A review of enablers and barriers of Indigenous drug users accessing needle and syringe programs - a report for the COAG Multilateral Group on Needle and Syringe Programs

Appendix D Discussion guide for health services/NSP management and staff/other relevant community organisations

Page last updated: June 2008

  1. What services are available in this area for injecting drug users (IDUs) – eg Needle and Syringe Programs, fixed or outreach services, chemists who sell needles and syringes, etc? How suitable or adequate are those services for IDUs generally, and for Indigenous IDUs in particular? What do you think are the main sources of injecting equipment for IDUs – especially Indigenous IDUs?

  2. Has the availability of services changed over time? In what ways? For better or for worse?

    1. How much is known about injecting drug use in this area – especially among Indigenous people? eg any information about numbers, or how widespread the practice is? What is known about gender, age group etc of Indigenous IDUs? and about their frequency of injecting?

    2. How easy or difficult is it to distinguish injecting drug use by Indigenous people? Are there any apparent differences between the practices or circumstances of Indigenous and non-Indigenous IDUs in this area?

    3. Which drug(s) are most often injected in this area (generally, and by Indigenous IDUs in particular)? How readily/regularly are such drugs available?

    4. Are there any particular groups/places/times/situations in which Indigenous people are more likely to inject?

    5. Has the 'drug scene' changed in any significant ways over recent years?

  3. How aware do you think IDUs in this area (and Indigenous IDUs in particular) are of issues like safe injecting and safe sex? Do you think there is a lot of unsafe behaviour – such as sharing needles? Are there particular sorts of (Indigenous) injectors who are more at risk than others? Are there particular places/times/situations where people are more likely to share needles?

  4. What sorts of information (eg leaflets, posters etc) are available for Indigenous IDUs on health and safety issues?

  5. How much use do Indigenous IDUs make of the health services, sources of clean injecting equipment etc which you referred to earlier (see Q1)? Are there some types of services that they use or prefer over others? Do you think that Indigenous IDUs use the available services more/less than non-Indigenous IDUs, or use services in different ways? Why is that? How do you know? Top of page

  6. Are there particular things that you think encourage or deter access to services by Indigenous IDUs?

  7. Are there particular groups or sorts of Indigenous IDUs who do/do not use NSP outlets, particular types of outlet, or other relevant services? Why do you think that is? Are there any other services or sources of help that Indigenous IDUs may use?

  8. How much does the broader Aboriginal community know about drug injecting in this area? What attitudes do community members take? What implications, if any, do those community attitudes have on IDUs' behaviour, willingness to use services etc?

  9. Do you know of any particular strategies or approaches designed to encourage access to services by Indigenous IDUs – either locally or generally? What are they? What do you know/feel about the appropriateness or effectiveness of these?

  10. Are there any services or approaches being used in this area that you think are particularly successful or effective, or could be described as 'good practice'?

  11. Can you suggest any ways in which Needle and Syringe services in this area could be improved, or made more accessible to Indigenous IDUs? What is currently working well, and what might work better?

  12. Do you have any other comments on the matters we have been discussing?