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San Francisco considers injection room

Clint

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Here's a neat little story I saw on CNN. I think it's a great idea and would save some lives.
One thing I don't understand is what keeps cops from waiting until people leave the facility then arresting them. You know they've probably still got some on them or are can be arrested for "suspicion" or "public intoxication". Unless there would be a log of who was there and what they used, that would exempt them from any legal repercussions after they left the clinic, in which case that would pretty much be a free pass to do whatever IV drugs you wanted as long as you could keep from being caught before you got to the clinic. I also don't understand why it says in one line that this project has the backing of the mayor, yet in the next line it says "he "is not inclined to support this program because, quite frankly, it may create more problems than it supposedly addresses."


The original article can be seen here:
http://news.yahoo.com/s/ap/20071019/ap_on_re_us/supervised_injections

By LISA LEFF, Associated Press Writer Fri Oct 19, 12:36 AM ET

SAN FRANCISCO - City health officials took steps Thursday toward opening the nation's first legal safe-injection room, where addicts could shoot up heroin, cocaine and other drugs under the supervision of nurses.

SAN FRANCISCO - City health officials took steps Thursday toward opening the nation's first legal safe-injection room, where addicts could shoot up heroin, cocaine and other drugs under the supervision of nurses.
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Hoping to reduce San Francisco's high rate of fatal drug overdoses, the public health department co-sponsored a symposium on the only such facility in North America, a four-year-old Vancouver site where an estimated 700 intravenous users a day self-administer narcotics under the supervision of nurses.

"Having the conversation today will help us figure out whether this is a way to reduce the harms and improve the health of our community," said Grant Colfax, director of HIV prevention for the San Francisco Department of Public Health.

Organizers of the daylong forum, which also included a coalition of nonprofit health and social-service groups, acknowledge that it could take years to get an injection center up and running. Along with legal hurdles at the state and federal level, such an effort would be almost sure to face political opposition.

Bertha Madras, deputy director of demand reduction for the White House Office of National Drug Control Policy, called San Francisco's consideration of such a facility "disconcerting" and "poor public policy."

"The underlying philosophy is, 'We accept drug addiction, we accept the state of affairs as acceptable,'" Madras said. "This is a form of giving up."

Sixty-five similar facilities exist in 27 cities in eight countries, but no other U.S. cities have considered creating one, according to Hilary McQuie, Western director for the Harm Reduction Coalition, a nonprofit that promotes alternative drug treatment methods.

"If it happens anywhere in the U.S., it will most likely start in San Francisco," McQuie said. "It really just depends on if there is a political will here. How long it takes for that political will to develop is the main factor."

Drug overdoses represented about one of every seven emergency calls handled by city paramedics between July 2006 and July 2007, according to San Francisco Fire Department Capt. Niels Tangherlini. At the same time, the number of deaths linked to overdoses has declined from a high of about 160 in 1995 to 40 in 2004, he said.

Colfax estimated that there are between 11,000 and 15,000 intravenous drug users in San Francisco, most of them homeless men. Like many large U.S. cities, the city operates a clean-needle exchange program to reduce HIV and hepatitis C infections.

Advocates plan to work on building community support for a safe-injection center, including backing from Mayor Gavin Newsom and the Board of Supervisors.

The mayor's spokesman, Nathan Ballard, said Thursday that although he does not want to discourage debate, he "is not inclined to support this program because, quite frankly, it may create more problems than it supposedly addresses."

In Switzerland, Spain and other European countries with such programs, the sites have been placed in existing public health clinics and created as stand-alone centers, said Andrew Reynolds, a program coordinator with San Francisco's city-run sexually transmitted diseases clinic.

Possible locations for opening one in the city include homeless shelters, AIDS clinics or drug treatment centers, he said.

"They aren't these hedonistic dens of iniquity," Reynolds said. "There is no buying or selling of drugs on the premises. Staff do not assist in injections."

