Category: Harm Reduction

  • Meeting up with the Caravan for Peace, Justice and Dignity

    Meeting up with the Caravan for Peace, Justice and Dignity

    Gillian Maxwell and CDPC Executive Director Donald MacPherson travelled with the Caravan for Peace from Baltimore to DC where their campaign to bring the realities of the drug war in Mexico to those in the US ended after meetings with US officials on Capitol Hill. The closing ceremony took place in Malcolm X Park where Sicilia gave a poetic and heartfelt speech about hope for the future and building a civil society movement for change through the connections that had been established during the Caravan’s presence in the US. Canadian leadership to end the drug war in Mexico is sorely needed at this time. CDPC will continue to work with our Mexican and American partners towards this end. 

    Having been part of the birthing process of the North American caravan that was inspired by the heartbreak of Javier Sicilia over the death of his son at the hands of a Mexican cartel, it seems only fitting to be joining it at the very end of its journey coast to coast across the United States.

    The Canadians rallied to the call and joined the Caravan in Baltimore for a Town Hall meeting on ending the War on Drugs. I was slated to speak on the panel to talk about the story of INSITE opening in Vancouver’s Downtown Eastside. It is a heroic tale of desperate circumstances, overcoming adversity and being part of a movement that went from local to national and prevailed. I talked about discovering the unique quality inside of us that we all have to offer to our community and how connecting to that is what makes the difference.

    It was the first time I told this story from a personal perspective. I had my doubts but was encouraged by others who reminded me that I have been saying for years that we need to talk about drug policy reform in a more interesting way than statistics. Put your money where your mouth is, so to speak.

    I stood in front of an audience of people who understood suffering only too well. There were the beleaguered African American community members from Baltimore, whose gracious and welcoming demeanour is totally disarming. Yes, they could talk about being stigmatised and persecuted for taking a stand.

    Then, there were the members of the Caravan led by the inspirational being that is Javier Sicilia. He is unwavering in his commitment to keep going and speaks so eloquently of the issues that keep a wealthy and proud country like Mexico caught up in the past.

    And then there were the rest of the Caravan pilgrims; mothers, fathers, sisters, brothers, spouses and children of those who have been disappeared or killed. They are innocents whose lives were totally changed by an experience completely out of their control, and for most, without any hope of resolution or justice. Impunity is the worst betrayal of these gentle souls. Not only were their loved ones in the wrong place at the wrong time, the perpetrators of their murders are allowed to go free. There is no peace for these families and certainly no hope of justice. However, their quiet presence, their insistence in not being silent and asking for accountability is beyond dignified.

    So, I stood in front of this group of people and spoke about the trials and tribulations of a community in the north who were indomitable and dedicated in their creative efforts to stand up for people dying unnecessarily of drug overdoses and HIV/AIDS. I had reservations about my own story, as I hadn’t experienced the violence and tragedy that the caravan had emerged from. But many of the members came up to me and shook my hand afterwards and thanked me for speaking. Then I realised that in that moment we shared our humanity. It is all we have to offer each other and it is enough.

    – Gillian Maxwell

  • The House We All Live In

    The House We All Live In

    Winner of the Grand Jury prize for documentary at Sundance, Eugene Jarecki’s “The House I Live In” is a much needed and in-depth analysis of America’s longest war – the war on drugs.

    The facts are blunt: After 40 years, the war on drugs has resulted in 45 million arrests, cost 1 trillion dollars and led the U.S. to amass the largest prison population in the world. These facts alone are disturbing, to say the least, but the raw numbers only provide a one-dimensional picture of what has transpired under the American prohibitionist regime.

    With “The House I Live In”, Jarecki has constructed a compelling history of America’s drug war through the deeply personal stories of those who live it, not just the gangsters or DEA agents, but the drug war’s working class.

    The film strikes a balance between examining the systemic ills that plague and sustain American drug policy and demonstrating, on a deeply personal level, how these policies ensnare individuals, and in turn, those individual’s families and communities.

    Naturally, this is an American story that focuses on class and race issues unique to the U.S. But this doesn’t mean it isn’t relevant to a Canadian audience. Quite the contrary, The House I Live In provides a cautionary tale for Canadians. One of the dominant themes of the film is how destructive and restrictive mandatory minimum sentences for drug offenses are; how they clog prisons with long-term inmates arrested on minor drug charges and hamstring the judiciary in its ability to show discretion.

