F or this month ’ s column , we decided it would be best to reflect on what we learned in 2023 , and spell out Release ’ s plans to try and do things differently in 2024 – we ’ ll be back with another case study in our next regular column .
Over the past year , we ’ ve been adapting our ways of working based on our own and our service users ’ experiences of advocating for better treatment . We know that quick and low-barrier access to treatment is more important than ever , as we see increasing nitazene contamination in various drug supplies , putting many lives at risk . We also know that for many people who use drugs , by the time they find Release ’ s helpline they ’ re already in dire circumstances , often after months of trying to cope with poor or no treatment from their drugs service . This also does not account for the many people who will never come across the helpline , or who will exit services or suffer indefinitely – unaware that they ’ re entitled to better treatment .
In order to increase access to knowledge about advocacy , and with that , increase the number of people who access drug services and receive high quality care from those services , Release has produced a two-part advocacy guide for people in treatment and those supporting them . We will soon announce a webinar introduction to the guides as well
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as formal training for drug service key workers and other support workers on how each can play their part in promoting access to advocacy , so stay tuned .
A secondary goal is for workers to be better able to support people on their caseloads , as a number of key workers have told us they were in need of such a resource .
In fact , non-clinical and clinical workers alike have told us that they weren ’ t aware of the breadth of tools and strategies they could be deploying to support their clients . For clinical workers , we ’ ve found that case studies discussed in groups of fellow clinicians have been an effective tool for promoting learning and discussions of current challenges , such as the need for refreshed guidance on working with people dependent on illicit benzodiazepines . Staff at Release have therefore supported some practising and retired clinicians from the drugs sector to form the UK Drugs Clinical Network ( UKDCN ), first conceived at the 2023 Royal College of GPs ’ Managing drug and alcohol problems in primary care conference .
The UKDCN is a forum for clinicians to pool knowledge , experience and resources to better meet patients ’ needs and think creatively about the challenges people face and the solutions available . Organisations must change to meet the needs of individuals and not the other
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way around , and the UKDCN aims to bring people together to achieve this . If you are a clinician , you can register to become a forum member at https :// www . ukdcn . co . uk / home .
Of course , not everyone will want or need to enrol in drug treatment services . In fact , the majority of people who use drugs won ’ t need the support these services primarily offer , but would benefit from harm reduction support . Unfortunately , most harm reduction services in England are built into drug treatment services that people don ’ t feel comfortable accessing . Some people who contact Release also fear that accessing their needle and syringe programme will negatively impact their script in future , so we urgently need harm reduction services that are truly low threshold . As such , Release has decided to construct our own public harm reduction hub . In one week , we managed to crowdfund our entire initial goal of £ 7,500 to construct the space and order supplies and furniture . The crowdfunder remains open to support us in purchasing additional supplies such as nitazene , xylazine and fentanyl test strips .
Harm reduction is much more than drug checking tools and sterile syringes . It ’ s about promoting a rights-based approach and ‘ meeting people where they ’ re at ,’ not only in terms of time and place but also working against systems of oppression
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Release has produced a twopart advocacy guide for people in treatment and those supporting them .
which are causing wider harm . In order to expand the number of people who are skilled in working this way , and to make sure that the hub itself is adequately staffed to expand its hours , Release has also launched a new volunteering programme . Find out more about it at https :// www . release . org . uk / vacancies and sign up if you ’ re interested in taking part .
Ultimately , our goal is to contribute to bringing about conditions where we are no longer needed . We hope that we can support the rights of people who use drugs through our advocacy and policy work alike , and galvanise workers in the drugs sector and friends in our own backyard to – through a diversity of tactics – achieve a fair and just society for drug users of all backgrounds .
Harm reduction hub at https :// www . justgiving . com / campaign / harmreduxhub
Advocacy guide at https :// www . release . org . uk / publications / advice-booklets
Shayla Schlossenberg is drugs service coordinator at Release
Mongkol Akarasirithada / iStock
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12 • DRINK AND DRUGS NEWS • APRIL 2024 |
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