2024-2025 Annual Report Harm Reduction Victoria's Annual Report for the financial year 2024-2025 is now available to view our Annual Report as a reel. NOTE* Please PAUSE the page if you want to spend longer on it. otherwise it will keep playing. Read Here 2023-2024 Annual Report Harm Reduction Victoria's Annual Report has landed. Read below by clicking link. Printed Annual Reports will be sent to members who request one at info@hrvic.org.au AR 23-24 Website Download PDF HERE 2022-2023 Annual Report 2022-23 Annual Report HERE Download 2022-2023 Report PDF form 2022-23 Financial Report (pdf) 2021-2022 Annual Report Read 2021-2022 Report 2020-2021 Annual Report Read 2020-2021 Report Annual Reports-from 2014-2021. (Click on cover image to open PDF.) Our Annual Reports from 2014-2021 are a small sample of our impressive growth and the resilience of our community. Our reports provide detailed insight into our achievements and progress over the years.

Getting On, Getting Older (GoGo) is a new project in development: Targeting the health and social needs of us oldies who inject/use drugs – now and into the future. GOGO Project The Getting On - Getting Older Our Story Harm Reduction Victoria is pleased to introduce you to 'GoGo'. Getting On, Getting Older (GoGo) is a new project in development: Targeting the health and social needs of us oldies who inject/use drugs – now and into the future. GoGo is where the elders of our community can gather to discuss our needs as older people who use drugs and more importantly, to communicate those needs in ways that effect change that has to happen to be sure we are all looked after appropriately as we get older. Are you 50 years young or over and use substances? Fill out this anonymous survey now or Do you work with people Over 50 who use drugs? Fill out this survey now What are you experiencing as an older person who uses drugs? What are your concerns for your future? How can services work with older drug users to maintain a certain standard or to improve their quality of care? If you consider yourself an ‘older’ drug user, we want your input. We want to know what YOU want. We want to know what YOU need or know what you think you WILL need as an older person who uses drugs- who is getting older. Service User Survey (client) Service Provider Survey (worker) "Services for 'ageing drug users' simply do not exist. Why? -because until recently, we didn't get older. It's about figuring out what we need and want and then creating those services for ourselves and ensuring they're available in the future- for all people who enjoy substances" - Sam "I want to be taken seriously when I say I feel pain..and I want to be treated for that pain. I had to take and give my dying friend illicit drugs because their pain was not being managed appropriately while in palliative care-it was devastating." - Anonymous "I want to go to the doctor to and have my health issues and pain taken seriously- not just assume it's the result of my using." - Anonymous Let's Talk About it: Interested in being contacted to be part of the GoGo consultation? Click here to go directly to survey or contact us by filling out this form: > First Name Last Name Email Message Thanks for submitting! Send

Vaccine Locations With all of the Covid confusion, regardless of where it's come from, you'd be forgiven for not knowing how to go about getting the Covid vax if you choose to. We know that there are people in our community who do choose to be vaccinated and may be having trouble doing so- whether it's trouble with finding a clinic close to them or having trouble booking to get it done because of not having ID or a medicare card, or frustrating wait times etc, HRVic have decided to make sure that anyone in our community who chooses to partake- will not miss out. We absolutely respect our community's autonomy ( the right to self govern) around their health and respect your choice whatever it may be. We do however, want to ensure that this isn't another reason for society to leave us out in the cold. Already, the stigma and discrimination around someone who takes substances exists in spades and we don't need something else to move us to or keep us in 'the back of the line' in life. There are already many venues and businesses that have decided that people can not enter or partake without being vaccinated. The Basics: Everyone in Australia aged 12 and over can receive a COVID-19 vaccination If they choose. The Covid vaccines are FREE . You are allowed to travel more than 15km from home to receive a COVID-19 vaccine. View more information about current restrictions . There are a a few different types of vaccination clinics: Commonwealth Vaccination Clinics State (and Territory) Vaccination Centres General Practices (GPs) Aboriginal Controlled Community Health Services Community Pharmacies Hospital Immunisation Hubs Outreach