987 and the first syringe exchange programs by ONGs were inaugurated in Bilbao and Barcelona in 1988. 3 In 1991 mobile units gave access to syringe exchange programs throughout the city. However it was necessary to create stable centres in Barcelona so as to maintain long term contact with injecting drug users (IDUs) and by March 1993 our service, SAPS Creu Roja was established. Its schedule offered night time assistance to cover basic needs such as food, washing rooms, a laundrette, condoms and injection material such as sterile syringes, sterile water and health, social and legal attention. From the first year onwards the number of visits steadily increased up until 1999. In the last three years the number of visits had been once again on the increase. In the last nine years, the rate of recuperation of syringes has been lower than the preceding years. Since the opening of the injecting room in SAPS we had less than 1% each year of acute reactions during consumption without any deaths. Whereas outside of injecting rooms more than 65 deaths per year took place in Barcelona From the beginning the service has received a large number of visits, giving evidence of the skills of the centre to make and keep contact with the target population. With intention to attend to the needs of the users, a methadone maintenance treatment was put in place in the service when the demand became increasingly high. From the first year onwards the number of visits steadily increased up until 1999. In the last three years the number of visits had been once again on the increase. In the last nine years, the rate of recuperation of syringes has been lower than the preceding years. (Table 1) The new material delivered to drug users has been one of the main responsibilities of the service. In the first years the number of syringes given conformed to the number of those returned by users in order to avoid syringes on the street that could create a danger of accidental punctures to the public and also to prevent users from sharing syringes. However since the appearance of syringe recovery programs in the streets and from a proven decline of syringe sharing between drug users , we continued the distribution of syringes despite the decrease in the number of syringes recuperated at the centre. Deaths from acute reactions to consumption are one of the main causes of deaths among young people in the world . The delivery of sterilized injection material helps prevent the spread of infections but it is not enough to avoid deaths and thus it is necessary to implement supervision in the injection rooms during usage. The first supervised injection room was opened in Madrid in 2000, the second appeared in Barcelona in Can Tunis , the most prolific area of drug dealing in the city at the time. >>
harm reduction outcome evaluation low threshold service, needle/syringe provision adults Spain 2

Displaying results 1–10 of 58 where Type of intervention is Harm reduction

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Page last updated: Friday, 20 January 2012