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| General Program Design
There are several different ways of providing sterile syringes to injection drug users, including: 1) Syringe Exchange Programs, including “stand alone” exchanges or exchanges that are part of other programs (such as AIDS service organizations, medical clinics, and drug treatment programs); 2) “Secondary” or “Satellite” Syringe Exchange, which is a peer-based, outreach model; and 3) Over-the-Counter Pharmacy Sales, in areas with local authorization.
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| Syringe Delivery Models
Developing distribution practices and policies, including one-for-one exchange, one-for-one plus, distribution, starter kits, etc.
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| Sites & Schedules
Selecting appropriate sites and schedules involves taking multiple needs into consideration, especially those of the participants and the program itself. |
| Participant Outreach
Developing outreach plans for IDUs involves a variety of methods, many of which are non-traditional strategies and rely largely on word of mouth. |
| Safety Policies & Procedures
Developing protocols for maximum program safety, including client safety, staff safety, conflict resolution, and de-escalation. |
| Syringe Disposal & Disinfection
Developing appropriate, cost-effective methods to dispose of returned syringes.
Preventing transmission of HIV and hepatitis via syringe disinfection. |
| Providing Ancillary Services
Materials related to program services to enhance IDU health and well-being, including overdose prevention, viral hepatitis and wound care. |
| Record Keeping and Tracking
Developing syringe exchange forms and record keeping processes to enable efficient tracking of client contacts, supplies, and services delivery. |
| Finance and Fundraising
Developing budgeting priorities, identifying public and private funding opportunities, and providing feedback on fundraising materials. |
| Navigating Changes in Law and Policy
Developing resources for tracking relevant local, regional and statewide policies that impact SEPs, and dealing with policy changes at the program level. |
| Dealing with the Media
Developing a media strategy, including developing press materials and messages, training spokespeople, and cultivating media contacts. |
| Program Evaluation
Developing basic processes of evaluation that enhance SEP organizational development, demonstrate outcomes, and meet funder requirements. |
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