9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Alexander Y. Walley, MD, MSc is the medical director of the Massachusetts Department of Public Health Opioid Overdose Prevention Pilot Program. He published the first study of the implementation of an intranasal OEND program via a public health department and is currently leading a CDC-funded evaluation of the program. Sammy McGowan facilitates Preventing Overdose Naloxone Intervention Program (PONI), Rhode Island’s only Naloxone Distribution Program. He is a Research Assistant under Dr. Josiah Rich at Brown University Medical School, where, in addition to facilitating project PONI, contributes to research on opiate overdose and addiction, correctional health, and HIV/AIDS Nabarun Dasgupta, MPH is a quantitative epidemiologist who studies the use and nonmedical use of prescription opioid pain relievers and heroin. Caleb Banta-Green, PhD, MPH, MSW is a Research Scientist & Epidemiologist at the University of Washington’s Alcohol & Drug Abuse Institute. Terri Kroh, RPh is the Director of the Center for Pharmacy Services at Duquesne University. Domb, Mindy, SPHERE, Amherst, MA mdomb@healthimperatives.org Capacity-building resources to support integrating overdose prevention practices in drug and alcohol treatment programs Since 2009, SPHERE has delivered capacity-building trainings on overdose prevention to drug and alcohol treatment providers, corrections officers and homeless service workers. In developing its engaging curriculum, SPHERE has created a variety of resources that can be used in trainings to enhance the learning experience, and then can be applied by training participants as they integrate overdose prevention into their work. Developing user-friendly resources that are rooted in the participant’s experience and support integration are hallmarks of SPHERE’s capacity-building services. The resources developed by SPHERE to support overdose prevention integration have been downloaded, used and adapted by hundreds of health and human service providers in Massachusetts, across the country and the world. They continue to meet provider’s needs, support integration, generate great reviews, and inspire new tools for providers as well. The presentation will highlight and describe several of these resources: the SPHERE Overdose Prevention Inventory: An Action Planning Tool, SPHERE’s Card Game to use in group education, SPHERE’s “Conversation Starter” posters and stickers, SPHERE’s Cue Cards on Overdose Prevention, and its Group Curriculum for group education. Capacity-building resources to support integrating overdose prevention practices in drug and alcohol treatment programs. Capacity-Building Overdose Prevention Training for Drug and Alcohol Treatment Providers: Meeting Providers Where They’re at In 2008 and 2009, SPHERE, a program of Health Imperatives, conducted statewide surveys of drug and alcohol treatment provides in Massachusetts on their experience with overdose and their knowledge of preventing unintentional overdoses. The results revealed gaps and strengths in knowledge, and attitudes of treatment providers to offer overdose prevention in their work. The results of the surveys were used to develop training and resources for providers that have proven to be successful in increasing the knowledge and skills of training participants. The presentation will review the survey that was used and its audience, findings. We will review how particular findings were used in defining training objectives and creating overdose prevention training that was embraced by drug and alcohol treatment providers who participated in the training. Mindy Domb is the program director for SPHERE and The Statewide Homeless/HIV Integration Project (SH/HIP), programs of Health Imperatives. Mindy has worked on issues of HIV/AIDS, harm reduction, substance use, overdose prevention, adult learning, poverty, and health disparities since 1982. She has been an activist, advocate, community organizer, trainer, curriculum 36
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE developer and evaluator, congressional aide, and caseworker. She has a B.A. from Barnard College and is working towards her M.Ed. in Adult Learning from Teachers College. Duncan, Michael, VOCAL-NY, Bronx, NY mjsduncan@riseup.net Cocaine Overdose Harm Reduction The cocaine molecule has multiple effects on the central nervous system and cardiovascular system, and it’s use is implicated in 40% of drug related emergency department visits (DAWN 2009) and over half of illicit drug related deaths (NYC DHMH 2010). Fred Johnson and myself will discuss the epidemiology of cocaine use, mechanisms of cocaine “overdose”, and harm reduction techniques for cocaine use from a user’s perspective. Cocaine Use Prevalence, New York City, 2004 An estimate of past year cocaine use in the non-institutionalized New York city population aged 20+ is presented based on self-reported survey data and biomarker/toxicology measurements. Mike Duncan has been working in harm reduction for over 15 years. After volunteering for the Berkeley California needle exchange program, he went to New York City to attend physician assistant school and has worked as a PA first in orthopedics then in harm reduction, primarily distribution naloxone and syringes and supervising HIV & HCV testing programs. He went to public health school to find out why the US health care system is so dysfunctional. Elovich, Richard, Columbia University, Brooklyn, NY richardelovich@gmail.com Treatment Readiness: Beyond the harm reduction/recovery binary This presentation focuses on treatment readiness, a low threshold/harm reduction approach that regards individuals as full participants in their own treatment, where, for example, the individual’s interest in change may be to improve functionality and risk management s/he is concerned with in a domain of her/his everyday life. Piloted with Ryan White funds in NY and Chicago at needle exchange programs and in the context of provision of primary care for people living with HIV, treatment readiness puts the emphasis on change as defined by clients, departing from segregated specialist models of treatment that divide people into abstinent or not, in recovery or using. The approach has also been introduced and adapted by the presenter in two countries of Central Asia, where it offered a counterpoint to a Soviet era, top down, highly medicalized detoxification process that required registration with state and police and was ineffective. The presentation focuses on the concepts of treatment readiness and uses the international example to reflect on the possibilities of adaption. (Includes photographs) Wearing Two Hats: Applying a Harm Reduction Approach with Drug Users for Individuals Who Themselves are in Recovery Concerns of individuals in recovery working currently with active and relapsing substance users in social service and medical care settings. This workshop will provide an opportunity to express and reflect on conflicts participants perceive between their own experience with recovery and helping or being expected to support a client who: (1) is interested or concerned about one drug but sees no problem with his use of others; (2) is ambivalent about or resistant to any change in his drug use; (3) is not interested in recovery. Participants are introduced to several concepts including that of the reflective practitioner and “parallel process.” In a safe and non-judgmental environment, through open dialog and interactive discussion, participants will be able to clarify and affirm their own value systems, while learning to develop effective strategies that expand their capacity to identify and reframe interactions with clients that are not working, in the process developing a professional mindfulness and inner supervisor, to more effectively tune in to client’s readiness for change. Includes discussion of principles underlying the early practices of Alcoholics Anonymous and the life of AA co-founder Bill Wilson and his sponsor, along with an examination of commonalities between AA meetings and key principles of harm reduction. 3. Proposed curated panel 37
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9th - Harm Reduction Coalition

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