Health & Science

InSite: Safe Injection Site Fights For Life

Heroin addict, mainline, harm reduction, InSite

Harm reduction saves lives.


Safe injection sites are political because politicians and others in our society insist on making addiction and/or drug use an issue of moral condemnation instead of looking at what brings people into addiction and abject poverty '
By Citizen Correspondent Tanya Fader
Date Posted: 11/08/07
Reader Rating: rating

I worked in Vancouver’s impoverished Downtown Eastside for several years, so I’ve seen, firsthand, a lot of the devastation, unnecessary violence and death that occurs when proper, accessible health services aren't in place for people addicted to hard drugs. I was also privy to much of the beauty that exists within this population - the creativity and generosity of people with hardly anything. I have seen the heartache of individuals who had lost jobs, homes and families because of their illness. I’ve seen the impact on these individuals and the neighborhood as a whole of people thinking they’re worthless – of their city and country not caring. InSite, Canada’s first safe injection site, is a way to care, and be effective. I worked on the front line at InSite, so I saw for myself.

Health services such as InSite are part of a cohesive system of care that needs to be in place long term so our communities can heal, have hope, and not let things get so bad for coming generations, in every corner of this city.

I believe in the safe injection site because it has worked effectively for the social well-being of entire cities in Europe, which as a result of the injection sites saw less crime, less death, less public nuisance, less disease. I also believe in it because we have personally seen it work here. The fact is that lives have been saved on a regular basis and an increased amount of individuals have gone into recovery with the help of the site.

Before InSite, many heroin addicts were “using” alone in SROs (single resident occupancy units) or back allies, using dirty puddle water where no one could help them if they overdosed. They only had unsafe places to use while getting robbed, beaten up, arrested for the hit in their possession; they were sharing needles and using other unsanitary equipment.

They couldn't properly check or cook what they had bought on the street, adding to overdose death and unsafe injecting techniques which leads to other health problems. There was nowhere to use where they could get other help with healthcare, mental health, housing, detox or recovery. There was no dignity, and therefore, no hope.

I helped manage InSite the first year it was open, so I saw the impact on the front line. Since then I have crossed paths with many addicts whose use of drugs and lives have stabilized to a much more functional, less street-involved existence.


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Re: InSite: Safe Injection Site Fights For Life

By stubrummen, May 21, 2008 at 14:54

Safe injection sites are necessary, saying anything else is ignorant. It's the same people who thing "cracking down" on drug users and adding a few years to the prison terms is going to cure addiction. ideally, people would go to a drug rehab facility, but this is needed as well

Re: InSite: Safe Injection Site Fights For Life

By Gordman, January 16, 2008 at 10:44

I am glad to hear about such a great initiative, many people living in mysery need it badly. I think we need a similar national program to extend this initiative.
Prescription pill addiction

Re: InSite: Safe Injection Site Fights For Life

By Trisha Baptie, November 14, 2007 at 09:40

Just so it is not in question what I was doing was WRONG,
What I was doing was selfish
What I was doing was Illegal
Harmful to my children, those around me, and people who loved me.
Not to mention the people who were affected by my actions when I committed some crime to feed my habit.
It is one thing to cope with life the best we can, it is another thing to NOT cope with life which is what doing drugs is all about and hurting and sucking the life out of everyone around us because I am so focused on me and my addictions I cannot see what I am doing to you.
You speak about Sean's mother not having the "tools" to deal with life which is quite right we need to teach her and give her new tools, how is letting an addict shoot up and holding their hand while they do it giving them new tools?
When I was out there I know a condom would save me from disease, addicts know to use a clean needle and not to share...
Why don't we use the hundreds of thousands of dollars we are using to help them inject themselves in to the detox beds you speak of.
People need to hit bottom, if we are always holding their hand while they continue to engage in life threatening behaviour ,when will the natural course of events take place for them to learn from their actions?
I hit my bottom I left the life.
Everyone who is a recovering addict hit bottom, it's how we pick out lives back up and look at what we have done.
Judgement does not have to be there when you say to someone "I cannot support you in doing this" all it means is you have a diffrent perception on the situation.
It is not me judgeing my kids to say smoking is bad and I will do everything in my power to make sure you never start, get them or think it is acceptable.
We can all love, support and be there for one another, it does not mean we must support their bad choices.

