New initiatives to tackle rise in image-enhancing drug use across west Wales

Hywel Dda University Health Board (UHB) has launched a series of targeted interventions in response to a concerning increase in substance use trends across the region.

Our needle exchange data shows that usage for Image and Performance Enhancing Drugs (IPEDs) has increased significantly over the past two years.  A particular concern has also been the increased use of Selective Androgen Receptor Modulators (SARMs), which are illegal to sell in the UK but remain accessible through online channels.

Working in partnership with Dyfed Drug and Alcohol Service (DDAS) and Choices (young person’s substance use service), Hywel Dda’s Prevention & Population Health Improvement team identified key audiences affected by this trend, including young people and health and fitness enthusiasts.

To address these issues, Hywel Dda and DDAS have launched two initiatives:

• Educational workshops for young people, focusing on the risks and long-term health impacts of using image-enhancing substances during physical development.
• Enhanced support for individuals already participating in fitness culture, offering tailored health interventions and harm reduction strategies.

These efforts are helping individuals better understand the support and services available to them, including testosterone testing, cycle provision kits, harm reduction advice plus a discreet and welcoming space for confidential support.

During feedback collected by DDAS a service user said:

“The drop-in clinic for my blood test was really convenient. I was seen quite quickly and given a full run down of what services were provided. The staff were really knowledgeable and made me feel comfortable the whole time. I got my results back faster than expected and follow up consultations were very quickly organised if needed. Definitely a great service that I have already recommended to others who have now used the clinic.”

The team has also collaborated with leisure, sports, and fitness venues across the region, engaging directly with over 100 individuals through 5 outreach sessions. In addition, 12 DDAS staff members have completed the Public Health Wales IPED specialist training, strengthening the service’s capacity to respond to this emerging public health challenge.

Rachel Wilson, Resilient Families Manager at Choices said:

“We’re proud to work alongside Hywel Dda to ensure people who use IPEDs are met with understanding, not judgment. These initiatives are helping us reach individuals who may not have previously considered accessing support.”

Craig Jones, Prevention and Population Health Improvement Manager at Hywel Dda said:

“This work is about meeting people where they are. By listening and responding with compassion and evidence-based care, we’re making a real difference in the lives of those affected by IPED use.”

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda, said:

“These initiatives reflect a proactive, collaborative approach to emerging health challenges and demonstrate the Health Board’s dedication to innovation in protecting our population from health hazards and improving care delivery.”

If you would like more information you can contact DDAS on 03303 639997 to book an appointment.