Drug question

I found a needle and spoon in my sisters bag. I think we all know what that is for. However, I also found this with it (picture) and I have no idea what is it. My family and I are trying to figure it out so that we can list all the facts out when she is confronted.

Thank you

**edit: I know this is not a needle, this was found in addition to. And we are planning to attempt to help her, just confused as to what this is in the pic