SERVICE DELIVERY MO DEL S There are a number of service delivery models that can be used to make syringes available. SAPs may operate using a single model exclusively, or opt to incorporate a mix of models to broaden their coverage and meet IDU needs in varying contexts. Needs assessment findings can be useful when choosing a service delivery model, many factors may inform which approach or approaches are adopted such as: • Local drug scene • Resources and budget • Staff/volunteer availability • Organizational structure • Geographic context (e.g. urban vs. rural) • Political climate The following will briefly outline inherent strengths and potential limitations of several syringe delivery models. For additional information and technical assistance, please contact HRC at hrc@harmreduction.org or find us online at www.harmreduction.org. Fixed Site The SAP is housed in a building or single location such as a storefront, office, or other similar space. Fixed sites are often more appropriate when IDUs are somewhat centrally located in a particular area. Fixed sites offer greater opportunity to integrate other services, including drop-in centers, counseling and referral, case management, medical services, HIV and HCV testing, support groups, food provision, abscess and wound care, etc. Strengths
LIMITATIONS
• Offers shelter from street-based activities
• Participants must come to you
• Opportunity to create a comfortable “safe space” for
• Potential limitations on hours of operation (including
building trust • Protection from the weather •R oom for growth and potential expansion into
staffing issues) • Higher overhead and upkeep (including security systems and maintenance)
other service areas such as medical care, counseling,
• Can become the focus of community opposition
acupuncture, etc.
• Difficult to stay attuned and adjust to changes in the
• I ncreased privacy and out of the direct line-of-sight of local residents, businesses • On-site storage space
drug scene, neighborhood development (for example, if your location becomes irrelevant) • Greater visibility of individual drug users
• Easily supports computer-based record-keeping systems • Privacy for SAP participants
-14-
