Drugs and Health Development Project

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Drugs and Health Development Project
1989 2008 How we got to where we are now
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History Pre 1990s

• 1987 Introduction of the Health (Needles and
  Syringes) Regulations which permitted Pharmacies
  and GPs to distribute 3ml syringe 10 packs to
  Injecting Drug Users (IDU)
• 1988 - 1st Needle Exchange opens in Palmerston
  North.
• 1989- Needle Exchanges open in Auckland (ADIO),
  Wellington (WIDE), Christchurch (CIVDRUG) and
  Dunedin (DIVO).

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Wellington Information for Drug Education (1989
-1994)

• NZPC allowed WIDE to share premises at 282 Cuba
  Street.
• 1991- NPLWA Union moved in and all 3 shared 1
  office manager
• Peer based model
• Funded via Ministry of Health to provide NEP
  services to IDU including safe sex
• Set up as an Incorporated Society
• Ottawa Charter
• Several changes of managers and staff
• 1992- Clinic for IDU and sex workers opened at
  site
• Trust Board changed in 1992 to include AD
  manager, Sexual Health manager and Bill Logan

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Cuba Clinic

• 1992 Hepatitis C testing started and was
  identified as a major health issue for IDU
• Hepatitis B vaccinations offered to IDU
• All BBV testing
• Safe injecting technique
• Wound and vein care
• Sexual Health all areas
• Home detox provided through clinic Dr and Nurses

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Increased range of injecting equipment during
early 1990s

• Butterflies
• Larger/smaller volume syringes
• Different gauge needles i.e. steroid users
• Tourniquets
• Needle filters, wheel filters, sterile water

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1994 - 1999

• Manager Robert Kemp (1995-1999) collaborated in
  research into sero-prelavance rates and incidence
  of methadone injecting
• 1995 started pilot 1-4-1 exchange
• 1996 Needle Exchange New Zealand formed
• 1998 Opened NICHE in Nelson and oversaw its
  development into a stand alone NEP.
• 1999 Rachel Browne employed as book keeper

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History 2000 2009

• 2000 - DHDP Wellington stand alone exchange
• 2001 Napier and Palmerston North NEP contracts
  picked up by DHDP Wellington
• 2002 Electronic Dispenser Machine funding
  provided for Wgtn, Napier and PNTH exchanges for
  24 hour access to equipment
• 2003 - Protocols, Guidelines, Contracts and
  Policies developed and updated. Trust Deed and
  Trust Board updated.
• 2005 Wanganui branch opens on part time basis
  and EDM is provided for Wanganui.
• 2008 Wairarapa branch opens with EDM full time
• Wanganui receives funding to open full time

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DHDP Trust Board

• DHDP CEO DHDP CFO
• DHDP Branch Managers
• DHDP Reference Groups
  DHDP Branch Employees

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Other Areas of Client Support

• Friendly non-judgemental advice
• Confidential service
• Peer counselling
• AD support/referral
• Support for legal issues
• Referral to supportive medical professionals
• Referral/support with housing, benefits etc
• Advocacy/referral all other areas

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DHDP Branch Responsibilities

• To provide a non-judgemental and confidential
  service
• Peer driven harm reduction education and advice
  to all IDU and their whanau
• Distribution and collection for destruction of
  all injecting equipment
• Promote DHDP and NEP to all relevant community
  agencies and organisations
• Referral of IDU to these community organisations

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DHDP Branch Responsibilities

• Open for advertised hours
• Accurate statistical and financial recording
• Manager reporting to CEO on a regular basis
• Manager reporting to CFO on a regular basis
• Manager responsible for the branch staff
• Establish reference groups at each branch to
  report directly to the DHDP trust board
• Stock control and management
• Keeping up to date with new developments in the
  IDU field

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CEO Responsibilities

• To liaise with branch managers
• MOH reports (sustainability, six monthly)
• To liaise with the CFO
• Liaising with Govt Departments and NGOs
• Answerable to DHDP Trust Board
• Managing DHDPs objectives/projects

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2009 Onwards

• Professional Development up skill peer based
  group
• Improve health of client base
• Evidence based information and resources
• Hepatitis C support and resources
• Planning outreach service in greater WGTN,
  Wairarapa and Manawatu regions
• Safe injecting DVD in production

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• Monthly newsletters between branches
• Bi-annual manager meetings
• DHDP seminars