User-to-User: Peer Delivered Syringe Exchange in New York City

This report provides an analysis of Peer-Delivered Syringe Exchange (PDSE), a program model in New York that trains injection drug users (IDUs) to conduct secondary syringe exchange with members of their social networks and other contacts.

Drawing upon findings from several methods – including focus groups, qualitative interviews, and a quantitative survey of syringe exchange programs – we offer a series of recommendations to support and increase widespread implementation of PDSE and similar secondary syringe exchange models.

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Peer-based Addiction Recovery Support

The sixth effort in our monograph series designed to explore in depth the theoretical and practical aspects of peer-based addiction recovery support services and recovery-oriented systems of care. This monograph can be used as a tool kit to guide the design and delivery of peer-based support services in the context of Recovery Oriented Systems of Care. Included in this work are cautions, questions of ethics, and areas for further exploration. It also provides reassurance and validation that the hard work and careful planning required to implement peer-based and peer-delivered services can pay off in remarkable ways. Sometimes the simplest gesture of kindness and support at the right time by a peer produces tremendous positive change.

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