City Councilors Annissa Essaibi-George (at large) and Frank Baker (Dorchester) say that with opioid deaths continuing to rise, it's time to look at possibly setting up a place where addicts could inject themselves while under the supervision of healthcare workers who could administer emergency aid.
In a request filed today, the two are asking their fellow councilors to let them hold a hearing on a possible "safe injection site" in Boston. Boston Medical Center already has a room where addicts can go after they've shot up on the street.
In their request, the two admitted to mixed feelings:
A study of the Safe Injection Site in Vancouver, Canada demonstrated a 35% reduction in opioid related overdose deaths and a significant increase in access to drug treatment. However, impacts of Safe Injections Sites on host communities have been mixed. ... Safe Injection Sites are controversial and wrought with medical, ethical and legal
questions for communities. Furthermore, the Boston City Council has a responsibility to promote thoughtful conversation that represents all perspectives while working to promote the safety and wellbeing of all
But with opioid deaths up and Boston having collected 20,000 discarded needles from streets, parks and playgrounds since March, 2015, the city may need to do more than it has so far, they write. They note that the Massachusetts Medical Society recently urged the state to set up at least two pilot safe-injection sites.
The council will consider the request at its Wednesday meeting, which begins at noon in its fifth-floor chambers in City Hall. Typically, councilors make only brief comments before the measure is sent to a council committee, which then holds a public hearing.
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Comments
Legalizing Heroine
By anon
Tue, 06/06/2017 - 11:11am
Hey! It is totally legal to go see Wonder Woman!
[img]https://www.sideshowtoy.com/wp-content/uploads/201...
We are legalizing HEROINE
By roadman
Tue, 06/06/2017 - 12:24pm
Huh? Movies and cartoons with Pearl White and Penelope Pitstop have always been legal.
And who pays for all of this.
By Joey
Mon, 06/05/2017 - 6:51pm
And who pays for all of this.....
It'd pay for itself
By Daniel Hogan
Thu, 06/08/2017 - 4:45pm
How much money would be saved for each overdose resulting in an ambulance rushing someone to the hospital which was prevented. How much money would be saved on having to treat new cases of HIV, Hepatitis C, Endocarditis, skin infections? All of the cost-benefit analysis I've come across indicate that these types of facilities more than cover their cost to operate while also being incredibly effective. Also, money isn't the only thing, how much time would be saved so that EMS, Nurses, Physicians, and Police could focus on everything else they have to do in their day?
This is not a new idea
By SwirlyGrrl
Mon, 06/05/2017 - 6:57pm
This was not invented in Boston. This has been tried in other cities, and subject to a great deal of outcomes research. There is mounting evidence that it effectively takes drug use off the street, halts progression of drug abuse, and is an effective conduit for people to get the treatment that they need.
It won't make the epidemic go away, but it may keep things from getting worse.
https://www.ncbi.nlm.nih.gov/pubmed/ and https://scholar.google.com/ are your friends when it comes to examining the evidence with whatever search terms that you prefer. "supervised injection" should get you started.
I dunno
By Waquiot
Mon, 06/05/2017 - 6:57pm
It looks like the councillors have done some research and have found mixed results. I might not agree with this, but studying it cannot hurt (as opposed to just doing it IMHO)
And ...
By SwirlyGrrl
Mon, 06/05/2017 - 7:03pm
Please enlighten us (referring to the outcomes research, preferably) about how doing it can hurt?
IMHO doesn't have a registered DOI.
The inspiration for the
By brianne fitzgerald
Mon, 06/05/2017 - 7:22pm
The inspiration for the proposed injection site, which would be staffed/studied by a local medical/academic institution, hails from Canada: The Vancouver project in Downtown Eastside (DTE), now entering its second decade. In DTE homelessness continues to rise, trash and quality of life issues including underreported crime, theft, assault and drug dealing are common. Despite fervent claims to the contrary, but well known to locals, DTE is a hot spot for stolen goods. It is home to no less than 170 not-for-profit organizations. The city council has even gone so far as to reduce the street speed to 30 km/hour (18 miles an hour) to protect addicts unable to demarcate the road from the sidewalk.
Does this sound familiar to those familiar with Methadone Mile? DTE and Methadone Mile both appear to be a pipeline to and a magnet for vulnerable populations many from out of the area.
Links?
By anon
Tue, 06/06/2017 - 11:05am
You are citing a lot of numbers and outcomes. Please link to your sources.
Here's an idea
By Waquiot
Mon, 06/05/2017 - 8:53pm
Go up top and read what Adam was kind enough to write. You know, the article on which we are commenting.