Services and 'Pop Up' clinics Aged care in-reach Reserved appointments are available for people accessing alcohol and drug services to get vaccinated at state vaccination centres. Appointments for ALL areas are only available by calling (freecall) 1800 675 398. We have compiled a list of clinics and services who are offering the vaccines. Click on the area name that you want to find a clinic in to see locations in that area. NEW Pop Up and Walk In Vaccine Clinics List A 'Pop Up' vaccine clinic is a non permanent location where you can get your jab between certain dates. You may still need to book. Please check with individual locations to avoid disappointment. A 'Walk In' vaccination clinic is a clinic where you don't need to book. The Victorian Government is bringing the vaccines to areas that need them most, by launching a massive community pop-up vaccination program targeting 100 priority postcodes across the state. HRVic will continue to post UPDATED lists in PDF form so you can print them out, for you as they arise so nobody has to miss out. POP UP VACCINE CENTRES WALK IN VACCINE CENTRES INNER CITY The Inner City covers North Melbourne, Carlton, Collingwood, Richmond, East Melbourne, West Melbourne and South Melbourne. BAYSIDE The Bayside areas covers Albert Park to Mordialloc to Clayton, Malvern to Toorak. INNER EAST & EAST The Inner East and East areas cover all suburbs from Kew to Chirnside Park, out to Eltham to Warburton and back to Ferntree Gully and back to Caulfield. WEST & SOUTH WEST The West & South West areas covers Williamstown to Wyndham Vale and Eynesbury to Caroline Springs back to Footscray. NORTHERN SUBURBS The Northern Suburbs area covers Maribyrnong & Essendon to Taylors Lakes & Tullamarine up to Craigieburn to Bundoora and back to Reservoir, Thornbury and Northcote. SOUTH EAST & MORNINGTON PENINSULA The huge South East area covers from Dandenong to Warneet to Druin to Narre Warren and back to Emerald. REGIONAL VICTORIA Regional Victoria covers everywhere else- from Geelong to Ballarat to Bendigo to Gippsland to the mountains. CAN'T FIND A CLINIC IN YOUR AREA? TRY THESE OTHER RESOURCES Victorian Government Covid Vaccination Centre website TAKE ME THERE Australian Government Covid Vaccine Clinic Finder website TAKE ME THERE

In 2016, DW expanded its services in response to a need and partnered with a range of collaborators to provide support and infrastructure to festivals to respond to Sexual and Gender Based Violence (GB,) other onsite traumas and psychological distress. DanceWize's NEW Gender Based Violence and Mental Health Services In November 2016, DW expanded its services in response to a need and partnered with a range of collaborators to provide support and infrastructure to festivals to respond to Gender Based Violence (GBV,) other onsite traumas and mental health/psychological distress.  The service acknowledges that there are often disclosures of GBV in the DW space due to the reputation of DW as a safe and non judgmental place where patrons can discuss any issues relating to their drug use and wellbeing. The service also supports the psychological wellbeing of patrons, event staff and volunteers. DW acknowledges that responding to GBV, trauma and psychological distress at music festivals is unique and requires specialist knowledge about responding to AOD, trauma and mental health presentations and the service is provided by peers with appropriate qualifications and extensive experience in the fields of sexual assault, family violence, AOD, trauma and mental health. The services offered are tailored to the industry and acknowledge the unique social, cultural and individual factors of a festival that may result in GBV and psychological distress, paying particular attention to breaking down the barriers to disclosing in the festival context. The service focuses on primary and secondary prevention – providing consultation to festivals about ways to reduce the risk of GBV that includes training and reviewing of policies and procedures, and offering onsite services that are designed to respond to and lessen the immediate and long term of harm of GBV, respond to more complex mental health presentations or onsite traumas, and provide debriefing to staff and volunteers, The service is trauma-informed, focusing on responding to and supporting people in care through establishing safety and trust, valuing client centred care, upholding victim survivor rights, and is guided by the national standards for the delivery of sexual assault services. Pre-event capacity building and consultation Provision of training on Responding to Disclosures of Sexual Assault at Music festivals (DanceWize and CASA House training) and training booklets Provision of training on Bystander Intervention and Understanding trauma A library of resources available to festivals – brochures for appropriate mental