9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE tory testing scheme, with the exception of SF-based Kink.com). In 2010, the Adult Industry Medical Healthcare Foundation in Los Angeles was shut down after their medical database was hacked and released on the Internet. Naomi Akers from the St. James Infirmary will present the trajectory and aftermath of these events, the results from the survey and forums with porn actors and the outcomes of our clinics collaboration with the Free Speech Coalition and Kink.com in providing testing for porn actors in San Francisco. Naomi Akers is a passionate advocate for the sex worker rights movement since 1995. In her life, she has worked in a variety of sex work venues, both legal and illegal including several Nevada brothels; escorting/internet dating in San Francisco; and as a stripper, massage parlor worker and street walker in San Francisco and Los Angeles. She has also studied at length on issues related to sex work both nationally and globally. Akter, S. M. Salim International Centre for Diarrheal Disease Research, Chittagong, Bangladesh Bappiag@yahoo.com Silence & Articulation: To Prevent HIV, Hepatitis-C. The term ‘Silence & Articulation’ may be a new global beginning for health professionals to prevent HIV, hepatitis-C, drug use and sexual practices. Silence & articulation helps to realize vulnerable groups about their risky practice, change behavior and take necessary actions. It helps to come back the right tract and prevent the diseases. BCC, supporting guidance, counseling, silence & articulation helps to provide all information positively. Efficient silence helps the people to think fast, then analysis about his/her practices & perception, then critical & creative thinking continuously occurring and finally a wise or constructive decision make and efficient articulation for go ahead & take right decision. Silence may be a tools, just looks like a one pair of still eyes of guidance towards his/her little child and articulation may be another tools for effective communication. Actually, silence & articulation means so many thinks of beneficiaries; all thinks make a bundle of self-realizing or self-assessment tools. The correct method of sexual practices, blood & needle sharing will be shared to all persons by silence & articulate method. In view of that the term it is hard to change behavior; but by effective practicing of silence & articulation helps to make a global change after a certain period of time. Careful and analysis should be taken before finalizing this concept as an effective tool. Ali, Adiba Clark County Center for Community Health, Vancouver, WA Kendrick, Sandra Clark County Public Health, Vancouver, WA Adiba.m.ali@gmail.com / Sandra.Kendrick@clark.wa.gov The need for overdose prevention efforts Over the past ten years, the number of opiate-related deaths has been on the rise in Washington (WA) State and Clark County. Most of these deaths are attributable to prescription-opiates. In 2009, the Washington State Department of Health reported an incidence rate of 7.1 and 4.7 per 100,000 deaths related to prescription-opiates, in WA and Clark County, respectively. In order to better understand these alarming rates, the Clark County Harm Reduction Center initiated a survey among Needle Exchange clients in December 2011. Clients were interviewed privately and were asked about basic demographics, drug use, overdose, knowledge of the Good Samaritan Law, and interest in Naloxone. Over the course of 3 months, 200 injection drug users participated in the survey. Most survey participants (68%) reported primarily using heroin over the past 3 months, and 62% reported using opiate pain medications before using heroin. Over half the clients reported witnessing at least one overdose in the last year, and about half of these overdose witnesses called 911. Only 35% of participants reported knowledge of the Good Samaritan Law. Participants reported experiencing an average of 2 lifetime overdoses, and most participants expressed interest in obtaining and learning to administer Naloxone. These results highlight the need for overdose prevention and potential benefits of Naloxone. Sandi Kendrick has been a health educator with Clark County Public Health for over 30 years. Working towards ensuring health equity and reducing health disparities has been foremost in her career and continues in her current work with coordinating the syringe services program for Clark County. 2
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Adiba Ali is an MPH student at Oregon Health Sciences University studying Epidemiology and Biostatistics. She has been volunteering with the Clark County Needle Exchange Center since July 2011. Anderson, Kenneth, The HAMS Harm Reduction Network, NY, NY hams@hamshrn.org Alcohol & Drugs Harm Reduction: Theory & Practice This presentation discusses practical strategies for reducing the harms associated with alcohol, injection drugs, and other drugs. We identify which harm reduction strategies apply in the same ways across alcohol and all other drugs and we also discuss how some harm reduction strategies are very drug specific. For example, overdose prevention is a high priority with opiates whereas accident and violence prevention is a high priority with alcohol. We also address the shortcomings of the hijacked brain theory in describing real-life change processes of drug users and propose a dynamic tension model to better explicate observed phenomena of safe use, controlled use, and spontaneous remission of addiction. We also show how this model relates to trauma, choice theory, and contrast the phenomena of gradualist vs. abrupt change. Choosing A Harm Reduction Goal It is often difficult for substance users to decide if their best SUM (Substance Use Management) goal is a non-abstinence goal which can involve safer use strategies or reduced use strategies or if their best option is the abstinence goal of quitting altogether. This presentation explores some tools which can help substance users to choose a SUM (Substance Use Management) goal of safer use, reduced use, or abstinence. These tools can also be of use to harm reduction therapists in helping their clients to make goal choices. We emphasize flexibility in letting substance users move back and forth between goals without shame. We also recognize that users may opt to have different SUM goals with regard to different substances. Kenneth Anderson, MA is the author of the book “How to Change Your Drinking: a Harm Reduction Guide to Alcohol”—a self-help manual for safer drinking, reduced drinking, or quitting alcohol altogether. Mr. Anderson is also the founder and CEO of The HAMS Harm Reduction Network http://hamsnetwork.org. HAMS is the first world-wide, harm reduction-based support group specifically for people who drink alcohol. HAMS is lay-led and free-of-charge. Anderson, Rachel, SANE, Sacramento, CA rachellyn@frontiernet.net From philosophy to logistics: Translating harm reduction principles into practical operations in a buprenorphine-based therapy program. Drug war stigmatization equals institutionalized assaults on the competency, efficacy, and dignity of drug users. Some of the most insidious places this happens is in traditional service programs. SANE’s buprenorphine-based treatment program utilizes harm reduction principles to recognize, respect, and support the competency, efficacy, and dignity of drug users. Rather than prescribing a belief system and/or behavioral regimen for patients, SANE treats program participants as adults, capable of making decisions about their lives and of being active, significant participants in their treatment plans and program. We start with the question, “Is there anything you wanted to achieve while you were using that you haven’t achieved and would like assistance and/or support in attempting to achieve now” Combined with SANE’s other programs, such as syringe exchange, overdose prevention and response, abscess prevention and care, and satellite syringe exchanger training and support program, the drug treatment program is one more service users can choose to access, when and how they deem appropriate, as they make decisions about positive changes to improve their overall health and enhance their quality of life. This presentation will discuss the processes and policies SANE employs to put harm reduction principles into practical operation. Rachel Anderson’s professional focus is to advocate for the human rights of drug users and to document and decrease the adverse consequences associated with injecting drug use (IDU) through harm reduction-based services and research. She has worked in the Sacramento Region of Northern California as a drug treatment counselor, an epidemiologist at the University of 3
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9th - Harm Reduction Coalition

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