    When the federal government first proposed to introduce mandatory minimum sentencing in Canada under its “tough-on-crime bill” it received numerous pleas from former and current U.S. law enforcement officials to reconsider and abandon the legislation, as it had proved a catastrophic failure down south.

    A letter delivered earlier this year from members of Law Enforcement Against Prohibition to the Canadian government read:

    “We are … extremely concerned that Canada is implementing mandatory minimum sentencing legislation for minor marijuana-related offences similar to those that have been such costly failures in the United States. These policies have bankrupted state budgets as limited tax dollars pay to imprison non-violent drug offenders at record rates instead of programs that can actually improve community safety.”

    But the government rejected this advice and went ahead with the legislation, leading Canada to replicate the mistakes the U.S. began to make some sixty years ago. Beyond the film’s many merits, this exploration of the side-effects of mandatory minimums will prove especially pertinent to Canadians now that the Safe Streets and Communities Act has been written into law.

    “The House I Live In” is an urgent and vital film, one that seeks to inspire and mobilize its viewers to take action – and it works. This is no small feat, given the sprawling and complex nature of drug war politics. The CDPC is currently working on bringing the film to Canada, so make sure to check back here for information on screenings.

  • Our MDPV (Bath Salts) Submission to Health Canada

    Our MDPV (Bath Salts) Submission to Health Canada

    Remember that media-fueled tempest in a teapot in June of this year? That brief but startling drug scare raised the profile of “legal highs” like MDPV, though it likely did little to protect the health of potential and current users, albeit a small group of people. Media coverage did prompt the Canadian federal government to propose that MDPV or Methylenedioxypyrovalerone (Yes! If you can spell it, you can schedule it), be included in Schedule I of the Controlled Drugs and Substances Act where the harshest penalties for possession and trafficking would apply.

    As is usually the case, Health Canada sought feedback on this proposal and in early July the CDPC submitted a response. Our submission was an opportunity to sharpen our analysis of the ease in which governments respond to some drugs with new and harsher forms of criminalization. We suggested that prohibition of this substance would have unintended negative effects, and recommended that alternative models for regulating MDPV be sought that would balance the need to protect the health of Canadians against the potentially negative effects of prohibition. We also drew attention to the important distinctions between prohibition and regulation of drugs and pointed out how the federal proposal to prohibit MDPV forgoes the possibility of regulating and thereby reducing harms from this substance in any meaningful way.

    We underscored our concerns about the health and societal risks posed by MDPV, but suggested that the proposal to place this drug in Schedule 1 of the CDSA would not achieve the intended outcome of reducing the dangers of MDPV, and would have unintended negative consequences for people who use this substance. We encouraged a more fulsome discussion of the models and options available to regulate all psychoactive substances, drawing on lessons learned from other public health policy issues. We also emphasized that Health Canada’s proposal to schedule this drug was premature given the limited amount of available information about the science of this drug, the limited scale of its use, and the media hyperbole surrounding its emergence.

    If you would like more information about this issue, a full copy of our submission is available here.

  • Towards a North American Strategy to End the War on Drugs

    Towards a North American Strategy to End the War on Drugs

    I met Javier Sicilia at the Museum of Anthropology in Mexico City last February while at a conference on drug policy organized by Mexico Unido Contra la Delincuencia, a civil society group working on crime prevention strategies. Gillian Maxwell, a member of our Executive Committee, and I made the trip to share our experiences working on drug policy issues in Vancouver, to improve our understanding of the situation in Mexico and to make connections with Mexican NGOs and business groups. We were also keen to meet with Javier Sicilia who was working with colleagues in Mexico and the US on an ambitious new project.

    Sicilia is a well-known poet, writer and journalist who was thrust into the spotlight when his son was brutally murdered in Cuernavaca after being caught in the crossfire between drug gangs. Upon this tragedy, he became one of the tens of thousands of innocent victims of the war on drugs being waged across this magnificent country. I had heard how Sicilia had stopped writing poetry and taken to the streets, igniting large protests that saw a hundred thousand citizens marching from Cuernavaca to Mexico City, demanding an end to the drug-related violence that has shaken the foundations of Mexican society.

