Author: Justin Mckibben
That’s right, you read the headline correctly. Law enforcement could soon be giving heroin to addicts, for free, in an attempt to fight addiction. While harm reduction is an admirable concept to preserve the lives of those suffering from addiction, this is a hard bit to chew.
Various countries are working to drastically reform drug policies. Some states in America have even started to pursue expanding access to naloxone, needle exchange programs and even safe injection sites. Other countries around the world have gone to new lengths in decriminalization, while others go to new extremes in the War on Drugs. Yet, despite all this variations of progress, giving away heroin seems like the most abstract idea yet.
Police in Durham, a city in northeast England, are planning to offer free heroin to drug users. Why? They say the objective is actually to reduce both crime and addiction.
The Free Heroin Plan?
Durham Police and Crime Victims Commissioner Ron Hogg spoke recently on his logic for providing heroin to addicts. In his statement he said,
“The aim would be to enable people who have become addicted to heroin to follow a program that would stabilize their addiction in a controlled environment, and reduce their dependency on heroin until they stop taking it,”
The idea isn’t just to give addicts free heroin and let them loose, but to create a very distinctive atmosphere of support in hopes of inspiring recovery. The proposed free heroin program would work in combination with a traditional substance abuse support program, and the users would be monitored on use and tapered off. According to the Independent newspaper, the free heroin clinics could be established in the Durham area before the end of this year.
What do Police Think of Free Heroin?
It seems the police department is hoping that if drug users have access to free heroin then they won’t have to resort to crime to support their addiction. While they are aware of how this idea might seem strange, the idea is that they may be able to further decrease all other devastating results of addiction on the community. Crime, spread of disease, overdose death and more.
According to the Independent newspaper, Durham Chief Constable Mike Barton also says the initiative would take away from drug dealers’ profits. With drug users having access to free heroin they hope it will cripple the trade on the illicit drug market. Barton states:
“We need to get over our moral panic about giving people heroin as part of a treatment plan,”
“Our primary concern is to prevent crime. If we’ve got people who are addicted to Class A drugs committing crime, it makes good sense to get that person off drugs.”
Commissioner Hogg also goes on to say,
“The aim of the initiative is to save the lives of addicts, shut down drug dealers and reduce acquisitive crime,”
“It would also reduce demand on police time, and the courts, and I believe it should also help lower the prison population.”
The impact of heroin on the U.K. should of course be noted as a cause for desperate measures.
- 2015-2016 statistics show there were 149,807 people receiving treatment for opioid use disorder in England
- Between 2012 and 2015, heroin-related deaths doubled from 579 to 1,201 deaths in England and Wales
So of course, as the opiate epidemic rattles countries all over the world, a few have decided to react in very different ways. Apparently, some parts of the U.K. are moving toward a very, very liberal stance.
Fix Rooms and Safe Injection Sites
England is not alone on this. Let us also note that Switzerland has actually offered a free heroin maintenance program since 1994. Other governments in the U.K. have approval for similar safe injection initiatives, including:
- The Netherlands
Last October, Glasgow, Scotland became the first city in the U.K. to approve plans for “fix rooms”. These are sites where people will be provided medical-grade heroin and clean syringes with the intent to contain the heroin epidemic.
The free heroin program in Switzerland began in Zurich. It is now credited with decreasing crime in the area. Information indicates this program has expanded to 23 clinics. But it isn’t just free heroin in these locations. These “fix rooms” also provide counseling and support.
Harm Reduction… or Reorganizing?
Now, we have to ask, is this as crazy as it sounds? While the police in these areas seem to be openly admitting that giving away free heroin is indeed enabling, they seem very convinced that things have gotten so bad this is the best they can hope for at the moment. Again, they are hoping to contain the fallout of heroin abuse in their communities and provide information and treatment resources. The idea sounds pretty intense, but some would say desperate times call for desperate measures.
