Pubdate: Tue, 31 May 2005 Source: Abbotsford News (CN BC) Copyright: 2005 Hacker Press Ltd. Contact: http://www.abbynews.com/ Details: http://www.mapinc.org/media/1155 Author: Beth Wehrman Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/find?136 (Methadone) Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) Bookmark: http://www.mapinc.org/rehab.htm (Treatment) HARM REDUCTION IS COMMON SENSE Editor, The News: Re: "Where's the safety in harm reduction?" (The News, May 26, Opinion). As a nurse, harm reduction makes more sense than any other health-care approach I've experienced in 35 years. Although I learned by doing and was convinced in the process, there is a wealth of research-, science-, and practice-based evidence that harm reduction works. I have also accepted the fact that substance use always has been, always will be, a factor in life. Harm reduction requires new ways of thinking but, in reality, is practical, common sense in action. It's a public-health philosophy working to mitigate potential dangers that drugs and drug policies cause to individuals and to society. Harm reduction is a practical, common-sense strategy and, at its best, offers a comprehensive array of options. More simply, harm reduction is meeting people "where they're at" - physically, mentally, geographically, emotionally, spiritually - offering a variety of services. It is actively engaging with individuals and helping them meet their needs (not the needs projected upon them). It is learning to measure success by a lessening of harm in a person's life; not necessarily abstinence. Because although treatment is an important part of the harm-reduction spectrum (and one that needs significantly more funding), it is just one part. M. Heinrich's last question begs a direct answer: "Why is Vancouver in such a mess?" Life is messy. But a realistic factual approach, maximizing individual dignity and strengthening self-efficacy, can only be a winner. And, should relapse occur, the person who has been treated well will, when ready, come back. A community that supports a person in "living another day" will be stronger for it. Any positive change! Elizabeth Wehrman LeClaire, Iowa - --- MAP posted-by: Beth