    Javier Sicilia
    Javier Sicilia

    I spotted Sicilia in the foyer of the museum and approached him from behind, calling out his name as he walked towards the museum auditorium. As I had no Spanish and knew he did not speak any English, I wasn’t sure how our meeting would begin should I get his attention. Finally he heard my calling, spun around, reached out and embraced me tightly with both arms and welcomed me into his space. Such a fulsome greeting offered to a complete stranger surprised me but over the next few hours I saw that Sicilia was an intense, committed individual who embraced many.

    Our conversation was limited but we had a good connection and agreed to meet again with his organizers. We wanted to speak with them about the meeting the Canadian Drug Policy Coalition was organizing with American and Mexican groups to work on the idea of a North American coalition. The coalition would work together to highlight the negative impacts our current drug policies are having on Canada, the US and Mexico, with a specific focus on how the criminalization of drug use has created such a pervasive and violent underground market in all three countries.

    Sicilia was interested in the concept of a North American strategy to end the violence in Mexico as he was already working to organize a Mexican/US project; the Caravan for Peace with Dignity and Justice. Which was about to traverse the US with a hundred or so victims of Mexico’s drug war.

    The main objective of the Caravan is to bring to the streets and communities of the US the reality that Mexicans are facing – the loss of life, the destruction of communities, the culture of fear that permeates so many localities, and the unrelenting violence that takes place each day.

    In the coming months CDPC will be exploring the connections between Canada, the US and Mexico and how our so-called drug problems are interrelated. We will be supporting the Caravan for Peace with Dignity and Justice through our blog, social media channels, and by travelling to Baltimore, Maryland to participate in a drug policy town hall meeting when the Caravan visits on September 8th and 9th.

    We hope you will begin to think about how Canadians can become involved in supporting efforts to stop the violence in Mexico and look forward to your thoughts and ideas over the coming months.

  • International Overdose Awareness Day: People’s Lives Matter

    International Overdose Awareness Day: People’s Lives Matter

    “We also hear from many parents of drug users who have saved their own sons and daughters. Often when people shoot drugs, it happens near relatives rather than other drug users, who sometime know better than doctors how to provide help. If parents have a Naloxone kit at home and if they have been trained how to use it, they can make an injection and see their child come back to life right in front of their eyes. Often mothers ask us: Why didn’t we know about naloxone before? Why didn’t the drug therapist ever mention that there is a product that can reverse an overdose and save a life immediately?”

    These are the words of Natalia, an outreach worker in the Ukraine as she describes the positive impact of her organization’s overdose prevention program on clients, employees, and the community. Natalia was interviewed by Sharon Stancliff from the Harm Reduction Coalition in New York during a Regional Workshop on HIV and Drug Use in Kiev, Ukraine. This interview is from a series of videos of people talking about the positive experiences with overdose response programs.

    Natalia is not alone. Many people have been saved by proper training about overdose prevention and response. Many more could be saved by expanding these initiatives. That’s what International Overdose Awareness Day is about.

    What is an overdose?

    An overdose means having too much of a drug (or combination of drugs) for your body to be able to cope with. There are a number of signs and symptoms that show someone has overdosed, and these differ with the type of drug used. Check out this website for information on the signs of an overdose.

    Between 2002 and 2009 there were 1654 fatal overdoses attributed to illegal drugs in B.C. Death from drug‐related overdose is a leading cause of accidental death in Ontario. Increases in the use of prescribed medications like Oxycodone have precipitated increases in overdose. Each year in Ontario between 300 and 400 people die from overdose involving prescription opioids — most commonly oxycodone. In Ontario, prescriptions of oxycodone increased by 850% between 1991 and 2007. The addition of long-acting oxycodone to the drug formulary was associated with a 5-fold increase in oxycodone-related mortality and a 41% increase in overall opioid-related mortality.

    What is International Overdose Awareness Day?

    International Overdose Awareness Day is held on August 31st each year. Commemorating those who have met with death or permanent injury as a result of drug overdose, it also acknowledges the grief felt by their families and friends. Celebrated around the world, it aims to raise awareness of overdose and reduce the stigma of drug-related death, especially for those mourning the loss of a loved one. It also spreads the message that the tragedy of overdose death is preventable.

