Innovation: From needle exchange to sexual health and beyond

Nesbitt HM (2015) From needle exchange to sexual health and beyond. Nursing Times; 111: 27, 16-18. Harm reduction services for users of intravenous drugs can do more than simply providing clean injecting equipment. This article examines one nurse-led harm reduction service in Scotland that grew in response to the needs and requests from people using it, and now includes bloodborne virus testing and prevention, wound care and sexual health services. The service has led to a decrease in the transmission of hepatitis B and complications from injection site injuries. It has also led to an increase in women attending for smear tests, as well as contraceptive advice and supplies. The service has been rated “high” for attendee satisfaction and participation.

A harm reduction service for users of intravenous drugs run by mental health nurses developed into wider healthcare services for this vulnerable group

In this article…

• How the harm reduction clinic was set up

• Health issues associated with intravenous drug use

• Benefits for patients and the health service