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STORY
GLEANERS
SPEAK FROM THE HEART
CENTRAL TORONTO COMMUNITY HEALTH CENTRES
PROJECT OVERVIEW:
WHY STORY GLEANERS?
 Story Gleaners is a
  Community-Based
  Research project to
  explore using digital
  storytelling to:

    document how current
     Canadian drug policy affects
     the health of people who use
     drugs
    engage and support people
     who use substances to
     develop health literacy and to
     enhance their harm reduction
     and safer sex practices.
    provide a platform for drug
     users to voice their
     experiences and stories
WHAT WE DID:
12 Participants
8 storytelling circles with Jim Meeks as storytelling facilitator
(January – March, 2012)
Guest Speakers:
  • Walter Cavalieri (Drug Policy);
  • Mahlikah Awer:i (Storytelling as Performance);
  • Chris Cavanaugh (Storytelling and Social Change)
Community Advisory Board
  • Advised on project; developed prompts; data analysis; KTE
    event assistance
WHAT YOU SHARED:
8 stories
 recorded
Stories recorded
 with the help of
 prompts based
 on the 4-Pillar
 Drug Strategy:
      Prevention
      Treatment
      Harm Reduction
      Enforcement
o   Drop-in editing
    sessions held if
    people wanted to
    add images or edit
    their story
WHAT WE HEARD:
• All participants surveyed reported
the following:
    •   An increase in storytelling
        skills and knowledge about
        harm reduction during the
        circles
    •   Participating in the research
        has been beneficial to
        participants’ and their
        communities.



•Participants enjoyed different parts   Participants would have liked to see more:
of the training:                             •Storytelling articles
    •   Guest Speakers                       •First Nations Teachings
    •   General knowledge on harm            •Learning about Harm Reduction Practices
        reduction                            •A continued Story Gleaners project as
    •   Story Screening                      ongoing programming
What we heard cont’d…
 “Seeing the other participants'’       When asked why the project was
   stories really inspired me to          beneficial participants said:
 record mine so it can hopefully      “Just being able to tell mine and other
  affect others the way other’s                       story”
       stories affected me”
                                             “Learning more things”
“The impact of these projects on     “Raised self esteem of participants. The
  the participants lives and the       first step in stabilization. Thanks for
   ability to help others in their     allowing me to participate in such a
 communities is HUGE and have                    meaningful project”
an amazing impact in both small
          and large ways”


 “I would like to use my videos to
show other suffering from original
  ramifications of drug use and
    haunting histories of being
 abused that voicing our stories
has the power to create change.”
Lack of Safe Spaces
Participants’ stories spoke to
how current drug policy actually
decreased their access to
services, acting as a facilitating
factor for homelessness or
involvement with the law.
  • No place to use safely.
  • Abstinence-only policies at
    shelters leading to denied
    access to services                  "You're a teenager, you're on your own
  • Migration, youth homeless, lack      and on the streets, and you move to a
    of privacy to use                 youth shelter, the only youth shelter in the
                                      community where you live. It's abstinence-
  • Lack of access in rural                based. […] That was the first time
    communities to harm reduction       shooting up. Low and behold, and they
    knowledge (e.g. using safely,        knew I was high, so I ended up being
    initiation, etc.)                    homeless and on the streets again.”
Self Medication
• "I try so hard to let my past go, try drowning it with alcohol and
  crack. Pushing down the pain but it still resurfaces, comes right
  back.”

• There are many challenges in accessing health care for people
  who use drugs, including accessing prescription pain
  medication and complimentary therapies.

• Substance use and self medication was a prominent theme in
  many stories.

• Individuals use drugs to cope with emotional and physical pain
  (mental health issues; past trauma; physical ailments etc.).

