Help Needed: A Review of Modern Therapeutic Interventions for Party and Play / Chemsex Dependency Among Gay, Bisexual, and Other Men Who Have Sex with Men
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Authors
Braun, James
Issue Date
2025-06-27
Type
Capstone
Language
en
Keywords
chemsex , Party and Play (PNP) , gay, bisexual, and other men who have sex with men (gbMSM) , methamphetamine use disorder (MUD)
Alternative Title
Abstract
This capstone reviews modern therapeutic interventions for "Party and Play" (PNP) / "chemsex" dependency among gay, bisexual, and other men who have sex with men (gbMSM). PNP involves the use of substances, primarily methamphetamine, to enhance sexual experiences, posing significant health risks, including increased HIV transmission, mental health challenges, and social isolation. This study evaluates a range of approaches: psychological, community based, holistic, medical, and technology-based, through the lens of Minority Stress Theory, which presents how stigma worsens substance use, and Harm Reduction principles, which prioritize reducing negative impacts. Traditional substance use treatments often lack cultural competence, resulting in poor outcomes and high dropout rates among gbMSM. Effective interventions, such as Gay-specific Cognitive Behavioural Therapy and community programs offering peer support and harm reduction, address minority stress and cultural needs, improving
engagement and efficacy. Emerging methods, including medication-assisted treatments and digital health tools, show promise but require further research. This capstone underscores the necessity for culturally sensitive, accessible, layered care to enhance health outcomes. It advocates for healthcare provider training in cultural competence and future research into integrated, long-term solutions to better support gbMSM struggling with PNP dependency.