Pubdate: Mon, 06 May 2002 Source: Vancouver Sun (CN BC) Copyright: 2002 The Vancouver Sun Contact: http://www.canada.com/vancouver/vancouversun/ Details: http://www.mapinc.org/media/477 Author: Jennifer Clarke BUILD ALL FOUR DRUG PILLARS Like my colleagues on council, I continue to support the much talked about "four-pillar approach" which provides an integrated framework for dealing with the tragedy of drug addiction and its debilitating impact on people and neighbourhoods. I've had the chance to take a firsthand look at a similar approach in Frankfurt and Amsterdam which pioneered the notion that drug addiction is, first and foremost, a health issue. In both cities, their supervised injection sites are part of an integrated plan that combines law enforcement with treatment and harm reduction and they work very well as a first point of entry into a continuum of medical care. It certainly doesn't amount to supervised injection sites without coordinated implementation connected to treatment services and the strictest law enforcement. The integrated plan helps ensure their programs work, and that's what I want to see here in Vancouver. The controversy over the possibility of a piloted supervised injection site here has arisen because there has been no discussion yet with the affected communities and responsible agencies about how it would be implemented and how it would integrate into the other three pillars --treatment, enforcement and prevention. Addicts using the site will still be buying an illegal street drug they must finance through theft and prostitution. Clearly, this discussion should include measurable and accountable goals for success. It is that integration that the four-pillar approach is all about and I continue to support it. Jennifer Clarke Vancouver City Council - --- MAP posted-by: Larry Stevens