✅Illicit drug use occurs in every zip code but drug arrests don't.
✅A drug arrest record (even without a conviction or incarceration) can mess up your life.
✅The drug war has made social workers, doctors, teachers, etc. into frontline enforcers like cops.
✅Drug use disorders are the only health condition where being actively 'symptomatic' makes you a 'criminal' too.
✅The drug war and criminalization makes recovery harder to achieve.
✅The drug war incentivizes unsafe drug use and behaviors to avoid law enforcement detection.
✅You're still a drug warrior if you only want to free your drug of choice (looking at you, plant activists)
✅You're still a drug warrior if you see drug users as 'victims' who need saving
✅You're still a drug warrior if you only want decrim, but not a safe supply
✅You're still a drug warrior if you think people need the 'stick' of drug courts and mandates for treatment
✅You're still a drug warrior if you blame people for "not following the rules" because they used drugs
✅You're still a drug warrior if you think punishment works.
✅You're still a drug warrior if you think all drug use is self-medicating without acknowledging pleasure
✅You're still a drug warrior if you think jail is the "safest" place for someone at risk of using
✅You're still a drug warrior if you want to ban vapes & flavors
✅You're still a drug warrior if you want to ban menthols
✅You're still a drug warrior if you affirm the false dichotomy of user/seller
✅You're still a drug warrior if you don't support Safer Consumption Spaces
✅You're still a drug warrior if you think buprenorphine and methadone shouldn't be treated like other meds
✅You're still a drug warrior if you think you can make the drug war "kinder" or "gentler"
✅You're still a drug warrior if you support the drug testing industrial complex
✅You're still a drug warrior if you believe in class-wide scheduling of drugs (see: fent analogs)
✅You're still a drug warrior if you support aerial crop fumigation
✅You're still a drug warrior if you tell people to 'say no to drugs' then ::crickets:: if they do use drugs.
✅You're still a drug warrior if you support opioid prescribing caps that hurt pain patients and other undertreated groups
✅You're still a drug warrior if you support drug-induced homicide charges that target friends, loved ones, and disproportionately people of color
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🧵A THREAD 🧵 1) I've been doing harm reduction work for 15 years and I've learned a few lessons about how to talk about it with people who aren't quite there yet.
I presented on this a few years ago and I'm going to share my slides and talking points here with you today -
2) First of all, it's important for US to reframe.
Rather than seeing non-harm reductionists as RESISTANT, I think it's more helpful to see them as RELUCTANT.
This helps us to approach conversations with more compassion and patience (altho not always easy!)
3) Then it's important to think about the types of reactions and responses you often hear from folks who may be reluctant about harm reduction.
One of my final points at the #StigmaSummit was the need for us to include people who CURRENTLY use drugs in
➡️developing programmatic policies to address stigma and barriers,
➡️evaluating them, and
➡️ measuring them.
And that they need to be compensated for their time. (1/3)
And that researchers must include and PAY people who CURRENTLY use drugs in research abt them & their needs:
➡️Developing questions
➡️Gathering data
➡️Analyzing/interpreting data
➡️Writing and presenting on findings
If you are a community org that has been contacted by a research team for data collection, YOU HAVE RIGHTS. Some tips:
➡️Form review committees to vet researchers (charge for the review process!)
➡️Create a detailed Memorandum of Agreement #StigmaSummitdrugpolicy.org/sites/default/…
The rate of all-cause mortality for people on Opioid Agonist Treatment (buprenorphine or methadone) was 53% LOWER than the rate when people were not on these medications. (1/x)
“This association was consistent regardless of patient sex, age, geographic location, HIV status, and hepatitis C virus status and whether drugs were taken through injection."
AND
“Associations were not different for methadone vs buprenorphine” (2/x)
The researchers found there was:
➡️52% lower risk of suicide,
➡️28% lower risk of cancer,
➡️59% lower drug-related,
➡️41% lower alcohol-related , and
➡️ 31% lower cardiovascular-related mortality during treatment with buprenorphine or methadone. (3/x)
The drug war and criminalization are the unmeasured confounding variables that impact ALL other variables and outcomes in drug and drug policy research.
We don't even know the full extent of how they impact everything we THINK we know about drugs.
FULL STOP.
(1/x)
Some examples:
➡️Any study about the supposed effects of an illicit drug on emotional, mental, physical health and well-being of users.
As long as the participants used the unmonitored and unregulated illicit supply, you never really know what you're measuring. (2/x)
➡️Any study abt the association btwn illicit drug use & outcomes like risk behaviors, treatment engagement, 'recidivism,' housing, employment, etc.
If ppl fear arrest, incarceration, or having a criminal record bars you from accessing these services, we can't pin it on use (3/x)
This is a bit of a tricky issue to explain, but basically - the DEA wants to preemptively schedule every fentanyl analogue in existence and that will ever exist as a Schedule 1 drug with 'high abuse potential and no medical use.' BUT THIS IS A TERRIBLE IDEA...
1) Not every fentanyl analogue is necessarily even psychoactive, let alone MORE potent than fentanyl.
With class-wide scheduling, someone could get a harsh sentence for trace detectable amounts of a non-psychoactive or less potent fentanyl analogue.