Peer Support as a Method of Risk Reduction in Injecting Drug-User Communities: Experiences in Dutch Projects and the “European Peer Support Project”

Abstract

This article discusses the central importance in Western Europe of active drug users/injectors working with their peers to combat the spread of HIV and reduce other health problems. The structure and workings of several different peer organizations are described, and an important distinction is made between “self-help” versus drug-user “unions” or “interest” groups. The roots of the first drug-user unions are traced to the junkiebonden that surfaced in the Netherlands in the early 1970s. Now, the European Peer Support Project, which is described, coordinates projects in six different western European countries, supporting several different initiatives, and producing training programs and manuals for users to assist them in their organizing efforts. The underlying premise of drug-user self-organizations is that repressive drug policy, as defined by criminal laws, is not only a fundamentally inappropriate approach to the “drug problem;” repressive drug policy is partly responsible for the creation of the “drug problem” in the first place.