While it's too early to tell what the room in San Francisco would look like, Vancouver's InSite program is on the upper floor of a low-rise building in a downtown neighborhood where drug users shoot up in the open.

The site, exempt from federal drug laws so users can visit without fear of arrest, has 12 private booths where addicts inject drugs such as heroin, cocaine or crystal. They can use equipment and techniques provided by the staff, and then relax with a cup of coffee or get medical attention in the "chill out" room where they are observed, said program coordinator Sarah Evans.

"It looks kind of like a hair salon," Evans said of the bustling space. "If we were a restaurant, we would be making a profit."

While 800 overdoses have occurred on the premises, none resulted in death because of the medical supervision provided at InSite, said Thomas Kerr, a University of British Columbia researcher who has extensively studied the program. His research also has shown an increase in addicts seeking drug treatment and a decrease in abandoned syringes, needle-sharing, drug-related crime and other problems since the clinic opened, he said.

The results indicate the idea is worth replicating, despite the criticism it may attract, Kerr said.

"I prefer the approach of the Vancouver Police Department, which was: 'We don't like the idea of this, but let's look at the evidence and at the end of three years we will tell you either this is something we can support or it's something we can't support,'" he said.

Temple University law professor Scott Burris told the audience at Thursday's forum that a supervised injection room would seem to run afoul of federal drug possession laws and a state statute that makes it illegal to operate a crack house or any place where drugs are used, but only if the police and federal agents enforce them.

He cited as an example California's medical marijuana law, which has allowed pot dispensaries to flourish but at the risk of being raided by federal authorities.

"The law isn't a barrier," Burris said. "The issue of whether it's legal doesn't come up until somebody is arrested."
 
How about taking the funds they used to help support these addicts habbit, and use it on treatment programs for them? Talk about putting a band-aid on cancer.

How about a special bar for AA? A casino for gambling addicts? Prositutes for rapists maybe? What's the difference?

The war on drugs has failed, but this is not the answer.

Leave it to San Fransicko.
 
Because treatment programs would be far more expensive and if people are going to use they might as well use as safely as they possible can.

It's called harm reduction. You COULD say they should start treatment centers instead of having safe places to shoot up, but you could also say instead of giving out free condoms we could give free bibles instead. One mentioned as already saved 800 lives.

You really should equate sex addicts with rapists.... All sex addicts (the great majority I'd imagine although I don't know any) are not rapists and all rapists are not sex addicts (not that I know any rapists either but you get my point)
 
Prositutes for rapists maybe?

Rape has nothing to do with a need or desire for sex. Rapists are not sex addicts. In these modern times, I thought most people were pretty well educated about rape. :( Rape is ASSAULT--based on a need for power, domination and control by inflicting humiliation, pain, and fear. Sex is used as a weapon in this instance. Rapists aren't horny men they are criminals.

If one is going to distribute clean needles to addicts for health reasons, why not give them a room to use the needles in?

Maybe one day people will realize that banning substances is not the best way to reduce, limit or control it.
 
I mean there are so many these days I'm sure there's one out there that's raped someone because they are a sex addict. Or so that was apparently what happened in my friends case when she was like... hell probably 15.

In retrospect reading your post, I also don't understand your analogy. A drug user is not the same as a drug addict. A person who drinks is not automatically an alcoholic, a person who has sex is not automatically a sex addict, and all people who gamble are not automatically gambling addicts. IV drug use is not limited to addicts, and while most IV users MAY BE addicts it is not a prerequisite. Speaking of prerequisites, would this facility only cater to IV use? Would you only be able to take cocaine and heroin intravenously and not intranasally? Would this clinic apply to all drugs or only drugs capable of causing an overdose (no mushrooms, pot or acid among other things allowed)? If not, should it?
 
