Back in June I released the NSP Outcomes Tool This was an attempt to make a simple to use but flexable assesment/review tool that could be used in the relativly short time that most needle transactions happen in. Because of the need to make it so simple it unfortunatly didn't include anything around the use of steroids and other performace/image enhancing drugs (PIEDs). So now I've designed a NSP tool specifically for use with PIED users.
Steroid use and the use of other performance & image enhancing drugs (PIEDs) have been on the rise in the UK for a number of years now. We even have services reporting that over 50% of new injectors visiting their needle programmes come from these groups.
But in most services workers are being given very little guidance on the types of advice they should give, and most paperwork used is the standard paperwork that is used for opiate injectors. This has resulted in both steroid users and workers having very little confidence in the quality of the harm reduction advice being given.
To help try and address this I've developed a PIED assessment tool.