Belfast 2005
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Handbook Conference International Conference on the Reduction of Drug Related Harm - Belfast 2005 International Conference on the Reduction of Drug Related Harm Introduction 01 Contents Welcome 2 Committee Members 4 Programme Information 5 Awards 7 Special Events & Satelite Meeting 8 General Information 9 Venue Info 11 Sponsors 12 Programme 17 Posters Presenters Index 44 Abstracts (incl. in programme) 49 Posters Presentations 138 Abstracts (not incl. in programme) 170 “Harm reduction must be carried out in a public health framework and one in which the health, human rights and social needs of drug users and their communities are met.” 2 International Conference on the Reduction of Drug Related Harm Welcome Welcome …FROM THE MINISTER FOR HEALTH AND SOCIAL SERVICES AND PUBLIC SAFETY I am very pleased to welcome you all to Belfast for the 16th International Conference on the Reduction of Drug Related Harm. Certainly Northern Ireland is not immune to drug and alcohol problems that beset many communities around the world today. When people choose to use drugs we cannot ignore that fact. All of us need to play our part in Stormont reducing the harm that this creates. This doesn’t though fall neatly into any one area of responsibility. In recent years we have developed strategies and policies across a range of sectors, including health, education and criminal justice. More recently such initiatives have been brought together under the broad umbrella known as the Joint Implementation Model. Under the Model we seek to integrate strategy at a regional level with action at a local level. Partnership is the key to this. Partnership is a particular characteristic of how we work in Northern Ireland. We also have a long and strong tradition of community development and community action with initiatives based on a local assessment of need. I note that the Conference programme has examples of such initiatives from across the world. I trust that this Conference will provide opportunities for the continuing dissemination of best practice in this important area. I congratulate all those who have made the conference a reality. There has been much effort to get to this stage. I encourage you all to participate fully over the next five days. Let’s ensure that this conference will make a positive contribution to harm reduction around the globe. Angela Smith Minister for Health and Social Services and Public Safety International Conference on the Reduction of Drug Related Harm Welcome 3 …FROM THE CHIEF MEDICAL OFFICER …FROM THE CONFERENCE DIRECTOR …FROM THE INTERNATIONAL HARM REDUCTION ASSOCIATION On behalf of the DHSSPS I would like to extend a This Conference is the culmination of 18 month’s warm welcome to those delegates attending this work since I took up my post as Regional Drug and I extend a warm welcome to you on the occasion of major Conference in Northern Ireland. Alcohol Strategy Co-ordinator for DHSSPS, and had our 16th conference. This is the key annual conference I know that the development of a Conference added to it the role of Conference Director. As is on harm reduction, and I hope that the programme on this scale, with its particular emphasis on always the case, any conference is the result of has something in it for all of you. This is a major encouraging active participation of interested parties many people’s labours, and this is certainly no opportunity to hear new ideas, and to engage in at all stages of the process is challenging but exception. I would like to give a special word of debate and discussion. ultimately very productive, and the final programme thanks to my colleagues in the Drug and Alcohol The conference is a unique event. It brings bears due testimony to this. Strategy Team. together all aspects of harm reduction including The concept of harm reduction or minimisation We have had strong support from those evidence and research, policy analysis and viewpoint, is sometimes perceived as a challenging one for working in the statutory and non-statutory sectors advocacy, and harm reduction practice. It brings statutory organisations, but the history of public in Northern Ireland, especially when we met over a together people from all over the world from health across the world has been one of year ago to discuss the themes and issues we extremely wide range of settings who are working to Governments developing and implementing wished to see reflected in the programme, and I promote and implement harm reduction approaches pragmatic responses to the realities of current feel in this we have succeeded. to drugs and alcohol. issues, and in this respect addressing the realities of The theme for the Conference is ‘Widening the The sheer range of people attending the substance use is part of that long tradition. Agenda’. This was so as to enable the discussion conference attests to the global interest in harm There are a number of ways in which harm and debate about harm reduction to both move reduction. Harm reduction is