Digital chemsex support and care: The potential of just-in-time adaptive interventions

International Journal of Drug Policy, Volume 85, November 2020

https://doi.org/10.1016/j.drugpo.2020.102927

T. Platteau, C. Herrijgers, J. de Wit

Abstract

Chemsex among gay, bisexual and other men who have sex with men (GBMSM) has received increasing attention as a public health concern in recent years. Chemsex can affect a variety of aspects of the lives of GBMSM and contribute to physical, social and emotional health burden. Starting from a continuum perspective of chemsex, rather than a binary view of problematic vs. non-problematic use, we argue that men engaging in chemsex at different points in their chemsex journey may benefit from tailored and personalized support to cope with the various and evolving challenges and concerns that may be related to their chemsex behavior. To date, interactive digital communication technologies are not much used to provide support and care for GBMSM engaging in chemsex, neither for community-based support and care nor by health services. This suggests potential for missed opportunities, as GBMSM are generally avid users of these technologies for social connections and hookups, including in relation to chemsex. Recent research has provided emerging evidence of the potential effects of so-called just in time adaptive interventions (JITAI) to provide effective support and care for a variety of health issues. JITAI hold much promise for the provision of appropriate, tailored support and care for GBMSM at different points in the chemsex journey. Co-designing JITAI with potential users and other stakeholders (co-design) is key to success. At the Institute for Tropical Medicine, in Antwerp (Belgium), we initiated the Chemified project to develop an innovative digital chemsex support and care tool for GBMSM. This project illustrates how current understanding of chemsex as a journey can be integrated with a JITAI approach and make use of co-design principles to advance the available support and care for GBMSM engaging in chemsex.

 

 

Free Online Recordings for Health Professionals: Andrology and Sexual Health

SHINE SA, January 2020

SHINE SA have made select online recordings available from our Andrology and Sexual Health Update Day event in 2019. These recordings will be beneficial to health professionals looking to brush up on their knowledge of andrology and sexual health.

The online recordings available cover topics including sexual dysfunction, pelvic pain, PrEP and PEP, chemsex, androgen deficiency, gender affirming care and the SA syphilis outbreak.

All recording are available free of charge.

Crystal Clear: Forum & Podcast Launch

SAMESH, 25/11/2019

Join our panel of researchers, health care workers, community members and psychologists as they delve into the issues of crystal use among gay men and men who have sex with men.

No photo description available.

Following the Crystal Pleasures study into methamphetamine use in gay men and men who have sex with men, CSRH has produced a series of podcasts discussing this issue at length from a variety of viewpoints, including interviews with people who use crystal, and health care professionals who work in these communities.

Panellists:
– Kerryn Drysdale – Research Fellow, Centre for Social Research in Health, UNSW
– Dr. Carole Khaw – Consultant Sexual Health Physician, Adelaide Sexual Health Centre
– Travis Atkinson – SAMESH Peer Educator
– Jack O’Connor – Social Worker, Drug & Alcohol Services South Australia
– Gary Spence – Health Educator, Hepatitis SA

When: Monday 2nd December 2019, 6:30 PM

Where: SHINE SA, 57 Hyde Street, Adelaide

Cost: FREE

Special issue of Drugs and Alcohol Today: ChemSex – Apps, drugs and the right to pleasure

Emerald Publishing Limited, 2019

This special edition of Drugs and Alcohol Today, entitled “Chemsex – Apps, drugs and the right to pleasure”, acknowledges an aspect of drug taking that is often ignored in the discourse on the “scourge” of drug abuse – that drugs enhance pleasure.

Amidst the pleasure brought on by “chems”, there has been pain. Drug overdoses and deaths fuelled by a prohibition that supports an illicit market of unlabelled, often adulterated drugs and fear that calling an ambulance will implicate you in a crime

Chemsex is a unique phenomenon, requiring unique public health responses. The melding of smart phone apps, spatial data and real time “personal adverts requires a significant re-think and re-design when developing public health responses”.

This issue publishes work from experts that help gay communities to mobilise their own responses. It takes the onus off public health policy to respond, and respectfully recognises the agency and resilience within gay communities, to formulate culturally and contextually competent community responses to chemsex.

Free access to this special issue until March 31st

 

 

 

Gay men having chemsex are five times more likely to have a new HIV diagnosis than other gay men

aidsmap/nam,  23 May 2018

Gay and bisexual men who reported engaging in chemsex (the use of specific drugs to enhance or facilitate sex) were five times more likely to be newly diagnosed with HIV, nine times more likely to be diagnosed with hepatitis C and four times more likely to be diagnosed with a sexually transmitted infection during a 13-month follow-up period, according to London data published this week in HIV Medicine.

Chemsex: film screening and panel discussion

SAMESH, November 2017

Chemsex is a documentary that exposes the other side to modern gay life, telling
the story of gay men struggling to make it out of ‘the scene’ alive. This powerful and unflinching film followers a group of men battling with HIV, drug addiction, and finding acceptance in a changing world.

The screening will be followed by a discussion about the film with an Alcohol and Other Drug specialist in an attendance to provide insight.

We encourage clinicians and nurses to attend the CHEMSEX film. The use of ICE/Meth within the MSM community is increasing and we need to develop appropriate services to support these vulnerable community members.

Details:

Wednesday 22 NOVEMBER, 6 PM – 8 PM
57 Hyde Street Adelaide
Free entry – please note this is an 18+ event

Download flyer: Feast_2017_Events_Chemsex