So is this harm reduction, or just reorganizing? Is this tactic set to prevent even more suffering and destruction, or is it a feeble attempt to make some semblance of order out of the chaos of the opiate crisis?
From a personal opinion, as an addict in recovery, I can say I honestly don’t know. It sounds incredibly dangerous and almost irresponsible to say that law enforcement will provide free heroin. Yet, I have to try and understand their logic; that it might be able to prevent some crime. It might take a nice piece of money out of drug dealer pockets, and it might preserve lives long enough to convince them to get treatment. Then again, an addict like me might just take advantage of the free heroin program and get more off the street while also getting free, government funded drugs too.
Past data might show some support to this innovation. I guess we will just have to wait and see what becomes of this. Until then, there should always be an emphasis on the possibility of effective and comprehensive treatment. Even with the free heroin program, the idea is to get people the treatment they need.
We want to know what YOU think.
Addiction and drug abuse have become relevant in every aspect of American life. Police, politicians, educators and community leaders are trying to create radical changes in perspective. Not every perspective is easy to understand, but the common goal is inspiring lasting recovery. If you or someone you love is struggling with substance abuse or addiction, please call toll-free.
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Author: Justin Mckibben
It is not secret that America is struggling with a drug problem. Overdose rates are ever increasing, the death toll reaches new heights and the world is watching to see how politicians and communities plan to address these mounting issues. The opiate epidemic far too obvious for too many people, and there is a great need for new policies and new ideas for innovating treatment. Now, a small crew has created a mobile drug treatment van to take recovery on the road and provide resources to those suffering.
Maine’s New Mobile Drug Treatment Van
Two Mainers, who are themselves recovering heroin addicts, are setting out on a mission to try and heal communities will education and treatment options. The mobile drug treatment van will travel throughout the city of Sanford, Maine to bring harm reduction services and offer recovery options to the areas most impacted by opioid abuse. The mobile drug treatment vehicle is equipped to offer:
- Clean syringes
- Clean needles
- Testing for HIV and other diseases
- Connecting addicts to treatment options
The new mobile drug treatment is a prevention-based project from the non-profit Choopers Foundation. The Choopers Foundation is a local effort that serves to educate the public on addiction and the need for drug policy reform. According to its website, the foundation’s projects also include:
The two men taking this road trip for recovery are the Choopers Foundation co-founders, Tim Cheney and Adrian Hooper. Given the fact they are both in long-term recovery, they work from an experience many may not understand. Adrian Hooper recently told the Associated Press,
“We reach out to people, treat them with dignity and say we’re here for you to create treatment plans if you ever want to,”
The effort to make a difference in Maine makes plenty of sense.
Other Mobile Drug Treatment Efforts
This isn’t the only case of a mobile drug treatment idea hitting the streets to try and save lives. A similar initiative in rural areas of western Pennsylvania has been delivering monthly injections of Vivitrol. Vivitrol is a medication that blocks the effects of opioid drugs.
This program, the PRS mobile drug treatment clinic, is operated by a private clinic in Washington County. It was put in place to ensure that people living in remote areas are following up on the treatment options provided through this private clinic. The PRS mobile drug treatment is operated from a trailer hitched to a Ford pickup truck.
The mobile drug treatment resource set out to expand its access to people across several counties, giving services to unfunded patients.
Could Mobile Drug Treatment Work?
Having a resource like this is pretty unique. Providing intervention and harm reduction on-the-go could bring much needed opportunities to people who otherwise might not know they exist. Some people are even afraid to ask for help, so maybe making help come to them could work.
Daniel Raymond of the Harm Reduction Coalition says this type of mobile drug treatment program is able to intervene early, before the individual ends up in the hospital or even dead. Creating a traveling resource that can go into different communities may bring more people into the fold who have barely survived on the fringes. Instead of requiring people to find and seek out clean needles, HIV testing or addiction rehabilitation, the mobile drug treatment option can drive a second chance to your neighborhood and park it right outside your door.