    An Inspired Idea

    International Overdose Awareness Day originated in Melbourne, Australia in 2001. Sally Finn, manager of a Salvation Army needle and syringe program, was touched by the sorrow she observed among the friends and families of those who had overdosed. She witnessed their inability to express that sorrow because of the stigma surrounding people who use drugs.

    Sally decided to organize an event of remembrance. To commemorate those who had died from overdose, Sally thought of distributing ribbons. She thought she’d need 500… she gave out 6,000.

    Eleven years later, that one event in the back yard of a suburban crisis centre has evolved into International Overdose Awareness Day, which is now celebrated around the world. Its global significance reflects the universality of the human emotions triggered by the tragedy of overdose – a tragedy that is preventable.

    Events in Canada marking International Overdose Awareness Day 2012

    Ottawa: This year Ottawa is hosting an event at the Human Rights Monument on Elgin St. (at Laurier St.) in front of City Hall from 11:30am -12:30pm. Speakers will give an update on overdose statistics in Ontario, Dr. Lynne Leonard (Ottawa University) will speak and organizers will demand overdose prevention programming (Naloxone), evidence based treatment facilities, and the establishment of a supervised injection facility in Ottawa. For more information check out this page.

    Toronto: The South Riverdale Community Health Centre is offering an afternoon of events with food and films. To kick things off, they are declaring their facility to be a Good Samaritan Zone and reminding people that they won’t be penalized for drawing attention to an overdose occurring on the site. Events will continue with a talk by Chantal Marshall from The Works in Toronto, who will discuss the role that Naloxone can play in responding to overdose, and Walter Cavalieri from the Canadian Harm Reduction Network, who will speak about the importance of remembrance on International Overdose Awareness Day.

    Edmonton: On August 31st, Streetworks will be hosting a candlelight ceremony at City Hall at 2:00pm. Along with the ceremony, there will be words spoken by the Medical Officer of Health for the Edmonton Zone, Dr. Christopher Sikora, as well as a designate from City Hall. There will also be a raffle, with all proceeds going to overdose awareness programs.

    Victoria: A vigil will be begin at 10:00am on the corner of Quadra and Pandora to honour those lost to fatal drug overdose and to recognize how stigma and discrimination, criminalization and a lack of harm reduction services, including supervised consumption services, continue to result in overdose fatalities. Check here for more information.

  • Twin Epidemics AIDS 2012 Pre-Conference

    Twin Epidemics AIDS 2012 Pre-Conference

    The CDPC is in Washington D.C., for AIDS 2012 – a sprawling conference and gathering that attracts some 25,000 people from across the world. Yesterday we attended a day-long satellite meeting on the “Twin Epidemics of HIV and Drug Use”. It was an intriguing mix of solo speakers and panel presentations.

    Gil Kerlikowske, U.S. Drug Czar, kicked off the day with a short talk about American drug policy. He talked about the U.S.’s new approach to drugs as a “third way”, though I’m not sure he spelled out the other two ways. Clearly he wanted his audience to appreciate that the U.S. War on Drugs was coming to an end. But the deployment of American law enforcement along the Mexican border, in Honduras and parts of Africa might suggest otherwise.

    Photo via HCLU
    Photo via HCLU

    Kerlikowske took pains to talk about his support for a public health approach to drug use and praised his government’s support for the 2,600 drug courts already in existence in the U.S. However, he did not mention some of the issues inherent to the quasi-coercive methods used by these courts.

    He also made clear his support for needle exchange, though was careful to note that Congress had tied his hands by banning federal funding for syringe distribution in 2011. He ended with a vague call for a “critical convergence” between public health and public safety. His definition of public health was clear from his earlier remarks, but his definition of public safety remained a small mystery, though he is likely referring to a continuation of the criminalization of some drugs.

    Liz Evans from the Portland Hotel Society gave an impassioned presentation of the successes of Vancouver’s supervised injection site, Insite. Panel presentations ran the gamut. There was much discussion about the need to scale-up harm reduction interventions that can reduce HIV transmission. Speakers praised efforts to increase the availability of methadone, needle exchange, treatment, detox, and overdose prevention programs.

