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Appendices So that this report can fully represent the feedback from the survey we have reproduced all the comments and responses in this appendix. Evaluation of the 'Going Over' Video A total of 101 questionnaires were returned. Some questionnaires were fully completed, while others only answered some of the questions asked. Q 1. Type of service: Q 2. Do you have a needle exchange? Q 3. Did the video arrive undamaged? Q 4. Have you watched the video? Q 5. Do you think that the video is a useful tool for showing to drug users? Q 6. Have you shown it to users of your service? Q 7. If no, please tell us why (and say whether you plan to show it to users in future): We are arranging to purchase a video and have it in stored in a room where clients wait so we can have the video running. No video facility in service. Drug misuse advisory service. Difficulty with security of video equipment. Plan month long campaign during August, will show then. I think it could be used in the waiting room for clients assessing treatment. We commission services, not provide, Video was good but repetitive. Not personally, but will form part of a Harm Reduction Strategy. Our charity does not work with users. We may use it in the educational field i.e. schools. The viewing has been limited, but we plan to show it twice weekly sessions commencing October 2002. Y-SMART is a new service for young people with substance misuse issues. But it have not been launched yet - start September 2002. Would show. Just need appropriate forum i.e. within a group so can be discussed etc. Need all of staff team to see it and be familiar first. Because we are counselling and psychotherapy service for users who are free from using at the time of the service its inappropriate but is of great benefit for our counsellors and individual clients. We do plan to show the video during clinic in waiting area. This video will be incorporated and used with our planned programme. I am currently setting up a course for advice and info for OD and will be using the video. There is no facilities (Telly and video) however, this will be an excellent educational tool for us to lend to clients and use in our GP practice. Service for young people and we would be selective depending on age etc. We do not have the facilities but the video has prompted us to acquire them so we can use it to service users. Not suitable for under 16s. Plan to show in support group meeting. Not shown yet as have no facility. Not appropriate as they come for elective psychotherapy. The laws on arrest are different in Guernsey. Plan to show it in future with food provided after the video. Starting discussion with service users. No direct service contact will pass to service providers. Currently setting up OD training package. Haven't got the facility to TV and video at present but are hoping to get one. Not yet, will use in individual cases. Have no facilities for showing the video. Currently have no facilities for users at the address above to show video. Plan to show as training aid and at clients homes in the future. Finalising strategy for OD prevention. Staff member responsible for delivery of first aid and training completed training this week. Will do so. It's planned for next weeks programme. It needs to be delivered in an environment either one to one or group where further work is done on OD prevention. There are no facilities to show the video. In future it may be possible to arrange a group showing. As planned country wide implementation of OD month in August. No facilities at CDT to show clients. We are trying to arrange equipment and an area suitable for this purpose. We do not have a video or screen. Wanted feedback from colleagues initially. Will use video during our drop-ins. We plan to show the video in the future. Plans to show in drop in periodically and structured group work programmes. Realistic, trigger discussion and previous personal experiences. People commented on the effectiveness of the demonstration of recovery position - easy to understand. I feel that the video is more suitable for older users. Several of the services we commission have shown. We have shown it at drug reference groups throughout the county. Awaiting feedback from worker. Would like to show the video within group settings i.e. drop-ins, group relapse (if appropriate) parents/carers groups. No TV in waiting area. However, it may be used in future in schools, group work and during other education talks in various venues such as residential homes, community drop-ins. Developing a workshop programme currently. The video will be used as material in regard to a workshop on first aid and overdose. Information passed to all our residential drug services Not running OD prevention at present. No TV available in waiting room will show in future. We will be using in one of our waiting rooms when we have purchase a TV and video as part of planned OD training. Unpractical given detached nature of the rural area we cover would plan to get clients to watch it at a static location in the future. Only received video last week. Did not receive background material can you send it. Will show it to clients in the future individually. Would show it to appropriate clients. We do not at present have a video. We have only had the tape for 2 weeks. We intend to use it with groups to stimulate discussion. Our video recorder has recently been stolen - we have not yet had a replacement. Yes, we will be showing it to users but wanted to arrange supplementary time with staff if required so users can discuss issues raised, ask questions etc. To CDAT for their attention. Have not yet had the opportunity. Would definitely show it to participants on training sessions. Appropriate