Harm reduction called key to helping intoxicated
Neither the new Whitehorse Correctional Centre nor the hospital are the proper destinations for intoxicated people, a public forum heard Wednesday evening.
By Will Johnson on May 26, 2011
Neither the new Whitehorse Correctional Centre nor the hospital are the proper destinations for intoxicated people, a public forum heard Wednesday evening.
Rather, harm reduction is the key to treating acutely intoxicated persons, says a report released by Dr. Bruce Beaton and Chief James Allen of the Champagne-Aishihik First Nation.
"People are in these circumstances, almost invariably, when they become unable to take care of themselves,” Beaton told the forum.
"The way we deal with acutely intoxicated individuals here in the Yukon is no longer appropriate.”
The event, organized by the Yukon NDP, was held at the Centre de la Francophonie on Strickland Street.
Community members spoke out passionately in support of the report, which was released last January. Many expressed disbelief that Beaton's and Allen's recommendations haven't yet been put into effect by the government.
The two were originally asked to form a task force after the 2008 death of Raymond Silverfox, who died in police custody. The pair detailed 12 recommendations on how to deal with intoxicated individuals.
As part of their research, Beaton and Allen visited Vancouver, Winnipeg and Ottawa.
"The world we recommend for Whitehorse is the world we saw in Winnipeg,” said Beaton.
The Manitoba capital has a detoxification centre and a shelter funded by the city and the province, he said. Care workers intervene on the "street level” when alcoholics need assistance.
"Most of the people brought to the sobering centre are not brought there by cops,” said Beaton. "People are getting the support and the treatment they need. That's what we want to see in the Yukon.”
Allen and Beaton said the current emphasis on policing alcoholics is not working, and ignores the intrinsic human rights of the struggling individual. Allen said we need to learn how to be more compassionate as a society.
"I've been through it,” said Allen. "I've woken up in the streets. I drank riverbank wine. I have firsthand experience and I see the suffering every day.”
Allen said alcoholics need to be treated with dignity.
"The main thing is, we need to start treating people with alcohol and drug problems with human respect. They had a mother, a father. They grew up in a family. We need to treat them like human beings,” he said.
Allen repeatedly emphasized healing as an integral part of dealing with acutely intoxicated persons.
"If society is serious about looking at change, we need to let the government know we are serious about helping people heal,” he said.
Judy Lightening is a Whitehorse resident who works at the Salvation Army.
"We're like a big family,” she told the crowd, speaking about the marginalized residents she works with.
She said she personally knows at least 20 people who have died from alcohol abuse, and deals with acutely intoxicated individuals every day.
"If they can crawl in, they can come in,” she said. "If someone's in trouble, someone comes and tells me.”
However, her facility only has 10 beds, though they regularly provide more than 20 people with shelter.
"I feel like a frayed little piece of string,” she said. "It seems like there's no support, really.”
Beaton said 10 shelter beds for the entire territory are not nearly enough.
Agnes Mills, another concerned citizen, thanked the approximately 60 peoplewho attended the event.
She said she was heartened by the turnout because she feels the plight of acutely intoxicated Yukoners has been largely ignored by the government and by society as a whole.
"These are our children,” she said. "We need action. We need to put our heads together and do something.”
Mills noted that much of the alcohol abuse in the territory is due to the emotional and physical abuse many endured at residential schools.
Whitehorse resident Deb Edzerza agreed. She pointed out that the government has continued to marginalize and displace many residential school survivors who are now homeless.
Edzerza said lodgings have been moved away from the riverbank. The RCMP regularly confiscate tents and shelters of people trying to camp in the area around Shipyards Park, she added.
"Where do people go when their houses have been moved?” she asked.
Edzerza expressed hope that the government would invest money in shelter for these struggling individuals.
"Our government has displaced these people,” said Allen. "The dollars spent on beautifying projects for tourists should be the same money put into facilities that could start people on their healing path.”
Liberal Leader Arthur Mitchell was in attendance, and voiced his support for Beaton's and Allen's report.
"As long as the government continues to look at this as a justice problem, we'll be warehousing people but not helping them,” he said.
Mitchell derided the detoxification centre being built at the new $70-million Whitehorse Correctional Centre as a "more modern drunk tank.”
"When my children come home from a bush party inebriated, the last place I would take them is the Whitehorse Correctional Centre,” he said.