now firmly on the map. reduction resonates with public health. Harm onwards and move outwards. To move onwards in It is great to see how over the years, people come reduction approaches embrace broader terms of the arguments for harm reduction, and to this conference from more and more countries, determinants of health in which strategies move outwards in terms of addressing other issues and how the quality and range of evidence and implemented place first priority on reducing the such as alcohol and tobacco use. debate continues to develop. negative consequences of a behaviour for the We hope the programme has enough variety of This conference is a major undertaking and couldn't individual, the community and society. This is clearly content and formats to satisfy the most demanding happen without huge effort on the part of many supportive of one of the key roles of any of delegates! We have built on those elements of individuals and organisations. IHRA is grateful to the Government namely the protection of individuals previous conferences which have proved popular Department of Health, Social Security and Personal and communities. Implementing policies and and successful - we hope we have provided Services of Northern Ireland for hosting the conference, developing protocols that aim to do this is part and enough opportunities for discourse, debate and and I would like to thank all staff in the department who parcel of public health. discussion. have worked so hard to make this conference happen. Harm reduction is a challenging issue, public And as ever with conferences, you do tend to Once again we have co-sponsorship from UNAIDS and health is a demanding issue - this Conference will get out of them what you put into them and bring WHO. Scholarship funding from the International Harm doubtless be a challenging, demanding and to them. I trust you will bring all your enthusiasm Reduction Development Progam, UNAIDS and the UK ultimately rewarding event. I hope you enjoy your and take away a renewed resolve to widen the Department for International Development has brought time in Belfast. harm reduction agenda. people from many countries. I would like to thank all of those who have worked over the last two years to put Dr Henrietta Campbell Rob Phipps this programme and event together, including the Chief Medical Officer for Northern Ireland Conference Director Programme Committee, the abstract reviewers, and all who helped plan sessions. Finally I would like to thank all the speakers and poster presenters who have chosen this conference as the opportunity to bring their insights and experience to this meeting. IHRA is the only international organisation promoting harm reduction on a global basis. While at the conference please take time to visit our stand, join IHRA, and contribute to saner and safer policies for drugs and alcohol. Please enjoy the conference: learn new things, make new friends. The promotion of harm reduction around the world depends on the knowledge we share and the networks we make. Gerry Stimson Executive Director IHRA 4 International Conference on the Reduction of Drug Related Harm Committee Members Committee Members EXECUTIVE PROGRAMME PROGRAMME AND OTHER ADVISORY COMMITTEE MEMBERS ACKNOWLEDGEMENTS COMMITTEE MEMBERS A&K.Alaei Gerard de Knot Rich Needle The Local Organising Committee Rob Phipps Aceijas Carmen Holly Catania Robert Ali would like to express its sincere Conference Director Agustin Lapetina Holly Hagan Robert Hämmig appreciation and thanks to all the Prof Gerry Stimson Ali Judd Iain Cameron Sam Friedman team members of the following Programme Director Alison Ritter Jack Houlahan Sandra Batista organisations, who without the Pat O'Hare Allan Clear Jenny Scott Scott Burris conference could not have been Iain Cameron Andrew Ball Jo Kimber Silvia Inchaurraga delivered in such a professional Kay Roberts Andrew Bennett John Strang Simon Baldwin manner. They are:- Sue Simon Michael Farrell Andrew Percy Jon Derricot The Drugs and Alcohol Strategy Team Susan Sherman Sean Cassin Anindya Chatterjee Karen McElrath of the DHSSPSNI Annette Dale Kasia Malinowska- Terry Magowan Niall Coggans The Health Promotion Agency for NI Annette Verster Sempruch Tiggey May Owen O'Neill Annie Madden Kay Roberts Tim Rhodes Project Planning International Patti Spittal Anya Sarang Leo Kenny Ton Smits International Harm Reduction Barbara Ward Anyinda Chatterjee Linda Cusick Umesh Sharma Association George McCague Arash Alaei Louisa Degenhardt Vivian Hope Northern Ireland Drug and Alcohol Michael Owen Asya Birdordinova Lucy Platt Vladimir Poznyak Co-ordination Teams Andrew Percy Augustin Lapetina Mairead Lyons Vyacheslav Kushakov Axel Klein Marty Cardwell Walter Cavalieri We would also like to thank Basil Williams Mat Southwell Zita Lazzarini colleagues from Northern Ireland who LOCAL ORGANISING Bill Stronach Matt Hickman COMMITTEE contributed to the original programme Briege Quinn Matthew Hickman planning meeting at Malone House in Deirdre Kenny Carmen Aceijas Mauro Guarinari February 2004.