Best Practices

Best Practices explores the barriers and identifying the steps for inclusive interventions for gay, bi, men who have sex with men (GBMSM). We examine evidence-based practice and proven interventions for equitable health care services without the stigma, discrimination, and implicit bias against drug /substance use and its users. The best practices explore the rawness of intimacy, desires, and sexual pleasure for GBMSM who have incurred trauma based on their sexual orientation and or sexual behaviours.

Best practices in client-centred care explore the client’s resilience and autonomy to assist them in making decisions that work for them to enhance their sense of self, rooted in self-care, self-confidence, and self-esteem. Readers will learn to apply the best practices and assessment tools integrated into their work, work culture, and organizations to provide affirming and validating care and services for GBMSM who PnP.    

Disclaimer: This is not an exhaustive list of best practices on Party and Play. At the GMSH, we strive for the last evidence-based best practice information for our readers. If you know of research articles on best practices in PnP and would like GMSH to review and showcase the contents, please email us at   

The problematic chemsex journey: a resource for prevention and harm reduction

Chemsex is a global phenomenon in gay, bi, men who have sex with men (GBMSM), trans and non-binary people. The goal of this paper is to differentiate chemsex use from other sexualized substance use and problematic chemsex use. The paper explores the various challenges that impact GBMSM to explain the underlying factors that predispose one to chemsex and/or to problematic chemsex use. The outcomes are a strength-based and client-centered harm reduction approach.

The psychological roots of chemsex and how understanding the full picture can help create meaningful support

“We are all flawed, and we all struggle.” This article explores the human side of chemsex and investigates further into desire, pleasure, and intimacy. The analysis is drawn from years of psychotherapy work with gay, bi, men who have sex with men (GBMSM). While clients may have their issues, many of their themes are familiar to each client. The article explores how to lay aside the negative impacts, adopt a sex-positive approach and analyze the need for human connection and belonging.

Current Research on Methamphetamine: Epidemiology, Medical and Psychiatric Effects, Treatment, and Harm Reduction Efforts

Methamphetamine is widely used and has a high prevalence of use and abuse. The heavy use and high dose of methamphetamine used results in neurobiological deficiencies, which cause negative health outcomes. It is administered via intranasal, smoking, oral, and injected. Methamphetamine use has implications for psychiatric care, dental, medical, and STBBIs. The research explores the efficacy of various treatments for methamphetamine addictions.

Interventions to address substance use and sexual risk among gay, bisexual, men who have sex with men who use methamphetamine: A systematic review.

Methamphetamine use is common in some subcultures of the gay, bi, men who have sex with men (GBMSM) communities. The review explored types of interventions for methamphetamine and sex-related harm for GBMSM. There are three categories of interventions highlighted. Of the three interventions, psychosocial interventions are the most promising for meth and sexual risk-taking.

Equitable Substance Use Disorder Treatment For LGBT Populations: Research, Tools, And Resources For Behavioral Health Providers

The National Survey on Drug Use and Health discusses the role of minority stress for gay, lesbian, bisexual, transgender, non-binary, and queer (GLBTQ) people. This resource explores organizational readiness to create inclusive services for GLBTQ clients. It explores the steps needed from Board members, clinicians to front-line staff. Training for all, inclusive intake forms, genderless washroom, signage and other requirements to create a welcoming environment for GLBTQ clients.

Harm Reduction Practices and Needs in a Belgian Chemsex Context: Finding from a Qualitative Study

This qualitative research is to understand the harm reduction practices and health care needs of gay, bisexual, and other men who have sex with men (GBMSM) who engage in chemsex. 20 participants were provided semi-structured interview questions and open-ended questions. The research concluded two groups of chemsex users, planned users, and impulsive users. The planned users had a personal strategy to take care of themselves, while the other group did not. Participants discussed best practices for treatment facilities and sexual health clinics on knowledge exchange.

Social Exclusion, Resilience and Social Worker Preparedness: Providing Services to Gay and Bisexual Men Who Party-N-Play

In this article researchers synthesize findings from a qualitative study exploring social exclusion and resilience discourses amongst gay and bisexual men in Toronto. In turn, the researchers outline recommendations for social workers, psychologists and counselors to work toward curating more validating and supportive environments for gay and bisexual men who PnP.

New Psychoactive Substances: New Service Provider Challenges

This article is most relevant for policy makers, researchers, public health officials and providers working in the substance use sector. The article identifies shortcomings and next steps for service provision in light of findings from a qualitative study with men who have sex with men (MSM) who PnP and service providers who work alongside these MSM in Manchester, UK.

Digital Chemsex Support and Care: The Potential of Just-In-Time Adaptive Interventions

This highly practical article and pilot intervention is applicable for all service providers working with gay, bisexual, and other men who have sex with men (GBMSM) who PnP and outlines a just-in-time adaptive (JITAI) intervention that providers can introduce in their practices to provide static information and dynamic support, best attending to the ongoing needs of their clients beyond engagements in the care setting.

Investments in Implementation Science are Needed to Address the Harms Associated with the Sexualized Use of Substance Among Gay, Bisexual and Other Men Who Have Sex with Men

Although not directly applicable to practice, this article by Rod Knight is directed toward policy makers, researchers and public health officials, and comprehensively outlines knowledge and service provision gaps which may be limiting the utility of support services directed toward gay, bisexual, and other men who have sex with men (GBMSM) who PnP.

ChemSex and Hepatitis C: A Guide for Healthcare Providers

Directed toward all service providers working with men who have sex with men (MSM) who PnP, this comprehensive guide from the UK overviews the intersections between crystal use and HCV, recognizing how a disproportionate HCV burden may be faced by MSM living with HIV who PnP. As well, the case studies and exemplar discussion questions included make this guide highly practical and user-friendly.

ChemSex Care Plan

Geared toward all service providers working with gay, bisexual, and other men who have sex with men (GBMSM) who PnP, this highly practical and user-friendly template from the UK allows service providers to work alongside their clients to develop an appropriate care plan that meets the client where they are at.

Treatment Approaches for Users of Methamphetamine: A Practical Guide for Frontline Workers

This practical guide from Australia is tailored toward frontline workers and harm reductionists, and relies on research, national and international guidelines and expert opinions to inform best practices for working with folks who use methamphetamines. The guide can be extrapolated to inform service provision for working with gay, bisexual, and other men who have sex with men (GBMSM) who PnP.

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