But hey, if your thing is smacking me for coming halfway, I guess that's on you.
What am I missing here?
By boo_urns
Mon, 06/05/2017 - 11:03pm
It says that results were "mixed," but doesn't outline what that means. But it does give a 35% reduction rate, before that....
If you know what "mixed" means, please do tell.
Sigh
By Waquiot
Tue, 06/06/2017 - 9:55am
Okay, I don't know if I have the skills for literacy training, but here's what the city councilors are quoted as saying above-
Beyond that, I cannot help you.
Oh, good, we read the same thing
By boo_urns
Tue, 06/06/2017 - 10:19am
Then you conceded "beyond that, I cannot help you." So it seems you can't add anything substantive to the issue and conversation on this. If you can't see what I questioned above and come out of it with at least simple questions like "what _are_ the impacts on the host community, and what are the pros and cons of those impacts" then it's not me that needs a literacy test, it's you that needs to be able to think more critically.
All I said was
By Waquiot
Tue, 06/06/2017 - 11:55am
Which lead people to ask why I thought that, which amazed me since, as I noted above and with my original quote, I read it in the article itself.
If you want the answer to the question, I would imagine the best thing to do would be to contact the City Council, because, once again, they seem to have done some research on the matter.
Hospice care
By brianne fitzgerald
Mon, 06/05/2017 - 6:57pm
End of life care for people they imagine are unable to strive for anything moreR
Wait.....
By Bobo
Mon, 06/05/2017 - 7:31pm
We want to make it ok for them to shoot up using illegal drugs? Will they be set up with comfy rooms to zombie out in while they are high? Should we get waiters to serve them more illegal drugs? Get real.
Melnea Cass & Mass Ave looks like a warzone because of these idiots. They made a bad choice to give themselves the sickness. Dont give me the addiction is a disease, they didnt catch this or develop it like cancer, they got this by bad decision making. But hey, we are a soft society now, lets give them all hugs and tell em, dont worry, go get your dope and come back to room 302 here and we'll have someone watch you drool all over yourself and it will cost you NOTHING!!!!
So...
By stonian
Mon, 06/05/2017 - 7:56pm
Where are they going to put the safe injection sites? I'm thinking an area with the least amount of political power.
Please please put it right
By verbal
Tue, 06/06/2017 - 9:37am
Please please put it right next to Pabu in the Millennium tower.
They would need multiple locations
By Tuckerman
Tue, 06/06/2017 - 4:59pm
The idea of fewer needles on the ground sounds great, but the improvement would probably only be in a small area.
I can't even bring myself to take the T 5 miles to go out to dinner. I can't imagine someone with a heroin addiction is going to travel far for this service.
So, we would need one near every T stop?
Not really contributing to the conversation
By rsybuchanan
Mon, 06/05/2017 - 8:14pm
I just wanted to compliment Adam on the (probably unintentional) juxtaposition of an article on shooting up with a photo of re-enactors shooting upward on the front page. After a long day, it took me a minute to untangle the fact that it was two separate articles.
BLAH BLAH BLAH BUT DOING
By anon
Tue, 06/06/2017 - 8:12am
BLAH BLAH BLAH BUT DOING DRUGS IS A MORAL FAILURE BLAH ENCOURAGING USE BLAH REMOVING MOTIVATION TO GET CLEAN
BLAH BLAH BLAH ADDICTION IS A DISEASE WE NEED TO HAVE COMPASSION BLAH BLAH BLAH
If this keeps needles out of playgrounds and means local coffee shops allow customers to use their bathrooms again, I'm for it. Saves the system money on ambulance rides, as well.
It's illegal
By Briang
Tue, 06/06/2017 - 10:31am
It's against state law and federal law so why waste time discussing this. And enough of dumping in the South End.
How about at Carney Hospital? Oh right, that won't happen.
Actually, no
By anon
Tue, 06/06/2017 - 11:14am
They come in and get a prescription for their one dose.
You might want to read about how these programs work before commenting.
Who is the target audience for heroin center?
By O-FISH-L
Tue, 06/06/2017 - 11:29am
Is this targeted mainly at the homeless? It may not be a bad idea but there would have to be a lot of thought beforehand. Sending ambulances, fire trucks and police all over the city numerous times a day, treating many uninsured, isn't a great concept either although I doubt an addict who has a private space and is hiding his addiction would want to be there.