• There is a lack of access to prescription medications and
  complimentary therapies for pain.
Access to Health Care &
Criminalization
•Despite people’s varied reasons for         "I was born with arthritis. [...] I was on
using drugs, criminalization of drug-        Ritalin, and then I got off that and then
                                                the pain started getting even more
use continues…                              worse and they telling me I can't get my
                                              medication unless I have this certain
•Many prescribed medications not           amount of money to get it. Which I don't
covered by Ontario Drug Benefits               think that's fair on my behalf. I think
and yet people are still in pain.                 they should just let me have my
                                               medication instead of taking it away
•Lack of accountability for police         from me. It's very frustrating. And then, I
harassment and arbitrary                   tried to like, work it out, but it just never
targeting/enforcement by police                   works out for me. So I get more
                                            frustrated, then I get arrested because I
                                             tried to go steal the medication. I don't
                                               like stealing, but I had - sometimes I
“Why government policy allows humans                   have no other choice“
to carry a gun in hand, but imprisons
those self-medicating with a remedy they
choose to ban.”
Peer Support:
  Strength in Community
o Community (‘chosen family’) also
  emerged as a prominent theme in
  the videos
o People who use drugs take care
  of one another by providing peer
  support and harm reduction
  outreach (formally and informally).
o Given dominant representations of
  people who use drugs in the
  media, the self-representation of
  strong, resilient communities
  should not be understated.            “I am more open to listening and learning and
                                                       interpreting.”
o However, while these
  communities are strong, people          “I know I am important in my community”
  who use drugs continue to
  experience stigma when                 “ I no longer feel isolated and disconnected
  accessing health care services,         from the societal masses that have turned
  dealing with the police, and           away from me due to a lack of empathy for
  connecting with larger                 mental/emotional struggles that I try to self-
  communities.                           medicate via addiction to illegal substance”
Peer Support:
Strength in Community
"But I just do my own harm reduction. Carry my own stuff
around, right”


"Me and my boyfriend that come pretty much everyday here
and see everybody. And I'm so happy that people are always
like "Hey, nice to see you guys" you know?”


"And, two of my best comrades, cause at least we don't fight
each other for a bottle or for money or for crack or this. We
always give something to each other, cause we're not greedy.
We respect each other cause when you're in that kind of a
situation you help each other out.”
Recommendations
o Health care systems must acknowledge self medication when
  working with people who use drugs as valid, and not deny
  people access to medication based on their personal drug use.
o Shelters and other youth-serving agencies need to adopt harm
  reduction philosophies to better support youth and adults.
  Abstinence-based programs only serve to further stigmatize
  and reduce access to services for people who use drugs.
o Social assistance needs to increase rates and coverage to
  accurately support the needs of people with health problems,
  including people who use drugs.
o Drug policy needs to take into account the many reasons
  people use drugs (to have fun, to release anxiety, to self-
  medicate physical and emotional pain, etc.).
Recommendations
o More Harm Reduction Programming! Storytelling can be a
  powerful way.of educating service providers, policy makers, law
  officers, and decision makers about the daily realities of people
  who use drugs.
o Drug Policy needs to work against the criminalization of people
  who use drugs; drug use is a health issue, not an issue of the
  courts.
o People need safe places to use; governments need to take
  research and professional college’s views on safer consumption
  sites seriously and create funding opportunities to meet the need.
o Harm Reduction programming SAVES LIVES, including
  distribution of safer use kits; education on safer drug use;
  overdose prevention; and safe consumption sites.
ACKNOWLEDGEMENTS
•Thank you to the Story Gleaners participants who
had the courage and insight to share their stories
with us.
Mark Anthony Wright; Frank Coburn; Chris Tiley; Juliette; John; Sonny; Scotia; Rina; Friendly Gingerbred
Man;

•Thank you to the Jim Meeks, the Community Advisory Board, Research Team,
and staff at Central Toronto Community Health Centres who assisted with the
project.
Lisa Campbell Salazar, M.E.S, B.I.S; Lorraine Barnaby; Dr Patricia G Erickson, Ph.D.; Alex McClelland; M.A.
Stephanie Massey; Janet Balfour MSc. (LSE), B.S.W., B.A.; Walter Cavalieri; Carol Strike Ph.D. , M.Sc.,
    B.A. ; Kyla Zanardi, B.A.; Rhonda Chorney; Doris O’Brien-Teengs HBA, MA; Dr. Rosemary Jolly

