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1 OCTObER 09

8:30 am    Registration

9:30 am    Opening Plenary
Level 17
           Chair: John Ryan (CEO, Anex)


           Dr Alex Wodak (Director, Alcohol and Drug Service, St Vincent’s Hospital)
           Illicit drugs and inequality
           Vickie Roach
           Drugs! What’s wrong with them?

11:00 am   Morning Tea
11:30 am   The Cycle of Disadvantage: Disentangling Multiple Vulnerabilities
Level 17   What is the interaction between drug use and personal vulnerability such as incarceration, lack of skills,
           housing problems, poor health status, lack of employment, engagement in criminal activities?
           This panel will explore the interaction between multiple vulnerabilities from a number of perspectives – social
           inclusion, public health, law and human rights – and propose a way forward to prevent problems arising from
           drug use, disadvantage and hard times.

           Chair: Professor Chris Puplick AM


           Dr Lynn Arnold AO (CEO, Anglicare SA)
           Chief Magistrate Ian Gray (Magistrates’ Court of Victoria)
           Robert Richter QC
           Dr Ingrid van Beek (Director, Kirketon Road Centre)

1:00 pm    Lunch
2:00 pm        Drug Use, Homelessness and Mental Health
Level 17       Drug use, homelessness and mental health issues often overlap. While it is clear that a causal connection
               between them cannot be established, how these factors which contribute to exclusion are linked is less clear.
               How do drug use, homelessness and mental illness contribute to personal vulnerability, disadvantage and
               exclusion? What are the challenges and opportunities for joined up programs that would ensure effective
               implementation of a “no wrong door” and “no exit into homelessness” policy framework? These questions will
               be explored.

               Chair: Professor Margaret Hamilton (Executive Member, Australian National Council on Drugs, member of the Prime
               Minister’s Council on Homelessness, and Anex Patron)

               Speakers and Panel Members:

               Dale Bridge
               Sex, drugs, rock ‘n’ roll, streets, straights and the empty hole
               Simon Smith (CEO, Homelessness Australia)
               Homelessness, Alcohol and other Drugs
               Panel members:

               Dorothy Campbell (Community Nurse – Homeless Persons Program, Royal District Nursing Service)
               Sebastian Rosenberg (Deputy Chief Executive Officer, Mental Health Council of Australia, Senior Lecturer, brain and Mind Research
               Institute, university of Sydney)
               Nicola Cowling (Training Officer, Anex)
               Travis Gilbert (Policy and Research Officer, Homelessness Australia)
               Tony Keenan (CEO, Hanover Welfare Services)
               Leanne Prochazka (Program Manager, Primary Care Programs, South Eastern Alcohol and Drug Service)

2:00 pm        Vaccinations, Risks and Vulnerabilities
Level 2        Current issues in blood borne virus prevention and treatment will be explored. What are the issues and
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               challenges in implementing hepatitis C vaccine trials among people who inject drugs? Are there emerging
               population groups at-risk and vulnerable to blood borne viral infection? This session will address these
               questions and consider what might be done to build on past successes.

               Chair: Mr Jim Hyde (Director, Public Health branch, Department of Human Services Victoria)


               Professor Lisa Maher (Program Head and NHMRC Senior Research Fellow, National Centre in HIV Epidemiology and Clinical Research)
               Hepatitis C vaccine trials in people who inject drugs: challenges and opportunities
               Bethany White (Associate Lecturer, National Centre in HIV Epidemiology and Clinical Research)
               Low hepatitis B vaccine coverage in a cohort of people who inject drugs in Sydney
               Dr James Rowe (Research Fellow, RMIT university)
               SHANTUSI! Surveying HIV and Need in the Unregulated Sex Industry
               Jennifer Iversen (IDu/NSP Surveillance Coordinator, National Centre in HIV Epidemiology and Clinical Research)
               Prevalence of re-use and cleaning of needle and syringe items among participants in the
               Australian NSP Survey
2:00 pm    Empowering Behaviour Change
Level 2    Service user involvement and participation can facilitate increasingly responsive and effective services which
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           in turn contribute to improved outcomes for service users. Peer-based interventions are a key element of
           health promotion, and provide opportunities for expanding access to information and health services for
           groups of people. This session will explore ways of engaging with service users to increase participation, and
           models of peer-based interventions. Are there specific characteristics that predict better outcomes?
           Chair: Ms Helen McNeill (President, Hepatitis Australia)


           Danny Jeffcote (NSP Team Leader, North yarra Community Health – Innerspace)
           Treatment Service Users Project – Innerspace
           Christian Vega (Coordinator, Hustling 2 Health, Inner South Community Health Service)
           Do the Hustle: Peer Education among Street-based Sex Workers in St Kilda
           Kathy Don (young People’s Project Coordinator, Hepatitis C Victoria)
           This is bloody serious: Hepatitis C Prevention in Young People
           Waddah Eltchelebi (FIT Peer Model Coordinator, Self Help Addiction Research Centre)
           Peer Helper Model in Alcohol and Other Drug Sector