    There was talk about the UNAIDS goal to reduce HIV infections by 50% among people who use drugs. Presentations examined the gap between what countries are willing to do and what’s needed. Over and over again, it was clear that civil society organizations with the support of the Global Fund and the Open Society Foundations carry the lion’s share of responsibility for harm reduction services around the world.

    Funding for these groups is often precarious and time-sensitive. Speakers from the Global Fund advised audience members that the Fund is undergoing a review of its proposal processes and its approach to funding harm reduction. Clearly, audience members were worried that this might spell an end to the Fund’s support for harm reduction. We were advised to contact board members at the Fund to press our case for the continuation of harm reduction funding.

    It likely won’t come as much of a surprise that U.S. concerns shaped the agenda for this meeting. Congress’s decision to withdraw funding for needle exchange underscored the stigma that shapes the lives of people who use illegal drugs. With this ban in place, it was difficult for some U.S. attendees to move beyond discussion of needle exchange to programs like supervised injection and heroin assisted treatment. Daniel Wolf from the Open Society Foundations pressed U.S. representatives to help audience members make sense of Congress’s decision and it was clear from their responses that promoting discrimination against people who use drugs is still politically useful in the U.S. There was also a curious sentiment among U.S. attendees: their hope for more meaningful drug reform measures in Obama’s second term (if he wins in November).

    Some of the speakers spoke of their drug use histories and reminded audience members to focus on the whole person in their efforts to stem HIV infections. Representatives from civil society organizations including those in the U.S. talked about the needs of the people they serve and decried the deeply “resource scarce” environments in which they operate.

    Over and over again some speakers spoke of the vulnerable groups who need harm reduction services, including men who have sex with men, people who use drugs and sex workers. So much so, that a speaker from New York’s Harm Reduction Coalition challenged some of these presenters to avoid re-marginalizing people with language that both fails to recognize the diversity within these groups and frames these groups as problems to be solved. As this critic noted, it was clear that politicians and world leaders were clearly the problem when it comes to meeting the needs of people who use drugs.

    All in all, the day ended with a feel good sentiment but not much consensus on how to move forward. Speakers acknowledged that practical solutions exist, but are often politically unpopular. In the coming days, we look forward to deeper discussions at the conference about how to scale-up proven programs like needle exchange and supervised consumption.

  • The Global Commission on the war on drugs and HIV/AIDS

    The Global Commission on the war on drugs and HIV/AIDS

    On June 26th, the Global Commission on Drug Policy released a groundbreaking report on the war on drugs and its failures. Titled “The war on drugs and HIV/AIDS: How the criminalization of drugs fuels the global pandemic”, the report focuses on the relationship between drug policy and the spread of HIV.

    Global Commission Report Launch with Michel Kazatchkine, Ruth Dreifuss and Ilona Szabó
    Global Commission Report Launch with Michel Kazatchkine, Ruth Dreifuss and Ilona Szabó

    Covering a range of issues directly connected to the HIV and AIDS pandemic, the report points out the inability of law enforcement to reduce global drug supply. In fact, the global supply of illicit opiates, such as heroin, has increased by 380% in recent decades. And it describes how repressive drug control policies actually drive the HIV epidemic in many regions of the world. The report also details how policies that prohibit needle exchange increase syringe sharing and the risk of HIV infections, and how the fear of arrest drives people underground and away from needed services. It urges countries to scale up proven drug treatment and public health measures, including harm reduction services, to reduce HIV infection and protect community health and safety.

    Canada often prides itself on being a positive and progressive force on the international stage. But politics, rather than evidence, tend to be the deciding factor in defining Canadian drug policy. As the Global Commission’s report explains, mass incarceration also drives the HIV pandemic. The recent passage of the Omnibus Crime Legislation prescribes mandatory minimum penalties for some drug crimes. This will have the effect of driving up incarceration rates in Canada’s already crowded prisons, and as the Canadian HIV/AIDs Legal Network recently pointed out, the lack of needle exchange programs in Canadian prisons contributes to the spread of HIV and endangers public health.

    The report also documents how the fight against HIV is being won in countries where problematic substance use is treated as a health issue. In Australia and European countries such as Portugal and Switzerland, newly diagnosed HIV infections have been nearly eliminated among people who use drugs.