health, sexual assault and family violence services from all across Australia A library of posters available to festivals on consent, supporting survivor’s, responding to disclosures of sexual assault and bystander intervention -developed in collaboration with WestCASA and designed for the music industry Expert consultation on festival sexual assault and harassment policies and procedures, including the provision of templates Festival social media/public messaging advice about consent, GBV and harassment Ability to foster a festivals relationship with local SOCIT’s and CASA’s to ensure that local services are aware of the festival operating Advise event staff of risk factors of GBV at festivals at pre-event planning meetings; Expert advice about the development of processes and procedures relating to the removal of alleged perpetrators Development of flow charts, cheat sheets on responding to sexual assault for event staff Onsite Service Delivery Provision of a separate safe space behind the DW Chill Area Provision of qualified counsellors who work collaboratively with EMT’s to manage risk of wider festival safety Provision of temporary accommodation Resources, and counselling and support provided to people in care Ability to engage with the event’s local CASA, to ensure that local area SOCIT teams are aware of the event and DW counsellors. Local CASA’s have at times been present onsite with a resource table and as part of the DW team. Ability for counsellors to provide secondary consultation and debriefing to all event staff and volunteers who may have witnessed GBV, other traumas or have been a first responder Ability for counsellors to respond to other festival incidents at request of EMT/ECC Provision of active bystander rovers, who role model bystander intervention and provide education about consent Let's Work Together DW’s GBV and Mental Health Service is offered as an additional fee for service to festivals and events and is meant to complement and enhance DanceWize core operations. When the service is requested, the DW GBV and Mental Health service works in collaboration with core operations staff and volunteers to enhance the overall well-being of patrons and staff at festivals and events. The GBV and Mental Health Service offers a comprehensive suite of services, and festivals can choose which activities they would like to engage with. The service is focused on interventions that target the whole festival community.   More information about the service can be requested by emailing  info@dancewize.org.au

Services and Programs Needle & Syringe Program FIND OUT MORE DanceWize Peer run event care and on site outreach FIND OUT MORE Naloxone Opioid Overdose Recognise and Respond using Naloxone FIND OUT MORE P.A.M.S Pharmacotherapy Advocacy Mediation Support Phone Service FIND OUT MORE Safer Using Info Vein Care and Finding Blood Borne Virus Overdose- Opioid and ATS FIND OUT MORE WHACK MAGAZINE HRVic's quarterly publication. Fuse Initiatives Harm reduction peer workforce advocacy & support. Getting Older & Getting On Peer support for older people who use drugs. The Stigma Project FIND OUT MORE FIND OUT MORE

DRUG OVERDOSE PEER EDUCATION (D.O.P.E) WORKSHOPS The DOPE project educates approximately 250 current drug users every year by means of 25 peer education workshops, which accommodate up to 10 participants per workshop. These workshops are held at a range of clinics, organisations and services attended by people who inject drugs. Although we try to target 250 new participants each year, there is also value in people coming back for a ‘refresher’ workshop. Our evaluation suggests that some people take longer to absorb the information and to feel confident enough to act on it. Each workshop goes for approx. 3 hours with short breaks and a meal provided. Some people say that the workshop is too long and they cringe at the thought of having to participate for “that long”. Yet more often than not, as I start to wrap things up, I hear those same people saying “is that it?” or “gee that went quick!” So, it is true that time really does fly when you are having fun. Here at HRVic, we are firm believers in the concept of ‘information overload’ and as such try hard not to cram everything into one workshop which is why our workshops are flexible. Once everyone has arrived at a workshop, we usually start with a quick discussion around what drugs the participants are using and what they already know about overdose. That way we can tailor the workshop to suit those present and make sure that the information is interesting and relevant. Done In 60 Seconds A fun 60 second 'How To' for Nyxoid nasal spray naloxone and Prenoxad injectable naloxone made for International Overdose Awareness Day 2021 for our social media accounts. A longer, less sped up version of each will be available on our youtube channel HRVic Oz.

