9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Dobbins, Sarah, Independent, San Francisco, CA sarahdobbinsillustration@gmail.com Using Visual Communication in Community Health Outreach: Insights from a Multidisciplinary Collaboration in Harm Reduction. What can we gain from the collaboration of artists and health care professionals Can visual communication improve education, outcomes and interventions in public health and social justice movements These are questions that we will address in a panel discussion about the feasibility of a multidisciplinary approach to community health outreach. We aim to highlight not only the feasibility, but the importance of such an approach. Drawing on the experiences of a recent project aimed at improving drug overdose harm reduction training, we will discuss the process of integrating visual communication into community health outreach. The specific aims of the discussion include: 1) Relating our particular experience of collaboration in harm reduction training and education; 2) Discussion of barriers and successes in integrating visual communication and preventative healthcare for the community; 3) Act as a resource for answering logistical as well as theoretical questions about such collaborations based on our individual expertise and experience with the project; and 4) Invite discussion of future directions as well as areas of public health, activism, and social justice that may benefit from a multidisciplinary approach. Sarah Dobbins is a scientific artist & illustrator and a public health researcher at SFGH. She has been developing a practice that combines art and science with the goal of improving health and access for vulnerable populations. She graduated from Marlboro College with a dual degree in Art and Biology. She completed a Masters in Public Health at the University of Pittsburgh Graduate School of Public Health, and later, a post-baccalaureate year at the School of the Museum of Fine Arts Boston. Dodd, Zoe, South Riverdale Community Health Centre, Toronto, Ontario, Canada zdodd@srchc.com Community Arts and Harm Reduction: Promoting Health, Building Community, Creating Change. Art has been an integral tool used in harm reduction initiatives in East Toronto to engage street-involved and homeless people who use drugs in storytelling, creating, remembering, healing and advocacy to address stigma and discrimination, and to create social and political change. Our presentation will discuss different community arts initiatives by people who use drugs, including a paper-mache mask project with women survivors of trauma, a meditation painting group, storytelling with women who have lost custody of their children, body mapping and photo voice by people living with hepatitis C, and the creation of a public memorial monument to raise awareness of the Drug War and commemorate loved ones who have died. Approaching art and activism as important social determinants of health in our communities, our graphically facilitated presentation will weave together learning’s from our arts-based initiatives. We will discuss ways in which arts participation has contributed to health, community empowerment, social connectedness, and presented opportunities for addressing issues of inequality, stigma, poverty and social exclusion. “The Meaningful Involvement of People with the lived experience of HCV in an Interdisciplinary Model of Treatment, Care and Support.” The meaningful involvement of people with lived experience of HCV has been critical to the success of the East Toronto Hepatitis C Program (ETHCP) with important impacts for clients, health care providers and the larger community. The ETHCP is a community-based, interdisciplinary model of Hepatitis C treatment, group support and education for homeless and low-income individuals primarily for people who actively use drugs and/or have mental health issues and/or HIV co-infection. The program has been offering health care, treatment and support since 2006 and is a partnership between three community health centres, with specialist support from nearby hospitals. This presentation will focus on the role of peer support and on the meaningful participation of people with the lived experience of HCV in the development, implementation and direct service provision of this innovative model of HCV treatment. It will explain how the integrated peer support, training and advisory components of the ETHCP has improved Hep C treatment uptake and care, as well as their 34
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE indirect effects on client well-being and Hep C prevention in the larger community. The ETHCP interdisciplinary model has improved access to HCV treatment for illicit substance users and other marginalized individuals, with SVR rates that are comparable to clinical trials. The program has empowered clients to take control of their health and has created a network of peer educators, advocates and mentors. Participation in the program has had positive impacts on self-esteem and sense of community-belonging. The involvement of people with the lived experience of HCV in program development helps to ensure high quality care, relevancy and accountability. Zoe Dodd is the Hepatitis C Program Coordinator with the East Toronto Hepatitis C Program at South Riverdale Community Health Centre. She has over 8 years’ experience facilitating Hepatitis C psycho-educational support groups for people who are Hepatitis C positive and actively using drugs. Zoe is an activist and a community organizer. She is a member of the Toronto Harm Reduction Alliance (formerly SCUC), the Toronto Drug Users Union, INPUD and AIDS ACTION NOW! 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. Zoe Dodd is the Hepatitis C Program Coordinator with the East Toronto Hepatitis C Program at South Riverdale Community Health Centre. She has over 8 years’ experience facilitating Hepatitis C psycho-educational support groups for people who are Hepatitis C positive and actively using drugs. Zoe is an activist and a community organizer. She is a member of the Toronto Harm Reduction Alliance (formerly SCUC), the Toronto Drug Users Union, INPUD and AIDS ACTION NOW! Doe Simkins, Maya, Independent, Boston, MA mds275@hotmail.com How to Engage Prescribers in Overdose Education and Naloxone Distribution Prescribetoprevent.org is a website created by a group of naloxone access advocates in 2011 as a resource for prescribers (doctors, nurse practitioners, and physicians assistants) interested in prescribing naloxone for overdose prevention to their patients. The website- informed by lessons learned nationally- contains a training video and several tools, including a prescription template for both intranasal and intramuscular naloxone that can be printed and used by prescribers. The templates include simple instructions on preventing, recognizing and responding to an opioid overdose with naloxone. The website also includes resources on barriers to prescribing naloxone and how to surmount them, including medical legal concerns, billing, and accessing naloxone from a pharmacy. We will present the history and components of the website, traffic and use statistics and lessons learned to date in a variety of locations. The workshop will include an in-depth discussion with the audience of how to engage prescribers (doctors, nurse practitioners, and physician assistants) and surmounting the barriers to prescription naloxone. 35
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