3:30 pm    Afternoon Tea
4:00 pm    Pharmaceuticals
Level 17   This session will highlight a range of issues associated with pharmaceuticals or prescription drugs. What is
           the link between drugs and tough economic conditions? Is there a “black market” for pharmaceuticals? This
           session will highlight the impact of hard times on drug use.
           Chair: Mr Bill Newton (CEO, General Practice Victoria)


           Dr Matthew Gray (Deputy Director, Australian Institute of Family Studies)
           The impact of drought on the mental health and alcohol use
           Dr Matthew Frei (Clinical Head, Addiction Medicine units, Southern Health and Eastern Health)
           New drugs in hard times: Pharmaceutical opioid misuse
           Dr James Rowe (Research Fellow, RMIT university)
           Bound to Lose – Government administered opioid dependency and the issue of dispensing fees
           Laura Santana (Project Officer, Australian Injecting and Illicit Drug users League)
           The “TRUE” Cost of Opioid Replacement Pharmacotherapy Across Australia

           Session sponsored by Reckitt benckiser
4:00 pm        Beyond Comorbidity
Level 2        The co-occurrence of drug use and mental health problems presents a range of complex issues for individuals,
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               their families and the services seeking to help. There have been many developments and changes recently at
               agency and service system levels. This session will explore the emerging issues and identify what might be
               done to build on past successes.
               Chair: Professor Jon Currie (Director of Addiction Medicine, St Vincent’s Health)


               Rachelle Irving (Project Manager, Mental Health Council of Australia)
               Australian and International Substance Use and Mental Health Disorder Comorbidity
               Wilsen Drew (Dual Diagnosis Coordinator, Queensland Health) and
               Brian Brincat (NSP worker, Redcliffe Queensland Health)
               Dave’s Excellent Adventure: a dual diagnosis expedition
               Nancy White (Research Officer, Drug and Alcohol Services South Australia)
               Comorbidity: Substance use, gambling practices and mental health

4:00 pm        New Frontiers in Service Delivery
Level 2        Drug use and its associated issues are dynamic and subject to constant change. Sometimes this may require
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               new approaches for working with different client groups, and at other times it may require revisiting and
               reinvigorating accepted principles of practice. This session will showcase examples.
               Chair: Mr Matthew Somervaille (Assistant Director, Mental Health and Drugs Division, Department of Human
               Services Victoria)


               Lesley Edwards (Project Officer, Family Drug Support)
               Helping Families Navigate the Rocky Road of Addiction – Building the Capacity of Families
               Naomi Ngo (Manager, Multicultural Health and Support Services)
               Transmission – a creative hepatitis C awareness project targeting culturally diverse and marginalised groups
               Joseph Kim (NSP Coordinator, barwon Health)
               When the Going gets Tough, the Tough get Back to Basics
               Nicole Hallahan (NSP / Community Education Worker, Western Region Health Centre – Healthworks) and
               Kathy Glavimans (PHC Worker, Western Region Health Centre – Healthworks)
               Sex 4 Swap?

5:30 pm        End
2 OCTObER 09

8:30 am        Registration
9:30 am        Morning Plenary
Level 17
               Chair: Ms Amanda Milledge (Anex President)


               Denis O’Reilly (Project Leader, Nga Mokai Whanau Ora)
               “It will take more than talk”
               Chris Hardy
               An up close and personal interview with Uncle Jack Charles

10:30 am       Morning Tea
11:00 am       Access All Hours: Needle Syringe Availability
Level 17       Drug use is not confined to a nine-to-five schedule, yet in many parts of Australia there are few if any access
               points to sterile injecting equipment after regular business hours, on weekends and on public holidays.
               Improving access to sterile injecting equipment continues to be a priority – in terms of after-hours access and
               geographic distance. Recent initiatives will be explored, including lessons learnt from the united Kingdom on
               collaboration and partnership with the criminal justice system.

               Chair: Professor Lisa Maher (Program Head and NHMRC Senior Research Fellow, National Centre in HIV Epidemiology and
               Clinical Research)


               Amy Kwon (PhD Student, National Centre in HIV Epidemiology and Clinical Research)
               The impact of NSPs on HIV and HCV transmissions in IDUs in Australia
               Sue White (Manager, Health Services, Salvation Army Crisis Service)
               An overnight journey – report from the evaluation of the 24 hour NSP in St Kilda
               Judy Cameron (Clinical Nurse, Queensland Health)
               Criminal Justice Intervention Programme

11:00 am       Communicating Drug Issues: More than Language
Level 2        Services focussed on preventing and reducing drug-related harm such as Needle and Syringe Programs and
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               other harm reduction initiatives rely on the support that they can engender within the broader community. Is
               it merely a case of positive media coverage and profiling? Or is the challenge of communicating drug issues to
               the public a more subtle exercise? These questions will be explored and discussed in an interactive format.
               Chair: David Templeman (Executive Director, Alcohol and Drug Council of Australia)


               Patrick Kennedy (Managing Director, Kennedy Communications)
               Communicating Drug Issues: More than Language
               Libby Ward-Christie (business Development Manager, Anex)
               Community understanding of drugs and harm reduction: results from social market research
11:00 am   Community Responses to Drugs
Level 2    Communities play a significant role in addressing drug-related harm. Community concerns can facilitate
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           efforts to address the impact of drug use or they could complicate these efforts through knee-jerk responses.
           How have communities responded to local drug use issues? How do community-based models work? This
           session will explore these questions and more.

