Dr Suzie Hudson talks to Dr Esther Han and Dr Katinka van de Ven about the work they have done on Performance and Image Enhancing Drugs (PIEDs). They will discuss prevalence, reasons why people use non-prescribed PIEDs, how they can present in general practice and how to assess and manage a patient who is using PIEDs.

Resources:

• GP Guide to harm minimisation for patients using non-prescribed anabolic-androgenic steroids (AAS) and other performance and image enhancing drugs (PIEDs): https://www.snhn.net/steroid-harm-minimisation/

• Your Community Health – Steroid Education: https://www.yourch.org.au/our-services/alcohol-other-drug/steroid-education/

• Human Enhancement Drugs Network – Educational page: https://humanenhancementdrugs.com/education-and-training/

Dr Esther Han BMedSci MBBS DCH FRACGP (Subject matter expert)

Staff Specialist, Drug & Alcohol Services, Royal North Shore Hospital

Dr. Katinka van de Ven (Subject matter expert)

Senior Lecturer, Centre for Rural Criminology, UNE

Visiting Fellow, Drug Policy Modeling Program, SPRC, UNSW

Suzie Hudson (Facilitator)

Clinical Advisor, Centre for Alcohol and Other Drugs

NSW Ministry of Health

In this podcast, Addiction Medicine Specialist and GP, Dr Hester Wilson is joined by Dr Martina Gleeson, Sydney GP to discuss the NSW Opioid Treatment Program

Dr Wilson and Dr Gleeson discuss:

- the implementation of SafeScript NSW

- the how, why and when of assessment and treatment for opioid use disorder including available treatments and medications, managing withdrawal risks, contingency plans and the benefits of ongoing treatment

- the importance collaboration and open communication between patient, family and treating team (doctor, pharmacist, pain clinic etc)

- Naloxone and recognising an overdose

- Free support services for GPs in NSW such as the Drug and Alcohol Specialist Advisory Service and Opioid Treatment Education for Health Professionals in NSW

- Relationships with AOD support services and the Local Health Districts.

For further support please reach out to the following AOD support service:

• For clinical advice: Drug & Alcohol Specialist Advisory Service (DASAS)- https://protect-au.mimecast.com/s/WBZhCANp3nuL7XvfG_ru9?domain=svhs.org.au

• For support finding pharmacies and other services that provide OTP in your area: The Opioid Treatment Line (OTL) - https://protect-au.mimecast.com/s/HzgACBNq3gupErgT6n4pO?domain=svhs.org.au

• For Opioid Treatment Education for Health Professionals in NSW (free courses) : https://otac.org.au/

In this podcast, Addiction Medicine Specialist, Dr Hester Wilson will explore Opioid use disorder and what that looks like in practice, including OAT. She is joined by Dr Martina Gleeson, GP and Louisa Jansen who will be sharing experience of opioid dependence.

Gambling can have significant impacts on health and wellbeing. It can cause significant financial, health, relationship, education and employment, and social and psychological harm. It is estimated that for every person experiencing problems with gambling, six other people are affected.

In this podcast Dr Hester Wilson, GP and Addiction Specialist, and Dr Kate Fennessy, Senior Clinical Psychologist, run through a range of case scenarios and discuss ways to approach these in the general practice setting.

Resources:

GPs can encourage patients to visit the GambleAware website www.gambleaware.nsw.gov.au or call 1800 858 858.

GPs can also make a warm referral by contacting a Gamble Aware service directly (patient consent is required) - https://www.gambleaware.nsw.gov.au/i-need-support/i-need-to-talk-to-someone/is-there-support-near-me

Brief biosocial gambling screen https://www.icrg.org/resources/brief-biosocial-gambling-screen

Gambling can have significant impacts on health and wellbeing. It can cause significant financial, health, relationship, education and employment, and social and psychological harm. It is estimated that for every person experiencing problems with gambling, six other people are affected.

Download this podcast to learn about the role of GP’s in identifying, assessing and treating people experiencing gambling harm. The podcast features Mr Ned Anson, a young man who shares his experience of living with and recovering from gambling harm.

Resources:

GPs can encourage patients to visit the GambleAware website www.gambleaware.nsw.gov.au or call 1800 858 858.

GPs can also make a warm referral by contacting a Gamble Aware service directly (patient consent is required) -https://www.gambleaware.nsw.gov.au/i-need-support/i-need-to-talk-to-someone/is-there-support-near-me

Brief biosocial gambling screen https://www.icrg.org/resources/brief-biosocial-gambling-screen

Tips, tricks and things that young people want you to know!

The largest group to be diagnosed with sexually transmissible infections (STI) in NSW are people aged 15-29 years. GPs are the health professional that young people are most likely to access for care. GPs not only play a pivotal role in prevention, testing and treatment of STIs, but are hugely influential in normalising and promoting patient access to sexual health care across the lifespan.

Download this podcast to learn from other GPs about approaches and top tips for delivering sexual health care to young people from a range of backgrounds. This includes how to easily start a conversation to offer and conduct sexual health screening. Also featured are young people talking about what matters to them when accessing sexual health care. Simple and practical techniques are included which GPs can use to improve a young person’s experience when accessing General Practice.

Tips, tricks and things that young people want you to know!

The largest group to be diagnosed with sexually transmissible infections (STI) in NSW are people aged 15-29 years. GPs are the health professional that young people are most likely to access for care. GPs not only play a pivotal role in prevention, testing and treatment of STIs, but are hugely influential in normalising and promoting patient access to sexual health care across the lifespan.

Download this podcast to learn from other GPs about approaches and top tips for delivering sexual health care to young people from a range of backgrounds. This includes how to easily start a conversation to offer and conduct sexual health screening. Also featured are young people talking about what matters to them when accessing sexual health care. Simple and practical techniques are included which GPs can use to improve a young person’s experience when accessing General Practice.

One in four Australian women has experienced violence from an intimate partner (ABS, 2017). The effects of domestic and family violence on physical and mental health result in high use of health care, making GPs an important gateway to care. This podcast will look at two challenging case studies that illustrate the GP’s role in responding to domestic and family violence, and will share practical advice on how GPs can support safety planning for people experiencing violence.

Resources:

WLNSW GP toolkit: https://www.wlsnsw.org.au/wp-content/uploads/GP-toolkit-updated-Oct2019.pdf

RACGP - Abuse and Violence White Book: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/white-book

DV SAT: https://www.legalaid.nsw.gov.au/__data/assets/pdf_file/0006/41874/Domestic-Violence-Safety-and-Assessment-Tool-Guide-DVSAT-Guide.pdf

ACCRM Family and Domestic Violence Education Package: https://mycollege.acrrm.org.au/search/find-online-learning/details?id=10262&title=Rural+Doctors+Family+and+Domestic+Violence+Education+Package

DVRCV: Identifying and responding to family violence: a guide for general practitioners.

https://www.dvrcv.org.au/publications/books-and-reports/guide-for-general-practitioners

Referral Pathways:

Relationships Australia: http://www.relationships.org.au/

1800RESPECT: https://www.1800respect.org.au/

MensLine Australia: https://mensline.org.au/

Men’s Referral Service: https://www.ntv.org.au/get-help/

Managing children and families of children who are above a healthy weight is often difficult. Referring families to specialised services and programs can help re-focus families toward a healthy lifestyle, often without pharmacological or surgical intervention.

Go4Fun is a free, NSW health, evidence-based program for children aged 7-13 years who are above a healthy weight and their families. The 10 week program involves weekly two hour sessions and focuses on healthy eating, physical activity and behaviour change. Clinicians can refer through a number of referral pathways and are kept informed of families’ participation in the program.