9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Topics are adapted to clients’ requests, creating vibrant social interactions and client investment in the program which adds in retention and recruitment. Ryan’s successful case finding and engagement with positives substance users demonstrates that with the right support, active users can be maintained in care. Fay Barrett, MPH, is the Coordinator of the Prevention Education and Outreach Department at the William F. Ryan Community Health Network. Ms. Barrett has been employed by the Ryan Network for 19 years. Ms. Barrett first came to the Ryan Center in 1992 as a Counselor/Case Manager working with the Center’s Ryan White program. Bartholow, Lydia Anne, Independent, Portland, OR The Physiology and Stewardship of Trauma What is the effect of stress and trauma on the body Can medical science confirm what many care providers known intuitively: that the body, mind and social context are interdependent and connected What are the lasting effects on our body and soul when we are overly stressed or oppressed Why is it so imperative for all of us - both the directly traumatized and the vicariously traumatized - to care for ourselves This workshop seeks to answer these questions, and more by following the physiological path of stress and trauma within our bodies and reviewing the evidence that society, economics and culture affect chronic stress levels and overall physical and mental health. It concludes by offering concrete suggestions for engaging with trauma, both personal and cultural, in a new way while simultaneously promoting wellness within yourself. Lydia Anne Bartholow is an advanced practice registered nurse, specializing in mental health, trauma and addictions. She is an educator, herbalist, writer, prison-justice organizer and the physiology instructor at the Arctos school of Botanical Studies in Portland, Oregon. Current and past roles within health care have placed heavy emphasis on harm reduction, trauma informed care and health justice. Bell, Alice, Prevention Point Pittsburgh, Pittsburgh, PA alicebell123@gmail.com Naloxone: Beyond Syringe Exchange Prevention Point Pittsburgh collaborated with local and national activists to develop a decentralized model for naloxone prescribing for areas, like Pittsburgh, with little or no support from health departments or other large institutions. With the greatest rise in overdose deaths coming from prescription opioids, it is essential that we branch out to provide naloxone beyond urban syringe exchange programs. To reach non-injecting opioid users, Prevention Point collaborated with physicians and other prescribers, pharmacists and pharmacy students, to develop a model for naloxone prescription in traditional medical settings where opioids. Medical providers in HIV clinics, family practice settings, free clinic and pharmacy settings have begun to prescribe naloxone when opioids are prescribed for pain or for patients using opioids illicitly. Materials developed include a brief naloxone training video, specifically targeting pain patients. This model strives to move away from identifying substance misuse as the primary reason for prescribing naloxone, to increase access to naloxone and decrease stigma associated with risk of opioid overdose by encouraging naloxone prescription whenever opioids are prescribed. This presentation offers examples of how relationships developed with physicians and pharmacists, and obstacles as well as challenges to increasing naloxone availability in areas without institutional support. Alice Bell has been the Coordinator for Prevention Point Pittsburgh’s Overdose Prevention Project since its inception in 2002. She implemented Overdose Prevention training in the Allegheny County Jail and other settings, and naloxone prescription at the local syringe exchange. She co-facilitates the Naloxone and Overdose Prevention Education Working Group. 8
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Benowitz-Fredericks, Carson, Johns Hopkins Bloomberg School of Public Health, Tiburon, CA cab.fredericks@gmail.com Matters of Substance: Media Representations of Harm Reduction. Despite the efforts of advocates, researchers, and fieldworkers, harm reduction remains poorly understood by the popular media. Even as needle exchanges were defunded nationally, journalists remained mum about the deeper principles this funding ban violated. This presentation offers an overview of the trends and fallacies in media coverage of HR, touching on both the individual level depictions and the greater framing of policy debates in print, broadcast and online outlets. Do media representations adequately describe harm reduction as a philosophy Does the narrative presented promote humane and effective interventions for substance users and other vulnerable populations, or does it promote a needlessly radicalized perspective on the practice What can professionals involved in research and outreach do to recontextualize harm reduction and push it towards common acceptance Mainstream media narratives will be critiqued, alternative sources for news and information on harm reduction presented, and a model communications strategy for engaging the popular press proposed. Carson Benowitz-Fredericks is a Masters of Science in Public Health student at Johns Hopkins Bloomberg School of Public Health. He has worked with academic harm reduction research at the Haight Ashbury Free Clinic, and journalistic coverage as a writer for the Faster Times, among other venues. He is currently engaged in researching and promoting risk behavior control strategies at the Stanford Center for Prevention Research. Berliner, Ashley, Vermont Department of Health, Burlington, VT ashley.berliner@state.vt.us The Safe Recovery Project: High Impact Prevention for Injection Drug Users The Safe Recovery Project is a comprehensive risk reduction intervention for people who use injection drugs. It employs a combination of structural, behavioral and biomedical interventions that make innovative use of technology, incentivized testing and case management in order to have a high impact in reducing HIV and HCV infections in Vermont, and link individuals to care and treatment. This project involves a partnership between Vermont’s largest hospital and primary provider of HIV medical care, Vermont’s largest human service organization, the University of Vermont, and the Vermont Department of Health. Six components make up the Project and include: an intervention to enhance HIV and Hepatitis knowledge and reduce risk behaviors; incentivized HIV/HCV testing; enhanced linkage to care for HIV and HCV positive individuals; case management- a comprehensive spectrum of services to support behavior change and safer, healthier behaviors; syringe exchange services and supply distribution; and technical assistance and training to human service providers on increasing provider awareness around service provision to IDU. Project evaluation will identify which combinations of interventions are most effective at statistically increasing knowledge and reducing risks among Project participants. The Safe Recovery Project is funded as a demonstration project through the CDC’s Divisions of HIV/AIDS Prevention. Ashley Berliner, MPA is the research and evaluation coordinator in the Vermont Department of Health’s HIV/AIDS, STD and Hepatitis Program. Ashley has experience developing, implementing and evaluating HIV prevention interventions throughout Vermont. Ashley uses surveillance and intervention data to analyze trends, characterize the state’s HIV epidemic, and to guide future program planning. Co-author: Stacey Sigmon, Ph.D. is an Associate Professor in the Department of Psychiatry in the University of Vermont College of Medicine, an Adjunct Associate Professor at the Dartmouth College of Medicine, and Director of the Chittenden Center- Vermont’s only Methadone clinic. Dr. Sigmon has extensive experience developing and implementing computer assisted assessments and educational interventions for evaluating, characterizing and enhancing HIV- and hepatitis-knowledge and risk behaviors across a range of high-risk populations. She also has extensive experience developing, implementing and evaluating behavioral treatments and interventions. 9
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