Meth & Sex Groups at HIM

The pairing of crystal meth use and sex practices is increasing world-wide among gay, bi, queer, two-spirit, and other men who have sex with men. Some folks who use meth when they have sex develop a relationship with the substance that may negatively impact their health and well-being:: They may start feeling that their sexuality or ability to have sex becomes dependent on meth. Many may feel like they can no longer have sex without using meth; or that they need it to have sex. Meth use may also impact their ability to implement their preferred safer sex practices like using condoms, PrEP, behavioural strategies, among others.

If you feel that you are having issues with meth use and sex, you are not alone. HIM is here for you

Meth & Sex groups

HIM offers groups twice per year to support guys who are having issues related to the use of meth when having sex. We have two groups: Meth & Sex (abstinence-based), and Spunk! (harm-reduction based). They are facilitated by an expert and a co-facilitator, who will provide the safe space for participants to exchange experiences, set goals, learn about mechanisms involved in the pairing of meth and sex; as well as identifying strategies to overcome their challenges.

Our groups are based on peer support, Cognitive-Behavioural Therapy and Motivational Interviewing. They embrace the values of Harm Reduction, Anti-Oppression and Equity; and are open to gay, bi, queer, trans, two-spirit, and other men who have sex with men of all ages struggling with crystal meth use and sex.

Current groups 2019-2:



Meth & Sex (abstinence-based): Mondays, September 9 – November 4, 6:30pm – 8:30pm.
Spunk! (harm reduction based): Wednesdays, September 11 – October 30, 6:30pm – 8:30pm



HIM on Davie, room to be defined



Prior registration required. Intakes start August 19, 2019 to assess needs and suitability for the group.

To register and schedule an intake, e-mail


How long are the groups/sessions?
Sessions are 2 hours long, and take place weekly over 8-weeks. Groups will run at least twice per year.

How do I know which group is for me?
Our facilitator/counsellor will help to determine which group best matches your needs and goals in an intake meeting.

What does the intake look like?
You will meet in person with the group facilitator/counsellor and you will be asked about:
Your current life (housing, employment, support), meth use, use of other drugs, readiness to be in a group setting, and some general questions about your mental health.

Who is running the groups?
HIM is delivering the groups, and HIM staff and facilitators will be leading.  The group was funded by the BC Centre on Substance use. These groups have also been offered in Toronto by HIM’s close community partner: ACT

Is it confidential?
Yes, what you say is confidential and there will be ground rules set at the beginning for all participants. In a group setting, we cannot guarantee complete anonymity but you may use an alternative name. In case of emergencies, the facilitator will need a way to get a hold of you.

Where is it located?
The groups will take place in the Davie village, but specific locations will be released prior to the beginning of the group. Each group session will take place in the same location, and all will be wheelchair accessible.  Intake interviews will be at the HIM on Davie Health Centre.

Can I still attend if I have accessibility requirements?
If you need ASL interpretation, or have other accessibility requirements, please let us know as prior as possible to attending so we are able to arrange it.

What if I relapse during the group?
This can happen, and our facilitator/counsellor can help. If you relapse, or are very tempted to use during the time that you are in the Meth and Sex group, please contact the facilitator/counsellor to explore options and have support.

Will there be drug testing?
No, there will not be drug testing (urine, blood etc.). The SPUNK group will offer harm reduction supplies.

How do I sign up?
Contact and let us know that you are interested in Meth and Sex, or SPUNK! You will be contacted for an intake meeting which will determine which group best meets your needs.  All emails are confidential.

How much do they cost?
Free, and if you’d like to make a donation to HIM feel free to do so in the Health Centre, or here

Will there be follow up?
In the four weeks after the groups conclude, the counsellor/facilitator will be available for follow-up support.

More information

For more information on our meth & sex support programming, please visit our events page or write to the mental health specialist for information on upcoming groups or other options that may be available to you at

Health Initiative for Men respectfully acknowledges that we are privileged to be working within the ceded and unceded, ancestral, traditional, and shared territories of the Coast Salish people.

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