Chemsex Pack

This page gathers A4 sheets and clinical notes to address chemsex in consultations: quick assessment, GHB triage, overamping, craving VAS, safety plans, consent scripts, EMDR reflection. Also available in English 🇬🇧

Chemsex Practice Pack

Clinical guidelines and harm reduction tools, usable in consultations, when substance use, sexuality, and trauma intertwine.

In consultation, chemsex situations rarely leave enough time to open a "full file".
Sometimes we only have 5 to 7 minutes to welcome, assess major risks, provide a useful reference point, and maintain the connection.
This pack was designed for those moments.

Who is this pack for?

• psychiatrists, general practitioners, infectious disease specialists, emergency physicians;

• psychologists, psychotherapists, addiction specialists;

• CeGIDD, CSAPA, CMP teams, HIV consultation, NGO sector;

• supervised peer educators.

This is not a protocol, nor an official guide.
It is a set of short clinical tools, designed to support fieldwork, not to replace it.

Objectives of the pack

• Gain clarity in often confusing situations (use, sexuality, trauma, consent).

• Identify potential emergencies (GHB, mixing, overamping, somatic risks) and refer quickly.

• Introduce realistic harm reduction guidelines, compatible with where the person is at.

• Articulate substance use and trauma without reducing chemsex to "a simple addiction", nor to "only trauma".

• Support EMDR clinical work and trauma-focused psychotherapies when chemsex is involved.

How to use this pack?

• In short consultations: choose a sheet, keep it in front of you, follow the 3–5 proposed questions or steps.

• In supervision / team meetings: use the sheets to structure the discussion, identify blind spots, and share a common vocabulary.

• With the patient: certain sheets can be shown or handed over directly (craving VAS, safety plan, consent scripts), taking the time to explain them.

The idea is not to "do the whole pack at each session",
but to have a small set of basic materials so as not to be left empty-handed when the topic arises.

The Chemsex Practice Pack (5–7 minutes) includes:

🔐 = included in the downloadable pack on gumroad

1. Sheet 1 – GHB Triage: "Deep sleep" and potential emergencies 🔐

2. Sheet 2 – Stimulant Overamping: recognizing and acting 🔐

3. Sheet 3 – Chemsex Craving VAS: the worst score decides

4. Sheet 4 – Safety Plan VAS ≥ 7: do not "wing it" 🔐

5. Sheet 5 – Consent under substances: scripts and safeguards 🔐

6. Sheet 6 – When to call emergency services (15/112)? Practical guidelines in chemsex context 🔐

7. Sheet 7 – Crash / comedown / post-session anxiety

8. Sheet 8 – Slam: safer injection harm reduction 🔐

9. Sheet 9 – 10-minute chemsex decision tree 🔐

10. Sheet 10 – Frequent interactions in a chemsex context: safety guidelines 🔐

🔐 = included in the downloadable pack on gumroad

Each sheet fits on one A4 page, readable in a few minutes, with:

• a clear objective,

• 3–7 concrete questions or steps,

• possible phrases to suggest during consultation,

• vigilance indicators (red flags).

Limitations and precautions

• These tools replace neither medical evaluation nor calling emergency services in case of doubt.

• They do not substitute official recommendations, nor local procedures (emergency services, city/hospital networks).

• They are not designed for autonomous use by the person concerned, but within a clinical or support framework.

In case of doubt about the immediate safety of a situation, the rule remains simple: it is better to make a call "for nothing" than a delay with irreversible consequences.

Distribution and use

The pack can be:

• used in individual consultations, in teams, in supervision;

• shared within a department or structure (with mention of the source);

• adapted to your local realities, provided that the harm reduction / non-judgment / clinical transparency framework is maintained.