Mobile drug treatment might actually carry the message of recovery to new places. Let us hope that it can pick up some hitchhikers and save some lives along the way.
Getting help to those who need it isn’t always easy, but there is real help available. Real recovery begins with effective and innovative treatment. Palm Partners offers holistic treatment program where you create comprehensive and personalized recovery plan. If you or someone you love is struggling with substance abuse or addiction, please call now. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Back in February of this year the mayor of Ithaca, New York began pursuing a plan that would establish safe heroin injection sites in Ithaca in an attempt to battle the opiate epidemic raging across the country. This controversial harm reduction tactic is getting brought up a lot more lately. Other states are also looking into starting up similar contingencies for their citizens. Now, the Big Apple is set to spend quite a bit of money and resources investigating the merits of safe heroin injection sites. That’s right, New York City is now taking a closer look at how safe heroin injection sites operate, wondering if it might be a decent plan after all.
Talking about the tab…
One of the big things people seem to be focused on right now is the money. Some believe providing addicts with a clean, medically supervised facility to use is a waste. They believe that what it will be doing is promoting heroin addiction while enabling it, all at the city’s expense.
So far, the tab is already pretty steep. The City Council has announced it will be allocating $100,000 to study the practice. This money will go to the Health Department for a nine-month study to determine whether it makes sense to open safe heroin injection facilities.
Shouldn’t be much of a surprise that these desperate times have called for such desperate measures in New York City. The study comes as the Big Apple is still reeling from a record 937 fatal drug overdoses in 2015, a 66% increase since 2010. With 2016 coming closer to the end, it is a wonder if this will be another record year for the five boroughs. Overdose death rates are a huge factor in a lot of new movements for change.
What are safe heroin injection sites?
Safe heroin injection sites are facilities where intravenous drug users are permitted to use the drug intravenously under medical supervision. The sites offer a place where addicts can use without fear of arrest, in case of an overdose. The idea is to have staff trained and available to be able to save lives. At the same time, the hope is to reduce other risks associated with intravenous drug use.
Several safe heroin injection sites already exist in dozens of cities outside the United States. Should America be next? Some of the countries who use this practice include:
Council Speaker Melissa Mark-Viverito commented saying,
“It’s been done and been implemented in other areas [of the world], so we just want to look up what the viability would be in New York,”
This seems like a pretty fair response to the epidemic; trying to explore and educate officials on more options that could help. And beyond reducing overdose deaths, HIV and viral hepatitis transmission, safe heroin injection sites work to connect addicts with drug-treatment options. So it isn’t just about giving them a safe place to get high, but also making them feel safe and supported whenever they try to get help.
Conservatives in opposition
But of course there is a great deal of opposition. Michael Long, the state Conservative Party Chairman, claims the $100,000 could-
“- be put to better use than sending a message that it is OK to use intravenous drugs as long as you use a government-sanctioned place.”
However, the reality is that the money is being utilized in a way that serves it’s initial purpose. $5.6 million is already set aside in the city budget to combat AIDS. The $100,000 for the safe heroin injection site study is coming from that bulk of finances.
So while surely some would not be all for spending the tax-payers dollar on researching “legal drug dens” the truth is the money is going somewhere that could make a huge difference to the effect of what tax-payers originally intended it for.
The safe heroin injection study
According to a council memo, as far as the actual study itself, the researchers will review data that pertains to:
- Health conditions and disease transmission related to heroin and other injected drugs
- Evaluate existing supervised injection facilities
- Assess legal issues
- Input from select “city officials and community experts”
This isn’t the first radical idea on this side of the country. Seattle is also considering safe heroin injection sites. Earlier this year, Boston opened a facility where addicts can use under safe medical observation. However these people have to inject drugs elsewhere. This doesn’t seem like as good of a plan, because it’s basically asking for addicts to use and drive. Still, it is some kind of innovation in a different direction.
