Other SEP Activities - 17th Texas HIV/STD Conference


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Implications of Lifting the Federal Funding Ban on Syringe Exchange at Texas HIV/STD Conference. Powerpoint by Dan Bigg, Chicago Recovery Alliance. Please use with credit to Chicago Recovery Alliance. Dan @ cra@attglobal.net or anypositivechange.org

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Other SEP Activities - 17th Texas HIV/STD Conference

  1. 1. Harm Reduction in Chicago The Power of Any Positive Change! Chicago Recovery Alliance
  2. 2. Low Threshold Treatment Options - All are Welcome
  3. 9. Harm Reduction --> Community Improvement
  4. 13. Making a Safer Shot Starting Point?
  5. 14. More Accurate!
  6. 15. <ul><li>Candidates for Hepatitis A Vaccination </li></ul><ul><li>High-risk populations </li></ul><ul><li> * Users of illegal drugs. </li></ul><ul><li>Candidates for Hepatitis B Vaccination </li></ul><ul><li>High-risk populations </li></ul><ul><li> * Injection drug users. </li></ul>
  7. 16. <ul><li>Despite the long-standing existence of unambiguous recommendations for risk group vaccination , hepatitis B vaccination coverage remains low in most risk groups in most high-income countries. This low coverage may be attributed to a lack of perceived risk of hepatitis B and the absence of appropriate health care programmes targeting hepatitis B monitoring and vaccination for certain risk groups, particularly sex workers, injecting drug users, and prisoners… The VHPB also recognises that new strategies will have to be developed and implemented . </li></ul><ul><li>Hepatitis B vaccination: how to reach risk groups. Francois G, Hallauer J, Van Damme P. </li></ul><ul><li>Vaccine 2002 Nov 22;21(1-2):1-4 </li></ul>
  8. 17. <ul><li>The Berkeley Free Clinic </li></ul><ul><li>Health Care for People Not Profit </li></ul>http://www.berkeleyfreeclinic.org Hepatitis Testing, Education and Vaccination (Hep-TEV) Service is open only to people at risk for hepatitis. Hep-TEV provides anonymous or confidential testing and counseling for hepatitis A, B and C. The hepatitis clinic is open Saturdays between 3 and 5. Those interested should call between 1 and 2:30pm on Saturday for a same-day appointment at (800) 6-CLINIC.
  9. 18. Pneumococcal Seasonal Flu H1N1 Flu Hep A/B Combined Hep A and Hep B separately Tetanus
  10. 19. Vaccination Experience to Date… 46,270 vaccinations completed over last decade (84% latest completion figures); Some staff take longer than others to get up to speed -- more hands on training and on-site support; Physician skilled in work with drug users critical to program success; Could not happen without CDPH vaccine!
  11. 20. Enough Motivation to Address OD? Program
  12. 21. Opiate Overdose Prevention and Intervention in Chicago Use of a proven antidote to save lives where they are being lost on the streets CRA’s OD work dedicated to John Szyler as Any Positive Change
  13. 24. CRA’s Opiate Overdose Prevention/Intervention Work…
  14. 27. All Testing Possible… Rapid HIV ab – oral or finger stick Syphilis + HCV ab ALL TESTING POSSIBLE… Chlamydia/Gonorrhea
  15. 28. CRA Annual Report 2009 11,021 visits 6,341 unique participants 3.06 million syringes exchanged 30.8% female, 1% trans 55% W, 31% AA, 9% PR, 4% Mex 32% 20-24, 25% 30-44, 23% 44+, 12% 25-29, 7% 13-19
  16. 29. Harm Reduction --> Community Improvement Bridge to Life Improvements - 300 new methadone treatment admissions in 40 days - Spring ‘00
  17. 34. MOST <ul><li>Mobile Opiate Substitution Therapies </li></ul>
  18. 39. <ul><li>MOST Twenty Month Trial Ended July 2007. Lessons: </li></ul><ul><li>Successful engagement tool through any positive change </li></ul><ul><li>All risk reduction tools INCREASED engagement and did not prevent or reduce relationships!! </li></ul><ul><li>OD/Safer injection materials/work useful with constructive engagement/disengagement with peers both in and outside of treatment </li></ul><ul><li>Regulations allow respectful engagement but system can be challenged by practice of this approach </li></ul><ul><li>Resources needed for continuation/expansion </li></ul><ul><li>IMPROVEMENT FOR ALL PROGRAMS!!! </li></ul>