1. The challenge of responding to NPS injecting: A change in service provision Vicki Craik NPS and Training Coordinator

2. Who are Crew? www.crew2000.org.uk Scottish charity established in 1992 Developed out-with mainstream drugs field “We neither condemn nor condone drug use but believe there are ways to reduce harm for the significant numbers of our fellow citizens who decide to use them”

3. www.crew2000.org.uk Page 3

4. 4

5. “47% of all drug concerns reported to Crew in 2014 were regarding new psychoactive substances” www.crew2000.org.uk

6. NPS Injecting Population MSM Psychonauts NFA Opiate users www.crew2000.org.uk

7. MPA 1-(thiophen-2-yl)-2-methylaminopropane

8. Ethylphenidate ethyl 2-phenyl-2-piperidin-2-ylacetate

9. Photo courtesy of Dr Oliver Aldridge

10. Photo courtesy of HMP Edinburgh

11. Photo courtesy of Dr Carey Lunan

12. What is the challenge? Alcohol Heroin Crack Benzodiazepines www.crew2000.org.uk MDMA Cocaine Amphetamine Cannabis Ketamine NPS Service Provision…

13. Opiates  Stimulants Harm reduction Polydrug use Cutting agents Damage Services available (Nx, attendance) www.crew2000.org.uk

14. Stimulants  Opiates Employment Housing Social networks Patterns www.crew2000.org.uk

15. www.mycrew.org.uk Page 15

17. Summary www.crew2000.org.uk

18. Keep in touch! www.crew2000.org.uk Visit – www.crew2000.org.uk Email – vicki@crew2000.org.uk Facebook – Crew: Mind Altering Twitter – @Crew_2000

19. Thank you! www.crew2000.org.uk SDF The Scottish Government Alcohol and Drug Partnerships Drug Trend Monitoring Groups Crew staff, volunteers and service users