TY - JOUR T1 - P224 The sexual health of the homeless – an outreach sexual health screening project JF - Sexually Transmitted Infections JO - Sex Transm Infect SP - A90 LP - A90 DO - 10.1136/sextrans-2015-052126.268 VL - 91 IS - Suppl 1 AU - Sarah Stockwell AU - Gillian Dean AU - Travis Cox AU - Marc Tweed AU - Jane Poole AU - Georgina Hume AU - Steven Nicolson AU - Laura Hutchinson Y1 - 2015/06/01 UR - http://sti.bmj.com/content/91/Suppl_1/A90.2.abstract N2 - Background/introduction Homeless people are at increased risk of STIs, and may struggle to attend conventional services. To improve sexual health access and knowledge for this group, THT launched a weekly outreach testing project for asymptomatic clients in June 2014 at the local homeless service. HIV point of care tests (POCT) and self-taken STI screens (SHS) were offered. Hepatitis B/C POCTs were introduced more recently. Aim(s)/objectives To assess the value of the outreach service and describe project outcomes. Methods User demographics and testing outcomes were collected at each attendance and reviewed at 6 months. Results From June to December 2014, 129 clients presented. 83% were white British, 92% were male. The mean age was 36 (range 19–65 years). 84% identified as heterosexual, 14% bisexual and 2% homosexual. Only 26% had previously tested for HIV. Of the asymptomatic service users, 45% had a HIV test (all negative) and 23% had a self-taken SHS. Two cases were positive; one urethral chlamydia, one rectal gonorrhoea. Eighteen referrals were made to the local SH clinic for symptomatic screens, blood-borne virus (BBV) testing, vaccination and contraception. Since introducing hepatitis POCTs 2 weeks ago, 4 clients have tested and 2 were positive for hepatitis C. Discussion/conclusion Prior to project launch, this client group had significant anxiety regarding HIV and BBV. Having the ability to access a full SH screen in familiar surroundings was welcomed. A significant number of infections have been identified demonstrating the importance of the outreach project, and the need for strong links with mainstream services. ER -