Thursday, June 28, 2012

AT LAST - A RAY OF HOPE!





One reason for the continuing tragedy that is the Downtown Eastside is because we don’t care enough to find truly meaningful solutions. Our community has allowed the scourge of drug addiction and mental illness to be socially and politically palatable because no one wants to acknowledge the truth: that as long as the society’s “garbage” is down there and NIMBY, it’s tolerable.

Police officer Wes Fung spurs debate over Downtown Eastside addicts’ civil liberties

We appease our guilt by hosting extravagant charity fundraisers and give money to panhandlers, and some will even make the trek into the neighbourhood during Christmas time to give out free food and clothing. These acts of goodwill are well intentioned but misguided, doing nothing to address the problems in the Downtown Eastside but instead enabling the status quo. It’s false compassion: we fool ourselves into believing our deeds are doing some good, but the primary motive is to cleanse our conscience.

The citizens residing in the neighbourhood are at times viewed as circus sideshow freaks. Families from all over the Lower Mainland will dare to drive into the area to show their kids what will happen if they use drugs. The people of the DTES are probably the most photographed, interviewed, and filmed to ostensibly bring more focus to their plight. The writers, photographers, filmmakers, and politicians go on to reap their rewards of recognition while the subjects of their work are once again relegated to mere footnotes, left to wallow in wretched obscurity until the arrival of the next hack or politico.

There is also a financial motive for the ongoing crisis. There are numerous institutions with their respective bureaucracies competing for limited government funding to deliver a variety of social services to the residents. It has been suggested that about one million dollars a day is expended, that much of it is wasted because of bureaucratic redundancies and a lack of accountability. Though this may be somewhat exaggerated, it is evident a lot of money is poured into the community as though it were a third world country. Throwing money at problems without the necessary checks and balances make any initiatives vulnerable to inefficiencies and corruption.

This creates a catch-22 situation whereby all these services are created to seemingly help the people, but by doing so we foster a prey/predator culture of dealers-addicts, pimps-prostitutes, sociopaths, and a cycle of violence where today’s victim is tomorrow’s offender. An atmosphere of entitlement develops because the boundaries defining social etiquette are blurred. Behaviours and actions deemed inappropriate in “normal” neighbourhoods are excused because the actors suffer from varying degrees of addiction and mental illness. The lack of consequences emboldens those who are not drug addicted nor mentally ill but feed on those that are.

This dysfunctional dynamic is used to justify the survival of all the bureaucracies, and society buys into it because it’s an easy cop out. The more programs and treatment centres that open the more we delude ourselves into believing it’s the best fix under hopeless circumstances.

Because these programs are centralized in the DTES, it’s very easy to be drawn into the maelstrom but almost impossible to leave due to the dearth of support elsewhere. Establishing treatment centres in the neighbourhood is akin to holding AA meetings in liquor stores. It’s doomed to failure when one has to fight temptation to navigate around the phalanx of luring dealers skulking nearby on a daily basis. Truth is, many of the dealers are gang affiliated, live in the suburbs, and are from middle-class backgrounds as are many of their customers. They make regular forays into the DTES to supply and lord over their subsistence-level minions who do the street-level transactions and run the risk of arrest.

Harm reduction strategies of providing free needles and crack-pipes to curb the spread of disease and overdose deaths are an understandable knee jerk response to the misery but do very little to address the problem in the long term. It will take a tough approach to deal with an ugly situation.
The concept of forced treatment is intensely controversial because it means the suspension of an individual’s right of choice, the foundation of democracy. There is also the argument that a person has to make their own decision to get clean and any coercive methods to compel treatment will fail. This premise is based on the notion a “junkie” is still able to make rational choices. We try to apply logic to an illogical act when in reality, the user is so thoroughly consumed with seeking their next fix that common sense does not apply.

This is not to suggest forced treatment is a panacea for all the ills haunting the DTES, because there are no perfect solutions—some people are beyond help and will die. However, if carried out methodically and with compassion, a person has a better chance to reclaim their dignity and self-respect, to give back rather than take. Forced treatment offers the one thing harm “reproduction” cannot—hope.