Actually this would a perfect place to get them into treatment. If you concentrate the people with a problem, then put a social worker there to help get them into treatment one person can be more effective than 100 people could just canvasing the streets. If you read the article it says British Columbia has seen an increase in the number of people seeking treatment for drug abuse. Thats right this would actually help reduce the problem. Its just like the situation where people give food to homeless people on the street instead of making them go to a mission to get food. By giving them food on the street someone prevents the homeless person from seeing a social worker at the mission who could help get them off the streets if they so desired. By having this room you can have the treatment options for drug addiction right there for the addicts. I think they should build them but they should also keep a social worker available to help get people into treatment if they want to get help for their problem.
 
Here's a neat little story I saw on CNN. I think it's a great idea and would save some lives.

SAN FRANCISCO - City health officials took steps Thursday toward opening the nation's first legal safe-injection room, where addicts could shoot up heroin, cocaine and other drugs under the supervision of nurses.

Anyone who supports this must be a drug abuser themselves. Building safe havens is only going to spread the abuse of those drugs and screw up more lives! How could any sober person twist this into a positive story :crazy: ?
 
Would you rather have had those 800 people die? And FYI, making such a general statement isn't nice at all. I mean, that's sort of like saying anyone who supports the republican party is a fundamentalist Christian fanatic. It's just not good manners.
 
  • #10
Would you rather have had those 800 people die? And FYI, making such a general statement isn't nice at all. I mean, that's sort of like saying anyone who supports the republican party is a fundamentalist Christian fanatic. It's just not good manners.

So everyone in San Fran who illegally abuses drugs die? If that were the case, there wouldn't be a problem with drug abusers. I would rather those 800 not have a safe haven to practice something that is illegal and something that will end up destroying their lives even more. How are you saving lives anyways if the person is just a zombie? Money shouldn't be wasted so they can illegally shoot up under the supervision of a nurse, but rather treatment programs that actually DO something to help them. A building where shooting up is pretty much termed "legal" is not going to HELP them. Not only that but the number of drug abusers will grow because they know they can go somewhere safely.

Maybe my statement was general and maybe it wasn't. There's just no logical reasoning to support something like this except the fact that the person maybe in fact a fellow drug abuser. Honestly who is this helping, the person who has a drug problem or a person who would like to experiment "safely". It's not hard to see this is just enabling drug abusers to continue abusing.
 
  • #11
??? did you read the article? No one said everyone who abuses drugs dies. It says:

While 800 overdoses have occurred on the premises, none resulted in death because of the medical supervision provided at InSite, said Thomas Kerr, a University of British Columbia researcher who has extensively studied the program. His research also has shown an increase in addicts seeking drug treatment and a decrease in abandoned syringes, needle-sharing, drug-related crime and other problems since the clinic opened, he said.

I don't understand you asking how they are saving lives if they are zombies anyway? If they overdose and are saved, that is saving lives. It seems very self-explanatory to me. Maybe i'm so whacked out on drugs I can't think clearly, but I do not understand it when you say "There's just no logical reasoning to support something like this except the fact that the person maybe in fact a fellow drug abuser." My logic is 800 lives saved = good.

If treatment options are offered, then this would be one of the few places they are exposed to options. Do you think the average drug abuser hangs out at Narcotics Anonymous meetings, rehab center parking lots and methadone clinics when they're bored?
 
  • #12
??? did you read the article? No one said everyone who abuses drugs dies. It says:

No I didn't read the article. I responded to your "It saves lives" rationale.

I don't understand you asking how they are saving lives if they are zombies anyway? If they overdose and are saved, that is saving lives. It seems very self-explanatory to me. Maybe i'm so whacked on on drugs I can't think clearly, but I do not understand it when you say "There's just no logical reasoning to support something like this except the fact that the person maybe in fact a fellow drug abuser." My logic is 800 lives saved = good.

How are you saving a life if the person is enslaved to their drug addiction and instead of treating the drug addiction you offer a "safe" place for them to do it? What guarantees that these drug abusers will not overdose at home or at a friends house? You also fail to answer how this place won't be abused by new drug abusers. This would practically educate new abusers!

