9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE As a contributing writer for Out In Jersey magazine and The Bilerico Project, Antoine reported for FORTUNE Small Business magazine, the Villager Newspapers in Northeastern Connecticut, The Bronx Times Reporter and The Bronx Times. He has written for The New York Amsterdam News, was the assistant editor with The Network Journal, a contributor to mainstreet.com, and a senior correspondent and editor with GBMNews.com. As a journalist, Antoine began to investigate why Black gay men commit suicide and formed an organization Depressed Black Gay Men. Through the stories of Black gay men for a book, a documentary and community discussion forums nationwide, he is striving to raise awareness of depression. In 2008, for his reporting which led to a change in New York City public policy Antoine earned an award from the New York Association of Black Journalists (NYABJ). Antoine graduated from Bernard M. Baruch College of the City University of New York (CUNY) with a degree in journalism. Crowe, Stephen, Harlem United, NY, NY scrowe@harlemunited.org Working with Substance Using Sex Workers from a Harm Reduction Perspective. This workshop will familiarize participants with the diversity of roles within the sex work industry (porn star, escort, lap dancer, street-level prostitutes/hustlers, etc.), will present harm reduction strategies of intervention targeting the substance use of sex workers, especially street-level sex workers, and will explore gender-specific interventions among male, female and transgender sex workers. Upon completion of this workshop, participants will be able to gain a better understanding of the sex work industry and the correlation with substance use, become familiar with harm reduction interventions that target substance use among sex workers, and understand the need for interventions that are gender specific for substance using sex workers. Increasing Access to Care and Support Services for HIV Positive Homeless Individuals: Harlem Model Implementation. This presentation/workshop will explain a model of care coordination/patient navigation that is effective in eliminating barriers to accessing and retaining people in health care who are living with HIV/AIDS (PLWH/A) and those with chronic illnesses. Details on necessary elements of the model, services provided, and resources needed, will be presented. At Harlem United (HU), a community-based organization in Harlem, New York, a program called “Access to Care” (ATC) employs a continuum of care, addressing the need to link and retain PLWH/A in care, and provide effective support services. The program aims to provide supportive case management, patient navigation and re-engagement services, and supportive services, such as treatment adherence counseling, housing support, benefits enrollment, and mental health services. ATC facilitates re-entry into care for PLWH/A, high-risk homeless individuals, high utilizers of emergency rooms and detox facilities, and individuals with co-occurring substance use and mental health disorders. Using the ATC program as an example, participants will learn how to implement a similar model in their own organization. Stephen Crowe is currently the Managing Director of Access to Care (ATC) & Supportive Services at Harlem United in New York, NY. He completed his Master’s of Science in Social Work from Columbia University in May 2012. He is co-founder of the PROS Network (Providers and Resources Offering Services to sex workers). He has been working in the fields of harm reduction and HIV/ AIDS services for over a decade, specializing in advocacy for sex workers and LGBT individuals. Cullen, Denise, Broken No More, Indio, CA denisecullen@broken-no-more.org What does Harm Reduction Mean to Parents, Family and Friends This panel will explore ways in which parents (and more broadly, family members) can apply the principles of harm reduction when dealing with a child or loved one who is using drugs, helping to them to stay healthy and alive until a time that they may (or may not) achieve sustained recovery. Three mothers who lost their children to drug overdose will share their experiences coming to terms with and applying harm reduction with their children. They will also discuss strategies for coping with grief, loss and trauma. While this panel will be framed largely from the parent perspective, it will touch on broader 26
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE themes of how to integrate harm reduction strategies and principles into our personal lives when family, friends and loved ones outside of a service context are using drugs. Denise Cullen has worked as a Clinical Social Worker in the medical field since graduation from USC’s School of Social Work in 1993. Her expertise has been in HIV/AIDS and working with terminally ill patients. Because of this work, and efforts to learn how to be more effective through continuing education classes and seminars, she has a special ability in the area of death, dying and grief. Her patient population included a large number of Intravenous Drug Users, and so she has professional experience working with patients suffering from addiction as well as personal experience. She has also become certified by the Grief Recovery Institute as a Grief Recovery Specialist. By nature of being a social worker, advocacy is sort of “built in”.The work necessary to effect the changes Broken No More is about is not easy; but through professional training and personal characteristics, Denise is well suited for the challenges. Davidson, Peter, University of California, San Diego, CA pdavidson@ucsd.edu Similar Vectors, Different Risks: Hepatitis C Virus (HCV), Drug Injecting, and the Limits of HIV-Based Prevention Interventions. Over the last thirty years applied research has made great strides in reducing HIV transmissions among persons who inject drugs (PWID), yet significant public health obstacles remain. While HIV prevalence has dropped substantially, HCV continues to plague injectors, with prevalence exceeding 70% in some regions of the country. This upsurge in injection-related HCV infections indicates that successful HIV-based prevention interventions - like syringe service programs, HIV counseling and testing, and AIDS advocacy - have been less effective at reducing HCV transmission. This is particularly disconcerting given that both viruses are blood borne pathogens and similarly transmitted through the sharing of injection equipment and the spaces, surfaces and contexts where injections occur. We suggest that current risk-reduction models - those based on HIV’s behavioral profile - are ill-adapted to reduce the threats posed by HCV. The urgent need to incorporate HCV’s unique risk profile into prevailing prevention services and safer injection protocols informs the scope of this panel. What are the virological differences between of HIV and HCV and how do these variances contribute to different behavioral risk profiles What are the limitations of employing an HIV-focused, risk-reduction model as an approach to HCV prevention, counseling and testing, and advocacy Has our fixation on syringe access reduced the status of preparation equipment and other physical vectors (e.g. the injection setting and context) in our models of safer injection and risk reduction If so, has this contributed to increases in HCV infections among PWID Does striving for a “totally hygienic injection” lead to unattainable safer injection techniques How can ethnographic research contribute to the development of effective and relevant safer injection techniques What is the role and responsibility of harm reductionists with respect to HCV advocacy and activism Dr Davidson has been conducting research and harm-reduction based intervention development around heroin-related overdose, hepatitis C transmission, and sexually transmitted infections among people who inject drugs in Australia and the United States since 1997. He received his Ph.D. in medical sociology from the University of California, San Francisco in 2009, and is currently an Assistant Professor in the Division of Global Public Health at the University of California, San Diego. Davies, Jag, Drug Policy Alliance, NY, NY jag.davies@gmail.com Public Education and 911 Good Samaritan Laws The most common reason people cite for not calling 911 in the event of an overdose is fear of police involvement. The best way to encourage overdose witnesses to seek medical help is to exempt them from arrest and/or criminal prosecution, an approach often referred to as 911 Good Samaritan immunity laws. In the past five years, six states have passed such laws. But even once such laws have been passed; the fear of arrest often still persists among people who use drugs. Following 27
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