Pubdate: Fri, 23 Jan 2009 Source: Gay City News (NY) Copyright: 2009 Gay City News Contact: http://www.gaycitynews.com Details: http://www.mapinc.org/media/3651 Author: Nathan Riley Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) Bookmark: http://www.mapinc.org/find?140 (Rockefeller Drug Laws) Bookmark: http://www.mapinc.org/rehab.htm (Treatment) DRUG REFORM AT LONG LAST Change is the theme with the Democrats in control, and in Albany, issues are surfacing that the Republicans had routinely blocked. Gay marriage is one, but Rockefeller drug law reform is also long overdue. Governor David Paterson put it succinctly in his State of the State speech: "Few public safety initiatives have failed as badly and for as long as the Rockefeller drug laws. These laws did not work when I was elected senator in 1985, and they do not work today." This is a call for action and the reformers are mobilizing, telling the Legislature, "Yes we can." Drug law changes are certain to be a big issue this year. The Senate will pursue reform. The Senate committee that oversees criminal law has a new chair, Eric Schneiderman, a liberal Senator who represents parts of the Upper West Side, Harlem, and Riverdale. For the first time in memory, the Codes Committee is led by a legislator who believes the push for law and order has gone too far. Schneiderman, a high profile advocate in the drive for drug law reform, is also a member of the Commission on Sentencing Reform that will make its recommendations by the end of January. His membership on the Commission will give him added authority on this issue. The drive for a new drug policy will be heralded at a high power conference, New Directions in Drug Policy, on January 22, bringing together health care professionals, law enforcement leaders, elected officials, and activists. Drug law reform efforts have often seemed dominated by celebrities or the families of prisoners, but its strongest roots are in the public health community. The conference's conveners are the New York Academy of Medicine and the Drug Policy Alliance, two organizations that regularly develop scientific and professional recommendations aimed at swaying policy makers. The organizers have assembled a grand coalition, including groups ranging from the State Medical Society and the New York City health department to community activists such as those from the Drop the Rock Campaign . The LGBT Community Center is a co-sponsor, as is the Correctional Association, a prison reform organization that made drug law reform its top priority. The Black, Hispanic, and Asian Caucus in the State Legislature and the Positive Health Project are also in the coalition. The list is long and impressive. The coalition has an ambitious agenda - they are trying to end "an over-reliance on criminal justice approaches." The long-standing conventional wisdom skewed funding toward incarceration and policing, and shortchanged prevention and treatment. The conveners believe that this flawed approach has made the problem look intractable, a self-fulfilling prophecy that prevented significant progress. Their agenda includes more than repeal; it also proposes a new policy. Public health approaches used in other cities, such as Vancouver, will be reviewed. The Drug Policy alliance has boiled down its thinking to two principles - science and compassion. The Legislature is on board with the new initiative. The State Assembly recently convened six committees - Codes, Corrections, Judiciary, Public Health, Social Services, and Alcoholism and Drug Abuse - to develop a comprehensive new public health framework. A simple summary can't do justice to the full range of ideas, but the public health approach has gone well beyond its justly recognized first major victory - needle exchange for drug users that has dramatically cut new HIV infections in that population. Elsewhere, there are new treatment options that are producing good results. Along with methadone, heroin users can now take buphenorphine, a drug that prevents users from feeling "dope sick" when they stop their daily use. Other programs help stop accidental overdoses, but they can conflict with current law. One of the most basic rules is don't rely on the morphine/heroin drugs alone. Friends can help a user survive an overdose. Yet current law too often disperses drug users, cutting them off from needed social support. The bottom line of all the new approaches is the emerging public health community consensus that with relatively little money compared to the expense of incarceration, deaths and illness from drug use can be reduced. Programs that use harm reduction to help drug users find ways to avoid danger radically change the relationship between them and health care workers. A positive relationship emerges that makes it possible for users to trust in new behaviors and treatment medications. Implicit in the approach, however, is abandonment of our current over-reliance on abstinence-only programs. It's hard to predict the precise course of events in Albany, but the Legislature's Democrats seem well positioned to deliver on their long-deferred promise to turn the corner on the failed Rockefeller drug laws. - --- MAP posted-by: Richard Lake