•Funding Support Provided by CIHR Center for REACH in HIV/AIDS

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Story Gleaners

  • 1. STORY GLEANERS SPEAK FROM THE HEART CENTRAL TORONTO COMMUNITY HEALTH CENTRES
  • 2. PROJECT OVERVIEW: WHY STORY GLEANERS?  Story Gleaners is a Community-Based Research project to explore using digital storytelling to:  document how current Canadian drug policy affects the health of people who use drugs  engage and support people who use substances to develop health literacy and to enhance their harm reduction and safer sex practices.  provide a platform for drug users to voice their experiences and stories
  • 3. WHAT WE DID: 12 Participants 8 storytelling circles with Jim Meeks as storytelling facilitator (January – March, 2012) Guest Speakers: • Walter Cavalieri (Drug Policy); • Mahlikah Awer:i (Storytelling as Performance); • Chris Cavanaugh (Storytelling and Social Change) Community Advisory Board • Advised on project; developed prompts; data analysis; KTE event assistance
  • 4. WHAT YOU SHARED: 8 stories recorded Stories recorded with the help of prompts based on the 4-Pillar Drug Strategy:  Prevention  Treatment  Harm Reduction  Enforcement o Drop-in editing sessions held if people wanted to add images or edit their story
  • 5. WHAT WE HEARD: • All participants surveyed reported the following: • An increase in storytelling skills and knowledge about harm reduction during the circles • Participating in the research has been beneficial to participants’ and their communities. •Participants enjoyed different parts Participants would have liked to see more: of the training: •Storytelling articles • Guest Speakers •First Nations Teachings • General knowledge on harm •Learning about Harm Reduction Practices reduction •A continued Story Gleaners project as • Story Screening ongoing programming
  • 6. What we heard cont’d… “Seeing the other participants'’ When asked why the project was stories really inspired me to beneficial participants said: record mine so it can hopefully “Just being able to tell mine and other affect others the way other’s story” stories affected me” “Learning more things” “The impact of these projects on “Raised self esteem of participants. The the participants lives and the first step in stabilization. Thanks for ability to help others in their allowing me to participate in such a communities is HUGE and have meaningful project” an amazing impact in both small and large ways” “I would like to use my videos to show other suffering from original ramifications of drug use and haunting histories of being abused that voicing our stories has the power to create change.”
  • 7. Lack of Safe Spaces Participants’ stories spoke to how current drug policy actually decreased their access to services, acting as a facilitating factor for homelessness or involvement with the law. • No place to use safely. • Abstinence-only policies at shelters leading to denied access to services "You're a teenager, you're on your own • Migration, youth homeless, lack and on the streets, and you move to a of privacy to use youth shelter, the only youth shelter in the community where you live. It's abstinence- • Lack of access in rural based. […] That was the first time communities to harm reduction shooting up. Low and behold, and they knowledge (e.g. using safely, knew I was high, so I ended up being initiation, etc.) homeless and on the streets again.”
  • 8. Self Medication • "I try so hard to let my past go, try drowning it with alcohol and crack. Pushing down the pain but it still resurfaces, comes right back.” • There are many challenges in accessing health care for people who use drugs, including accessing prescription pain medication and complimentary therapies. • Substance use and self medication was a prominent theme in many stories. • Individuals use drugs to cope with emotional and physical pain (mental health issues; past trauma; physical ailments etc.). • There is a lack of access to prescription medications and complimentary therapies for pain.
