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Sexual Health Sexual Health Society
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RESEARCH ARTICLE

Towards a supportive policy and commissioning environment for chemsex in England

Monty Moncrieff
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London Friend, 86 Caledonian Road, London N1 9DN, UK. Email: monty@londonfriend.org.uk

Sexual Health 15(2) 170-172 https://doi.org/10.1071/SH17188
Submitted: 3 October 2017  Accepted: 17 November 2017   Published: 11 January 2018

Abstract

The use of drugs in sexual settings among gay men (colloquially referred to as ‘chemsex’) was first observed in services supporting gay men in London in the late 2000s. A decade on and it now features as a policy issue in the UK Government’s latest Drug Strategy, with several actions to support a health system response. However, reaching this point has been a slow and challenging process and much remains to be done to facilitate an environment in which evidence-based chemsex interventions can be delivered. With a view to informing the development of policies and services in other contexts, this case report examines the initiatives that have driven a response to chemsex and contributed to policy development in England and highlights remaining challenges to effective service provision.

Additional keywords: drug use, gay men, policy, sexual behaviour.


References

[1]  Beddoes D, Sheikh S, Pralat R, Sloman J. The Impact Of Drugs on Different Minority Groups: A Review Of The UK Literature. Part 2: Lesbian, Gay, Bisexual & Transgender (LGBT) groups. London: UK Drug Policy Commission; 2010.

[2]  Home Office. Drug strategy 2010. London: Home Office; 2010.

[3]  Hoare J, Moon D. Drug misuse declared: findings from the 2009/10 British Crime Survey England and Wales. UK Home Office: London; 2010.

[4]  Home Office. Drug misuse: findings from the 2013/14 Crime Survey for England and Wales. London: Home Office; 2014.

[5]  Public Health England. NDTMS. Available online at: http://www.nta.nhs.uk/ndtms.aspx [verified December 2017].

[6]  London Friend. Out of your mind: improving provision of drug & alcohol treatment for lesbian, gay, bisexual & trans people. 2014. Available online at: http://londonfriend.org.uk/outofyourmind/ [verified 06 dec 2017].

[7]  Department of Health. Public health in local government. London: Department of Health; 2011.

[8]  Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P. The Chemsex study: drug use in sexual settings among gay and bisexual men in Lambeth, Southwark & Lewisham. London: Sigma Research, London School of Hygiene & Tropical Medicine; 2014. Available online at: https://www.lambeth.gov.uk/sites/default/files/ssh-chemsex-study-final-main-report.pdf [verified December 2017].

[9]  London Friend. London chemsex network. Available online at: http://londonfriend.org.uk/professionals/london-chemsex-network/ [verified December 2017].

[10]  Public Health England. Promoting the health and wellbeing of gay, bisexual and other men who have sex with men – initial findings. London: PHE; 2014. Available online at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/339041/MSM_Initial_Findings__GW2014194.pdf [verified December 2017].

[11]  Public Health England (PHE). PHE action plan 2015-16 Promoting the health and wellbeing of gay, bisexual and other men who have sex with men. London: PHE; 2014. Available online at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/401005/ PHEMSMActionPlan.pdf [verified December 2017].

[12]  Public Health England (PHE). Substance misuse services for men who have sex with men involved in chemsex. London: PHE; 2015. Available online at: http://www.nta.nhs.uk/uploads/phe-substance-misuse-services-for-msm-involved-in-chemsex.pdf [verified December 2017].

[13]  Public Health England. Adults – drugs JSNA support pack 2017-18: commissioning prompts. 2016. Available online at: http://www.nta.nhs.uk/uploads/jsna-support-pack-prompts-adult-drug-2017-final.pdf [verified December 2017].

[14]  Public Health England. Genitourinary medicine clinic activity dataset (GUMCADv3) pilot. 2015. Available online at: https://www.gov.uk/guidance/genitourinary-medicine-clinic-activity-dataset-gumcadv3-pilot [verified December 2017].

[15]  Department of Health. Drug misuse and dependence: UK guidelines on clinical management. London: Department of Health. 2017. Available online at: https://www.gov.uk/government/publications/drug-misuse-and-dependence-uk-guidelines-on-clinical-management [verified December 2017].

[16]  Home Office. Drug strategy 2017. London, Home Office. 2017. Available online at: https://www.gov.uk/government/publications/drug-strategy-2017 [verified December 2017].