The harm reduction model of drug addiction treatment | Mark Tyndall

tolerating addicts and inviting more addicts to be more addicted

Addiction is a 3 part disease.. mental obsession, physical allergy, and spiritual malady.. addicts are gonna use until they’re ready to quit.. so let’s keep them alive until then.. like we would do for any other disease

Exceptional explanation of the harm reduction model - people need to open their hearts and minds to this model, which is the most enlightened (rational, compassionate)! Thank you sir.

I love this approach! I remember watching a documentary back in the early 90's about a community in the UK ( I believe in Liverpool) where the program offered Opium, clean needles, methadone to their clients. They tracked some of the clients, which seemed to have productive lives. Unfortunately, there was never any follow up to that documentary, but, it does make sense to advocate for this approach, any other approach would be inhumane.

This is true. Harm reduction reduced harm to the entire community.

As someone that has never drank or did drugs im living proof that just not doing drugs works

I participated in a Zoom session in which Liberal MP (Vancouver Quadra - Hon. Joyce Murray) hosted a guest speaker, the Rt. Hon. Dr. Carolyn Bennet, Minister of Mental Health and Addictions of Canada. During the Q&A period after her presentation, I asked Dr. Bennet about reports I'd read in the media of DTES addicts who, despite being provided with clean supplies of pharmaceutical grade heroin, continued to use Fentanyl-laced street heroin, because they were convinced it gave them a "better high"; the thrust of my question was: "how do you fix STUPID?" Dr. Bennet's dismissive reply was: "every little bit helps."

Hilarious to hear this in 2022 with all of the overdoses going on now. This guy is sponsored by the drug companies.

“Common sense and compassionate approach.” This is what the focus of medicine, law enforcement, and government should be when talking about drug use. I wholehearted agree with Dr. Tyndall’s statement that drug use is not a law enforcement issue. I worked with the homeless population for just over a year before starting medical school, and I can tell you from my experience that more than the drugs themselves, the fear of being caught or arrested caused these individuals to participate in high-risk activities. I do not want to generalize groups, but the number of times I saw EMTs and law enforcement talk down to or verbally abuse addicts when we called was gut wrenching. I do need to say that there were also some amazing EMTs and officers that really did care about the community they served. I understand that it can be difficult to deal with people who are struggling, but this is the exact reason we need harm-reduction centers. At the end of the day the healthcare system is in part to blame for the drug crisis in America and we cannot sit on our high horse judging those who have been affected. According to the CDC, 107,000 people died in 2021 due to drug overdose and 67% involved Fentanyl. As Dr. Tyndall stated, prohibition does not work and is endangering thousands of Americans. Please everyone do your part to change the stigma on drug use and advocate for the people in our society that have been deemed unworthy of empathy and basic healthcare by society.

We should be giving a CLEAN source of drugs to life long addicts

America sucks so bad

This is the first guy to expose me to harm reduction and I've sent this talk to many people. It's taking it's sweet time but slowly we are getting there... Thanks Mark

Majority of d.u- aloner, dispositional people
Don’t get sufficient treatments-expose shame
-medical approach is upside down
> ditox program priority strategy is setteld to extreme abistence

Effext of service- greater than risk sognt sanction prevention service
Injection sites-75000 illegal drug users nobody died
Common sense, compassionate approachment, reduce pain, risk of death
Images, media of drug users- stigmisation
Violence, poverty cycle- drug users’ image of handcuff, jail, crime
“Institutional stigma’
Drug users are irresponsible… reality, all users have story- use drug not to face pain (trauma)

YOU ARE NUTS IF YOU THINK HARM REDUCTION CENTERS WORK.WHAT A JOKE WE ALL NO THIS YET NO ONE IS SAYING IT.ITS JUST AWAY THE GOVORMENT ALWAYS GIVES THEM SELFA A PAT ON THE BACK.DRUGS KILL AND ONCE WE SAY AS A HOLE ITS OK TO STICK NEEDDLES IN YOUR ARM WE ARE DOOMED.JUST TAKE A WALK BY ONE OF THE HARM CENTERS ITS A NIGHTMAR. DRUG TREATMENT AND REHABS ARE THE ONLY WAY PEOPLE WILL EVER GET BETTER.ITS LIKE HAVEING AN AA MEETING IN AN OPEN BAR .and before you say i dont no what im talking about i have been clean for 20 years and it was not by the govorment giving me a green light to use drugs.i had to be held acountable for my acctions and had to go to jail and rehab before i got clean.

wow it is true. These are one of the most vulnerable people

This is not akin to being poisoned by meat or milk. this is akin to being poisoned by poison. And your argument needs to address their personal responsibility. They are not being victimized by me. They are being victimized by choices, no mater how compulsive. It is related to choices of the "victim".

"Nobody has ever died at insight." Has anyone there actually lived?

"We must keep people alive"!?!?! Seriously. That's unrealistic

Well wouldn't providing naloxone and reversing a drug overdose in those so called safe injection sites mean that addicts will keep using it because know they know that if anything there is naloxone near by to safe them??? Someone explain

well said.

This was really interesting. Everyone deserves a chance x

I don't believe in criminalizing drug use. But I also feel like harm reduction isn't working. I've worked in those safe injection sites and what I see daily is clients uping their drug use now because they don't have to struggle to find a safe place to use. And typically because of that when the site closes or they go to the shelter for the night and use them they overdose. Not to mention most of the injection sites are poorly structured, not well ventilated, and most of the companies that offer supportive housing like Portland housing have high death tolls for staff. Every month a staff member dies at my company. Every week a client dies at my company. It's hard to see how harm reduction works when the ppl you care about are dropping like flies.