Preventing of death and the spread of disease is vital. As the death rate escalates in relation to heroin addiction and infections caused by intravenous drug use, prevention is increasingly important. These programs may be controversial, but the cost of losing lives is a lot higher than spending some money looking into alternatives.
Beyond harm reduction, there is real recovery. Real recovery begins with effective and innovative treatment. If you or someone you love is struggling with substance abuse or addiction, please call now. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Back in 1971 the brand name Narcan, generic- Naloxone, was introduced to the world. The opiate overdose antidote has become a popular topic of discussion in our world today. With heroin, fentanyl and other dangerous opioid drugs feeding the opiate epidemic and overdose outbreak, these medications are sought after as the life-line pulling addicts back from deaths door.
With the rise in opiate abuse came the rise in demand, and with the rise in demand we were shown a side of Big Pharma that has many in an uproar. Since 1971 the price for Narcan has grown 4,000 percent! Yes, 4 with 3 zeros after it!
I’ve written before about this trend; something I consider to be a disheartening injustice and abuse of power. Today I want to re-emphasize the point by looking into some specifics about the lengths many have to go to in order to provide this life-saving medicine to their citizens. Let’s talk about America VS Big Pharma and the fight for Naloxone funding.
Baltimore’s Battle for Naloxone
In 2014 Baltimore, Maryland was referred to as “Heroin Capital of America” with an estimated 60,000 heroin addicts out of a population of 645,000. While Baltimore may no longer be one of the top states in overdose deaths, the state’s budget shows:
- $33,540 on Naloxone in 2014
- $118,236 on Naloxone for the fiscal year of 2016
So in two years, Baltimore has more than tripled the amount of money spent on Naloxone. Baltimore’s Health Commissioner Leana Wen continues to work at sounding the alarm across the country for Naloxone price gouging since stepping into the position in 2015. In March she called on Congress to enact price controls on the drug in the interest of public safety. In her plea Wen stated,
“The cost of naloxone skyrocketing means that we can only save a fraction of the lives we were able to before… Manufacturers have claimed that this price increase is related to increased demand. However, it is unclear why the cost of a generic medication that is available for much lower costs in other countries will be suddenly so expensive.”
Pennsylvania in Pain
In Pennsylvania drug overdoses tied to opioids rose nearly a quarter last year, yet these communities are still dependent on the goodwill of charitable organizations and health insurance companies. These resources are meaningful, but don’t go far enough!
- Pittsburgh-based Highmark Foundation donated $50,000 in the first quarter of last year to purchase Naloxone to local law enforcement agencies. But it didn’t renew the grant this year.
- Health insurers contributed a total of $500,000 in Pennsylvania alone to fund naloxone distribution.
- Cigna Foundation donated $50,000 this year to fund Naloxone access
- Independence Blue Cross joined the Pennsylvania District Attorneys Association in a providing $50,000 to provide Naloxone to first responders
But most patrol officers still don’t have it! As of 2016 Naloxone kits have only been distributed to about 15% of Philadelphia police officers!
Delaware County has taken extra measures. Officials made it so money seized during drug investigations under asset forfeiture laws could be used to support its Naloxone program.
In case you didn’t know, Pittsburgh doesn’t play either. In July one judge ordered two convicted drug dealers to throw in almost $4,000 for Naloxone funding. Now that is a new brand of justice.
Rhode Island’s Settlement Savings
This was a desperate move indeed, as Rhode Island reached into the $230 million settlement with Google for $40 million to help keep its program alive. This settlement is from when Google facilitated the illegal online exchange of prescription drugs from Canada.
5 Government Interventions
Big Pharma Letters
In June Senate Special Committee on Aging addressed a letter to five leading naloxone manufactures requesting an explanation for increasing drug costs. These companies are:
- Amphaster Pharmaceuticals
Amphaster Pharma’s price went from $12 in 2012 to $41 a dose as of 2015.
