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Harm Reduction Keep Doing the Work
- 1. Alberta Harm Reduction Conference Keep Doing the Work: Just don’t call it Harm Reduction Greg Riehl RN June 1 st , 2011
- 2. Key Messages Hopefully my journey and story will give you an idea or two on how to work with organizations who do not support Harm Reduction
- 6. Working for the Federal Government Public Health Agency of Canada www.publichealth.gc.ca Summary of NACHA meeting October 2 and 3, 2005 Regina, Saskatchewan “ Tanya reported that the Populations Section of the HIV/AIDS Division was looking for members of NACHA to provide comments on their draft Policy Framework on Harm Reduction and Drug Use. NACHA identified members to participate in the process.”
- 10. CNA Resolution
- 11. CANAC
- 18. HARM REDUCTION: A FIRST NATIONS APPROACH Désirée 4 th year NEPS Student First Nations and Inuit Health Health Canada – July 2008 Share knowledge, be a mentor, support learning
- 19. 2008 International AIDS Conference Represent whenever and wherever you can
- 23. Restoring Balance through Harm Reduction Sex, Health, Wellness and HIV Monday November 24 th , 2008 The Norwood Hotel Greg Riehl Canadian Association of Nurses in AIDS Care
- 26. Hero, Victim, Villain? Hero Villain Victim
- 27. I am obviously not a Cowboy
- 29. It isn’t about the person.. . . “ Harm Addition”
- 36. Leading Together CAS March 2010
- 39. Saskatchewan Public Health Association
- 42. U 2 should try and be a rock star
Notas del editor
- http://www.collectionscanada.gc.ca/obj/s4/f2/dsk3/SSU/TC-SSU-08182004110011.pdf
- http://www.phac-aspc.gc.ca/aids-sida/publication/nacha/oct2005-eng.php HR was still a thing in 2005 for the federal government
- http://www.cna-nurses.ca/CNA/documents/pdf/publications/INF_Program_2006_e.pdf http://www.cna-nurses.ca/CNA/documents/pdf/publications/INF-AIDS-Care-Report-e.pdf http://www.cna-nurses.ca/cna/documents/pdf/publications/iac_inf_flyer_e.pdf http://www.cna-nurses.ca/CNA/documents/pdf/publications/INF_Final_Program_Guide_e.pdf
- B/C of the settings nurses work in. They are in a unique pos’n to prevent many of the harms associated with drug use. Using HR strategies in nursing practice creates future opportunities to promote the health and well being of those experiencing substance use. Underlying principles of HR reflect the CNA’s code of ethics (2002)
- http://www.cna-nurses.ca/CNA/documents/pdf/publications/Open_Letter_Harper_March_2007_e.pdf
- http://www.cna-nurses.ca/CNA/documents/pdf/publications/Resolution1_CANAC_Harm_Reduction_2007_e.pdf
- http://www.canac.org/english/pdf/Safer%20Crack%20Use%20Initiative.pdf
- Working with FNIH Health Canada allowed me to explore other ways of looking at what Harm Reduction is and how the work could continue http://www.righttoplay.com/International/Pages/Home.aspx Right to Play for me would help kids get involved in sports, thus increasing self esteem, etc, and generally keeping them busy with healthy choices decreasing the opportunities for risky behaviors.
- In April or 2008 I started to speak in public about Harm Reduction, good for the overall cause, not the greatest career move, I started to get letters from the Minister of Health’s office to stop speaking against the governments position on HR.
- http://www.marketwire.com/press-release/canadian-aids-care-nurses-voice-support-for-harm-reduction-846910.htm
- http://media.metronews.ca/acrobat/ba/9e/407456844af7b39de55c9f987167.pdf
- http://www.canada.com/montrealgazette/story.html?id=d0d5553f-b973-4186-90ef-7d47d6c29c20&k=12546
- Share knowledge - Be a mentor - Support learning Seemed like a good idea to have a nursing student develop a presentation on Harm Reduction, good to support learning, but the presentation never got past the cubicle, let alone the front door.
- I spoke at the International AIDS Conference, specifically the International Nurses’ Forum, which was a great opportunity, if you want my speech email me. gregriehl@sasktel.net
- http://www.canac.org/english/pdf/Winter%2008-09%20-%20English.pdf
- http://www.srna.org/rss/index.rss
- I started to change my language around Harm Reduction, but was conflicted for sure.
- MLK Martin Luther King I think this is a very important quote. Once Harm Reduction has been eliminated from our language, what will be next. HIV? I saw the elimination of HR as a slippery slope, and wanted to take a stand.
- I got feedback, and if I kept up what I thought was the good fight, well, then what? What if Health Canada comes out with an official policy against anything related to Harm Reduction? Well, I would have pushed to much. Better, I thought, to plan an exit strategy and start to push from the outside.