Amend the Mental Health Act to include addiction and divert some of the money flowing into the DTES into building medical centres located away from the area and staffed by qualified personnel. Instead of administering narcotic substitutes, the patient goes “cold turkey” and is closely monitored.

Next is a psychological assessment for mental fitness to determine the appropriate follow-up measures that include counseling, nutrition and exercise, hygiene, education upgrade, work force re-entry, and family participation.

Individuals deemed profoundly unstable and a safety threat would be transferred to an institution like Riverview for a more structured environment. Sadly, for many it is a life sentence. Those making good progress would earn the privilege of graduating to transition homes to continue their re-integration into the community. The houses would be located in neighbourhoods throughout Greater Vancouver and the neighbours would be made aware of the initiative, the entire process transparent.

Ideally, forced treatment and transition homes would be accepted as meaningful solutions to deal with addiction and mental health issues in the Downtown Eastside. In reality, the idea alone would cause such public uproar that no politician would dare champion the cause.

Compounding the problem are the self-proclaimed advocates for the marginalized whose sole purpose is to perpetuate the veil of suspicion and mistrust of the police. They descend into the DTES and cloak their agenda in self-righteous propaganda to brainwash the residents into believing they are the true defenders, but the only thing being defended is the status quo and, therefore, their relevance. Many of these groups and individuals know the “hot potato” issues in the DTES and use them as political launching pads to polarize the citizenry, reinforcing an “us versus them” mentality. Public pandering and social guilt has given these people too loud a voice and like Dr. Frankenstein, we have come to fear our own creation. Before riding too high on our moral horse we should all take a hard look in the mirror, though we may not like the image because the problem and the solution is staring right back at us.

Addendum

Contrary to public perception not everyone in the DTES is drug addicted, mentally ill, or a dangerous felon. Having worked the area for the past three years I have come to know many of the long-time residents. There are a lot of good people who are passionate about the neighbourhood because it’s home. Their frustration is palpable because they know the community can be much more than what it is. I can also sense the vibrancy returning: the new funky shops and eateries opening up and the cautious optimism of the people moving back into the area.

There are those who believe this “gentrification” of the DTES is a threat to the disadvantaged, low-income residents: that the resulting rise in property values would make rents unaffordable thereby throwing these people onto the streets.

I believe if the government were to adopt a more assertive tact to deal with the fiscal inefficiencies and redundancies, the money could be redirected to attract reputable landlords and building owners with fair subsidies relative to property tax increases. This would be an incentive to provide a higher standard of housing for low-income residents who must earn the privilege of living in the upgraded homes.

I also believe that if people are surrounded by positive stimuli they will be inspired to try harder to be better, call it the “Broken Window Theory” of human behaviour. For far too long, the DTES has been enveloped in a smothering cloud of negativity, but the shroud is slowly lifting. This renaissance is being lead by new entrepreneurs, developers, and young families who are aware of the challenges faced by the residents and want their participation to help make the neighbourhood a better place.

These two groups can coexist quite comfortably, but much of this is predicated on the political courage that will be required to make difficult decisions to deal with the problems. Until that happens, the present situation will ensure job security for a lot of folks—cops included.

Const. Wes Fung is a Chinatown-Gastown neighbourhood police officer with the Vancouver Police Department. Fung has been a member of the department for 27 years, serving as the liaison for several SRO hotels in the Downtown Eastside over the past three years. The opinions expressed in this article are the writer’s and do not represent the views of the department.

Tuesday, June 26, 2012

CHILDREN OF THE STREET FUNdraiser

Just CLICK on this image above to get all the details and join in and support one of our best prevention programs in the Lower Mainland!

You can get more details and BUY TICKETS at the CHILDREN OF THE STREET website.

Thursday, June 21, 2012

SO MANY PEOPLE REALLY GET IT

By now, most of you have read Pete McMartin's column in today's Vancouver Sun about Harm Reduction.