If I take a known recovering alcoholic to a bar and give them alcohol, how is that person going to defeat their alcoholism? I'm just enabling and encouraging them to be an alcoholic, the same can be said about this.

If treatment options are offered, then this would be one of the few places they are exposed to options. Do you think the average drug abuser hangs out at Narcotics Anonymous meetings, rehab center parking lots and methadone clinics when they're bored?

If treatment options are offered.... But they aren't offered! Instead they built a club house for these people to get legally wasted.
 
  • #13
First I dont apperciate being called a drug abuser as this is completely false. Secondly did you not read the article because there is a whole paragraph that talks about how more people are seeking treatment, there are fewer abandon needles around (which is safer for everyone), a reduction of crime related to drug abuse. I can see you are going to completely ignore evidence that is counter to your beliefs on the subject. What you said is along the lines of blaming homelessness on homeless shelters, should we get rid of those too while we are at it. Orphanages create orphans too so better do away with those. How about womens shelters for abused women, I bet those cause domestic violence too, time to cut those out of the budget.

Also I too am in support of more funding to treat people with drug problems, but I ask you how do you propose that we find the people with these problems? Should we just hire a bunch of social workers and have them hang out with drug dealers so they can get a good list of who needs help? maybe the government could start selling drugs, then arrest people when they buy them so that we can treat them.
 
  • #14
First off, you shouldn't form an opinion until you read the article.

We are working with lots of assumptions here.
1: you're assuming they are all addicts.....that's not a requirement
2: you're assuming the want to quit........most dont
3: that a person would prefer to be dead than to be a drug addict.........that's an individual issue.


Now then, you say "What guarantees that these drug abusers will not overdose at home or at a friends house?"

My answer to that is, nothing at all. That is the entire point that those 800 people could have easily died at home or somewhere else where there was no nurse.

You say "You also fail to answer how this place won't be abused by new drug abusers. This would practically educate new abusers!"

My answer to that is, I never said it would, no one said you had to be a old-timer, and there is a debate on what is and is not "abuse". If "newbies" for lack of a better word inject drugs in the clinic, that is not abusing the clinic since THAT"S WHAT THE CLINIC IS FOR!!!! The point is if you want to shoot up, they will give you a safe place to do it, a clean needle, and a place to chill out and if you DO OD, a nurse will save you. Why should it matter if a person is new or not? The nurses would also not assist or show people how to use a needle. Of course they could watch others, or they could use the internet beforehand. You do not need to go to a clinic to educate yourself on drug use. Anyone with a computer can learn anything the heart desires pertaining to drug use for free.

You're right that a recovering alcoholic can't defeat alcoholism if you take them to a bar and buy them a drink. We aren't talking about recovering drug addicts. We are talking about drug users who choose to do drugs instead of staying sober. These people are going to use whether there is a clinic and a supply of clean needles or not. These people are not making attempts to stay clean.

If they aren't offered, they should be. At the same time, it must not be shoved down their throats because that will just make them leave.
 
  • #15
First I dont apperciate being called a drug abuser as this is completely false. Secondly did you not read the article because there is a whole paragraph that talks about how more people are seeking treatment, there are fewer abandon needles around (which is safer for everyone), a reduction of crime related to drug abuse. I can see you are going to completely ignore evidence that is counter to your beliefs on the subject.

"His research also has shown an increase in addicts seeking drug treatment and a decrease in abandoned syringes, needle-sharing, drug-related crime and other problems since the clinic opened, he said."

The problem with the above is it doesn't show how they measured and came up with these results. Research can be skewed, and stats are almost always abused. What marks an increase of addicts seeking drug treatment? How many were seeking treatment before hand and after? How did they measure the decrease in drug-related crimes? It is a given that there would be a decrease in syringes and needle sharing, so that's not impressive results. Can anyone find some actual data on these studies?