- Adapt Pharmaceuticals
Adapt’s Narcan nasal spray costs $63 each dose. Although it does cut price in half for government agencies, community organizations, and patients without insurance
Price went from $375 in November 2015 to $1,875 in February 2016. Now, only 7 months later, it’s up to $2,250 for a single-dose injector!
Most of these companies claimed the price hikes are due to additional burdens they face to meet the exponential demands. Yet, this excuse isn’t flying with many healthcare advocates. The executive director of the Chicago Recovery Alliance, Dan Bigg, has said in response,
“We’re not talking about a limited commodity. Naloxone is a medicine that is almost as cheap as sterile sodium chloride—salt water,”
As far as more help from the powers that be, many state and local governments are reaching into emergency funding to provide Naloxone to first responders. Other government programs have been put in a position to help, but is that help enough?
Rural Opioid Overdose Reversal Grant Program
The Rural Opioid Overdose Reversal Grant Program distributes $1.5 million from government funding, but it had to be split between 15 communities. This has helped some, but left many officials scavenging for financing to be prepared for 2017. Many are calling on the government to assume even more costs.
Substance Abuse and Mental Health Block Grants
States do have authorization to draw on these funds to subsidize Naloxone purchases. However, in the words or Peter Luongo, executive director of the Institute for Research, Education & Training in the Addictions, “That’s not new money.”
What this means is that officials must now move the money out of other programs for addiction prevention and treatment. So instead of getting more help, they are having to pick-and-choose which help is more necessary.
Comprehensive Addiction and Recovery Act (CARA)
This summer President Obama signed for this initiative. It means to call for expanding first-responder access to Naloxone. However, the fact remains that CARA funding has not yet been established by Congress.
Department of Health and Human Services
Supposedly starting this month this office will be providing up to $11 million to fund Naloxone distribution. However even this great contribution will only apply to a dozen states.
The Overdose Oligopoly
The reality is this is a fight we need to talk more about. Despite all these government interventions, why is it we still cannot keep up with Big Pharma pricing?
So far nothing seems to justify the monopolizing and exploitation of the opiate epidemic by Big Pharma. These companies are actively increasing the price of a life-saving medication by over 1,000% in many cases during a period in which tens of thousands of people all over the country are dying!
Whether you know all that much about economics, Big Pharma is making millions upon millions of dollars off of these medications. They claim to be trying to keep up with costs, yet continue to show increasing profit. Call it what it is- extortion via oligopoly.
Naloxone and Narcan may not be the miracle cure for opiate addiction, but for many it is the only reason they are alive. So, how many can say the lack of access is the only reason their loved one is not? Surely, Naloxone access expansion is taking off in a new way. CVS stores, schools and all types of venues are providing kits, training and other resources. The only problem is, they are struggling to maintain those resources.
We, as a nation, should expect better than this.
A bigger part of getting better is beyond the medication used to preserve life. Real recovery begins with the process of working to change a life. Holistic addiction treatment allows people who were once hopeless build the foundation of hope again. If you or someone you love is struggling with substance abuse or addiction, please call Palm Partners. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
I know what you’re thinking… but just set aside that thought for a second. Many of us know the flaws of contempt prior to investigation. So I ask of you to consider the following, and do some investigation yourself, to see what impact this whole idea might have.
You may remember, because I’ve written on the subject of safe injection sites many times, that last September the Harm Reduction Coalition convened with law enforcement and public health experts on an international level to deliberate on the possibility of supervised injection facilities helping to reduce the opiate addiction crisis and overdose death outbreak in American. Since then, officials in several states in America have proposed the implementation of supervised injection facilities, including:
In this discussion, reports were presented with some of the pros and cons of the concept, and with the press and politics focusing so heavily on addressing the epidemic status of heroin and opiate abuse I wanted to revisit the conversation with some information presented. I bring it up again because I have had a few conversations about these facilities; people seem split on the issue and many are misinformed.
