Sexual and Reproductive Health Rights, Inclusion and Empowerment
SHRINE delivers and evaluates sexual and reproductive healthcare (SRH) for three specific communities in Lambeth and Southwark.
- People who use drugs problematically
- People with Serious Mental Illness (SMI)
- People with Intellectual Disabilities (ID)
What's the problem?
According to the Lambeth, Southwark and Lewisham Sexual Health Strategy 2014, approximately 10,000 people across Lambeth and Southwark either use drugs problematically, have a serious mental illness or have an intellectual disability.
The reality for these people is they do not use traditional sexual and reproductive health services and therefore have high prevalence of Sexually Transmitted Infections (STIs) and HIV, unmet contraceptive needs, late recognition and medically complicated pregnancies, are often vulnerable and likely to be a victim of sexual violence and are often not given the possibility of having pleasurable and safe sexual experiences.
How SHRINE work
SHRINE is a multi-disciplinary team, made up of experts from Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. SHRINE has two consultants providing frontline services offering a full SRH service for people with complex needs.
SHRINE work creatively and flexibly to reach their target groups, including offering priority access appointment services at Camberwell Sexual Health Clinic, and an assertive outreach service, embedded in two substance treatment providers with the ability to accompany people on a home visit, if the client lives in Lambeth or Southwark.
A Human Rights Based Approach
SHRINE aim to develop a human rights based approach (HRBA) to providing SRH services. SHRINE has started a literature review to understand the different definitions of HRBA and how it can be introduced into SRH care, with engagement from key human rights experts.
What SHRINE offer
SHRINE offer a full sexual and reproductive health service for people with complex needs including:
- STI testing and treatment
- Advice about contraception options and provision of contraceptive methods
- Lumps and bumps
- Pregnancy Testing
- HIV testing, facilitate link with treatment and support services
- Smear testing
- Gynaecological Care (i.e. period problems)
SHRINE will develop a suite of training programmes to increase the SRH capacity of healthcare professionals. The training programmes will focus on the basics and essentials of SRH training, as well as practical clinical skills based learning. The first training programmes will establish a postnatal contraception course for midwives at St Thomas’ Hospital to upskill midwives working with vulnerable women. Other programmes will include a training package to help healthcare professionals start conversations around SRH.
Evaluation and research
SHRINE will evaluate two models of care to ascertain the best way to provide a human rights based approach to SRH services:
1. Increasing access for people who use drugs problematically, have a serious mental illness and an intellectual disability to use existing mainstream SRH services through a dedicated appointment clinic at a mainstream SRH clinic
2. Designated sexual health practitioners providing assertive outreach in the community and embedded SRH clinics within substance treatment centers, mental health and intellectual disability services.
SHRINE will also develop an evidence base around how to provide a human rights based approach to SRH for vulnerable communities and will produce several research papers/projects on the topic as they progress.
Referring service users to SHRINE
For more detailed information about SHRINE please read their briefing notes.