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9th - Harm Reduction Coalition

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<strong>9th</strong><br />

National <strong>Harm</strong> <strong>Reduction</strong> Conference<br />

FROM PUBLIC HEALTH TO SOCIAL JUSTICE<br />

Devine, Elizabeth, Veterans Administration, Tacoma, WA<br />

elizabeth.devine2@va.gov<br />

<strong>Harm</strong> <strong>Reduction</strong> in VA Supportive Housing<br />

Transition to the Housing Fist Model in the Puget Sound Veterans Administration Supportive Housing Program (“VASH”) has<br />

involved cooperation and support from local public housing agencies, landlords, government partners, and non-government<br />

community partners, as well as rethinking what constitutes “readiness” for housing. We now serve Veterans who still struggle<br />

with substance use disorders, many of whom have mental health and medical issues as well. Our presentation focuses<br />

on <strong>Harm</strong> <strong>Reduction</strong> as a crucial part of our work with these Veterans<br />

Elizabeth R. Devine, LICSW, CDP is the Clinical Supervisor for the VA Supported Housing Program (VASH) at the American Lake<br />

VA. She received her MSW from the University of Washington in 2004. She has also earned a Certificate in Psychological Trauma;<br />

is a Chemical Dependency Professional; and has additional training in psychodynamic psychotherapy. Elizabeth’s Social Work<br />

practice has also included work with chronically mentally ill populations and managing housing for late-stage alcoholics.<br />

Dhokia, Poonum, Hepatitis Education Project, Seattle, WA<br />

poonum@hepeducation.org<br />

The Hepatitis C Case Management Program: Recommendations for Accessing Hepatitis Medical Care<br />

This year, the Hepatitis Education Project launched a hepatitis C medical case management program in Seattle, Washington.<br />

This program extends support to hepatitis C patients by linking them to appropriate medical care and social services. Since<br />

hepatitis C is transmitted through blood-to-blood contact, injection drug users comprise a significant part of the population.<br />

Studies have determined case management interventions a beneficial tool in linking recently diagnosed patients to medical<br />

care. Case management programs are inexpensive, highly utilized, and produce effective results. Patients enrolled in a case<br />

management program are more likely to receive early treatment; this is significant because hepatitis C has successful treatment<br />

options. This presentation illustrates barriers to accessing hepatitis medical care, outlines various components of a<br />

case management program that was developed to overcome these challenges, and suggests preliminary recommendations<br />

of such a program for the harm reduction community.<br />

As a California native, Poonum earned her MPH from the University of Southern California and spent one year as a Fulbright<br />

scholar in India. She is an experienced project manager and researcher, with a passion for innovative approaches to health education.<br />

At the Hepatitis Education Project, Poonum is responsible for planning, implementing, and maintaining the Hepatitis C<br />

Medical Case Management program.<br />

Di Meo, Rebecca, Streetwork Project, Milwaukee, WI<br />

rebecca.dimeo@safehorizon.org<br />

The Gray Areas of Rape: A <strong>Harm</strong> <strong>Reduction</strong> Approach.<br />

Through my work as the <strong>Harm</strong> <strong>Reduction</strong> Coordinator at the Streetwork Project, a youth program of Safe Horizon, I work<br />

with runaway and homeless youth focusing in the areas of sexual health, trauma, and drug use through counseling and<br />

group facilitation. In my work with youth I have found that discussing consent is critical to understanding sexual health,<br />

but because of the ways that sexual trauma is stigmatized in our society, it is often difficult to address the topic at all. By<br />

taking a <strong>Harm</strong> <strong>Reduction</strong> approach to the issue I often bear witness to youth who have experienced sexual assault, as they<br />

take steps in working through their trauma and preventing further harm. I have found that the subject of rape and sexual<br />

assault can be accessed most effectively by beginning with a discussion about sexual consent and asking questions that do<br />

not assume someone’s individual experience with the issue. By approaching the topic of sexual consent without judgment,<br />

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