Questions: Who would supply the heroin or is it
BYOBBYOH? I could see that being a problem. Even if the city tests it, as others have said, what happens when the addict dies on site? Wasn't methadone supposed to solve this? They'd also have to separate the males, females, transgender and juveniles. Handicap accessible? Would the addicts be in hospital beds or a living room setting? Food? Would police be on scene for the inevitable fights and dealing? It's a crime to be "knowingly present where heroin is kept" so that would be an issue. Would treatment be mandatory on first visit or will they come and go as they please?Legalization, regulation and taxation is the only answer. The war on drugs is over and we lost. Take the billions spent on enforcement and offer treatment if they want it. Make using in public illegal, like the open container law. Make unsafely discarding a needle a felony and enforce it.
I fully support this
By Logan
Tue, 06/06/2017 - 5:17pm
This is definitely a step in the right direction.
Late to the party, but...
By starstrewn
Tue, 06/06/2017 - 6:27pm
Late to the party, but an interesting video for those on the fence:
"Why the War on Drugs is a Huge Failure"
https://www.youtube.com/watch?v=wJUXLqNHCaI
Headline misleading
By johnmcboston
Wed, 06/07/2017 - 7:15am
While there is a hearing today, it's not a "Hey this is a good idea let's do it" hearing, this is a "Hey state, how dare you have meetings about putting one of these things in Boston without even letting Boston be involved in such a big decision" hearing.
You may not like the idea, but please read
By Daniel Hogan
Thu, 06/08/2017 - 4:36pm
Heads up, I'm pulling some of this from my response in another thread.
Supervised Consumption/Safe Spaces are not that novel an idea. Vancouver has had such a space operating since 2003 called Insite - http://www.vch.ca/public-health/harm-reduction/sup... . The outcomes have been widely positive, supported by the local and national government (they've now allowed clinics to open in Toronto), overdoses drop, quality of life for non-users has improved, and communicable diseases have decreased. I'm happy to send out plenty of research to anyone skeptical or interested.
Here's how they work:
You're allowed to stay while you're using, but you can't just hang out in there, as there is limited space. Once you've used, you have to leave within a certain amount of time so that others may use the space. It's not intended to be a place to congregate and be social, and is in fact designed to keep you from socializing as each spot is separated like school library desks. Certainly, there are other services offered by the agency that focus on health advocacy, testing, etc., but once they've used, they can't stay in the consumption space as spots are in very high demand.
Some folks fear it would be a spot for drug users to hang out all day, but what's actually wrong with offering drop in services as well, I'm sure the Boston Public Library, various Dunkin Donuts, the Tufts, BMC, and MGH Emergency Department waiting rooms would love to stop filling that role. We need more day-time homeless shelters, and services for those that utilize them. If you disagree, you have no right to look in disgust as you drive down Melnea Cass and think, "Someone should do something about those people". They're there because where else do they have to go?
If there's concern around whether letting people get high and wander around would create a problem, consider a couple of things:
1. Bars release "high" patrons all night long up until 2am, and those folks are actually a greater health risk to themselves or the community when intoxicated than IV opioid users.
2. These folks are using in public spaces already and then wandering around, this would create more spaces where they wouldn't have to put others at risk or create a problem for city officials, citizens, or business owners.
The most likely utilizers will be street drug users that hang out in the area nearest to the center. Kids from Andover will likely not be heading down to hang out there, but those folks are also at a much lower risk of overdose death. Injection drug use is most risky when it's done alone, in a place where someone won't be found. If I am a homeless person, I'm going to find a place to hide while using (in an alley, a Dunkin Donuts bathroom, hospital bathroom etc..).
I honesty cannot think of one logical reason as to why we shouldn't embrace these types of services. It would reduce the burden on police, reduce the impact on retail owners, reduce the overdose rate and the resource drain/trauma on EMS and Hospital EDs, it would reduce the presence of active drug use on the street in view of children, would reduce the number of discarded syringes in our parks and sidewalks or thrown into city barrels and restaurant toilets,
it would literally improve the lives of people who find folks with addiction to be despicable, while also improving the lives of people who live with addiction, at the same time. It would improve my life because I'd see less of my patients die, I'd have a place to collaborate with to re-engage or connect with new patients, provide education and outreach.
It'd improve the day to day experiences of every cop, doctor, restaurant manager, parks service worker, landscaper, janitor, and tourist in Boston in a way that has evidence showing that it works, and would also save the city money.
Finally, It would be one more way to remember that just because someone is in a bad place in their life, and that we find them offensive, disgusting, scary, or shameful, that they are a still a human, they are still worth some basic dignity, and that they matter.
If you don't think that they're worth that, at least you wouldn't have to look at them so often. You could start to pretend that they don't even exist.
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