9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Patti Davis, CADCII, has more than 20 years of experience working with youth and adolescents. She has worked with the Homeless Youth Continuum in Portland, Oregon since 2001. Her current program, Project Metamorphosis, is an innovative collaborative project that brings chemical dependency and mental health services to street-entrenched youth. She is the current chair for Mt. Hood Community College advisory board, and sits on the Steering Committee for Commercially Sexually Exploited Children. Gaeta, Andres, Mexican Harm Reduction Network, Tijuana, Mexico andres.gaeta@gmail.com Deportación y drogas inyectables en frontera Tijuana es la frontera con mayor tránsito a nivel mundial y principal puerto de deportación de Estados Unidos (EEUU) a México. El Departamento-de-Seguridad de EEUU reportó para 2010 354,982 deportaciones; el Instituto-Nacional-de-Migración de México reportó 405,455 deportaciones en 2011 y entre Enero-Febrero de 2012 se reportaron 1,000 deportaciones diarias. Alrededor del 50% de los deportados se quedan viviendo en zonas marginales de Tijuana, compartiendo condiciones de vulnerabilidad con usuarios de drogas inyectadas (UDI). Encuestas realizadas entre 2005-2007 con UDI en Tijuana encontraron que entre 30 y 40% de la muestra eran personas deportadas con menos de un año viviendo en Tijuana. Los datos demuestran que UDIS migrantes tienen 2.55 veces mayor probabilidad de vivir con VIH que aquellos nacidos en Tijuana (p=0.02). Los usuarios con menor tiempo viviendo en Tijuana, tienen dos veces mayor probabilidad de haber compartido jeringas que aquellos con mayor tiempo viviendo en la ciudad (p=0.00). Se encuentra prevalencia de VIH de 4% y de Hepatitis-C (VHC) de arriba del 95%. El uso de drogas inyectadas, el aumento de VIH y VHC son problemas de salud pública binacional dada la porosidad de la frontera México-Estados Unidos. La criminalización de población migrante y la deportación unilateral son factores que contribuyen al aumento de condiciones de riesgo y vulnerabilidad en Tijuana, siendo urgente diseñar intervenciones de reducción de daños y una estrategia de deportación coordinada entre México y EEUU, involucrando a los ministerios de salud pública para prevenir la expansión del VIH y VHC en la frontera. Secretary of the Mexican Harm Reduction Network, work at Ser, A.C. a local CBO has Harm Reduction coordinator, also coordinating interviewers in a research with Female Sex Workers. Certificated in Drug Addiction and related harms in 2012, Graduated in 2011 as Clinic Psychologist, have worked in HIV prevention programs with young male deprived of liberty, and also applying rapid HIV test. In 2010 collaborate in a research about the consistent condom use among young population. Gale, Chloe, Evergreen Treatment Services, Seattle, WA chloeg@etsreach.org Outreach Off of the Grid: Creative Engagement Strategies using Harm Reduction Models Can we find and connect with people who are deliberately hiding from the institutions that alienate and stigmatize them Once we find them, how do we identify and assess individuals with high needs and link them to support services Using a non-judgmental client-centered approach, our outreach team includes a nurse and case managers who slowly build trust and rapport in extremely marginalized communities. In order to really meet people where they are, we have workers who specialize in reaching out to different groups, including IDUs, people with HIV/AIDS, Spanish speaking adults, Native Americans, and Veterans. We rely on staff expertise as well as relationships within the street community to help us identify and build trust with isolated, apprehensive individuals. Once connected, our extensive community collaborations allow us to find the best possible fit to bring support to people with extremely complicated lives. Our model addresses staff safety and support to sustain the work in spite of the challenges encountered around an active drug using lifestyle. Creating an Effective Work Environment: Harm Reduction and Staff Resiliency To be discussed is how our program addresses the risks/impact on us as caregivers for individuals who have long histories of addiction, trauma and marginalization. We are intentional about fostering an organizational culture that draws on each team member’s perspectives and strengths and have high staff retention and satisfaction. Even so, the work can be difficult 44
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE and stressful. In order to provide the best client-centered services possible, we need to ensure ongoing staff support and space for dialogue about the impact of working with people who are suffering. We will talk about organizational vitality and congruence between our philosophy, values and mission in regard to serving clients and supporting staff. Chloe Gale is Co-Director and co-founder of the REACH Program at Evergreen Treatment Services in Seattle, WA. REACH has provided street outreach and client-centered intensive case management to homeless addicted adults since 1996. In addition Chloe has worked with homeless youth, gang-involved youth, prevention programs, and mentally ill homeless adults. Chloe received her MSW from the University of Washington in 1995 Kelley Craig is also the Co-Director and co-founder of the REACH Program at Evergreen Treatment Services. Kelley has worked in the addiction treatment field for almost 30 years and will receive her Masters in Non Profit Management from Seattle University in June, 2012 Gallaugher, Kelly, Independent, Sunnyvale, CA kellyd2@hotmail.com Harm Reduction and the Transcultural Perspective The Transcultural Perspective provides a framework for addressing diversity. It was originally created by professors from the social work department at San Jose State University to meet the cultural competence requirement of the Council of Social Work Education. The perspective is composed of five interrelated concepts: 1) culture (recognizing the importance of culture at all levels of practice); 2) understanding dynamics of power, privilege, and oppression; 3) positionality and selfreflexivity; 4) respectful partnership; and 5) cultural competence (applying principles into culturally responsive practice). This workshop will introduce the perspective and provide some practical examples of its application. As harm reductionists, we are constantly seeking to enhance awareness around meeting our clients where they are. The Transcultural Perspective is a tool that is closely aligned with the philosophy of harm reduction and offers the versatility to be utilized by any practitioner in any discipline and at any level (micro, mezzo or macro) to improve quality of life for clients whether through direct service, administration, policy, or research. Kelly Gallaugher has been involved in the harm reduction movement for over 10 years providing HIV and harm reduction education, counseling, and case management services to prisoners/parolees, LGBT, chronically homeless or marginally housed, active substance using, HIV+, and acute mental health populations. Kelly is currently a social work graduate student at San Jose State University. Soma Sen, PhD. Gethner, Jacki, Regenerative Therapies, Portland, Oregon Jacki@JackiGethner.com Using The Body as a Form of Relapse Prevention Feel good now/hurt later is the hallmark of the addiction process..(Gorski 1989). Most addicts have not learned that emotions are part of the charge/discharge cycle designed to balance hormones, blood pressure, fluid levels in tissues and bring the body back to a state of “streaming pleasure” and pulsation typically in 22 minutes..(Boyesen 1969, Boadella 1987, Young Andrade 1992). There is a similar lack of understanding of the body’s natural restorative laws for coping with the agitation and immobilizing association with trauma and post-traumatic stress (Levine 1997). 45
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