- http://www.joyofconflict.com/editor_articles/ConflictDrama-VictimVillainHero.htm Often we can be seen as different people within the triangle. And our peers, colleagues, bosses, and clients can see us as different player in this situation.
- http://www.domainnamenews.com/domain-sales/group-of-internet-mavericks-lasso-domain-cowboyscom/924 http://alinthecounty.blogspot.com/2009/08/sexy-cowboy-sunday.html
- I thought that my clients were the public, I was a public servant afterall. Better to be a service to the public, than a servant of my bosses.
- http://www.slapupsidethehead.com/tag/tony-clement/ It is easy to blame the person, but as with any philosophy that will not help in the long run, and the effort is momentous.
- October 3rd, 2007 CANAC Response to Announcement by Minister Clement, Oct. 2nd, 2007 As you are no doubt aware Minister Clement announced, October 2nd, a 6 month extension for North America's only supervised injection site – Insite, located in the Downtown East side of Vancouver. Health Minister Tony Clement has advised the Vancouver Coastal Health Authority which operates Insite, a supervised injection site that their exemption under Section 56 of the Controlled Drugs and Substances Act has been extended until June 30, 2008. This extension will allow research on how supervised injection sites affect prevention, treatment and crime to be continued for another six months. (http://hc-sc.gc.ca/ahc-asc/media/nr-cp/2007/2007_137_e.html) It appears that health and human rights have become political issues and are especially hot topics with an election looming in the near future. The Canadian Association of Nurses in AIDS Care (CANAC) believes that this exemption is only a short reprieve and that a long-term decision is required to support the work that is currently occurring at Insite. In addition, later this week Minister Clement will announce Canada's new Anti-drug Strategy built on 3 pillars: prevention, treatment and enforcement. Harm reduction has been dropped and strategies to address HIV/AIDS are becoming more and more difficult to locate on Health Canada’s web sites. Harm reduction has been an official policy of Health Canada's since 1996 and was a major focus in the document Leading Together: Canada Takes Action on HIV/AIDS (2005 - 2010) blueprint for Canada-wide action on HIV/AIDS until 2010. CANAC supports a four-pillar approach, which includes harm reduction as a policy, strategy, and approach; we see this reactionary decision to drop harm reduction as immensely shortsighted. CANAC has known, or heard rumours, of this impending anti-initiative for some time. The roll out of the government’s three-pillar approach is a wobbly stool at best and is being met with disappointment. The successes of those working to implement harm reduction practices in the areas of substance use have lead the way for others to use similar approaches to reduce harm associated with other behaviours and circumstances. A four pillar approach, that includes Harm Reduction, has improved care for patients everywhere. It has taught us to measure success in small steps, to not be disappointed with relapse, to see the value in trying, and recognize that the sense of self worth that is so compromised in the most vulnerable of our patients and clients can be re-built with every moment that they experience understanding and acceptance. CANAC is in support of focusing on the need to maintain services (indeed expand services) to our most marginalized citizens. CANAC supports programs of harm reduction as an integral component of supervised consumption sites and these positive human rights initiatives need to be standard health care services for homeless drug using people. “ Understanding harm reduction has made me a better nurse and I use these practices in all areas of my work. We need to protect this.” (DRW RN from Toronto) Greg Riehl President Canadian Association of Nurses in AIDS Care The Federal Initiative ( http://www.phac-aspc.gc.ca/aids-sida/fi-if/fa-if/pdf/fed_init_e.pdf0 ) Leading Together ( http://www.leadingtogether.ca/ )
- To be credible you have to know what you are talking about and you have to be able to get feedback and actively seek out feedback.
- Buchanan, B., Shaw, S. Ford, A. and Singer, M. (2003). Empirical science meets moral panic: an analysis of the politics of needle exchange. Journal of Public Health Policy 24(3–4):427–444. One of the best articles I have read in a long time.
- As a Registered Nurse I am supported in my professional activities.
- I worked with the Ministy of Health in Saskatchewan on the Provincial HIV Strategy which was a good opportunity to work with a good team of committed individuals.
- http://www.cdnaids.ca/web/setup.nsf/files/CAS2010prgmENG/$file/CAS2010prgmENG.pdf
- http://www.catie.ca/pdf/AGM/WEC_Agenda.pdf
- If and when I have some spare time I think it is important to share information, I like to send people links and articles whenever I find something interesting.
- Working with the Saskatchewan Public Health Association allows me to have another hat and a different voice. It is important to stay current and stay involved. http://www.thestarphoenix.com/health/Needle+exchange+good+health+policy/4653521/story.html
- I am still involved and am still passionate about advocacy and harm reduction.
- This presentation was for the Alberta Harm Reduction Conference, and U2 was in the city, it was a great conference.