TITLE OFServices

Syringe PRESENTATION
Program (SSP)
Name, Jones
Amber Credentials,
Radcliffe,
TitleRN and Brittany Nave, RN

Introduction Results Summary

1. HCV Rate Increases: may in part be due to overall, increased number of
Public
SUBHEADHealth
TYPEResponse
FORMAT to Hepatitis C SUBHEAD
Written TYPE FORMAT
Survey Logic Model SUBHEAD
SUBHEAD
PWIDs, TYPE FORMAT
TYPE
high reportedFORMAT
rate of needle and equipment sharing, and risky behaviors
ThisThe
where copy goes
Whatcom County Public Health Reported
This wherehigh
copy need
goes for more This
asThis whereby
indicated
where copy goesrespondents, barriers to access and a need for client-
survey
copy goes
Department (WCHD) has operated the Syringe syringes (87%) Statement of Need: Reduce hepatitis C rates in Whatcom County by focused education.
Services Program (SSP) since 1999. Most respondents (68%) indicated improving and expanding the SSP.
2. Unmet health needs: respondents indicated cotton fever, abscesses, and
reusing syringes Inputs Strategies/ Outputs Short-term Long-term infection secondary to their IDU. Key informant interviews indicated a variety of
The SSP helps reduce transmission of HCV
Moderate need for more alcohol Activities Outcomes Outcomes unmet health needs, suggesting a need for increased access to client-focused
and other communicable diseases by providing
persons who inject drugs (PWIDs) with clean
wipes and Narcan WCHD staff Conduct written Number of filled Identify and Increase access to
case management and education.

syringes and other supplies meant to support Most respondents reported reusing (nurses, survey to collect out surveys and address internal SSP, either by 3. Grow SSP: a need for improved SSP access was a recurring theme of key
safe using behaviors. and sharing cookers administrative, information on data compiled in areas of increasing days/ informant interviews, who cited barriers to access such as fear of exposure and
Cotton fever and abscesses most epidemiologist), SSP areas for Survey Monkey, improvement hours of operation transportation challenges and requests for better coverage in the Kendall area.
Rates of HCV infection continue to increase in cited health issue related to injection substance use improvement, as well as own Identify client or number of Respondents also cited a need for opiate substitution treatment. The majority of
Whatcom County (Brockmann, Massanari, drug use (IDU). counselor barriers to data report learning needs locations where SSP respondents also requested more syringes/needles.
Newell, Phillips, & Drewes, 2012). Accessibility barriers Syringe Services access, and Qualitative data based on is offered
predominately fear of Program (SSP) experiences of from focus discrepancies in Provide focused
Aims volunteers clients interviews with data and address client education to Conclusions/Further Study
identification and lack of
transportation. Paper, Focus interviews comments on with education address
Recommendations
Address TYPE
SUBHEAD the following:
FORMAT
Most respondents indicated they clipboards, and to elicit clients trends and Recommend discrepancies in SUBHEADTYPE
SUBHEAD
1. Future
TYPEFORMAT
surveys
FORMAT
to ascertain use behaviors regarding sharing, cleaning
This where copy goes Thiswhere
This wherecopy
copy goes
goes
had taken brochures home pens for survey perceived insight ways to improve best practice vs. and re-using if IDU equipment. Also further assess needs of rural
1) Why do HCV rates continue to increase? strengths and Generate a accessibility to actual practice of
Almost half indicated they had used Computer with struggles client substance use
clients.
Internet access to community SSP 2. Changes to promote improved access to SSP:
services from brochures Advertise survey health behaviors
compile and Supply tabulated User-Driven Model (limitless syringes offered and/or returned)
2) What are the unmet health needs of this Over half accessed HIV and HCV within waiting assessment
disseminate results of survey Make suggestions Current distribution model: one-to-one exchange, max 100 syringes
population? screening at WCHD
results area of SSP and based on data participation to for services offered, Mobile Exchange
Of those who hadnt been tested at encourage gathered from inform whether based on client
Coalition building with Phoenix Recovery Services mobile syringe
Incentives to get participation exchange in the Skagit Valley
3) How can the SSP grow? WCHD, most screened at an outside windshield incentives are feedback
participation in survey and Satellite Location
health care agency. focus interviews Assess necessary
clients WCHD to continue coalition building with the East Whatcom
surrounding Supply graphs to County Council for potential development of Kendall location
Time for
Focus Interviews community and Comparison of show trends in
Method Half of participants thought the
windshield resources survey Acknowledgements
survey, to data from survey
Kendall area could use a second available to participation
Written Surveys and Focus Interviews conduct surveys clients Mentors
SUBHEAD TYPE FORMAT with incentives SUBHEAD TYPE FORMAT
Written surveys (n=60) conducted in three separate SSP location. and focus Jessica McAllister, RN, BSN SSP Coordinator
This where copy goes and without This where copy goes
weeks, with brief Plan, Do, Study, Act (PDSA) cycles. Most thought more days a week interviews, and Literature review Nancy Poulin, RN, BSN PHN supervisor
Focus interviews (n=6) conducted without and with to inform
would also be helpful. other activities
incentives. activities related WCHD Staff
Keen insight on the strengths and Building/facility to survey Cindy Hollinsworth, RN, MSN Manager of
Change Theory struggles of their own designated for Communicable Diseases and Epidemiology
Request input
Lippetts Seven Phases of Change (Mitchell, 2013) community. exchange Joni Hensley, RN, BSN PHN supervisor
guided the authors through the survey and from industry
Nicole Willis. MPH - Epidemiologist
recommendation process. It was selected as it has a experts
close affinity to the nursing process.

Photo Photo Photo

wwu.edu/bsn Active Minds Changing Lives AA/EO
? ? ?