           Chair: Mr Maurice Sheehan (Director, Pharmacy Guild Victoria)


           Rebecca Winter (Researcher, burnet Institute)
           Local Community Responses to Public Injecting Drug Use in Victoria
           Jean Wyldbore (Independent HR Consultant)
           There’s more than one kind of drought: challenges for NSP in rural Victoria
           Andrew Sinclair (Team Leader, Western Region Health Centre – Healthworks) and
           Rebecca Winter (Researcher, burnet Institute)
           Were community concerns realised in the establishment of an NSP?
           Cerissa Papanastasiou (Research Assistant, burnet Institute) and
           Professor Robert Power (Principal for Disease Prevention, burnet Institute)
           The potential and viability of a Supervised Injecting Facility in Melbourne and beyond

12:30 pm   Lunch
1:30 pm    Indigenous Injectors: Access to Health Solutions
Level 17   Indigenous injectors are more vulnerable to blood borne viral infection compared to non-Indigenous injectors.
           It isn’t just a question of higher prevalence of HIV and hepatitis C attributed to injecting drug use. barriers
           to accessing preventative frontline services such as Needle and Syringe Programs contribute to increased
           vulnerability. Approaches to improving access for Indigenous injectors will be explored.

           Chair: Mr James Ward (Program Manager, Aboriginal and Torres Strait Islander Health Program, National Centre in HIV
           Epidemiology and Clinical Research)


           Peter Waples-Crowe (Team Leader Sexual Health and bbVs, Victorian Aboriginal Community Controlled Health Organisations)
           and Liz Sutton (Executive Manager, Policy & Programs, Anex)
           Aboriginal IDU and Service Access: Learnings from the Yiaga ba wadamba Projects
           Monique McEwan (Harm Minimisation Project Officer, Aboriginal Health and Medical Research Council of NSW)
           Strategies to Increase Aboriginal People’s Access to Needle and Syringe Programs in NSW
           Janet brown (Manager, Hedland Well Women’s Centre)
           A Model of Social Inclusion
1:30 pm        Prisons and Transitions
Level 2        Prison environments present a range of risks to health and wellbeing. The period post-release is a critical
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               period of increased vulnerability. This session explores the process of transitioning back into community post-

               Chair: Mr Jim Pasinis (CEO, banyule Community Health Service)


               Associate Professor Eileen baldry (Associate Professor, School of Social Sciences and International Studies) and
               Associate Dean (Education), Faculty of Arts and Social Sciences, university of NSW)
               Indigenous Australian women leaving prison in NSW: challenges and possibilities
               Dr Stuart Kinner (Senior Research Fellow, burnet Institute)
               Passport to Advantage Project
               Amy Kirwan (Research Assistant, burnet Institute)
               Post-release prisoners with a history of injecting drug use: changes in drug use, service utilisation and health
               and wellbeing following release
               Sam Sejavka
               A consumers guide to pharmacotherapy in Australian prisons

1:30 pm        Sleeping Rough with Drugs: Approaches to Working with Drug Use and Homelessness
Level 2        Homelessness and poverty contribute to poor health status for drug users. How to work effectively with this
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               population group will be explored in this session with case studies and examples of innovative initiatives at
               the service delivery level.

               Chair: Mr David Murray (CEO, youth Substance Abuse Service)


               Gabrielle Bennett (Coordinator Homeless Persons Program, Royal District Nursing Service)
               Drug use and insecure housing, it’s enough to make you sick
               Jane Lazzari (youth Policy Officer, Council to Homeless Persons) and
               Peter Wearne (Director of Services, youth Substance Abuse Service)
               Youth Homelessness and Drugs
               Jacky Cook (Executive Director, Toora Women Inc)
               A Woman’s Journey
               Kerry McKee (Harm Reduction Coordinator, North Coast Area Health Service)
               An Alternate Life

3:00 pm        Afternoon Tea
3:20 pm        Closing Plenary
Level 17
               Chair: Mr Bernie Geary OAM (Child Safety Commissioner, Victoria)


               Associate Professor Ted Wilkes (Chair, National Indigenous Drug Advisory Council and Professorial Fellow, Aboriginal Health,
               Curtin university)
               Professor Margaret Hamilton (Executive Member, Australian National Council on Drugs, member of the Prime Minister’s Council
               on Homelessness, and Anex Patron)

4:20 pm        End

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