HARM REDUCTION Development of a Training Approach：一种训练方法，减少危害的发展.pptVIP

What does effectivedrug policy mean? Today’s Presentation Facing up to an epidemic Background Background Human and Fiscal Suffering: Endocarditis: $25,000 per case Overdoses: $500,000 in ambulance costs in the Downtown Eastside of Vancouver alone (annually) HIV: Lifetime per case = $150,000; HCV infection expected to be much higher Additional Costs: Emergency room visits, acute hospital bed use, physician costs, laboratory costs ALL PREVENTABLE!!! Background From prohibition to harm reduction From prohibition to harm reduction From prohibition to harm reduction From prohibition to harm reduction From prohibition to harm reduction The “four-pillar approach” Harm reduction: an ethical imperative Harm reduction: a legal imperative Examples of pragmatic policy Pragmatic policy Pragmatic policy Number of Patients Receiving methadone in Canada and Western Europe The way forward Moving Forward Moving Forward Moving Forward Summary Illicit drug use and the “war on drugs” are responsible for considerable human, social, and fiscal costs The majority of money used to address problem drug use is spent on expensive and ineffective enforcement efforts Enforcement-based strategies will not solve the problem and in many cases make problems worse A range of services is needed to serve all drug users, including the majority who are not in treatment Harm reduction programs help reduce harm to users most at risk for illness and death and help to increase the number of drug users entering treatment Summary Governments must acknowledge that new approaches to dealing with illicit drug use are urgently needed Policy makers and health care provides must acknowledge the major limitations of enforcement and purely abstinence-based approaches to drug treatment We need evidence-based drug policies that emphasize public health above all other goals Success requires an expansion of services to include harm reduction programming Moving forward will reduce human suffe