  • 9. Access to Health Care & Criminalization •Despite people’s varied reasons for "I was born with arthritis. [...] I was on using drugs, criminalization of drug- Ritalin, and then I got off that and then the pain started getting even more use continues… worse and they telling me I can't get my medication unless I have this certain •Many prescribed medications not amount of money to get it. Which I don't covered by Ontario Drug Benefits think that's fair on my behalf. I think and yet people are still in pain. they should just let me have my medication instead of taking it away •Lack of accountability for police from me. It's very frustrating. And then, I harassment and arbitrary tried to like, work it out, but it just never targeting/enforcement by police works out for me. So I get more frustrated, then I get arrested because I tried to go steal the medication. I don't like stealing, but I had - sometimes I “Why government policy allows humans have no other choice“ to carry a gun in hand, but imprisons those self-medicating with a remedy they choose to ban.”
  • 10. Peer Support: Strength in Community o Community (‘chosen family’) also emerged as a prominent theme in the videos o People who use drugs take care of one another by providing peer support and harm reduction outreach (formally and informally). o Given dominant representations of people who use drugs in the media, the self-representation of strong, resilient communities should not be understated. “I am more open to listening and learning and interpreting.” o However, while these communities are strong, people “I know I am important in my community” who use drugs continue to experience stigma when “ I no longer feel isolated and disconnected accessing health care services, from the societal masses that have turned dealing with the police, and away from me due to a lack of empathy for connecting with larger mental/emotional struggles that I try to self- communities. medicate via addiction to illegal substance”
  • 11. Peer Support: Strength in Community "But I just do my own harm reduction. Carry my own stuff around, right” "Me and my boyfriend that come pretty much everyday here and see everybody. And I'm so happy that people are always like "Hey, nice to see you guys" you know?” "And, two of my best comrades, cause at least we don't fight each other for a bottle or for money or for crack or this. We always give something to each other, cause we're not greedy. We respect each other cause when you're in that kind of a situation you help each other out.”
  • 12. Recommendations o Health care systems must acknowledge self medication when working with people who use drugs as valid, and not deny people access to medication based on their personal drug use. o Shelters and other youth-serving agencies need to adopt harm reduction philosophies to better support youth and adults. Abstinence-based programs only serve to further stigmatize and reduce access to services for people who use drugs. o Social assistance needs to increase rates and coverage to accurately support the needs of people with health problems, including people who use drugs. o Drug policy needs to take into account the many reasons people use drugs (to have fun, to release anxiety, to self- medicate physical and emotional pain, etc.).
  • 13. Recommendations o More Harm Reduction Programming! Storytelling can be a powerful way.of educating service providers, policy makers, law officers, and decision makers about the daily realities of people who use drugs. o Drug Policy needs to work against the criminalization of people who use drugs; drug use is a health issue, not an issue of the courts. o People need safe places to use; governments need to take research and professional college’s views on safer consumption sites seriously and create funding opportunities to meet the need. o Harm Reduction programming SAVES LIVES, including distribution of safer use kits; education on safer drug use; overdose prevention; and safe consumption sites.
  • 14. ACKNOWLEDGEMENTS •Thank you to the Story Gleaners participants who had the courage and insight to share their stories with us. Mark Anthony Wright; Frank Coburn; Chris Tiley; Juliette; John; Sonny; Scotia; Rina; Friendly Gingerbred Man; •Thank you to the Jim Meeks, the Community Advisory Board, Research Team, and staff at Central Toronto Community Health Centres who assisted with the project. Lisa Campbell Salazar, M.E.S, B.I.S; Lorraine Barnaby; Dr Patricia G Erickson, Ph.D.; Alex McClelland; M.A. Stephanie Massey; Janet Balfour MSc. (LSE), B.S.W., B.A.; Walter Cavalieri; Carol Strike Ph.D. , M.Sc., B.A. ; Kyla Zanardi, B.A.; Rhonda Chorney; Doris O’Brien-Teengs HBA, MA; Dr. Rosemary Jolly •Funding Support Provided by CIHR Center for REACH in HIV/AIDS