Event Inquiry HRVic's DanceWize (DW) Program receives funding from the Victorian Department of Health (DH) to deliver peer-based health promotion and harm reduction education and support services for the music event and festival scene. Primary Contact Name Email Phone Continue

Useful Links This is your About Page. This space is a great opportunity to give a full background on who you are, what you do and what your website has to offer. Double click on the text box to start editing your content and make sure to add all the relevant details you want site visitors to know. CanTEST The CanTEST Health and Drug Checking Service , also known as pill testing, is a free and confidential health and harm reduction service. NUAA The NSW Users and AIDS Association (NUAA) is a peer-based drug user organisation. QuHIN Office Manager Lisa Rose Product Manager Kevin Nye HR Lead Alex Young Customer Support Lead Our Clients

Victoria Safe Injecting Room decision commended by affected communities Harm Reduction Victoria commends the Victorian Government for committing to a second safe injecting facility in Melbourne and extending the trial of the North Richmond injecting room. As a peer organisation comprised of people with lived experience of drug use, we congratulate the Premier, Daniel Andrews and his government Ministers for their commitment to inclusivity in Victoria and their support and compassion for people on the margins, including people who inject drugs and all of those affected by overdose. Sione Crawford, Harm Reduction Victoria CEO says, “We know that fatal drug overdose takes too many lives in Victoria. The new injecting facility in central Melbourne will save lives, just as the North Richmond's Medically Supervised Injecting Room has succeeded in doing, for the past two years.” “Harm Reduction Victoria will continue to partner with North Richmond Community Health to facilitate peer and consumer engagement in supporting the MSIR and looks forward to continuing its partnerships with all stakeholders to help make the new facility the best it can be for the community that will use it.” End For further comment or information please contact Harm Reduction Victoria on 03 9329 1500. About Harm Reduction Victoria: We are a consumer and peer organisation comprised of people with a lived experience of injecting and illicit drug use. We are committed to the principles of harm reduction which are built upon respect and tolerance for all people in our community. Nothing about us without us. See the Announcement here: https://www.facebook.com/watch/live/?v=769822453760567

Peer education and care at festivals and events Victoria wide. Program of Harm Reduction Victoria Top of Page Gallery Features Say Know To Drugs. Peer to Peer Event and Festival Care WHO is DanceWize? 3 DANCEWIZE STAFF 200 + VOLUNTEERS - FROM ALL WALKS OF LIFE: STUDENTS & NURSES, TO AOD WORKERS & ARTISTS TO SOCIAL WORKERS & BAR ISTAS...BUT SUPPORTED BY 25 HRVIC STAFF ALL WITH LIVING OR LIVED EXPERIENCE AND ARE FROM THE MUSIC/FESTIVAL COMMUNITY. CLICK HERE Event Managers or Promoters REQUEST DANCEWIZE SERVICES AT YOUR NEXT EVENT CLICK HERE Drug Information -SUBSTANCE INFO -DRUG COMBOS -ALERTS -MORE Volunteer for DanceWIze APPLY TO BE A DANCEWIZE KEY PEER EDUCATOR (KPE) or COUNSELLOR* CLICK HERE EST. 1999 DanceWize is the original, Australian, peer-based alcohol and other drugs (AOD) harm reduction program that delivers peer care and support services for music events and festivals across Victoria. Starting as a grassroots Victorian group known as RaveSafe, DanceWize has been a program of Harm Reduction Victoria (HRVic) since 1999 and is a Victorian Department of Health (DoH) funded health promotion charity. The DanceWize program model was adopted in NSW in 2017 and is administered there by NUAA. HRVic is part of a national network which is able to support the emergence of similar programs in other parts of the country too. This network promotes health rights, human rights and harm reduction. EXPERIENCE & EXPERTISE DanceWize is a peer support and event care service. For over 20+ years we have been providing peer education, safer substance use resources and referrals for related mental & physical health and wellbeing issues in an understanding, non-judgemental safe spaces at music events and festivals throughout Victoria and Australia. Our team members come with a range of their own work and lived/living experiences. We add the perfect mix of ongoing and up to date training to their skillset to equip them to care for intoxicated persons or people who need other support in party settings. AWARD WINNING CARE As DanceWize Team Leads and Key Peer Educators (KPEs), our volunteers undergo a range of training including First Aid (HLTFA003), Mental Health First Aid and but we do not operate as a First Aid provider, as this is not the program’s objective. We work as part of an event's Health Emergency Management Plan (HEMP) and alongside health providers and other on-site services. The efficacy of this peer-based program model is evidence-based and in 2016 HRVic’s DanceWize won the Minister of Health’s award for Outstanding Achievement by Volunteers Supporting Diversity. GENDER BASED VIOLENCE & MENTAL HEALTH SERVICE EQUIPPED DanceWize have the resources to deliver full-scale peer support services on-site at a limited number of events each year, but we are designed as a public-private partnership. For example, DoH covers our core operational costs, which allows us to offer