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Harm reduction in the context of chemsex: training manual


Sexualised drug use, i.e. the use of any legal or illegal psychoactive substance before or during sex, is not new. In fact, substances have been used to enhance pleasure and overcome inhibitions in many cultures through the ages. Research from the last few decades has shown that sexualised drug use is more frequent among the LGBTQI+ community than other populations. This can partly be traced back to minority stress, which creates a stronger need to connect, to enhance a sense of identity, to deal with painful emotions and
to form a sense of community.

The manual "Harm reduction in the context of chemsex" is divided in two parts. The first part presents the definition of chemsex, problematic chemsex involvement, harm reduction in the context of chemsex engagement and some core guidelines regarding best practices when delivering services on chemsex. The second part of the manual outlines a training workshop on chemsex and harm reduction. 

The aim of this manual is to outline a training course that is as interactive as possible, in order to allow trainees to use their analytical, critical and creative skills. 

  • WHO European region
  • Harm reduction
  • Positive prevention
  • Sexual and reproductive health
  • Gay men and other MSM
  • Injecting drug users (IDUs)
  • Men having sex with men (MSM)
  • People who use drugs (PUD)

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