Many in the audience echoed Mitchell's sentiment, repeatedly emphasizing that prison is the wrong place for intoxicated persons to be treated.
"We do not want people in prison,” said Mills.
NDP Leader Liz Hanson said the government's response to Beaton's and Allen's report has been minimal.
She hypothesized they're waiting until the election is closer to announce their plans.
"The decision to eliminate the RCMP drunk tank and replacing it with a secure assessment centre at the Whitehorse Correctional Centre actually runs counter to what Dr. Beaton and Chief Allen recommended,” she said.
However, Whitehorse General Hospital's emergency department is not the place to send them either, said Beaton and Allen. The first recommendation they put forward addresses the overcrowded hospital.
The report recommends that the government "alleviate the staffing and physical resource crisis in the emergency department of the Whitehorse General Hospital.”
"This is not a hospital problem,” said Beaton, who has worked in the department. "The emergency department is acutely overloaded. It's reached a crisis point over there.”
One resident suggested that members of the community start a protest outside the jail, and was met with applause.
Beaton also noted the current Yukon Liquor Act needs to be updated.
The language is outdated, he said. Under the current act, an intoxicated person can be released from custody once he or she is no longer a "nuisance.”
"That is completely inappropriate,” he said.
Beaton told the crowd all civilizations throughout the world will inevitably use intoxicants. So, rather than trying to fight the use of alcohol and drugs, he argued, society
needs to focus on helping those struggling with addiction.
"We need to learn about how to better deal with the issues brought on by the use and abuse of intoxicants,” he said.
Comments (11)
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Max Mack on May 31, 2011 at 6:33 am
The justice and incarceration model used in the Yukon does not work, it has never worked and it will never work. Once chronic alcoholics leave jail, they are temporarily sober alcoholics looking for their next fix.
Putting people in the "drunk tank" because they drink is, at best, a preventative measure. We lack the resources needed to properly treat and rehabilitate alcoholics, so we put them in jail.
The RCMP often use the Criminal Code as a pretense for getting these people off the street. Most of the time, these people are nothing more than a nuisance and in need of good nutrition, a good cleaning, and medical treatment.
Locating the detox centre in the jail complex is an incredibly short-sighted decision that will undoubtedly fail as a treatment and rehabilitation facility.
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Disagree on May 30, 2011 at 2:30 am
Dear Mr/Ms Shaw...
You are correct, but doesn't respect for a person include respecting their right to make decisions and be held accountable for them? Alcoholics aren't taken off the streets by the RCMP simply because of the fact that they are alcoholics - they commit crimes. They are arrested under the Criminal Code - shouldn't we respect their right to be held accountable for their actions?
Respect for a person does not mean looking after them in spite of their bad decisions (which may or may not be related to being an alcoholic). It sometimes means allowing them to hit bottom and choose whether or not to make a change.
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Andrew McGee on May 29, 2011 at 5:50 am
D. Shaw: Great comments. Now how about you use some of the "enlightenment and respect" to come up with a solution rather than just making a social commentary on those who are trying. You are a large part of the problem, saying things need to be fixed, but not saying or doing anything useful.
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anonymous on May 29, 2011 at 5:08 am
Do not compare a disease with alcoholism. People choose to drink. They do not choose to get a disease.
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D Shaw on May 28, 2011 at 8:27 am
Alcoholism is a disease and its victims ought not to be held in contempt because of their symptoms.Enlightenment in human relations and respect is the best road to recovery.
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JC on May 27, 2011 at 8:35 am
Sandor: How many of these addicts do you have living in your loving house? Many of us have tried over the years to help them and failed. You can tell them you love them, but the bottom line is you have to do something to solve their addiction's problem, not just cover it up with a hug and an "I love you". By the way, how did you kick your habit? Was it something you did, or someone else? You also said that you attempted to become an Addictions and Community worker in Ottawa. What happened? Its not easy trying to help these people is it. As I said earlier, I and many have and failed. Now, its time to get tough. If that means a long stint in jail, then show me another and better way.
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Kidding? on May 27, 2011 at 8:04 am
I have read the report written by Dr. Beaton and Chief Allen, and I commend them for taking on the task given them as this is a really stinky issue.
