Youthwork as a response to drugs issues in the community. A report on the Gurranabraher–Churchfield Drugs Outreach Project: profile, evaluation, and future development.

The key findings from this study are: •A social rather than medical or legal based response to drugs issues offers policy makers and practitioners a genuinely holistic methodology for effective intervention •A local rather than universal response rooted in harm reduction allows for cultural, geographical and community factors to dictate the nature of an intervention •Effective praxis in this field requires skilled, independent, reflexive, motivated and creative practitioners operating within a supportive agency setting •A clear theoretical framework encompassing knowledge of young people, drugs work, human behaviour and communities is a fundamental prerequisite to best practice •A high degree of service visibility in the community and easy access to the services is required •Community based projects work effectively with service users who will never enter treatment; they offer drug users an effective alternative to medicalised responses •In many cases inappropriate and problem drug use is a consequence of social inequality; interventions that can respond to these social issues in (particularly disadvantaged) communities offer the people who suffer from drugs issues a far more comprehensive range of services than a medicalised response. •Human contact between the service user and the practitioner in the form of a relationship founded on trust is the key building block of success •In terms of cost effectiveness community based projects offer excellent value for money; the overwhelming majority of funding is used in the provision of frontline services