This Toolkit aims to distill what was learned during the implementation of the project Opening Doors - Increasing access to effective harm reduction interventions for vulnerable and marginalised young drug users, supported by AidsFonds, Netherlands.

The purpose of the Toolkit is to provide a set of training sessions to stimulate discussion that can lead to ‘youth friendly harm reduction’ services. This may entail review of services, their renewal and, possibly, re-design.

The topics covered in each of the 16 training sessions are as follows:

  1. Youth-Friendly Services
  2. Youth-Friendly Services II
  3. Harm Reduction For Young People Who Use Drugs
  4. NSP, Outreach, Drop-in-Centres, Risk and Safety
  5. Drugs, Withdrawal, Overdose and OST
  6. BBIs, HIV, HCV, HBV, TB, STIs
  7. Health and Nutrition
  8. Mental Health and Well-being
  9. Basic Counselling
  10. Motivational Enhancement
  11. Group work
  12. Relapse prevention
  13. Building Young Leaders – Peer Educators
  14. Activities
  15. Essential Networks and advocacy
  16. The Change Process


Each session in the Toolkit includes:

  • Written reference material
  • Diagrams and images to explain key concepts
  • Provacative questions to stimulate group brain storming
  • Questions for smaller group discussions


Attached here is only the PDF component of the Toolkit. The full Toolkit comes with an accompanying CD/USB. For further information, please contact Dr John Howard

Who is the Toolkit for?
The Toolkit can be used with a variety of audiences, and a mix and match approach can be useful. For example,

  • Staff of a particular service
  • Staff from other services
  • Community groups
  • Key stakeholders
  • Young people who use drugs
  • All of the above participating in the same training – an ‘ideal approach’


What the kit does NOT provide
The Toolkit does not aim at teaching or developing specific skills. The aim is to:

  • Promote reflection on current practice
  • The identification of specific areas that necessitate workforce capacity building
  • The development of essential and supportive networks to provide what cannot currently be provided, and, possibly
  • Facility re-design (for example, re-design of space allocation and use to which space is allocated) or additions (for example, in the form of equipment).


How to use the Toolkit:
The Toolkit can be used in a variety of ways:

  • It can be used for staff training for a particular service. ‘Staff’ includes managers, clinicians, residential, peer and outreach workers and volunteers.
  • It can form the (or part of) curriculum for staff training hosted by a particular service for their own and staff of other services.
  • Individuals can use it in a self-directed format.


Citation: Howard, J. (2011). “Opening doors” enhancing youth-friendly harm reduction: a toolkit. Chiang Mai, Thailand: National Drug and Alcohol Research Centre, University of New South Wales and Access Quality International.



National Drug and Alcohol Research Centre, Access Quality International
Date Commenced
06 Dec 2011
Resource Type