    The Global Commission members are no lightweights when it comes the development of governmental policy. The Commission comprises a distinguished group of high-level leaders whose ranks include George Schultz, former US Secretary of State, Richard Branson, founder of the Virgin Group and advocate for social causes, and Ruth Dreifuss, former President of Switzerland, among many others.

    This is the second report released by the Global Commission. Its first report, released in June 2011, catalyzed international debate about the urgent need for fundamental reforms of the global drug prohibition regime. It recommended implementing reforms such as alternatives to prison, a greater emphasis on health approaches to drug use, decriminalization, and experiments in drug regulation that avoid the negative effects of full prohibition.

    With widespread media coverage around the world, the report has pushed the topic of drug policy reform back into focus just in time for the International AIDS 2012 Conference, taking place in Washington, DC, later this month. Stressing the need for urgent action, the Global Commission makes a number of recommendations to world leaders and the United Nations, the most fundamental of which being that they acknowledge and address the causal link between the war on drugs and the spread of HIV.

    For more information see:

    Global Commission on Drug Policy: http://www.globalcommissionondrugs.org/
    Canadian HIV/AIDS Legal Network: http://www.aidslaw.ca/EN/index.htm

    Read the Report

  • Director’s Report

    Director’s Report

    The past three months have been a blur of activity as we further establish our presence and connect with organizations and individuals across the country and around the world. There truly is something bigger going on and momentum is building towards considering new and innovative approaches to addressing drug problems.

    Mexico Unido Contra la Delincuencia
    Mexico Unido Contra la Delincuencia

    In February, I was invited to speak at an international conference in Mexico City – Drogas: Un balance a un siglo de su prohicion, organized by the crime prevention group Mexico Unido Contra la Delincuencia. The forum provided a thorough consideration of possible alternatives to the devastating consequences of the Mexican government’s war on drugs. Speakers came from around the world to share stories of innovation, legislative changes and practices that have moved their drug policies towards a public health approach and away from a failed criminal justice model.

    Integrating Supervised Injection Into Health Services and Community: A National Knowledge Exchange

    CAHR 2012 Montréal
    CAHR 2012 Montréal

    In April, CDPC organized a forum on supervised injection services in partnership with the Dr. Peter Centre in Vancouver and Cactus Montreal as an ancillary event at the Canadian Association of HIV Research meeting in Montreal. The event was held in the beautiful Biblioteque et Archive National du Quebec and was a chance for organizations to share their experiences and review the current state of the discussion in their jurisdictions. CDPC will be working with a number of organizations to keep this national discussion moving forward as different localities explore implementing these services.

    North American Drug Strategy Meeting – San Francisco, April 12, 13

    San Fransisco
    San Fransisco

    As part of CDPC’s international work we co-hosted a meeting in partnership with the Drug Policy Alliance in the US and CUPHID from Mexico City to explore the development of a coordinated North American drug policy dialogue. The San Francisco meeting was the initial exploratory session to see how we can work together to bring forward alternatives to North America’s current drug policies. In an effort to strengthen our ties across the continent, CDPC is currently looking for Canadian allies interested in supporting our work in Mexico.

    Visit to the Maritimes

    People & Policies Conference Halifax
    People & Policies Conference Halifax

    As part of our ongoing efforts to build a national coalition I visited Atlantic Canada in May, attending events and meetings in Halifax, Saint John, New Brunswick and Charlottetown. Atlantic Harm Reduction Research Network invited CDPC to be a part of their public session – People and Policies: How do Drug Policies Impact the Health of our Communities? In addition to this, a day-long session with service providers and researchers also considered how best to integrate harm reduction services into shelter and emergency ward settings.

    In Saint John, NB, AIDS Saint John, the Urban and Community Studies Institute at University of New Brunswick and CDPC co-hosted an event – Drugs and the City, which featured a panel discussion on drug policy with Tim Christie, Ethics Director, Saint John Health Region and Bill Reid, Chief of Saint John Police Department.

    In Charlottetown, I met with a number of parents who are concerned about the lack of youth treatment on the Island and are interested in organizing a provincial “addictions movement” to generate discussion, share experiences and engage the provincial government in dialogue on improving services for people with drug problems.

