Safe Injection in the Big Apple
Do you want them here with us, in range of immediate help? Or lying dead in the bathroom of your local fast-food joint?
Tag: harm reduction
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No More Nicotine?
CDC reports that tobacco use is “…the leading cause of preventable disease, disability, and death in the U.S.” Nothing else comes close…
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Getting Sober. And Not Getting Sober.
Research into long-term recovery has been prominent in the past — why not revive it?
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An Update on Needle Exchange
The roots of opposition are on an emotional level that doesn’t readily respond to the logic of science. The danger is that the public will be persuaded and take actions that are ultimately not in their own best interests.
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In the News: Do Safe Injection Sites Work?
That’s not a large percent of the user population, but it’s among the sickest. That along might be enough to justify the investment; I’m sure a number of lives have been saved along the way.
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Needle Exchange Backlash
Nonetheless, in most instances it’s an a priori resistance rooted in fear, rather than legitimate objections.
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Naltrexone versus Opioids
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
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In the News: Harm Reduction in West Virginia
He compares the patients he treats, who are often homeless, to “outcasts” and ‘lepers”, who have been “derided, despised, and marginalized.”
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Methadone Maintenance and Crime
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
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Medication Assisted Treatment
In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.
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HIV Mini-Epidemic
It makes perfect sense to do something that’s been shown to be effective at limiting one very important adverse consequence to the individual and society
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Reducing Harm vs… Well, Reducing Harm
My longstanding rule is to design your program to treat your population, not some idealized group of subjects who did well in a research setting with a significantly different structure.
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