{"id":1294,"date":"2013-04-29T23:31:05","date_gmt":"2013-04-29T23:31:05","guid":{"rendered":"https:\/\/drugpolicy.ca\/?p=1294"},"modified":"2016-03-01T21:48:59","modified_gmt":"2016-03-01T21:48:59","slug":"des-services-de-consommation-plus-surs-des-plans-sont-en-cours-pour-plus-de-deux-programmes","status":"publish","type":"post","link":"https:\/\/drugpolicy.ca\/fr\/des-services-de-consommation-plus-surs-des-plans-sont-en-cours-pour-plus-de-deux-programmes\/","title":{"rendered":"Des services de consommation plus s\u00fbrs \u2013 Des plans sont en cours pour plus de deux programmes"},"content":{"rendered":"

Plusieurs villes canadiennes envisagent la mise en \u0153uvre de services de consommation plus s\u00fbrs au sein de leurs communaut\u00e9s.<\/p>\n

Voil\u00e0 la conclusion \u00e0 laquelle sont venus plusieurs intervenants participant \u00e0 un \u00e9v\u00e9nement anim\u00e9 sur la faisabilit\u00e9 de la mise \u00e0 l\u2019\u00e9chelle des services de consommation supervis\u00e9e au Canada, dans le cadre de la r\u00e9cente conf\u00e9rence de l\u2019Association canadienne des soins en sidologie (CAHR) tenue \u00e0 Vancouver. Parrain\u00e9 par le Dr Peter Centre, le R\u00e9seau juridique canadien VIH\/sida et la Coalition canadienne des politiques sur les drogues, cet atelier d\u2019une demi-journ\u00e9e a rassembl\u00e9 des orateurs d\u2019Ottawa, de Montr\u00e9al, de Toronto et de Vancouver, en vue de discuter de leurs plans pour la mise \u00e0 niveau de ces services \u00e0-travers le pays.<\/p>\n

Le plus c\u00e9l\u00e8bre de ces services est Insite, bas\u00e9 \u00e0 Vancouver, en Colombie-Britannique. Un grand nombre de preuves provenant d\u2019\u00e9tudes effectu\u00e9es sur Insite sugg\u00e8re que ce service unique comporte plusieurs r\u00e9sultats b\u00e9n\u00e9fiques : il est utilis\u00e9 par la population qu\u2019il vise \u00e0 servir, qui inclut plus de 10 000 clients. Et il est utilis\u00e9 par des gens susceptibles de s\u2019injecter des drogues en public de fa\u00e7on routini\u00e8re. Ce service a \u00e9galement r\u00e9duit les comportements \u00e0 risque en r\u00e9duisant le partage des aiguilles et en fournissant une \u00e9ducation sur les pratiques d\u2019injection plus s\u00fbres. Insite a favoris\u00e9 l\u2019inscription \u00e0 des programmes de traitement pour la toxicomanie et a am\u00e9lior\u00e9 l\u2019ordre public. On a \u00e9galement constat\u00e9 une r\u00e9duction marqu\u00e9e des d\u00e9c\u00e8s par surdose, une s\u00fbret\u00e9 accrue pour les femmes qui s\u2019injectent des drogues, et que ce service ne m\u00e8ne pas \u00e0 une utilisation accrue des drogues ou \u00e0 une augmentation de la criminalit\u00e9.[I]<\/a><\/p>\n

Mais l\u2019opposition publique et les craintes politiques entravent toujours la mise \u00e0 l\u2019\u00e9chelle de ces services. En d\u00e9pit des avantages bien document\u00e9s, les opposants affirment toujours que ces services \u00ab favorisent \u00bb la consommation de drogues illicites. Ces d\u00e9clarations s\u2019appuient sur la pr\u00e9misse erron\u00e9e que la faute de fournir des services de sant\u00e9 aux gens qui consomment des drogues suffit \u00e0 dissuader les gens de consommer des drogues. Tout ceci ne contribue qu\u2019\u00e0 \u00e9loigner les gens des soins de sant\u00e9 et \u00e0 promouvoir des pratiques d\u2019injection moins s\u00fbres pouvant mener \u00e0 des blessures, \u00e0 des infections et \u00e0 la mort. Ces opposants ne comprennent pas que ces services favorisent l\u2019engagement envers les soins de sant\u00e9 des populations difficiles \u00e0 atteindre et prot\u00e8gent la dignit\u00e9 des personnes qui consomment des drogues en donnant priorit\u00e9 \u00e0 leurs pr\u00e9occupations de sant\u00e9.<\/p>\n

