What Makes A Harm Reduction?

Various levels of governments in different communities across North America have initiated programs to deal with the opioid epidemic and its effect. Some of these initiatives will be examined in more details below.

“Harm reduction is based on the premise that people are responsible for their behaviour, that they maker personal choices that affect their health and well-being, and that they can make safer and better decisions if given useful and honest information” (Mathre, 2002, p. 106). Harm reduction recognizes people’s unhealthy choices while also attempting to reduce the harmful effects that come from these unhealthy behaviours (Marlatt, 1998 as cited in Brown, Luna, Ramirez, Vail, and Williams, 2005). Using a harm reduction approach has a positive effect on drug users, as it helps to reduce the negative consequences that come from using drugs. Although harm reduction aims to reduce the harm from illegal drug using, it is viewed as

Currently in Ontario there are approximately 30,000 people, between the ages of 15 and 49, using illicit opioids on a regular basis. (Hart 2007) Opioid use is a costly and dangerous social problem and is the fastest growing drug problem in the country. The good news is that there is a treatment that has been proven by research and evidence to be effective. Methadone Maintenance Treatment (MMT) is a long term treatment program used to treat opioid dependence and addiction.(Source) MMT works by preventing withdrawal symptoms in opiate users. It also prevents the euphoria the user is seeking from other opiates. MMT uses the drug of Methadone to do this. Methadone is a synthetic opioid commonly used to treat opioid dependence.(Source)

There are many ways in which people who are addicted to intravenous drugs are perceived by our society. People sometimes believe the addicted person is to blame for their circumstance and substance dependence and some feel serious drug addicts are a “lost cause” due to a lack of values or flawed character. “Persons who struggle with addictions often are depicted as criminals or prostitutes, weak, lazy and morally corrupt” (Bartlett, R., Brown, L., Shattell, M., Wright, T., Lewallen, L. (2013). These stereotypes paint people with addiction negatively; a percentage of people who live with serious addiction are capable of recovery with the right attitude, support and healthcare. Street level healthcare services such as; safe injection sites, provide accessable resources at street level for people to make the choice to live healthier lifestyles. Govement funding and support is needed to make these projects possible to improve the health of Canadians. Safe injection sites are proven to be positive contributions to communities, save lives, reduce harm and open doors towards recovery for people from the grip of addiction.

Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of

Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.

Dr. Perry Kendall’s stated in a report that the mortality rate for people in opioid substitution treatment is about half of what it is for those using street heroin. (“globeandmail”) Another doctor, who has been administering the program as part of his family practice for several years states the rate of success is poor, the nature of the work often frustrating and the paperwork required under new rules is daunting. But the reward is the amazing transformation of those who are helped by methadone, says Dr. Jeff White. (“thetelegram”) Equally, a confident experience is expressed from a recovering addict himself, Jared stated to a Newfoundland based newspaper, The Compass that the methadone program had a super positive impact on his life. Going on to say in a separate interview with The Advertiser, that the first year everything went as well as it could have with him not doing any drugs. (“Advertiser”) This is just a few examples on how the methadone program has continued to play a positive impact on lives when given the

69,000 patients in substance abuse treatment revealed that methadone was fourth for risk of abuse out of 11 opiate based prescription drugs. Worse, after adjustment for prescriptions, methadone advanced to the number one position for abused compounds. Even more startling was a simple random population sample, surveyed by telephone, which reported methadone as the second most used drug. However, Butler et al. cite a major limitation in that the data examined came from subjects who had entered treatment for substance use disorders. Like Plater et al. (2012) aside from the telephone survey, they were unable to examine data for abusers not in treatment (2011).

Methadone is a strong drug that can overtake your body and start to deteriorate your body slowly but surely. Methadone can change the effects of your body physically, mentally, and emotionally. Methadone also changes your physical appearance to your skin and begin to either stretch or change your features.

Methadone has been used since the late 1960s to treat heroin addictions. Methadone is a synthetic opioid that is highly addictive and is harder to withdraw from than heroin. Despite 50 years of experience and widespread acceptance by addiction specialists and health agencies, Methadone Maintenance Treatment (MMT) has sometimes been publicly controversial in the U.S. and other countries. MMT is a program in which addicted individuals receive daily doses of methadone as part of a broad, multicomponent treatment plan (Methadone Maintence Treatment, 2002). Critics argue that methadone doesn’t actually help heroin addicts, but just replaces heroin with an equally addictive methadone (Mason, 2013). From my perspective, methadone should not be given to heroin addicts because it does not

Methadone is a drug that is primarily used to treat patients who have developed and addiction to opiate agonists such as Heroin, Oxycodone, Morphine and Hydromorph Contin. (Canadian Public Health Association. N/D.) Methadone is also used to treat chronic pain. In treatment patients will undergo a physical exam and blood work to ensure their body can handle the drug. A test is also done on the patient to determine the level of opiate withdrawal the patient is in. Once the patient is determined to require treatment they will be prescribed a dose of Methadone to relieve their withdrawal symptoms as well as reduce cravings. Methadone itself is a synthetic opioid which acts on the same opioid receptors as other agonistic opiates. (Canadian Public

For the average person, methadone lasts approximately 24-36 hours. Methadone does not make the addict feel "high" like other opiates, though when methadone is first administered some will feel a mild "glow" that lasts for a few hours. This glow usually is temporary and will subside as the patient attains a stable dose. Patients who are receiving a stable dose

Opioid abuse is extremely prevalent in today’s society. Many public health professionals are calling it the worst drug crisis in the nation’s history. (DeGarmo, 2017) Opioid abuse and addiction is an issue that goes beyond adults, it is plaguing juveniles as well. Juveniles are feeling the negative effects of this issue in many different ways. Some are watching their friends or family go through addiction, some have lost loved ones, and some juveniles are addicted themselves. I volunteered at the EB HOPE drop-in center which is located in East Bridgewater. The mission of the drop-in center is to provide resources to those affected by opioid addiction. They have an abundance of resources including retreats, rehabilitation centers, support groups, as well as faith based healings. They also have various support groups for family and friends of those addicted to opioids.

Before one can discuss the purpose of something, they must fully understand it and a definition is a great place to start. Harm reduction can be defined as reducing physical, mental, and spiritual damage, by creating a safer environment including, having sturdy social supports, education, improved hygiene and just about any positive factors you can think of. The context in which this paper discusses harm reduction is within an SUD (Substance Use Disorder) environment. In this case, harm reduction is a strategy to reduce the dangerous effects of drug use, not by eliminating the use, but rather creating a safer environment to use, which in the end can turn into abstinence.

Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at