Pubdate: Thu, 14 Aug 2003 Source: Georgia Straight, The (CN BC) Copyright: 2003 The Georgia Straight Contact: http://www.straight.com/ Details: http://www.mapinc.org/media/1084 Author: Gail Johnson Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) THE DARK CRYSTAL Thought Heroin Was Bad? Well, There's A New Demon In Vancouver, And It's Caught Everyone By Surprise Jake remembers the first time he saw the army people. High on crystal meth, he was well into his third day without sleep. Along with the boundless energy and heightened sense of alertness came the mind-bending hallucinations. "One day I was so delusional... There were these trees on top of this overpass, and they looked like army people, dressed up with guns, marching down," the 19-year-old says between faint smiles and sips of strong coffee. "It was in the middle of the day, and I asked this truck driver, 'What's with all those army people?' He just looked at me. He was, like, 'What?' It was actually fun for me. I enjoyed the hallucinations." But Jake started to notice that those visions kept happening even when he wasn't using meth, aka speed, glass, jib, crank, shards, and peanut butter. That's when he started getting scared. "When the symptoms don't go away after you do it, it's no fun. That's when you know you're kinda hooped." Jake is sitting in a hotel coffee shop in Tsawwassen on a deadly hot summer morning. He's just called local psychiatrist Bill MacEwan, asking for a refill of his antipsychotic and antidepressant medication. He'll take anything to counter the paranoia and delusions that continue to poison his thinking. Jake wasn't always so anxious. But that was years ago, before he started using crystal meth. The soft-spoken youth started using cocaine when he was 13. He switched to meth at 16, looking for something more powerful, a high that would enable him to stay up for parties that lasted days. That's one of meth's draws: you don't sleep. Then there's the hallucinatory effect. Jake would think a group of people was standing in front of him. He'd walk up to them, only to see the figures dissolve before his eyes into the bushes they really were. Wearing a baseball cap, baggy pants, and loose shirt, Jake shifts his tired chestnut eyes away when he talks about his methamphetamine addiction. He doesn't want his name printed, although his parents and friends are well aware of the dark place he's in. "The paranoia kicked in," Jake says. "I'd be so lonely and paranoid. It was a horrible feeling....I'd be looking out my window every five minutes to see if someone was out there. The trees I had always seen looked like people. I was so freaked out one night; I swear to God there were people out there. I hopped out my window in my boxer shorts looking for these people. I couldn't find them, so I got dressed and walked around the block looking for people in bushes. Thank God my parents caught on." Meth is an extremely dangerous drug. It's cheap, highly addictive, easily accessible, and can be made at home, providing you have toxic chemicals like Drano and battery acid on hand. It can cause structural changes to the brain and induce psychotic symptoms that resemble those of schizophrenia: paranoia, disorganized thinking, delusions, and impaired memory. In some people, those effects will never go away, even long after they stop using. It's also Vancouver's new demon. The city's problem is so extreme that last November, on their own initiative, about 120 people from a vast range of professions and interests formed a group called the Methamphetamine Response Committee. It consists of psychiatrists, doctors, nurses, social workers, cops, and bureaucrats. There are representatives from high schools, custody centres, and safe homes, and users themselves. They all say meth use in town has risen dramatically over the last two years. And they're worried. If the very existence of MARC doesn't speak to the urgency of Vancouver's problem, perhaps Steven Smith does. He's program coordinator of Dusk to Dawn, the street-youth resource centre run by Family Services of Greater Vancouver. It's located in a rundown building at the back of St. Paul's Hospital and offers food, showers, and lockers for kids under 22. Teens can't use drugs in the centre, but they're not turned away if they're high. "Every single social-services agency has had to sit down in the last year and say, 'Meth has affected us. We have to talk about this,'" Smith explains in his office. "Everyone's on a fast-track learning curve. There's not a whole lot of information out there. There's no denying there's a meth epidemic, and we don't have the resources to address it. I think it caught everyone by surprise." Meth came to prominence during the Second World War, when Japan, Germany, and the United States gave the drug to military personnel to increase endurance. Later, doctors prescribed it to treat depression, obesity, and heroin addiction. Illicit laboratories emerged in San Francisco in the 1960s, and from there it spread up and down the Pacific Coast. In the '80s came a new method of the drug's production, which led to crystal meth, a crystallized, smokable, and even more potent form of MA. Now, no city or town seems free of