What this session will be helping you to do, is develop a series of identified training needs for the services in question.
In one session you will be unable to cover all the services, so it’s suggested that you work on the services you work most closely with, or that you are trying to build relationships with.
The services have been grouped together into three groups containing two services. These groupings are:
- Group One: Mainstream Sexual Health & Mental Health Services
- Group Two: Primary Care Doctors & Healthcare Assistants
- Group Three: Drug and Alcohol & Prison Services
Use a search engine such as Google to look for information and articles around these services and their work with MSM in Europe and your region. You may already have access to some knowledge and information around your own local services that will be useful for this exercise. Below are some links to information and guidance around these services that you may find useful from places like ECDC.
Sexual Health Services
- Places and people: the perceptions of men who have sex with men concerning STI testing: a qualitative study. Sexually Transmitted Infections.
- Sexual health of ethnic minority MSM in Britain (MESH project): design and methods. BMC Public Health.
- Setting the standards for sexual health support for MSM – Community Health Work in Slovenia. AIDS Action Europe.
Mental Health Services
- Journal of Gay and Lesbian Mental Health
- Promoting the health and wellbeing of gay, bisexual and other men who have sex with men: Public Health England
- Promoting the sexual health of MSM in the context of comorbid mental health problems. Europe PMC
Primary Care Services:
Drug and Alcohol Services:
- Drug use among men who have sex with men: Implications for Harm Reduction. Sigma Research.
- Joining up sexual health and drug services to better meet client needs. European Monitoring Centre for Drugs and Drug Addiction.
- ECDC: Guidance on Prevention and Control of Blood Bourne Viruses in Prison Settings 2018
- ECDC: Guidance on active case finding of communicable diseases in prison settings 2018
- ECDC: Thematic Report 2014: Prisoners
There are also a number of other reports that may be useful in helping your understanding of the situations faced by gay and other MSM across services. Some of them are a few years old, and still contain relevant insights although data figures may have changed.
- Evidence Brief: HIV and Laws and Policies in Europe [30/05/17]
- Evidence Brief: Impact of Stigma and Discrimination on access to HIV services in Europe [30/05/17]
- Thematic Report: HIV and Men who have sex with Men [25/04/17]
- Thematic Report: HIV Treatments and Care [25/04/17]
- Thematic Report: HIV and Migrants [25/04/17]
- Thematic Report: Sex Workers: 2014 Progress Report [07/09/15]
Please study this information and use it to identify the issues MSM face within these services:
- What are the gaps in their services?
- What and where are the barriers for gay and other MSM wanting to access them?
It would be best if you could concentrate on identifying, selecting and prioritising issues into areas for training. Use the knowledge you have as well as the information you have found to identify these gaps, which in effect, are the ‘needs’ of the service around this work.
You could consider grouping them as ‘Knowledge’, Cultural Competency, Service Restrictions, Economic Restrictions, Legal Restrictions for example.
Please make notes on the information, providing examples and priority areas for training.
It is likely that you will need at least 60 mins for this task.
By the end of this time you should have a series of identified training needs and issues for the services you were working on. It may also be useful to carry out a Needs Assessment with the service you are working with – use the ESTICOM Needs Assessment as a base to work from as it covers attitudes as well as skills and add in the needs you have identified in this exercise.
There are other modules within this ESTICOM training and also ECDC provide a number of modules that could be a good basis for training.
If you have time or want to re-do the session looking at other services it may be helpful to spend some time making notes on the areas you didn’t work on to help start the process and act as a reminder.