What a Supervised Injection Facility IS
Supervised injection facilities (SIFs) are legally sanctioned locations where people who use intravenous drugs can inject pre-obtained drugs under medical supervision.
For those of you who keep implying it makes heroin legal, supervised injection facilities do NOT sell heroin to users OR make heroin legal. It is simply a place where people who are already using can safely use.
They are designed to reduce the health and societal problems associated with intravenous drug use, and have been shown to reduce injection-related risks and harms like:
- Vein damage
- Transmission of diseases like HIV/AIDS and Hepatitis C
Public Injection Alternatives
Now when it comes to drug abuse and recovery from addiction, there is no cookie cutter answer and no express-lane (in my experience) to lasting sobriety. There are numerous programs put in place to provide different treatment alternatives, and one genre of treatment that has been making some come back is harm reduction- which includes supervised injection facilities and needle exchange programs.
As part of the consultation there was a report titled Alternatives to Public Injection in which experts with experience operating supervised injection facilities shared how such services were implemented in their countries. These areas included:
The experts also enclosed in the report how effective supervised injection facilities could be as an alternative solution to public health crises that involve injection drug use. Over the course of this committee there were other entities including:
- Open Society Foundation
- Foundation for AIDS Research
From these reports and discussions there came some relevant information that could be crucial to American policymakers. These points might also cause the everyday skeptic to pause and wonder if these kinds of initiatives can’t do some good.
- People who use SIFs take better care of themselves
- They reduce or eliminate their needle sharing
- Ultimately, participants reduce their drug use all together
- SIF participants gain access to other medical and social services
- Participants have resources to seek addiction treatment
- SIFs do not increase drug use in the surrounding area
- Crime and public disturbances decrease in the areas around these programs
- There has not been a SINGLE overdose death in any of these programs over many years of operation
That last one… that is an especially impressive statistic with all things considered! The simple fact that these sites, which are not yet in America, have been able to treat overdoses and eliminate deaths should at least have people thinking twice about supervised injection facilities.
Long Way to Go
The fact of it all is America has a long road ahead before we ever get to a place where this is a popular idea. Taking into account how many people on the outside of addiction looking in still only have an understanding based on stigma and fear, the reality is that it would be incredibly difficult to get this idea off the ground and make it work because every country in so far operating SIFs have stressed in order to successfully implement supervised injection facilities it is important to have support from all corners, such as:
- The community
- Local law enforcement
Greg Scott is a professor of sociology at DePaul University who has shown a strong sentiment for the need of progressive ideas that promote health and safety over incarceration and punishment. Scott stated,
“SIFs are practical, concrete, humane, and cost-effective.”
“In every respect, SIFs make sense. They represent a logical (and arguably moral) next step in the process of creatively and effectively providing the whole country with far better health solutions for drug users than have ever been available before.”
American families of every demographic and in every community are feeling the damages of the opiate epidemic and the side-effects of unscientific drug policies, causing an upsurge of interest in public health alternatives. No wonder more people are starting to take supervised injection facilities more seriously.
The Recovery Community
When it comes to people in the recovery community, I understand why some people would be cynical about the possibility of government run establishments allowing injection drug use of heroin or other dangerous narcotics.
Even asking people I personally respect in the local recovery community it seems I get answers ranging from one extreme to the other. Some still say that it is just making legal “shooting galleries” that enable addicts to avoid the consequences of their addiction.
Others say with so many people dying every single day, the numbers speak for themselves and no statistically and scientifically supported program should be ignored without at least a conversation.
Once more, I think the preservation of life and promotion of effective addiction treatment is worth some effort.
Now, tell us what YOU think.
Preventing of death and the spread of disease is vital, and getting the right kind of treatment for drug addiction is paramount to progress. If you or someone you love is struggling, don’t wait. Please call toll-free 1-800-951-6135