subsidised services, and event organisers are expected to contribute toward our expenses on a cost-recovery basis. Dancewize also have resources to deliver comprehensive Gender Based Violence (GBV) and Mental Health services, including pre-event training and consultation and onsite service delivery that support festivals to prevent, recognise and respond to incidents of sexual and family violence onsite. If you’d like more information about our services, get in touch today. Get in Touch WHAT PEOPLE SAY “Dear DanceWize, Your care, wisdom & sincere love held me so close to this world as I was falling out of it. Thank you so much. I am filled with gratitude & respect for your work & guidance. Huge love to DW volunteer Andrew who helped me name my future llamas and filled my eyes with love. All the best 4eva. ” — M,undisclosed event

COVID-19 Pharmacotherapy Update from the PAMS Service The PAMS Service will continue to operate during COVID-19. You can contact us by calling 1800 443 844 , (free call from landlines, most mobiles, and all public phones). During the last 4 weeks or so, we have had several calls from pharmacotherapy consumers who are worried about various aspects of the program, given the international COVID-19 pandemic. We would like to reassure people on methadone or buprenorphine (Subutex) or buprenorphine-naloxone (Suboxone) that: the supply of these medications can be guaranteed in Australia for the foreseeable future. Pharmacies are ‘essential services’ and are therefore likely to remain open during COVID-19. Importantly, all pharmacotherapy dispensing pharmacies have been encouraged to have plans in place in order to ensure ongoing service delivery in the event the pharmacy had to close for a short period (e.g. due to staff sickness). PAMS has developed “Some Helpful Tips for People on Pharmacotherapy Programs”. Given information is changing rapidly during the COVID-19 pandemic, we have now updated and added to our “helpful tips” which can be found here. What has changed for Victorian Pharmacotherapy Consumers as a Result of COVID-19? New COVID-19 Specific Pharmacotherapy Guidance: In consultation with several experts, (including PAMS), the Department of Health and Human Services (DHHS) have released an interim guidance which aims to make life safer for Victorian pharmacotherapy consumers and service providers during COVID-19. Currently, this guidance is in place only in response to COVID-19 and may be removed after the pandemic eases. Take-Away Doses, (TAD): We all know we are being encouraged to “stay at home” as much as possible during COVID-19. The less contact we have with other people, (e.g. on public transport, at the pharmacy or in the street), the safer we and our loved ones are likely to be. Given this interim guidance is now in place, some people might be eligible for TADs for the first time and others may be able to get additional TAD’s. The new (COVID-19 specific) Victorian TAD policy can be found here. A tool has been developed to help prescribers assess patient eligibility for TADs during COVID-19 which can be found here. Contra-indications to TADs: Please remember that both your pharmacist and prescriber must be in agreeance before you can get TADs or additional TAD’s. There are 4 circumstances when it is not considered safe to have TADs, these are: Recent OD reported with any substance Recent diversion of doses to others, sharing or trading of doses No safe and secure storage facility available Serious and immediate risk of harm to self or others Talking to your prescriber and pharmacist about TAD’s/extra TADs: If you feel you would benefit from a TAD review, PAMS staff suggest you consider the following: Get yourself a safe, secure storage facility: this can be as simple as finding a secure place, (e.g. a locked drawer or filing cabinet) where your TADs can be safely stored away. If your TADs are stored safely: You are unlikely to lose your dose/doses if your accommodation is burgled, Your confidentiality is maintained regarding the program and family members/non-using friends Your doses are kept safe from children and even pets! There is much less chance of an accidental, methadone-related overdose occurring. Remember: having a safe, secure storage facility is a requirement for TADs. Talk to your pharmacist first – ask if they would be happy to dispense TADs or additional TADs before you talk to your prescriber, (getting the support of your pharmacist is essential). Do the “check-list for assessing appropriateness of TAD’s to support continuity of pharmacotherapy during the COVID-19 pandemic” yourself first. This will give you a good idea of what your prescriber might consider when faced with this question. The checklist can be found here. Talking to your prescriber: think about the points you want to get across to your prescriber regarding TAD’s and why you feel you would benefit from them. Do you have any other chronic conditions that might make you more at risk of COVID-19 (e.g. history of respiratory problems, immune compromised, living with elderly relatives, are you over 60 years etc). Do you have to travel to the pharmacy on public transport, do you live in rural/regional Victoria with no car and public transport has been reduced etc. When talking to your prescriber, try not to demand what you want, instead try to explain the problem, and ask for their input and opinion. Importantly, maintain your cool, getting angry just makes everything worse for everyone! 