Re: InSite: Safe Injection Site Fights For Life

By bard azima, November 14, 2007 at 09:21

Excellent article. It's hard to argue with Trisha who has been there, but I don't believe the over-arching issue here are the drugs themselves - though that is what many people focus on. The reality is that statistics show that 75% of people use all forms of drugs, including hardcore drugs, on a recreational basis with no issues. For the most part, drug addiction, like every other addiction (ie) food, alcohol, etc results when people feel isolated, humiliated, judged and unaccepted - such that their self-esteem and confidence is so low that their way of dealing with what must become an unbearable situation is by doing something to excess - to escape and/or punish themselves because of the self-loathing that accompanies the lack of support and loathing they feel from people and society as a whole. What people need - what we all need - is support and an environment of acceptance - where they are treated with respect and consideration. When this is available to people, they can begin to feel better about themselves - and then maybe there is the possibility of curtailing their excessive and self-destructive behaviour. With all due respect to Trisha - and appreciation for what she has overcome - I don't believe what she was doing before was a 'mistake'. There was a point in her life when she was reacting to the inner and outer circumstances of life - and she was doing the best she could - because regardless of what it may look like to the outside world, we are all always doing the best we can at any given moment. To approach people who are in dire straits with the notion that what they are doing is 'wrong', and that they are making a 'mistake' puts the focus in the wrong place. Lasting positive change for all of us, regardless of our station in life, comes from making changes from a place of acceptance and value - within and without. Can one turn things around without the kind of support I am speaking of? Sure - but I don't think it will be as effective or long-lasting.

An analogy: I'm a Big Brother - have been for 6 years. Sean is now 14 years old. 10 days ago, Sean and his little brother were taken in CAS care. His mother is a good person, who is bitter and angry about life and takes it out on her kids, especially Sean. She simply does not have the tools or the will to break the pattern. Sean has always had trouble doing his homework. He's a smart kid, but he just won't do it. Everyone always tells him it's a 'mistake' for him not to do the homework - and that it will have serious repercussions in his life - all of which is true. But, the reality of the situation is that Sean is growing up in an environment, home and school, in which he has always been judged and been deemed a bad kid - which he's not (he lived with my wife and I for 6 months last year). So, he has grown up with rock-bottom self-esteem, in a hostile environment in which practically everything he does is wrong. So, this being the case, when Sean feels like dirt, why exactly is he going to give a shit about doing his math homework. How does that even register when every fibre of his being is trying to make sense of his mad circumstances. Would it be great if he would do his homework? Obviously. However, you are not going to do things to better your life if you feel your life is worthless.

On the streets, it's not about the drug use. It's about human beings caring for each other - with respect, courtesy and acceptance. In that environment, miracles can happen. I believe this is what the InSite people are trying to do.

Re: InSite: Safe Injection Site Fights For Life

By Trisha Baptie, November 8, 2007 at 13:37

Really well written story, although I have so say I completely disagree with InSite as a whole.
An addict needs to hit bottom to learn the life lesson,his life is on a bad path.
It's what happened to me.
If we keep holding an addicts hand, we do them no favors.We all get to feel we are helping them by keeping them "safer" , how using illegal drugs in a supervised environment is "safer" is beyond me.
They are still using drugs.
There has to be consequences for actions for one to learn from them.
I do not want them to die, but if your using drugs there is the chance that could happen.
I want my friends who are out their using drugs, to be safe but I will not hold their hand while they do it.
I will however be the first one to run to wherever they need me to go to pick them up because they want to go to rehab.
Instead of the amount of money we spend on a publicly funded shooting gallery, perhaps we could put that into detox beds and well run supervised recovery houses.
Not these houses that pop up all the time claiming to be recovery houses but are nothing more than a money grab and completely useless, like the ones they are having all the problems with in Surrey right now.
It takes days to get into a detox bed right now and there is only a small window of opportunity to work with when an addict decides to clean up, lets put money into making sure they can access a detox bed pronto, instead of funding a place where they can always go to to shoot their dope.
I had to learn from my mistakes, it's how people learn.

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