experiences of drug consumption rooms in europe cedric charvet coordinator dcr ...
TRANSCRIPT
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Experiences of Drug Consumption Rooms
in EuropeCedric Charvet
Coordinator DCR
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INTRODUCTION• Drug Consumption Room definition• DCR in context / Drug policies • DCR goals• Pros and Cons of DCR• From Theory to Practice• DCR around the world• The Dutch experience• DCR standards• DCR styles / examples of DCR• Set up a DCR• DCR approach – a job like no other • Conclusion
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DEFINITION
Drug Consumption Rooms (DCRs) are professionally supervised healthcare facilities where drug users can use drugs in safer and more hygienic conditions.
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STREET USE, Switzerland 1986
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Drug Consumption Room , Luxemburg 2003
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Drug Consumption Rooms in context
Drug policies; the 4 pillars:
• Prevention• Repression • Therapy• Harm Reduction → Drug Consumption Rooms
(DCR)
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DCR GOALS•DCRs aim to establish contact with difficult-to-reach populations of drug users
•DCRs provide an environment for more hygienic drug use; reduce morbidity and mortality risks associated with drug use
•DCRs promote drug users’ access to other social, health and drug treatment services. •DCRs also aim to reduce public drug use and public nuisances.
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PROS AND CONS PROS
• decrease in high-risk drug use; • decrease in morbidity and mortality among the target
population;• increase in uptake of health and social care including drug
treatment; • reduction in public drug use and neighborhood nuisance. CONS
• may encourage increased drug use or even initiate new users;• make drug use more acceptable and comfortable, delaying
initiation to treatment;• increase public order problems by attracting drug users and
drug dealers from other areas.
(Based on the EMCDDA Report/European Monitoring Centre on Drugs and Drug Addiction/www.emcdda.europa.eu)
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The Ins and Outs of Harm Reduction
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FROM THEORY TO PRACTICE
Because DCRs are facilities where drug users can use drugs in safer and more hygienic conditions, let’s talk about it.
DRUGS+
SAFETYHYGIENE
STRESS FREE
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DCRs AROUND THE WORLD
Existing DCRs = Switzerland , Netherlands, Germany, Spain, Luxemburg, Norway, Australia, Canada
Since 1986, more then 90 DCRs have been set up around the world, including 36 European cities
Portugal, France, Romania, Finland could be next
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THE DUTCH EXPERIENCE
AMOC, Amsterdam, the Netherlands, before 2007
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AMOC, Amsterdam, the Netherlands, after 2007
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DCR STANDARDS
Basic criteria’s to access DCR• Being homeless• Being hard drug user for 5 years or more• Being 18 years of age• Understanding and agreeing on the DCR policies
Not allowed in the DCR (but very difficult to apply)• Stress• Inappropriate and/or Dangerous behaviors• Illegal activities
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DCR STYLESocial DCRMedical DCRInjection SiteSmoking RoomMobile DCR Etc.
Examples of DCRs
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Bern, Switzerland
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Vancouver, British Columbia, Canada
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Geneva, Switzerland
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Sidney, Australia
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Luxemburg
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Bilbao, Spain
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SET UP A DCR
KNOW YOUR SCENE
LISTEN TO THE NEEDS OF THE CLIENTS
GATHER KNOWLEDGE
ESTABLISH PARTNERSHIPS
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HUMANISTIC APPROACH
Allow users space and time to use and thinkUse without pressureUse without judgment
Use without stress (Rat Park)Reward responsible use
Allow users to be
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CONCLUSION
• Think globally / Act locally • Keep it simple (hygiene / safety / stress free)
• Listen to the local drug scene
• Every material given to users is an act of prevention
• Every service given by DCR is to implement the quality of life of users and the society as a whole
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Thank you for your attention!
For further information feel free to contact me:• [email protected]• www.deregenboog.org
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SOURCES
Emcdda , European report on Drug Consumption Rooms, 2004, Dagmar Hedrich.
Emcdda, Harm Reduction Monograph, 2010, Chapter 11: Drug consumption facilities in Europe and beyond Dagmar Hedrich, Thomas Kerr and Françoise Dubois-Arber.
Indcr, "Setting up a drug consumption room - Legal issues", 2010. Paper F of the Independent Working Group on Drug Consumption Rooms, offers evidence supporting their Report. Forston, R Joseph Rowntree Foundation.
Correlation Project, “Drug Consumption Rooms. Evidence and Practice”, 2012. Schatz, E. & Nougier, M. London,International Drug policy Consortium.
De Regenboog Groep, DCR, Jubileum 35 years, 2011, Ins and Outs of Harm Reduction Board.