3rd Party Pick-up: A formalised arrangement is now in place whereby if you must isolate or are unwell and therefore unable to present for an in-store dose, it is now possible to have your dose/s collected by another, (officially authorised) person, referred to as a ‘3rd party’. If you find yourself possibly needing a ‘3rd party pick-up’, you may want to consider the following questions: Who should I choose to collect my dose/s? The ‘3rd party’ needs to be somebody you trust (if it is a person you know). Importantly, there is a requirement the ‘3rd party’ has photo ID. If you do not have a family member or friend who is appropriate to collect your dose/s, then the next option would be to ask a case worker (if you have one), failing this it is possible to utilise a courier company. Importantly, both the prescriber and pharmacist will need to approve of the 3rd party you have nominated. Will there be any additional costs to me? Any doses collected by the ‘3rd party’ must be dispensed by the pharmacist as a TAD/s. In some instances, pharmacists charge additional fees for dispensing a TAD (e.g. for a bottle). We would hope there would not be any further cost to the consumer, aside from the usual dosing fees. However, if a courier company is used, they will likely charge a fee for service. What, (if any) changes need to be made to my script? Your pharmacotherapy prescription will need to reflect a TAD for each dose to be collected by the 3rd party. As an interim measure this could be a verbal authorisation from the prescriber to the pharmacist, however an actual prescription will need to be supplied as soon as practicable. How are the doses transported from the pharmacy to me? It is essential for the ‘3rd party’ to understand the need to collect the dose/s from the pharmacy and transport them directly to you, the consumer. Doses should, (ideally) be transported by car as opposed to public transport wherever possible. Under no circumstances should your doses be left unattended, (e.g. in a car) for any period. Who signs for the doses and how does this process happen? Your doses will need to be signed for at the pharmacy by the 3rd party. Are there any forms that need to be completed? There are forms available to assist with 3rd part pick-up. Although not mandatory, these documents can assist to formalise the 3rd party pick-up process and outline the various roles and/or responsibilities of all parties involved. These forms can be found here. We refer to the issue of ‘3rd party pick-up’ when we discuss “what do I do if I have tested positive or need to isolate”, which can be found here. The actual guidelines on 3rd party pick-up can be found here. Prescription Length: Once you are stable on a program, most prescribers write a pharmacotherapy prescription for a month. However, during COVID-19, prescribers are being encouraged to write prescriptions for up to 6 months. There are a few reasons for longer pharmacotherapy prescriptions during COVID-19, including: If your prescriber became unwell, (e.g. had to self-isolate) and there was nobody to write your prescription from the same clinic, a longer script would hopefully allow your prescriber enough time to recover. Providing you do not miss 4 doses in a row, you can likely continue to dose. Hopefully, if your prescriber is seeing less patients face to face due to longer prescriptions, they are less likely to become unwell, Reduced travel to medical appointments, means overall less exposure to other people e.g. on public transport and/or inside the clinic. Remember, if you do get a longer script it is likely your prescriber may want to have regular check-ins with you, (these can now be done over the phone or by videoconferencing – see below). Tele-health: Pharmacotherapy prescribers can now bulk-bill patients through Medicare for consultations by phone or videoconference, (tele-health). In relation to tele-health, PAMS suggest that you consider the following: Before your next medical appointment, contact your prescriber’s clinic to find out if they require you to attend in person or if they offer tele-health. If your preference is for tele-health and it is offered by your prescriber, ask if there is anything you need to do, (e.g. is there an application you need to download for a videoconference or tele-health consult?) Make sure that your medical clinic have your recent contact details, (mobile phone number, email address and next of kin/emergency contact), store the clinic phone in your mobile phone so you will know if they are calling you. Before the tele-health consultation ends, ask your prescriber for the date your prescription expires and when the next consult will be – make sure you have these dates recorded somewhere safe. If there is anything that worries you about using tele-health, (e.g. your privacy/confidentiality, understanding of and/or availability of technology etc), please raise these issues with your medical clinic or pharmacotherapy service provider. What do I do if I think I might have COVID-19 or may be required to self-isolate? Opioid Withdrawal and COVID-19: Some of the symptoms of COVID-19 can be a little like opioid withdrawal, therefore it is important not to jump to any rash conclusions. If you are on a program and think you might have COVID-19 or may be required to isolate, we suggest you follow the steps below, including: Call the COVID-19 hotline, (PH: 1800 675 398) – they will advise if you need to be tested and provide information on test sites etc. NEGATIVE