    Thunder Bay Municipal Drug Strategy

    Pot, Pills and Parties Thunder Bay
    Pot, Pills and Parties Thunder Bay

    On May 24th Canadian Students for Sensible Drug Policy and Thunder Bay Drug Strategy put on the event – Pot, Pills and Parties. The event focused on the impact of Bill C-10 on young people and included a presentation from CDPC – Changing the Frame: A New Approach to Drug Policy in Canada.

    As CDPC reaches out across the country we are finding new and innovative ways to strengthen and build our national coalition to improve Canada’s approach to drug problems. We will continue to engage Canadians and work at the international level towards this end.

     


    Photo Credits:
    Mexico – Steve Rolles
    Montréal – Caroline Mousseau
    San Fransisco – CC Flickr evoo73
    Halifax – Wooden Shoe Photography

  • Canadian Nurses lead the way in harm reduction

    Canadian Nurses lead the way in harm reduction

    Nurses from across the country will be gathering in Vancouver at the Canadian Nurses Association Biennial Convention this week. As part of the occasion Insite and the Dr Peter Centre are each hosting special sessions on June 17th, providing opportunities for knowledge exchange on harm reduction policies and nursing practice.

    Canadian nurses recognize that substance use, both legal and illegal, is an enduring feature of human existence and that abstinence is not always a realistic goal. As such, nurses focus on reducing adverse consequences and building non-judgmental, supportive relationships for the health and safety of individuals, families and communities.

    Screen-shot-2012-06-14-at-6.53.20-AMThere is a risk that the image of nurse-supervised injection is limited to a nurse hovering over a client while the injection takes place and nothing more occurs. I want to dispel this image.

    The nurses of Insite have articulated their framework of nursing practice. Nursing care is client-centred with the focus on relationship building, maintaining dignity and respect, and creating an environment of cultural safety and empowerment. Primary nursing care at Insite includes safer injection education, needle-syringe exchange, first aid, wound care, overdose management, addiction treatment, reproductive health services and communicable disease prevention. These services are delivered as comprehensive harm reduction and health promotion programming nested in partnerships with the health and social service systems and community agencies.

    In 2011 the Canadian Nurses Association released a discussion paper on Harm reduction and currently illegal drugs: implications for nursing policy, practice, education and research, which was endorsed by the Canadian Association of Nurses in AIDS Care. The values of harm reduction are consistent with the values guiding professional ethical nursing practice articulated in CNA’s Code of Ethics for Registered Nurses for the provision of safe, ethical, competent and compassionate nursing care; for the promotion of health and well-being; for the promotion of and respect for informed decision-making; for the preservation of dignity in which care is provided on the basis of need; and for the promotion of justice.

    Considering this it really shouldn’t come as a surprise that Canadian nurses support harm reduction services. The origins of outreach nursing have been attributed to the Grey Nuns, founded by Marguerite d’Youville in Montreal, who by the mid 1700’s, were known for their care to the destitute. Inequity of access to health care and the basic determinants of health has led to “street nursing” practices in many urban centres.

    Lightfoot-etal_09_Gaining-Insite Harm_Reduction_2011_e Hardill

    BCCDC-STI Street Outreach Nurse Program
    BCCDC-STI Street Outreach Nurse Program

    In Vancouver, after World War II nurses led a major effort to reach marginalized people who would not attend hospitals for the treatment of sexually transmitted diseases. In 1988 the BC Centre for Disease Control established the AIDS Prevention Street Nurse Program with a focus on needle and syringe exchange. With the epidemics of overdose deaths and the dramatic outbreak of HIV that Vancouver experienced in the 1990’s, the street nurses were some of the first to advocate for bringing injecting from the alleys into the safety of a supervised injection health service.

    Just over one year ago, professional associations – Canadian Nurses Association, Registered Nurses Association of Ontario and Association of Registered Nurses of British Columbia and BC Nurses Union each acted as intervenors in support of Insite at the Supreme Court of Canada. Nurses across Canada cheered when the Supreme Court ruled in favour of Insite remaining open.

    Look for nurses to be leaders in advocating for the expansion of supervised injection services locally, nationally and globally!