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9. RECOMMENDATIONS<br />

We do not recommend a social marketing campaign on the<br />

dangers of <strong>chemsex</strong> (either LSL, London or national). Very<br />

few of the needs identified in this research are amenable to<br />

resolution via a social marketing approach. Instead there are<br />

a number of broad areas related to policy and practice that this<br />

research highlights.<br />

1. The men in this research repeatedly indicated a lack of harm reduction information relating to <strong>chemsex</strong><br />

in gay sexual contexts. We recommend the production and dissemination of a range of resources that<br />

provide drug harm reduction information that addresses the following issues:<br />

a. Safer drug use and harm recognition<br />

b. Dealing with drug-related emergency<br />

situations<br />

c. Consent, respect for others and reducing<br />

sexual exploitation<br />

e. Sexual satisfaction and safety<br />

f. HIV-related stigma and issues associated with<br />

HIV status disclosure<br />

g. Community and social network opportunities<br />

that do not include drugs and sex.<br />

d. Transmission of STIs, including HIV and HCV<br />

2. We recommend ensuring access for men to gay-friendly drug and sexual health services that are<br />

competent to address the psychosocial aspects of their health and any harms arising from <strong>chemsex</strong>.<br />

These might include expert referral pathways between services for men who have complex physical,<br />

sexual and mental health needs.<br />

3. We recommend co-ordinated work with managers of commercial sex-on-premises venues to facilitate<br />

development of clear harm reduction policies and procedures. This should include how to recognise<br />

and help those in distress as a result of drug overdose or sexual assault.<br />

4. We recommend co-ordinated engagement (local, national and international) with commercial<br />

companies and gay media, including those who provide geo-spatial networking apps and websites, to<br />

explore opportunities for health promotion and harm reduction as part of a corporate responsibility to<br />

their users.<br />

The Chemsex Study 70

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