COVID19 TEST RESULT - Nothing needs to change POSITIVE COVID19 TEST RESULT - Call your prescriber’s clinic and tell them you have a positive test result for COVID-19. It is likely that your prescriber will allow you to have additional TADs to cover the period you need to isolate. Your doses can be collected by a 3rd party, (e.g. a person who is a friend/relative, case worker) The interim COVID-19 guidelines cover 3rd party pick-up, more information, (including specific consent forms) can be found here. *We strongly suggest you consider who this (‘3rd party) person might be NB: it must be a person who you trust to collect and transport your doses to you, has photo ID and the pharmacist and prescriber approve of. Contact your dosing pharmacy and inform them you have a positive test result for COVID-19. that you have spoken to your prescriber and who your nominated 3rd party is. If you are worried or feel you are not able to do this on your own, or if you have any questions, or concerns please call PAMS on 1800 443 844 so we can help guide you through it. More Tips for People on Pharmacotherapy During COVID-19 If you have not seen the first lot of tips, they can be found here. New Tips for People on Pharmacotherapy: Stay on your pharmacotherapy program: over the last couple of weeks, some people on methadone or buprenorphine-naloxone have reported to PAMS that they either missed doses or at worst stopped dosing altogether in an attempt to avoid COVID-19 or to keep family/friends safe. In all honesty, this is crazy, you need your dose, (usually daily). If opioid dependent and not on a program, consider starting treatment: over recent weeks, we have been hearing that supplies of illicit drugs such as heroin are dwindling, quality is decreasing, and prices are increasing. We have experienced an increased demand for the methadone/buprenorphine-naloxone program in recent weeks. In order to prevent the possibility of opioid withdrawal, we encourage you to consider starting/re-starting treatment for opioid dependence, (pharmacotherapy). Get Naloxone: as we all know, naloxone is used to reverse an opioid overdose, including a methadone overdose. With an increased amount of methadone TADs and a supply of heroin that is likely fluctuating, the more Naloxone in circulation the better we can respond to an opioid overdose. We strongly encourage you to ask your prescriber for a prescription of Naloxone. NB: All pharmacotherapy prescribers are being encouraged to provide each patient with a prescription of Naloxone. If you get more TADs, please look after them: it is very easy for us to forget that just one methadone dose can kill several non-opioid-tolerant individuals. One of the contra-indications to getting TADs is having no safe storage unit. If your TADs are stored safely, there is no chance that kids, teenagers, visitors, (even house breakers) will be able to get hold of them. A pin-code safe can be purchased relatively inexpensively, otherwise a lockable cabinet or drawer can be utilised. TADs of buprenorphine-naloxone, (Suboxone Film): people who are stable on Suboxone Film may find themselves with a 14-28-day supply of TADs during COVID-19. Please be very careful about ensuring you keep track of your TADs and do not miss the day you are due back at the pharmacy for your next in-store dose. Missing doses during COVID-19 can be risky as if you miss more than 4 in a row, you will have to be reviewed by your prescriber before you can resume dosing. Complications can occur if your prescriber is unavailable, (e.g. due to being unwell), reluctant to re-start people via tele-health (if this is all your prescriber offers) insisting you see a new prescriber (if you have no history with the new prescriber it might be difficult to get TADs). Tip,: set an alarm/reminder message on your phone so you do not miss a dose/s at the pharmacy. Photo ID: Having photo ID is always handy. For example, many prescribers require photo ID at the first appointment and pharmacists often ask for it along with a certified photograph, (colour photo of you signed by your prescriber). If you are required to self-isolate and need to arrange for a “3rd party” to collect your doses for a short period, the 3rd party will require photo ID. It is even possible you may become a nominated 3rd party if an acquaintance must isolate. Tip: If you do not have any photo ID, we strongly suggest you consider getting it. Update your contact details: It is easy to miss a call from your prescriber or pharmacist, especially if you do not have their contact details saved in your phone’s ‘contact list’. During COVID-19, it is essential you do not miss an important call such as this, (you might be called to change an appointment time, inform you about tele-health, let you know of a change to pharmacy dosing arrangements etc). Make sure your prescriber and pharmacy have your up to date contact details. We strongly suggest you give both prescriber and pharmacist a second contact person who knows how to find you, especially in case of emergency. If you do not yet have an email address, now is a good time to consider getting one – this will only work if you check your email regularly! If you can think of anything that we have not covered here or if there is anything you would like to ask us, or if you are experiencing a pharmacotherapy program-related problem you are unable to resolve on your own please do hesitate to contact PAMS on 1800 443 844. MORE COVID19 & PHARMACOTHERAPY INFO HERE