opportunity has not arisen. Have ordered a TV/video for reception area.If you have used the video: Q 8. In which settings have you used the video? day centre: clients' homes: other: Private room, Residential rehab, Drop-in, Professionals, Snowballers group; Beginnings of OD workshops; Group work; Group activity; Professional venue; Overdose awareness seminar for drug users; Residential staff only; Some clients have taken to watch at home; Drop in/structured group work; Needle Exchange; Training; I watched it at home; Yes, trying to find funding for TV in waiting area; In group settings at the garage and in individual client settings; As appropriate to U18s; Meetings; Drop-in service; Libraries; Group work settings; Residential; Squat; Drop-in centre; Training community wardens; Q 9. Has user feedback been: Q 10. What has been the typical response to the video from clients? Discussion over Ods. People it has happened to and their own experience of this. Clients have related to scenes in the video and have wanted to share their own experiences. Impressed by how recovery position was shown. Rised questions as to police response to Ods. Also, related to the realness of the situations which triggered discussion on personal OD situations. Haven't shown it to clients. Mainly positive but bringing out a lot of sadness and grief. Everyone I have shown it to has Oded themselves and many have witnessed OD in their drug using. Overall very good. The music is too loud and is difficult to understand what the actors are saying. Very repetitive, not much info, could have been better, but showing recovery position was positive. Very good but they felt they already knew the information the video contained and that it would be more beneficial to a younger client group. They feel it was a bit of a trigger. Very informative, interesting to watch, striking. Only one client shown she was under 18 and reported she had learned a lot. No clients seen video, staff have seen the video. Relief at understanding that police do not usually attend OD, greater confidence at dealing with similar events, increasing wish to learn more about OD resus. Many clients unaware of what to do in OD situation. Generally very positive response. Although one client claimed watching the video made him want to inject - he had been abstinent for some time and was on a methadone programme. Good demo of recovery position. Either excellent or depressing were the most typical response. Calling the ambulance and placing people in the recovery position. Good. Easy to watch. Better for the less experienced. Realistic, User involvement - very good, informative, they would like to be involved in future work, not condoning, different from the normal health and education videos, excellent because it is the stories of users. Not shown to clients yet but felt would be useful. Has really reinforced the message of looking after each other. Didn't like music. Staff feel it is positive and useful particularly the recovery position and myths about police being called. Recovery position and music. The age and... Of the users caused families and younger people to be put off. They felt it was made for the over 25s and one of the slots should have shown a younger person in the park or in their family home. Positive. Avid interest. Idenification with situations. Understanding of the purpose. Generated alot of discussion around overdose. Questioned overdose risks and possible ways of OD. Q 11. Has the video been useful in triggering questions and discussion about overdose? Q 12. How useful do you think this video is as an educational tool: Q 13. Did you think that the 2 key messages in the video - call 999 and place someone in the recovery position - were clearly communicated? If not why not: If not, why not: Yes, but not very clear, no verbal. Clients have commented on the clear and repetitive format as being useful. It was thought that the sequences of the recovery position should have been much slower. Whilst phoning 999 was a simple message and communicates well the recovery position is illustrated but may not be recognised by people. Q 14. Is the video Q 15. How many clients from your service do you think have seen the video? Q 16. Have you left the video playing on a loop in areas where it can be watched by service users? Q 17. Would you like to see other subjects covered in future videos for service users? Q 18. If yes, what topics would you like to see covered? Hepatitis C transmission 79 Q 19. Are there any other areas you would like us to develop campaign or other information materials for? Information re: injecting cocaine/crack, safer practices, risks. Diet and Nutrition, safe sex, drug using parents, drug use in pregnancy, relapse prevention, drugs and mental illness. Bacterial infection. Alcohol. Safer sex when using, condom use, steroid use - dangers and myths. Disposal of injecting paraphernalia. Women's issues, Drug use and fertility, Conception and pregnancy. Drugs and peer pressure for young people. Self detox - planning and preparation. Trauma and abuse and violence. Solvent abuse, in school education/recreational drug use. Safer methadone, importance of taking it at the right amount in the correct amount to get the most from it, benefits of MMT. Unsafe disposal of used works - always a difficult issue politically for nx providers. Poly drug use - methadone + crack, methadone + alcohol, methadone + benzo. Illicit drug use and pregnancy. Drug and alcohol. Targeting black and ethic communities, i.e. language Sleep, alternative therapies. Nutrition, health and sexual health. Yes lots, especially cannabis and the law. Issues around wound care, safer sexual practices and sex work, the effects of crack use, BBV information - both HIV and HCV, young people. Relapse