كل الشكر للدكتور كارلوس لشفائي من فيروس نقص المناعة البشرية أنا ممتن إلى الأبد سيدي تواصلوا معه على الواتس اب ليعالجكم: +62 857‑7617‑2498

I quit opiates. I tried 3x. Miserable fails. It was not until I could keep the oliates near me, in case of emergency, that I finally got my opiate free self back.

can someone tell me this video in simple words

so it sounds like the government is either intentionally or unintentionally criminalizing these people. if intentionally why? if unintentionally how are they so nearsighted? Great video. Ted talks are always interesting to listen to.

I do believe that addicts need legit help. unfortunately in minnesota the methadone clinics are all for profit as well. over prescribing most people to the point of turning them into nodding, drooling, forgetful, semi awake zombies. keeping them on the "legal" dope far longer than necessary so they can continue turning a profit. and the treatment centers are also for profit typically offering 21 day programs. 3 weeks to get clean, learn to stay clean, learn how to manage life, gain employment, find housing, find a support network, find a new group of friends and often needing to stay away from family. most drugs aren't even fully detoxed in 3 weeks. and the after care facilities are often little more than a shelter that the state is paying insane amounts of money to run with no legit care or concerns for the clients success. and we wonder why people get caught in a vicious cycle of addiction, jail, treatment, relapse, jail.......

So we have to give drug users a safe place to do drugs in order to reduce drug use?🤔

Oh. My. Gosh. You are so amazing. I just heard this talk on criminal behaviorology pod. I was nearly brought to tears. Your insight is so much deeper than the men and women who make the laws that basically criminalise being an addict. I was wondering if you work for a business that I could read more about. Or if you have any papers that you've written. Anything that I can read about you and your mission statement. I'm so impressed. I'm from Boston, and my mayor is in recovery. He's actually been asked to work with the Biden administration, and he's talked about harm reduction. (Marty Walsh) Again, thank you for your wisdom and insight.

Aquí se nos muestra un caso en el que el ponente llegan hotel y veo una chica intentando se inyectan drogas por lo tanto esta situación de marca mucho al poniente y reflexiona acerca de estas personas qué son adictas pero no debemos de verlas como personas malas sino que detrás de esto hay historias personales de Gran impacto los cuales a través de las drogas tratan de calmar esos traumas que traen interiormente por lo tanto él nos muestra que hay sitios de inyección supervisada es decir te dan drogas y te las inyectan pero de manera supervisada y con este experimento se ha comprobado qué género menos muertes que sí las prohíben, se nos muestra qué a estas personas se les hace una pregunta acerca de qué piensan acerca de su futuro ellos tienen esperanza de salir adelante de que algún día dejen las drogas pero eso no será posible si se sigue prohibiendo y se sigue limitando de parte de los gobiernos él nos muestra qué hay una reducción de daños si no se prohíbe además de incorporar financiar ampliar programas de reducción de daños en América del Norte para que poco a poco las personas no se vuelvan más dependientes de estas sustancias nocivas para la salud y que cada vez sean más debemos de trabajar todos para ayudar a estas personas y que salgan adelante porque si ellos salen adelante nosotros salimos adelante como país como nación.

We could all take a lesson in compassion from Dr. Mark. He goes to the margins to stand with poor and the powerless and the voiceless. He goes to stand with the easily despised and the readily left out. Dr. Mark goes to the margins to stand with the demonized so one day the demonizing will stop. He stands with the disposable so one day we will stop throwing people away.
(Father Gregory Boyle)

Drugs are only a symptom and the rap/rock culture is only a symptom of that same drug. What's the issues of these two personal life issues and the probition of these substances.

Also look at tobacco use, is now looked down upon and less children start. It should be done like that but instead everything around drug use dealing etc and taboo to a point it's glorified in the music industry and Hollywood. We need to make these dealers lose there jobs and we can begin to heal.

Amen to that!

I am working in the field of Drug addiction and Harm Reduction for more than 20 years, comprehensive harm reduction service can address all the issues of drug addiction.

This was very well said. Good work my friend. I am a CASACT n social worker in NYC u hit it on the fucking nail .

It’s cheaper to give tons of clean needles to Addict rather than treat them for hepitatis

As a recovering alcoholic/drug addict, (26 yrs) I can certainly appreciate the wisdom of this approach. The harsh reality of substance abuse is that some people live, and some people die. We should, nevertheless, provide every opportunity for those suffering to experience the miracle of recovery. Long term sobriety is possible for those willing to live differently!

By all means have your sobriety just don't push it on the rest of us! which is what's been done. Decriminalisation is an immoral half measure, absolute legalisation is the only benevolent move so that those who desire to partake have a safe and stigma free thus shameless experience with significantly reduced anxiety attached. It's unequivocally wrong to deny grown adults sovereignty over their own states of mind. Proper education is the key NOT denial of experience. In the same way it's socially repugnant to be openly racist or homophobic, that same manner should be extended to drug users and it would be if we lived in a tolerant and benevolent society.

Spirit Possession is large part of dilemma

People in addiction, and recovered addicts...PLZ TAKE VITAMINS AND MINERALS. BUILD YOUR IMMUNE FOR BETTER QUALITY OF LIFE. PLZ, YOU WILL FEEL BETTER.

Real talk💯

The government needs to get out of treating addiction , methadone is the most federally mandated drug and its killing people that could of been saved with methadone if they could just go to their doctors and ask for help

SO, WHO WILL PAY FOR THESE FACILITIES THAT ARE USED TO ASSIST DRUG USERS AND THEIR HABITS???!!!

The conflation of safe injection sites with clean needle exchanges is absolutely ridiculous. Cities that have clean needle exchanges and don't have safe injection sites see an increase of drug use and overdoses. Clean needle exchanges kill.

I would be more on board if these sites also provided nutritional support. A good warm meal and a multi vitamin with extra B Complex...