Addiction Treatment

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Mexican drug gains U.S. following

Localização: 
Boston, MA
United States
Publication/Source: 
Reuters
URL: 
http://today.reuters.com/news/articlenews.aspx?type=inDepthNews&storyID=2007-02-28T130642Z_01_N24424552_RTRUKOC_0_US-DRUGS-SALVIA.xml&WTmodLoc=NewsHome-C3-inDepthNews-2

Changes could cut drug program's funds

Localização: 
CA
United States
Publication/Source: 
The Union (CA)
URL: 
http://www.theunion.com/article/20070221/NEWS/102210213

Canada: Vancouver Mayor Pushes Stimulant Maintenance Plan

Vancouver Mayor Sam Sullivan, who wants to begin a groundbreaking plan to provide cocaine and methamphetamine users with prescription stimulants, has released the results of a poll he commissioned that showed strong support for the notion among Vancouver residents. The survey released last Friday showed that 61% of respondents would support such a program to deal with rampant drug abuse in the city's Downtown Eastside.

The mayor needs to win an exemption from Canada's drug laws from the federal government. Under Sullivan's plan, called CAST (Chronic Addiction Substitution Treatment), up to 700 chronic cocaine and meth users would be provided with maintenance doses of stimulants. The release of the poll results is designed to increase pressure on the federal government to approve the experimental program.

The poll also found that an even larger majority of Vancouver residents were skeptical of traditional abstinence-based drug treatment programs. According to the poll, 71% of respondents believed such programs actually worked for less than one-quarter of participants.

"The public appears to be aware that large numbers of addicted people will continue to be involved in crime and disorder as a result of long-term drug use," Sullivan said in a press release last Friday. "We know that many drug users do not respond, in the long term, to traditional abstinence-based treatment programs."

Utah: Bills to treat and fight drugs pass first vote before Senate

Localização: 
UT
United States
Publication/Source: 
The Daily Herald (UT)
URL: 
http://www.heraldextra.com/content/view/209129/4/

Drug treatment doctors call for new thinking on services

Localização: 
Ireland
Publication/Source: 
Irish Medical News
URL: 
http://www.irishmedicalnews.ie/articles.asp?Category=news&ArticleID=18014

Second National Conference on Methamphetamine, HIV, and Hepatitis Underway in Salt Lake City

Around a thousand people, including some of the nation's foremost experts in treating, researching and developing responses to methamphetamine use, gathered at the Hilton Hotel in downtown Salt Lake City as Science and Response: The 2nd Annual Conference on Methamphetamine, HIV and Hepatitis got underway Thursday. Sponsored by the Salt Lake City-based Harm Reduction Project, the conference aimed at developing evidence-based "best practices" for responding to meth and emphasized prevention and treatment instead of prison for
meth offenders.

This year's conference was uncontroversial -- a marked change from the first one, also held in Salt Lake City, which was attacked by congressional arch-drug warrior Rep. Mark Souder (R-IN) because presenters openly discussed the impact of meth on the gay community. Souder was also incensed that the US Department of Health and Human Services provided limited financial support for the conference, and authored a successful amendment to the appropriations bill funding the White House Office of National Drug Control Policy calling for an investigation of the conference and HHS policy.

"The fact that there is absolutely no controversy this year indicates more than just a leadership change in Congress. It shows that our approach -- bringing together all the stakeholders and families affected by meth -- is the right one," said Harm Reduction Project executive director Luciano Colonna in a statement on the eve of the conference.

While Colonna sounded sanguine in the statement above, he was less so as he opened the conference Thursday morning. Visibly choking up at times as he sounded the theme of this year's conference, "500 Days Later," he noted that since the first conference in August 2005, "thousands have died or been incarcerated." And Colonna could not resist a reference to Souder and ideological allies in Congress. "There's no need to mention the names of cheap mudslingers because their party lost," he said to loud applause.

"I'm tired of seeing meth users incarcerated because of failed theories and practices followed by many treatment providers, faith-based groups and other organizations," Colonna said. "We look to the criminal justice system to solve our problems, and its participation has been a result of our failure. Just as with the homeless, veterans, and the mentally ill, we have failed as a system of care and as a country. We have the audacity to attack the criminal justice system as if the strands of this mess can be separated out, but we are all culpable."

If Colonna wasn't going to name names, Salt Lake City Mayor Rocky Anderson had no such compunctions. As he welcomed attendees to his city, Anderson hit back. "I will say Souder's name," Anderson proclaimed. "We shouldn't ever forget the people who caused so much damage. They don't care that needle exchange programs help injection drug users avoid HIV; they have the attitude that if people use drugs, they deserve what they get. People like Mark Souder would rather make political hay out of tragedy rather than having the integrity to deal with issues based on facts and research."

Citing drug use surveys that put the number of people who used meth within the last year at 1.3 million and the number who used within the last month at 500,000, Anderson pointed out that, "If it were up to Souder, they would all be in prison."

Mayor Anderson, a strong drug reform proponent, had a better idea. "Those numbers are the purest case for harm reduction," he argued. "We know there are people who will use drugs and we can reduce the harm, not only for them and their families, but for all of us. The current approach is so wasteful and cost ineffective. And thanks to you, treatment programs are much more available, but in too many areas, you have to get busted to get affordable treatment. It is time to make treatment on demand available for everybody," he said to sustained cheering and applause.

Given the topic of the conference, it is not surprising that attendees are a different mix than what one would expect at a strictly drug reform conference. While drug reformers were present in respectable numbers -- the Drug Policy Alliance in particular had a large contingent -- they are outnumbered by harm reductionists, treatment providers and social service agency workers. Similarly, with the event's emphasis on "Science and Reason," the panels were heavy with research results and presentations bearing names like "Adapting Gay-Affirmative, Evidence-Based Interventions for Use in a Community-Based Drug Treatment Clinic," "Stimulant Injectors From Three Ukraine Cities," and "The Impact of Meth Use on Inpatient Substance Abuse Treatment Facilities for Youth in Canada."