You might also be encouraged by these two comments that were emailed to me:

Comments: Re: Article “Can David Berner reduce Harm Reduction”

Addiction is Hell and Harm Reduction is an invitation to extend your stay in that Hell

I am familiar with that hell and I am incredibly grateful that my family and my workplace did not believe in “harm reduction” or I would not be writing this letter today. Many on the east side do not have families or workplaces to pressure them into treatment but funding a guaranteed hell is no answer when that money could go to providing greater access to detox and treatment.
Harm reduction uses the taxpayer’s money to keep the addict sick!! This method also perpetuates the notion that the addict doesn’t need to change – but we do!!  I had blamed those around me for my own addiction and all the problems that came with it – if everyone else would change my life would be fine! Maybe they should have reduced the speed limits on my street to protect me when I was in addiction!!
 To offer the addict anything but the truth is a disservice to him and robs him of the hope of recovery. The truth is that he is gravely ill and there is no “middle of the road” solution. Treatment Centers or facilities that offer a spiritual answer help an addict to take responsibility for where he is while offering him a doorway out of hell to a life that is incredibly more wonderful than he could ever imagine.

Barb R

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Comments: I just read the article,"McMartin: Can David Berner reduce harm reduction?" posted in the Vancouver Sun. I couldn't agree with you more, David.
It's so true that, "politicians and academics haven’t been grounded in the dirty practicalities of addiction".
I was once brainwashed and seduced by the arguments for 'Harm Reduction' and then I started working in the DTES. It wasn't long before I realized Harm Reduction didn't work and that all we were doing was helping people stay stuck.
I soon put it together that there were organizations out there that supported Harm Reduction because if people were all of a sudden getting clean, they would be out of business. And that is exactly what Harm Reduction has become: a business. It's starting to make me sick.
Ironically, this article came out just as I was preaching to others about how futile Harm Reduction is.

Friday, June 15, 2012

Health Policy? Let us Now Pray...

It is clear that our Provincial Health Officer doesn't spend much time around addiction recovery centres.

How else to explain Dr. Perry Kendall's latest inflammatory public declaration?

Pure ecstasy can be ‘safe’ if consumed responsibly: B.C. health officer

As reported across the country in the last few hours, our leading bureaucrat has thrown all good sense out the window. 

We hope that one day he will leave his office and meet the parents, partners, friends and family members of the ecstasy-afflicted. Then, he might want to drop by the many prevention and treatment programs that are on the front lines of this madness every day - that includes weekends and evenings.

Following are comments from Al Arsenault and Toby Hinton of the Odd Squad:

  Yah, prohibition does all the harm...that's why there were no drug problems in the late 1800's when everything was legal...the Narcotics Control Act was passed because it was an ideal world of all drug legalization...Al

 
 
 Does not surprise me at all. When Through A Blue Lens came out, he went on TV and bemoaned that this type of programming did nothing for education. When we talked to him about this later, he admitted he had not even watched it before giving his interview. He is pro-legalization for everything, and why he is our prov. health officer is beyond me. MDMA - even in its pure form - is linked to depression/seratonin depletion/and other developmental issues.

Toby

We welcome your comments. From this writer's point of view, the Harm Reduction movement and philosophy have found a great ally in Dr. Kendall and the result is policy that makes the word "irresponsible" seem inadequate.

Sunday, June 10, 2012

CELEBRATIONS

Last Thursday, about 900 people joined Al Arsenault and his colleagues to celebrate 15 years of amazing Prevention work from the Odd Squad. The event was in the huge harbor-facing West ballroom at the Convention Centre and people from every walk of life were there. To Al and his fellow police officers and his Board and support team and all the folks who stand behind their work, major thanks and congratulations for keeping the lights on!

The video below - "What the Odd Squad Does" - says it all.

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Last month, Brenda Plant and her team held an equally impressive 30th celebration of Turning Point at the Four Seasons Hotel with special guest speaker, Rob Lowe. That's 30 years of taking in addicted men and women and graduating clean and sober citizens. For a wonderful evening and for their fantastic Treatment & Recovery work, also hearty thanks & congratulations.