L\u2019opposition officielle du gouvernement f\u00e9d\u00e9ral a bloqu\u00e9 la mise en oeuvre de ces services salutaires, m\u00eame en Colombie-Britannique. En 2007, le gouvernement f\u00e9d\u00e9ral a refus\u00e9 de maintenir l\u2019exon\u00e9ration l\u00e9gale accord\u00e9e \u00e0 Insite (Section 56 de la Loi r\u00e9glementant certaines drogues et autres substances (CDSA)<\/i>). Les partisans du site, y compris la PHS Community Services Society, VANDU, et la Vancouver Coastal Health, ont contest\u00e9 ce refus jusqu\u2019\u00e0 la Cour supr\u00eame du Canada. En 2011, la Cour a statu\u00e9 en faveur de l\u2019exon\u00e9ration, notant le droit des personnes \u00e0 acc\u00e9der \u00e0 ce service de sant\u00e9, et a ordonn\u00e9 au ministre f\u00e9d\u00e9ral de la sant\u00e9 d\u2019accorder le maintien de l\u2019exon\u00e9ration. Les sites futurs devront faire une demande d\u2019exon\u00e9ration en vertu de la Section 56, afin d\u2019\u00e9viter toute accusation criminelle pour violation de la CDSA.<\/p>\n

Il semble que le processus d\u2019application pour demande de d\u00e9rogation \u00e0 la Section 56 sera on\u00e9reux. En raison de ces difficult\u00e9s, certains intervenants \u00e0 la Conf\u00e9rence de l\u2019ACRV ont exhort\u00e9 le public \u00e0 envisager d\u2019autres options, telles que des sites non autoris\u00e9es moins dispendieux utilisant des mod\u00e8les de soins administr\u00e9s par des pairs.<\/p>\n

Le besoin est clair \u2013 la volont\u00e9 existe \u2013 les r\u00e9sultats sont connus.\u00a0 Exigeons du gouvernement f\u00e9d\u00e9ral qu\u2019il facilite l\u2019acc\u00e8s \u00e0 ces services, afin que nous puissions sauver des vies, pr\u00e9venir les maladies et prot\u00e9ger la dignit\u00e9 des personnes qui consomment des drogues.<\/p>\n","protected":false},"excerpt":{"rendered":"

Plusieurs villes canadiennes envisagent la mise en \u0153uvre de services de consommation plus s\u00fbrs au sein de leurs communaut\u00e9s. Voil\u00e0 la conclusion \u00e0 laquelle sont venus plusieurs intervenants participant \u00e0 un \u00e9v\u00e9nement anim\u00e9 sur la faisabilit\u00e9 de la mise \u00e0 l\u2019\u00e9chelle des services de consommation supervis\u00e9e au Canada, dans le cadre de la r\u00e9cente conf\u00e9rence […]<\/p>\n","protected":false},"author":1,"featured_media":2221,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","footnotes":""},"categories":[7],"tags":[],"class_list":["post-1294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"mb":[],"yoast_head":"\nDes services de consommation plus s\u00fbrs \u2013 Des plans sont en cours pour plus de deux programmes - Canadian Drug Policy Coalition<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drugpolicy.ca\/fr\/des-services-de-consommation-plus-surs-des-plans-sont-en-cours-pour-plus-de-deux-programmes\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Des services de consommation plus s\u00fbrs \u2013 Des plans sont en cours pour plus de deux programmes - Canadian Drug Policy Coalition\" \/>\n<meta property=\"og:description\" content=\"Plusieurs villes canadiennes envisagent la mise en \u0153uvre de services de consommation plus s\u00fbrs au sein de leurs communaut\u00e9s. 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