9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE ness through methods that can reach many people, especially young people to expand their perceptions of harm reduction and what it means. This presentation proposes to explain how to offer tips on how to reach thousands of new readers through blogging, newsletters, interviews with harm reduction advocates and social media. The presentation will also explain how to build relationships with local media reporters, TV crews and radio hosts to gain their buy-in on harm reduction issues. Tessie Castillo serves as Coordinator for the North Carolina Harm Reduction Coalition. Tessie runs NCHRC’s outreach (incarcerated, drug user, sex worker and migrant laborer), education and advocacy programs and is NCHRC lead reporter for NCHRC media pieces. Prior to joining NCHRC, Tessie was an outreach worker for farm workers, a case manager for refugees settling, and a Spanish interpreter for survivors of human trafficking. Cavalieri, Walter Dodd, Zoe walter.cavalieri@rogers.com / ZDodd@srchc.com Prison Health Now: mobilizing for needle and syringe programs in Canada’s prison Almost 20 years after an expert committee acknowledged the need for prison-based needle and syringe programs (PNSPs) and despite mounting evidence in support of such programs and numerous requests from community organizations, PNSPs do not exist in Canada. This is in spite of rates of HIV and hepatitis C virus (HCV) that are at least 10 and 30 times higher in prison than in the population as a whole. Not only is this a public health concern, but a violation of prisoners’ constitutional rights. Repeatedly, the Canadian government has denounced PNSPs and clung to a “zero tolerance policy” on drugs in prison. However, significant investments in drug interdiction initiatives have yielded little success and rates of drug use remain steady behind bars. New legislation will also swell Canada’s already overcrowded prisons with people serving sentences for drug-related offences. Having advocated for PNSPs, with little success, before parliamentary committees, with public health and correctional officials, and through public education and media campaigns, a constitutional challenge was initiated by a former prisoner and four HIV organizations. The case will principally rest on the Canadian Charter of Rights and Freedoms, which protects prisoners’ rights to life, liberty and security of the person and to equal treatment before and under the law, and equal protection and benefit of the law without discrimination. The various forms of advocacy undertaken before the launch of the constitutional challenge were instrumental in building public support for PNSPs and helped to identify an applicant who was infected with HCV while incarcerated. A first volume of materials in support of the challenge was filed in September 2012, complemented by a website and video campaign. The applicants seek an order directing Canada’s correctional service to ensure the implementation of PNSPs, in accordance with professionally accepted standards. After a long, restless and successful career in theatre in New York and Canada - as a stage manager, acting teacher and publicist - Walter settled down to practice social work in Toronto. Initially he worked with youth on the downtown hustlers’ stroll, and later with inner-city adults, developing and delivering street-based harm reduction and peer training programs, researching the lives and practices of street-involved drug users, and honing his skills as a gadfly. He also worked part time, for ten years, as a personal therapist at Ryerson University’s counseling centre. Walter is a co-founder of HIV Edmonton, the Canadian Harm Reduction Network and the Canadian Drug Policy Consortium. Centrone, Wayne, Center for Social Innovation, Boston, MA wcentrone@center4si.com Shared Decision Making - A New Recovery Support. The Substance Abuse Mental Health Services Administration through the Bringing Recovery Supports to Scale Technical Assistance Center Strategy contract is developing a Shared Decision Making (SDM) tool that will focus on the question of whether someone should seek Medication Assisted Treatment (MAT) for the experience of an opiate addiction. The SDM tool will help service users to consider the implications of their decisions about MAT. Through the use of video testimonials and 16
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE carefully presented information—the tool will help a person in the initial stages of recovery discern the MAT options that best meet their needs. Wayne Centrone is a physician and public health professional who has dedicated his career to working with high risk and marginalized homeless and underserved populations around the world. Dr. Centrone is a Senior Associate in Health Policy with the Center for Social Innovation in Boston. He is involved with developing policy, formulating research for marginalized populations. Cherashore, Paul, Harm Reduction Garden Project/ INPUD, Philadelphia, PA Elizabeth Saracco, HIPS, Washington, D.C. Dominic Vitiello, School of Design, University of Pennsylvania Jude Byrne, INPUD Getting’ our Hand Dirty : “Poppies to the People: Harm Reduction and Urban Farming” While gentrification is on the rise in many of our cities, many of our urban neighborhoods are feeling a myriad of negative effects including lack of social and health resources, poor nutrition, isolation, poverty, discrimination and crime. These factors in turn lead to a cycle of physical and mental health challenges that increasing numbers of urban dwellers cope with by turning to drug use. Harm Reduction, with its origins in traditional public health practice, recently are expanding, calling attention to the root causes of social inequality across our society. While at first glance the harm reduction and urban agriculture/sustainability movements seem an odd pairing, there is strong relevance to their being brought together in a DIY effort to improve the health and quality of drug users’ lives, and address broader community-wide issues of economic empowerment and social cohesion. It is well documented the less engaged people are in their community the more exacerbated any physical or mental health issues become. Disempowered people do not take care of their health or their environment. Urban gardening projects seek to undo these destructive dynamics by reconnecting people to each other and the earth from where their sustenance comes from. Individuals who are routinely marginalized and unable to compete on a level playing field with the connected employed urban population desperately require a project and environment that can provide them with social contact, human warmth, some semblance of food and economic security and a sense of community connectedness. The concept of using urban gardens as a harm reduction technique is inspired by the need to address these extremely important and complex dynamics for the target population of active drug users, including the right to care for one’s own physical and emotional well-being with traditional forms of plant-based medicines. Paul Cherashore, INPUD, is the former editor of Harm Reduction Communication, and a founding member of ICARE and NAUU, 1990’s-era drug user groups. Paul lives near Philadelphia, where he is at work on land access issues at the intersection of public health and economic and social justice, as well as building philanthropic and policy connections across communities. In his spare time Paul grows vegetables, sometimes does really offbeat comedy and is trying to sell an unfinished screenplay about life in the age of AIDS. He rides a 1988 Bianchi Columbus SL frame with a mix of Campy and Japanese parts. His poppy seed collection is limited to Red American Legion. Domenic Vitiello, University of Pennsylvania, is an assistant professor of city planning and urban studies at the University of Pennsylvania. His research includes books and articles on planning history and community development, with a focus on industrialization, migration, and urban agriculture. He was founding president of the Philadelphia Orchard Project and has worked with community organizations, city governments, and foundations to build urban agriculture support systems and food policy. Jude Byrne, INPUD, is the current Chairperson of the International Network of People Who Use Drugs (INPUD). Jude has been a leading advocate for the health and human rights of people who use drugs for over 25 years both within Australia and internationally. She was both a founding member and first funded staff member the Australian Injecting and Illicit Drug Users League(AIVL,) the national peer based organisation for drug user groups in Australia. Jude was on the first Australian National Council on Drugs in 1998, has been a member of numerous federal ministerial advisory committees in the areas of BBVs and Illicit drugs in Australia. Internationally Jude is a member of the WHO/ HCV Working Group and the Coalition of Children Affected by AIDS (CCABA) Jude 17
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