Also I too am in support of more funding to treat people with drug problems, but I ask you how do you propose that we find the people with these problems? Should we just hire a bunch of social workers and have them hang out with drug dealers so they can get a good list of who needs help? maybe the government could start selling drugs, then arrest people when they buy them so that we can treat them.

Is the purpose of this clinic to treat drug abusers or is it to make sure they don't die from OD?
 
  • #16
The purpose of the clinic *sigh* as stated, is to give people a clean, safe place to shoot up and have medical attention in case they overdose. I guess whether or not treatment options are offered would depend on each individual clinic, and of course it wouldn't be at the clinic its self (naturally) but would probably have a counselor and some pamphlets or something.

I'd love to see actual data, too. Maybe you can find some for us since you're genuinely interested? Most online and television news sources don't list EVERYTHING as most people don't care about the nitty gritty details.
 
  • #17
"His research also has shown an increase in addicts seeking drug treatment and a decrease in abandoned syringes, needle-sharing, drug-related crime and other problems since the clinic opened, he said."

The problem with the above is it doesn't show how they measured and came up with these results. Research can be skewed, and stats are almost always abused. What marks an increase of addicts seeking drug treatment? How many were seeking treatment before hand and after? How did they measure the decrease in drug-related crimes? It is a given that there would be a decrease in syringes and needle sharing, so that's not impressive results. Can anyone find some actual data on these studies?

I agree more information on the study would be useful. However I feel I need to point out that you were making wild accusation about people being drug abusers and claiming that this will increase the problem based on absolutely no evidence at all. Show me some data on how this is going to increase the problem. Show me data on how this will encourage new users. Show me how this will educate people in drug use and create more problems. You present no data for your point of view but demand data to support a view that disagrees with yours. Depending on no evidence and personal attacks versus actually saying something constructive or debating the topic is pointless and a weak way to attack an idea.



Also access to treatment through the clinic is implied in the fact that there was a measurable increase in the number of people seeking treatment. If access to treatment was on offered at the clinic the number of people seeking treatment would have stayed the same or gone down.
 
  • #18
Although I am more inclined to agree with outsiders on this one, it does sound like a innovative idea to a thorny problem. I for myself doubt that this would have any practical value for actually helping more people seek treatment because I have a hard time believing that drug users would frequent the place if they felt they were going to get preached the standard “drugs are bad, mmmkay?” mantra to them, because im sure they have heard it before - but then again treatment is not the goal.

I believe that the idea merits a trial, at the very least-

IF
1)drug users actually use the place
2)it actually has the benefits that it hopes to achieve

(those are only questions that would be answered by a real trial)

If 1 & 2 are found to be true then perhaps it should stay. Im have a hard time believing that it would achieve its goals, but if it has a chance to, then it should be tried.
 
  • #19
I think some people confuse recognizing there is a problem and trying to make something SAFER as being the same as condoning it.

Its no different than trying to lower teen pregnancies by making condoms and sex education more available to teens. Accepting the reality of a situation is not the same as saying a certain behavior is OK or good. Turning up your nose and looking away because you don't approve doesn't change anything.

What about homeless people? Would you rather see the homeless huddled under bridges, sleeping on park benches or pieces of cardboard on the street for you to step over...or would you rather offer them a shelter so they don't freeze to death in the winter?

Accepting the fact that some young teens have sex, some people got hooked on drugs and some people are so down-and-out they can't take care of themselves doesn't mean you think those issues are great situations. First you try to make a situation safe, THEN you try to offer assistance to eliminate or improve it. I'm sure any safe rooms for junkies would also offer information on getting help. I'd rather have a room like that than have a child find a used needle on the street and get stuck.
 
  • #20
Thank you Suzanne, you just saved my fingers a lot of work. ;)

And for those looking for more data / case studies, see: Northern Europe.
 
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