This monograph offers a comparative analysis of epidemiological, behavioural and social research on crystal methamphetamine use among gay men living in Melbourne and gay men living in other urban centres in Australia, the US, and the UK.

It includes a survey of local expert opinion regarding the scale and scope of problematic crystal methamphetamine use among gay men resident in Victoria and a review of current crystal methamphetamine treatment and prevention options for gay men. It provides a framework for the development of a coordinated research, policy and program response that will reduce the harms to gay men associated with the use of crystal methamphetamine and other illicit drugs.