Pubdate: Tue, 17 May 2011 Source: Province, The (CN BC) Copyright: 2011 Dr. Perry Kendall Contact: http://www2.canada.com/theprovince/letters.html Website: http://www.theprovince.com/ Details: http://www.mapinc.org/media/476 Referenced: http://www.mapinc.org/drugnews/v11/n317/a08.html Author: Dr. Perry Kendall INSITE OFFERS THE MOST LIKELY PATH TO COMPLETE MAKEOVER As a comment on Jon Ferry's column on Insite, Vancouver's safe injection facility, I think he sums up well the opposing arguments. But in response to his conclusion - "we're not really helping drugtakers by simply feeding their addiction. They need a complete physical and spiritual makeover . . . the sad reality is, though, that finding a quick fix will always be more politically palatable than seeking a real cure" - I fear that the "quick fix" would be to close Insite. The evaluations published by the research team clearly show that Insite attendance leads to on-site detox and entry into longer-term addictions treatment. Insite attendees are 30-per-cent more likely to enter the process that might lead to "physical and spiritual makeover" than are injection drug users who do not enter this treatment portal, plus they are more likely to remain alive, and therefore more able to make a treatment choice, than those who inject in alleys and hotel rooms. For these individuals, Insite is an important component of the path to recovery, and given that critical inquiry has failed to show adverse impacts - like encouraging more drug use, binge use or delay in accessing detox, quite the opposite in fact - characterizing Insite as only a "quick fix" does seem to me to be inherently contradictory. It is not as if one can point to a demonstrably more effective intervention. Dr. Perry Kendall, Provincial Health Officer of B.C. - --- MAP posted-by: Richard Lake