meth's tentacles. News stories are emerging about the drug's prevalence in places like Smoky Lake, Alberta; New York City; and the state of Hawaii. According to the World Health Organization, methamphetamine is the most widely used illicit drug in the world after cannabis. On local turf, there are countless youths who hang out downtown, like Jake used to, and spend as little as $5 for a high whose effects can last days. The Granville-Davie corridor is notorious for meth. It's the drug of choice for street kids: because it keeps users awake, they can guard their stuff at night; the drug also saps their desire to eat, which is convenient for those with no cash for food. Although it may have gained popularity at raves, meth has moved well beyond that culture. This doesn't mean ravers aren't still using it--they might just not know it. Analysis by the RCMP's Vancouver-based drug-awareness program shows that almost 60 percent of ecstasylike pills seized locally contain meth. The tablets, a random and dizzying concoction of chemicals, often contain such additional ingredients as cocaine, ephedrine, pseudoephedrine, and ketamine, an anaesthetic used on animals. According to the Pacific Community Resources Society's 2002 "Lower Mainland Drug Use Survey", which interviewed about 2,000 youth aged 12 to 24, 19 percent had tried meth and nearly eight percent had used it within the past 30 days. The average age of first use was 14.5, and 45 percent of respondents said they could obtain the drug within 24 hours. Family Services of Greater Vancouver reported that in a six-month period in 2001, 14 to 34 youths sought detox for crystal meth. A year later, that figure jumped to 32 to 59 for the same period. MARC members note that some adolescent girls are taking meth to lose weight, ending up not just skinny but skeletal. It's increasingly popular among the gay/bisexual/lesbian/transgendered community, and even with so-called soccer moms, some of whom take it to keep up with the demands of working and parenting. There are also stories of everyone from lawyers to software developers to longshoremen using meth. A SYNTHETIC CENTRAL-nervous-system stimulant, meth increases stimulation of the dopamine, serotonin, and norepinephrine receptors in the brain. It can be swallowed, smoked, injected, or snorted. It provides a sense of focus and euphoria. Meth can cause hallucinations like the ones Jake described; users may also hear voices telling them to harm themselves or others, or think people are following them. Coming down, users often experience an intense craving for the drug, anxiety, confusion, fatigue, headaches, and profound depression. They may be irritable, unpredictable, and suddenly violent. "Given the housing options, if I didn't have a place to sleep I don't know if I could be off speed," Rosenfeld says. "It feels as if life is worth living....You're not going to give that up if you've never felt that way before." Rosenfeld says he was surprised at MARC's efficiency during that first November meeting. "It was the most intelligent, collaborative response to a drug issue I've ever worked in, in any city I've ever been," he remarks. "Usually these meetings are full of catcalling, booing, and hissing. People are genuinely concerned." One of the most pressing concerns is treatment. A combination of antidepressant and antipsychotic medication seems to have promising results, but other possibilities need investigation. Then there's the lack of funding, resources, and staff, thanks largely to government cutbacks. "If you cut off your hand, you go to the hospital and they'll fix it. I'd like to see [drug] treatment work like that," Dusk to Dawn's Steven Smith says. "Youth should be able to say, 'I need help and I need it now.'...It's a really hard drug to quit. They need a lot of support and care, and it's just not there." There are 10 beds allocated to youth detox services in Vancouver. SINCE NOVEMBER, MARC members have formed subcommittees that meet every two months. Jennifer Vornbrock, who's heading the group's treatment-and-prevention arm, says the next step is to see what can be done with existing resources. Because those involved recognize the seriousness of Vancouver's problem, there's no room for politics or self-interest. "This isn't the speed your parents took," says Vornbrock, the Vancouver Coastal Health Authority's manager of youth, women's, and population health. "It's 10 percent ephedrine and 90 percent ammonia. It's not a drug you want to play around with." Back in Tsawwassen, Jake has no shortage of tales about the damage crystal meth has done to his own life. He sold a new truck for a pitiful sum to get drug money, dropped out of school in Grade 10, and has essentially lost his youth. "When we were kids, we used to have fun," Jake says. "Now I've lost all my friends to drugs. You can't keep friends because you're antisocial and paranoid." Perhaps the lingering delusions are the saddest part of Jake's story. Not even 20, he can't make it through a day without antipsychotics. "They calm me down," he says. "I thought I could detox on my own. Now it's about staying clean one day at a time. It's about staying alive." - --- MAP posted-by: Jay Bergstrom