SUPPORTING WORKERS TO ADDRESS METHAMPHETAMINE IN QUEENSLAND (SWAM) Dr Nikola Ognyenovits Jeff Buckley Michelle Taylor Karen Hassan

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2 SUPPORTING WORKERS TO ADDRESS METHAMPHETAMINE IN QUEENSLAND (SWAM) Dr Nikola Ognyenovits Jeff Buckley Michelle Taylor Karen Hassan

3 Acknowledgement to Country.

4 Firstly, a brief history of methamphetamine!

5 Origins of meth/amphetamine Amphetamine first synthesised in 1887 in Germany by Romanian chemist, Lazar Edeleanu. In 1893, Japanese chemist Nagai Nagayoshi used ephedrine to synthesise methamphetamine. In 1919, Akira Ogata (protégé of Nagayoshi), discovered a new method of synthesising the crystalline form giving the world crystal meth

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13 Trends and Rates of use

14 Recent methamphetamine use in Australia,

15 Methamphetamine use in the population 2013 gggggggg

16 Source: AIHW (2014) National Drug Strategy Household Survey 2013 Canberra: AIHW

17 Source: AIHW (2014) National Drug Strategy Household Survey 2013 Canberra: AIHW

18 The limitations of the Household Survey : Not representative of the cross-section of society Does not reach many of the marginalised Subjects need to have a household Self-reporting, suspicion Long lag time, 1-2 years Cannot detect regional differences, micro trends

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25 Estimating the number of regular and dependent methamphetamine users in Australia, Louisa Degenhardt, Sarah Larney, Gary Chan, Timothy Dobbins, Megan Weier, Amanda Roxburgh, Wayne D Hall and Rebecca McKetin Med J Aust 2016; 204 (4): 153. used indirect prevalence estimation methods that have been widely applied in illicit drug epidemiology to estimate the size of more hidden and stigmatised groups of illicit drug users. Conclusions: There have been increases over the past 12 years in the numbers of regular and dependent methamphetamine users in Australia. the increase has been most marked among young adults (those aged years).

26 Trends in methamphetamine residues in wastewater in metropolitan and regional cities in south-east Queensland, Foon Yin Lai, Jake O'Brien, Phong K Thai, Wayne D Hall and Jochen Mueller Med J Aust 2016; 204 (4): Results: Consumption increased 4.8 times in the metropolitan area between 2009 and 2015, and 3.4 times in the regional city between 2010 and 2015 (Box 2).

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28 POSSIBLE FLAWS Increased residues in wastewater can result from: Increased purity More people using Combination of the two

29 How Do We Know There is a Problem? Hospitals Ambulance Police/Probation & Parole Mental Health Services AODS NSP Child Protection

30 Are we experiencing an ice epidemic? NO Are we experiencing increased harms and associated problems? YES

31 So what are we doing about it here in Queensland?

32 SWAM PROJECT Queensland Health has funded a number of new treatment workers and services in key locations across the state. In addition to this, Insight and Dovetail are rolling out a series of workforce capacity building activities designed to assist health and community service workers to better respond to methamphetamine use. 6 main activities:

33 SWAM PROJECT 1. Statewide Training and Education Ice roadshow Free webinars Specialist forums And WOWS today!

34 SWAM PROJECT 2. Methamphetamine Ultra Brief Intervention Tool Called QuickMAC (MethAmphetamine Chat) A simple one-session tool to assist health practitioners have a 5-10 minute structured conversation with people who use methamphetamine. Due for release in July

35 SWAM PROJECT 3. Harm Reduction Toolkit A set of printed factsheets and resources including a harm reduction guide for current methamphetamine users as well as factsheets targeting families and professionals Also due for release in July

36 SWAM PROJECT 4. Ice e-learning package An online guide to this package of new resources Due for release in July

37 SWAM PROJECT 5. New Dovetail Good Practice Guide Working with families and significant others of young people who use substances Due for release in you guessed it

38 SWAM PROJECT 6. Clinical Response Flowcharts Simple clinical assessment and decisionmaking flowcharts to assist health practitioners to quickly identify the best treatment response for individuals who use methamphetamine

39 Questions? Comments?

40 For more information: (07)