HOWEVER, the report misses the mark. It is poorly written and lacks focus. It attempts to focus on those folks who are being arrested for being intoxicated. It does not define 'acutely intoxicated' and it neglects the fact that people are being arrested under the Criminal Code for criminal behaviour - including public disturbance.
A person who is acutely intoxicated is in the midst of a medical event - according to the World Health Organization. They have to go to the hospital, and yes, they might need a police escort.
The 'chronically intoxicated' is really who we are talking about - always drunk or intoxicated on some other substance, and bothering you at the superstore. These folks may also often have 'acute intoxication' events and they suck the resources out of our health and enforcement systems.
I understand the point that is attempted - that addiction is a disease and so on, but I also think that lack of tolerance is more likely to be a catalyst of change than the group hug approach proposed by some.
Rather than tolerating every kind of bad behaviour and excusing it with all kinds of 'poor you' reasons, I suggest we set a standard of behaviour and require people to live by it. Acceptance of bad behaviour doesn't change it - everyone who has ever encountered a child knows they need boundaries and limits to grow to be a responsible person... that principle applies to everyone.
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Sandor kovacs on May 26, 2011 at 1:09 pm
Having been an addict and an alcoholic I agree prison is not the answer after having spent 12 1/2 years of my life in a box. I had attempted to become an Addictions and Community Service Worker in Ottawa, ON in 2008. The proper way to deal with a person with with addictive inequities is to go down to their level. See yourself on the street, see yourself struggling to get that next drink or next fix. When you haven't anything left to live for or fight for then you've arrived, you are at the bottom of the "Totem Pole" so to speak and you can begin a dialogue with these folks. Be compassionate and be honest. Do not make promises you don't intend to keep and DO NOT say "I feel your pain" if you don't. Addictions is a hit or miss business and if you can't help someone then stand aside for someone who can. Remember these people are blood and bones like you and I, when you treat them other than that, you are setting yourself and your team up for a disaster. Be COMPASSIONATE. Be REAL. Be treating as You YOURSELF would like to be treated. These folks are Human Beings BEING what they decided life dealt out for them, bring them love and commission and you will gain a friend for life.
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Josey Wales on May 26, 2011 at 11:18 am
Why will I not be surprised to hear of some mega million dollar NEW "healing center" in the next few years?
I mean really...who cares what folks whom pay taxes with the leftovers after other taxes from those places where people go and do this thing called work?
Why not turn the old Canadian tire lot into...say like a big Disneyland for party folk?
you could have free rides that serve cocktails and if you "felt" you were ready you could crawl off and take a ride to instill some self-worth...say PAY for & instead of a cocktail you stop every once in awhile to toil...you get MORE money to take other rides yayyyyyy!
once bored of adult Disneyland and no longer liking the rides you pay for...fear not...hang around...take the train...we may serve cocktails till we get to the end of the line?
theme? choices...we all have them.
choices.. we all make them.
choices... often have consequences.
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anonymous on May 26, 2011 at 10:20 am
I don't have to help those who are struggling with addiction. This poor me attitude is ridiculous. Do whatever you have to do to get them out of the Superstore parking lot and harrassing me before AND after I shop. Why should I suffer because they choose to drink and do drugs all day while us hard working people have to fight them off when they are begging for money and carts so they can drink more? Please. I have absolutely had it with this situation!!!
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JC on May 26, 2011 at 8:54 am
Harm reduction the key to treating acutely intoxicated persons? Have any of you ever had to restrain any of these persons while they are intoxicated? I have and harm reduction is the last thing on ones mind - its more self preservation for the restrainer. The best way may be to just throw a fish net over them until they sober up and behave.
Alcoholics need to be treated with dignity? Do they even know what dignity is in their state? How about dignity for those who are trying to help them?
And then, whats the use of sending these people out? After a few days or weeks they'll be back and the circus starts all over again.
I never hear about the public being protected in all this useless talk, only human rights for the perps.
These people should be incarcerated until they learn to kick the habit and behave. While there they should be force dried and trained or retrained to contribute to society when they return.
Also, they should not be allowed to purchase any alcoholic beverages while in the communities. Names with pictures should be placed in all the liquor outlets and serious fines or jail given to those who sell them anything. For many years I have been hearing from the bleeding hearts on how to solve this problem. Same old, same old. They never work. Repentance and restitution or no justice. What ever happened to that logic?