- Provide mouthpieces in the quantities requested by service users with no limit on the number of mouthpieces provided per service user, per visit
- Offer mouthpieces when the mouthpiece has been used by someone else or is burnt as it is considered unsafe in this state
- Provide mouthpieces without requiring service users to return used equipment
- Provide pre-packaged safer inhalation kits (which should include stems, mouthpieces, screens, and push sticks) and also individual supplies, concurrently
- Provide other harm reduction products, such as condoms and lubricant, with no limit on the number provided
- Educate service users about safer use of equipment, safer smoking practices, the risks of sharing smoking supplies, and safer sex
- Dispose of used mouthpieces and other inhalation equipment in accordance with local regulation for biomedical waste
- Educate service users about the proper disposal of used safer smoking equipment
- Provide multiple, convenient locations for safe disposal of used equipment
* OHRDP acknowledges that best practice provides the highest standards of practice but that programs may be constraint by human and fiscal resources
Mouthpieces fit on the end of a stem. A minimum of two inches is recommended for the length of the mouthpiece. Having one’s own mouthpiece also allows an individual to protect themselves from the spread of communicable disease in situations where a stem may be shared.
Mouthpieces ensure heat is not conducted to the lips which may prevent burns. The longer the mouthpiece the less chance debris will reach the mouth and burn the throat. Longer mouthpieces may be used to disguise the placement of the stem making crack smoking more conspicuous and potentially avoiding identification by law enforcement. Some do not like longer mouthpieces as more drug resin is crystalized inside the mouthpiece. It is important to talk to service users to ensure the mouthpiece length is appropriate for their use.
The OHRDP recommends that sites maintain a stockpile (safety stock) of a minimum of one month’s supply of products at the site, at all times. This is to ensure there is a consistent supply of products available for service users.
It is best if sites have one designated person ordering supplies from the OHRDP, but a minimum of two people should be trained in case an alternate is needed. The person trained to order supplies should always rotate the product inventory to ensure that products that have an expiry date don’t expire.
Note: product distribution can fluctuate when sites first start supplying new products. It may take a few months for sites to understand the distribution patterns of new products. OHRDP has done their best to order new products in the quantities predicted to be needed for harm reduction sites in Ontario.
Note: product distribution can fluctuate when sites first start supplying new products. It may take a few months for sites to understand the distribution patterns of new products. OHRDP will be working with sites to understand product needs in the province.
- With the introduction of safer inhalation products, it is recommended that educational resources are made available to service users. A Safer Smoking Pamphlet and a Service User’s Guide to the Safer Inhalation Supplies are provided by the OHRDP. Hard copies of these resources can be ordered by e-mailing firstname.lastname@example.org.