Insite Guest Lecture Flashcards
What is harm reduction
A way of living, reaching out to people in vulnerable situations and helping support them.
What happened before insite?
Unsanitary needles, damage to skin/veins, using puddle water. People just want to escape nagging main.
There was a shift in justice system from public health to criminalization.
Unsafe environments for a delicate procedure.
Often use jugular veins, which is dangerous.
How did insite start?
in 1997 a public heath crisis was delcared in east side due to soaring HIV and HCV rates and death overdose.
PHS hosted a conference called “out of harms way” where they talked about crine, mental health, poverty and supervised injectinos in Germany.
This paved the way for insite to open in 2003 with an exeption from section 56 of canadian act. No drug traffiking on site.
Partnership between portland hotel and VCH.
Must be >16, no id needed.
In 2006 the govnernet wanted to shut in down and Shelly says nah dude don’t do that.
How was Insite initially taken?
suspiciously, people had bad rep of healthcare.
Nurses don’t have uniforms to make ppl feel comfortable.
INsite wants to provide harm reduction and overdose emergency response.
INsite teaches people how to rely on themselves and inject safely.
What was the controversy of insite?
Moral panic! Remember that the client can identify their needs best, give many chances to people. Don’t have security guards, focus on human connection.
Only treat substance use at the very last stage (which is dumb cause you treat cancer at stage 1)
Describe interdiciplinary teamwork and how they treat clients.
Have a good relationship with cab company, to allow for taxi to hospital.
5 mental health workers, in injection and waiting rooms
2-3 nurses.
Supervisors.
treated by using slow dose oxygen.
NOT IN A RUSH.
Use naloxone for long term benefits.
how will clients react?
they will do whatever they want regarless of what we think and say, no matter criminialization or stigmatization.
They want to get rid of their pain and allow them to feel supported.
What are opiates vs Stimulants?
Opiate: depress CNS from responding to environment.
Stimulants: excite CNS
OVerdose: body overly responding to environment and exhaustion. THis causes organ damage.
What is safe supply?
A spectromoter detecting toxic components in a drug, test strips, alternatives to poisioned drug
supply.
what is community providing in terms of harm reduction?
Overdose prevention sites
Tenant overdose response organizers (TORO)
Rapid access to opoiod agonist therapies
Injectable opiod agonist therapies.
