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Vancouver's Insite: Not Just Addicts Who Benefit

Posted: 03/ 2/2012 8:48 am

I am a huge fan of Insite, Vancouver's famous safe injection clinic. It provides a model that soon -- very soon -- others will follow. So it was with great satisfaction that I spoke at Simon Fraser University this January, and also at the Vancouver Area Network of Drug Users (VANDU), sponsored by Insite and the PHS Community Services Society with which it is affiliated.

I got to see things I didn't know about, and when it comes to addiction, I know a lot. When I saw the housing options offered for people in dire need (not the kind you have to wait months to get) I was moved to tears. I thought about people I had lost, and how had such a place existed in Toronto some of these souls might still be with us.

I saw a bank where you can start an account without ID. Think about that: a chance for the down and out to get on their feet ASAP -- rather than after what, for many street drug addicts, may at first seem like insurmountable paperwork! I got my "hands dirty," cleaning up injection booths right there at Insite -- a crash course in how it's done. The efficiency was just plain stunning, as well as the empathy directed at people used to being treated with little respect. I knew that something really special was happening here.

I was honoured to be a part of it.

But there's more to this than kindness, decency, and rationality. The people doing this work get a lot of flack -- much like the first suffragettes and abolitionists. Like those great people in the past, the people at Insite are giving dignity and respect to a group -- addicts -- that is long overdue. In hindsight, their efforts will rate in a similar fashion.

We are currently witness to a pivotal historical transformation: the emancipation of a marginalized group still thought by many to deserve nothing but degradation.

I'm the kind of person who doesn't look up to anybody -- not my style. But, for a fleeting moment here and there, I caught myself looking up to the people at Insite. I saw what they did, and I know that historians will some day discuss many of these individuals in a very positive light.

As a Torontonian, I'm also a little jealous. While good things are happening in Toronto -- there are some great people here doing excellent work -- Vancouver is ahead of us in many ways, and we in Toronto could all learn a bit from that example. Vancouver is probably the most progressive city in North America, something in which every Vancouverite should take pride.

And it'll do the city a lot of good in ways that few understand. Just as 20 years ago, things like Gay Pride marches might have kept some businesses away, today there's no ambiguity: A city with less homophobia is more attractive to businesses and to professionals of all stripes.

The same will soon apply to any urban centre that deals intelligently with drug addiction. The people at Insite and VANDU are not only helping addicts, they are helping Vancouver's future as a business centre, an intellectual mecca, and a better place to live all around -- both for the drug addict and the average citizen.

 
 
 

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11:28 AM on 03/02/2012
Well I agree with you to a point. When insite came into Vancouver it was supposed to be part of the 4 pillar program. Those 4 pillars being Harm Reduction (Insite) Prevention, Treatment and Enforcement. That was many years ago and we still only have 1 pillar.........Insite. Which I look at without the other 3 pillars as helping addicts to stay ON drugs, rather than helping them get OFF drugs. Yes they have a clean safe place to go, but they still break into our homes, and cars, to get the money to get their fix so they can go to insite and do their drugs. Other than being off the street, there are still Ambulances constantly in the Downtown Eastside (DTES) reviving these addicts so they can go shoot up one more time and round and round it goes. So when we are actually doing something to help get these people OFF drugs, then I'll be much more inclined to support the 4 pillars, not just the 1 pillar we have now.
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Peter Ferentzy
PhD Crackhead
06:38 PM on 03/02/2012
Thanks for your thoughts. A vast majority of the crimes committed by addicts is a direct result of prohibition. Legalize the drugs, put the gangsters out of business: drugs would be cheap and that problem would disappear ASAP. Whether or not someone gets off drugs is personal decision, and hinges upon a thing called "readiness to change" which we are only starting to understand. It's similar to alcoholism: no alcoholic will kick until he or she is ready. Meantime, it's best to reduce the harm. That aside, many mature over the years out of their addictions (including booze) using less and less frequently but never completely kicking. Pure abstinence is not a good model for recovery simply because it's so rare. How many AA, NA or CA members do you know with 20 years clean? The one's who slip every three-four months probably outnumber them by over 100 to 1.
06:54 PM on 03/04/2012
Woah, Barbiedoll. You're WAY off base. Insite is one small piece of the harm reduction strategies used in Vancouver, and harm reduction happens to be the the least utilized/supported strategies in the 4 pillar approach. Most of our funds go into enforcement, into arresting & prosecuting people for drug crimes. We have many programs for treatment in Vancouver, including Onsite Detox, Harbour Light detox, Youth detox, Vancouver detox and many community based programs like AA & N/A. Prevention programs are also in place, such as the Drugs not for me campaign (http://www.nationalantidrugstrategy.gc.ca/prevention/youth-jeunes/index.html). A big part of the work Insite does is increasing quick access to detox and prevention services to help people become absitent, if that is what they want to.
I would encourage you to visit the web page of Mark Haden, who is a local authority on the 4 pillars approach and it's applicaiton in British Columbia (www.markhaden.com).
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Peter Ferentzy
PhD Crackhead
06:44 AM on 03/05/2012
I know Mark, and am aware of the four pillars. That includes enforcement, with which I obviously disagree. Of course I'm, aware of Onsite, etc.