The mix of interests and orientations led to some fireworks at the first conference, especially around the issue of stimulant maintenance therapy, or providing meth users with a substitute stimulant, such as dextroamphetamine, much as heroin users are prescribed methadone. Such issues may excite controversy again this year, but an opening day panel on the topic caused only a few raised eyebrows -- not any outbursts of indignation. The controversy is likely to come in Vancouver, where Mayor Sam Sullivan recently announced he wanted to implement an amphetamine maintenance pilot program with some 700 subjects.

With three full days of plenaries, panels, breakout session, and workshops, last weekend's conference not only provided information on best practices for educators, prevention workers, and treatment providers, but also helped broaden the rising chorus of voices calling for more enlightened methamphetamine policies. In addition, the conference pointed the Chronicle to a number of meth-related issues that bear further reporting, from the spread of repressive legislation in the states to the effort to expand drug maintenance therapies to stimulant drugs like meth and the resort of some states to criminalizing pregnant drug-using mothers. Look for reports on these topics in the Chronicle in coming weeks.

The Salt Lake Methamphetamine Conference Gets Underway

EDITOR'S NOTE: I tried to post this Friday morning from the Hilton in Salt Lake City, but due to some mysterious problem with the internets, it didn't get through. The 2nd National Conference on Methamphetamine, HIV, and Hepatitis is now in its second day. The Hilton Hotel in downtown Salt Lake City is doing an admirable job of dealing with the influx of treatment providers, social service workers, needle exchangers, speed freaks, drug company representatives, academics, researchers, and politicos who have flooded into the hotel for three days of plenaries, panels, workshops, and breakout sessions on various aspects of the methamphetamine phenomenon. For me, a lot of the sessions and presentations are of limited interest, which is not to say they have no value, only that they are directed at people who are doing the hands-on work in the field. As someone interested in drug policy reform and, frankly, legalizing meth and everything else, the differences in behavior or susceptibility to treatment between gay urban speed freaks and rural hetero speed freaks is not really that important to me. Ditto for comparisons of different treatment modalities. Again, I'm not saying this stuff is unimportant, only that it's not what I'm about. I'm much more interested in the politics of meth, the methods of blunting repressive, reactionary responses from the state, and the ways of means of crafting more enlightened policies. For all the progress we have made in the drug reform arena in the past decade or so, it seems like all someone has to do is shout "Meth!" and we are once again in the realm of harsh sentencing, repressive new legislation, and drug war mania reminiscent of the crack days of the 1980s. That's why it's so heartening to see political figures like Salt Lake Mayor Rocky Anderson stand front and center for enlightened responses to meth use and abuse. Of course, it isn't just Rocky. Here in the Salt Lake Valley, state and local officials from the governor on down are attempting a progressive response, whether it's the governor lobbying for more money for treatment or local prosecutors practicing restorative justice. And it's not just Utah. Cut across the Four Corners into New Mexico, and you find another state where officials are rejecting harsh, repressive measures and instead seeking to educate youth and adults alike with evidence-based curricula. As one measure of the changing status quo, the Drug Policy Alliance is getting involved in the Land of Enchantment. It has been selected by the state government to administer a $500,000 grant to develop prevention and education curricula. I find it just a little bit ironic that I'm sitting in Salt Lake at this major meth conference just as SAMSHA puts out an analysis of national survey data showing that meth use is declining after about a decade a stable usage patterns. There was a significant drop in the number of new meth users between 2004 and 2005 and a steady decline in past year meth users since 2002. Despite all the hoopla, meth users now account for only 8% of all drug treatment admissions. Meth crisis? While there is no denying the social and personal problems that can and do result from excessive resort to the stimulant, it seems like there is less to it than meets the eye. Still, it has the politicians and funding agencies riled up enough to cough up money for programs and conferences and the like. I guess we'll take what we can get.
Localização: 
Salt Lake City, UT
United States

Miss USA admits taking cocaine

Localização: 
New York, NY
United States
Publication/Source: 
Gulf Daily News (Bahrain)
URL: 
http://www.gulf-daily-news.com/Story.asp?Article=169044&Sn=WORL&IssueID=29319

Canada: Vancouver Mayor Calls for Large-Scale Methamphetamine, Cocaine Maintenance Trials

According to a Monday press release, Vancouver Mayor Sam Sullivan wants the Canadian federal government to grant the city an exemption from the country's drug laws so he can pursue a plan to provide at least 700 hard-core cocaine and methamphetamine users with maintenance doses of stimulant drugs. The idea, commonly known as substitution therapy, is similar to that of providing heroin addicts with maintenance doses of other opiates.

While researchers led by John Grabowski at the University of Texas at Houston have had success with small-scale methamphetamine substitution trials, the proposed Vancouver trials would be the largest ever. Mayor Sullivan is ready to take the plunge.

"Prescribing legally available medications provides people an opportunity to regain stability in their lives and ultimately a path to abstinence," he said. "Recognizing that drug addiction is one of the root causes of property crime and public disorder, I believe that this new approach will also help to reduce harm to the community."

It comes as part of a broader package of initiatives aimed at cleaning up homelessness, panhandling, and drug dealing before the 2010 Winter Olympics. Known as Project Civil City, the initiative sets out goals of a 50% reduction in the three areas by then.

Brazil Becomes UN Center for Alcohol and Other Drugs Treatment

Localização: 
Brazil
Publication/Source: 
Brazzil Magazine
URL: 
http://www.brazzilmag.com/content/view/7813/54/

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