ChemSex and care-planning: One year in practice

David Stuart1 and Johannes Weymann2
1Substance Use Lead, 56 Dean Street; 2Specialist Advisor, 56 Dean Street

Throughout the HIV/AIDS epidemic, the disinhibition and poor judgement associated with drugs and alcohol have continuously impacted our patients’ abilities to practise safe sex and to keep themselves safe from infection. The GUM/HIV sector responded effectively with screening tools, busy Health Advisor teams supporting patients with risk-reduction, and robust referral pathways to drug and alcohol support services.
None the less, new HIV diagnoses have doubled in the UK since 2000, with an estimated 1-in-12 MSM in London living with HIV [1]. In the last decade, we have also witnessed the smartphone Apps and online sexual networking sites become the most commonly used means of sexual procurement by gay men, and we have seen London’s gay communities adopt three new, highly dangerous drugs as sexual enablers (the practice commonly referred to as ‘ChemSex’) [2]. Read more. . .