prevention. Information for carers re: drugs. Poly drug use and mixing drugs. Crack use and harm minimisation. Public safety, safety around children. Overdose via smoking heroin. Maybe posters to accompany video? Living with a drug user. A video similar to this one but made with young people and families in mind. Combinations with alcohol. Some sort of positive outcome/recovery from substance misuse. Drug driving. Poly drug use, speedballing, dangers of drug combinations, crack use. Drugs and their use. Mixing benzodiazepines/risks and alcohol. Peer pressure. To link with our website developments. Something that looks at the 'signs & symptoms' of drugs/users (that shows that it is not easy to do and that it can be misinterpreted!). Q 20. Please use the space below to give us any further feedback about the Going Over video and the OD campaign It's up all the time unlike the video. The video was very well made and attractive to watch. Eye catching and the repeated dance-like recovery position was very helpful and easy to remember. Feedback from clients was that the video was very short and went over same stories again and again. Could get bored watching it and not get message. The video has been really useful not only for clients, but as a negotiating tool with the police to establish protocols for attending overdose scenes with paramedics. Music very well written but sometimes was too loud over people talking. Loved the repeats of man in recovery position. Service users particularly liked the recovery position chorus - but felt that advice on putting self in recovery position if overdoing it, was a little unrealistic. It will be a very useful video and I will be happy to give further feedback once I show clients. I did not think the video was good. The accents were difficult to understand. Tear off leaflets re: recovery position. The video is useful but could be a bit longer and use more case studies. However, the soundtrack is excellent and works well with the diagram of the recovery position. All the materials have been informative and eye-catching. Under 16s. Video is useful for our organisation and we will play it as attendees arrive at the OD workshops we are running in conjunction with Oxford ambulance service. An excellent campaign. Please send us details of further campaigns. Thought the materials were excellent. A good source of reference and to show clients. Well produced, straight to the point and factual. Excellent programme greatly assists in reducing OD events. Found we had to view the video a few times to understand what was said by the actors - probably just a dialect issue. The video worked fine. DVD no sound - is this our computer or a problem with our DVD? Worked well as a targeted month long campaign aimed at all service users in contact with our nx service. Limited opportunity to show larger numbers of clients the video. Literature enclosed was useful however. Too short for waiting room. Just right for client sessions. Some staff found the music annoying. Some found it to be catchy. Feedback from clients in the group session when using other vital training aids that it that it increases craving. We have had this complaint with the heroin help line poster let alone the video. The video is too short, doesn't have information on risk and risk management, hence I wouldn't want it played in the waiting room. We will use it however, in a group setting as part of a more comprehensive setting on OD prevention and management. The OD campaign material has been very informative and clients have found them useful. I think that it is important to do more work on the above subjects. The OD campaign has been successful in its message due to the way it was delivered. Personally, I think it would be useful to have the video available as a CD rom so it could be used on computers and laptops on one to one sessions with clients especially for arrest referral and stepping out who all have laptops but no video access. Sound quality not too clear in places. No video or TV in waiting room. No DVD player or videos in client's homes. Prefer colourful booklets to handouts. Background noise distraction - takes a while to catch the dialogue. Useful tool which we will use for our clients and their carers. Good campaign material and video gets over message clearly - stimulates lots of discussion. One or two users who are on a methadone script said that the paraphernalia on video triggered off their thoughts about injecting again. If you would like future feedback please do not hesitate to contact me as at present the video is in the process of being viewed by workers and will eventually be used in group settings. Playing it a loop in the waiting area meant that it was seen by many clients. However, the drawback is the noise level. Is it possible to have one that relies very much on vision rather than hearing for this purpose. Excellent. OD leaflets are extremely popular. The video was useful. However, the Barn does not have a busy needle exchange so the opportunities to show the video to suitable clients is limited. I aim to get a TV/video and take it out to the clients to watch. It is useful and probably effective - but we have not had sufficient time to evaluate its impact on our clients. It is also about 'injecting 'which may of our clients (young people) do not see as relevant to them. I will pass this to our agencies. Very comprehensive - do not assume 'learner' has prior knowledge but do not patronise at same time. Participants are always very interested in resources that come from the users/ex users viewpoint. We need similar simple videos on cocaine and crack use, smoking heroin, cannabis, amphetamphine, 'E' and LSD, benzos. Excellent material.
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