Harm Reduction Keep Doing the WorkPresentation Transcript
Alberta Harm Reduction Conference Keep Doing the Work: Just don’t call it Harm Reduction Greg Riehl RN June 1 st , 2011
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
Know what not to do
Conflict of Interest
Policy what policy?
Exit Interviews – don’t go to high!!!
Those who oppose harm reduction are unlikely to change their views until they feel their fears have been taken seriously
False Evidence Appearing Real = FEAR
Know which audience you are talking to
The journey begins
Nursing Career -
1991 – Student Nurse Infectious Diseases
1994-2000 – First Nations on-reserve
2004 Public Health Sexual Health Street Health
THE RELATIONSHIP BETWEEN HEPATITIS C VIRUS AND INJECTION DRUG USE IN SASKATOON STREET YOUTH
Egadz youth Centre
HIV BBP STI TB Coordinator
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.”
Nurses at the Forefront of HIV/AIDS: Prevention, Care and Treatment
2006 International AIDS Conference
Share your vision
Work with people with similar philosophies
Don’t assume people have the same values.
Community Health Nursing
Nurses are often the first point of contact in caring for those who use illicit drugs and are at risk for contracting HIV/AIDS
Nurses have a duty to provide safe, competent, ethical care
Protect dignity and choice
Enact social justice
SRNA Position Statement
Promoting Equity through Harm Reduction In Nursing Practice
Keep doing the work
Right to Play
Need to be innovative
Meet the needs of the population that you work with
Give and take
Need to find projects and action to keep moving forward
16th Annual CANAC Conference
The Power if HIV Nursing: Context and Connections
April 19 – 22, 2008, Ottawa, ON at the Lord Elgin Hotel
April 22, 2008 10:30 ET Canadian AIDS Care Nurses Voice Support for Harm Reduction
Harm reduction is part of professional and ethical nursing standards
OTTAWA, ONTARIO--(Marketwire - April 22, 2008) - Nurses caring for people with HIV/AIDS have a professional obligation to promote the health and well-being of their patients, which includes supporting strategies that reduce harm to patients dealing with addictions, says the Canadian Association for Nurses in AIDS Care (CANAC). At the close of CANAC's eighth annual conference, held April 21 - 22 in Ottawa, the association is calling on municipal, provincial and federal governments to immediately implement evidence-based harm reduction programs throughout the country and to continue supporting those already operating. "Nurses are concerned about the lack of support for essential harm reduction programs in Canada," says CANAC President Greg Riehl. "Harm reduction has been dropped from the current government's new 'Anti-drug Strategy', and many vital programs are being threatened, including needle exchanges, the safer crack kit program in Ottawa, and the supervised injection site (Insite) in Vancouver, despite research showing that these programs work." The City of Ottawa recently withdrew support for the city's safer crack kit program and is now considering imposing a restrictive one-for-one needle exchange policy. "These actions represent a major step backwards," Riehl continues. "We need maximum - not restricted - access to programs that prevent disease and suffering."
Put focus on addicts: Nurses
“ (Critics) should be taking two steps back and focusing on the homeless people trying to deal with their pain so they’re using injection drugs,” said Greg Riehl, president of the Canadian Association for Nurses in AIDS Care (CANAC)
“ The needles are a symptom of what’s happening in society.”
The association, closing its annual conference here, held a press conference yesterday in which it called on all levels of government — and for every day Canadians — to support “harm reduction programs” that have come under fire recently for dispensing free drug paraphernalia to addicts.
Harper urged to extend drug injection site agreement
“ People who use drugs need to be given options and those options include harm reduction, and they also include treatment,” said Greg Riehl, CANAC president.
“ If we don’t have harm reduction, if we don’t have Insite, those people will be dead. Dead people cannot enter into treatment.”
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
2008 International AIDS Conference Represent whenever and wherever you can
International Nurses' Forum
Dedication and Action at the Forefront of HIV/AIDS;
Advances and Improved Practices in HIV/AIDS Care: CANAC‘s experience.
August 2 nd , 2008
Mentoring, partnership and Collaboration: Respect for Human Rights: Diversity: Participation and Empowerment: Integration: Accountability: Advocacy and leadership: “ There is nothing either good or bad but thinking makes it so”. (William Shakespeare)
SRNA - The SRNA Podcast Feed OOPS!!!!!
The Saskatchewan Registered Nurses' Association delivers timely information about the nursing industry through regular video podcasts.
Harm Reduction Greg Riehl is the President Canadian Association of Nurses involved in AIDS Care.
He is currently working with Health Canada as the HIV/AIDS/Bloodborne Pathogens/Sexually Transmitted Infections Regional Coordinator for Health Canada First Nations and Inuit Health Programs Saskatchewan. Media files 2008_mar_19.mp4 (Movie Clip)
Back to Nursing for support
Harm Reduction asks us to look at ourselves and how we offer services. As nurses, are we really open and accessible to those we want to reach? The intention of Harm Reduction is to help people make informed decisions and empower our clients to reduce the risk of HIV infection.
The Code supports visionary nurses and the art of nursing is enhanced through ethical practice. We need to focus on advocacy for our clients and staff and be able to use Harm Reduction models to guide our nursing practice. Holistic approaches are required to address issues and factors that affect HIV/AIDS programming, targeting not just the disease, but also the social determinants of health and economic circumstances. Good Harm Reduction programs strongly support the participation of those living with HIV/AIDS in the process.
The Canadian Nurses Association’s Code of Ethics for Registered Nurses is a statement of the ethical values of nurses and of nurses’ commitments to persons with health-care needs and persons receiving care. It is intended for nurses in all contexts and domains of nursing practice and at all levels of decision-making. It is for nurses by nurses. The Code assists nurses in practicing ethically and working through ethical challenges that arise in their practice with individuals, families, communities and public health systems. Harm Reduction and the Code meet people where they are at, improving the quality of people’s lives, especially the disadvantaged or vulnerable.