building trust with the injection drug community megan hatta, rn
TRANSCRIPT
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Building TrustWith the Injection Drug Community
Megan Hatta, RN
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Is Syringe Exchange for me?
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Steps Toward Trust
Dignity and respect
Validate the stigma cycle
Remain direct and factual
Restore self worth
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Dignity and Respect
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Why do you use needle exchange?
They smile at me
They do not judge me
They are nice.
I can get the things I need without hassle
They listen to me
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“You don’t have to feel ashamed that you do your drug that way. They don’t look down at you.”
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“There is human contact. They will help you get better or feel better at least. They can help you change if you want it.”
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Stigma
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Why do you care?
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Junkie
Crack Head
Diseased
Criminal
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“Once a Junkie, Always a Junkie”
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Direct and Factual
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Used Needle
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Restore Self Worth
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“I have changed my view from looking at myself as someone who
doesn’t have anything to contribute or isn’t worth anything. I see myself as someone who can put back into the community and can contribute
to the community. I can look for jobs, I can find a job and contribute; even with my drug use I can still do
things. It has given me back my life.””
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Why Trust Matters
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Outcomes: Treatment
Individuals using syringe exchange program 5 times
more likely to seek treatment
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The Federal Substance Abuse and Mental Health Services
Administration found syringe services programs:
25% more successful than the
other programs
Outcomes: Treatment
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Outcomes: Harm Reduction
Decreased needle stick to law enforcement by two thirds in Connecticut.
Reduced rates of HIV in past 10 years among PWID
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Outcomes: Hepatitis CPortsmith, Ohio, reported near 55% decrease in one year of needle exchange.
Pittsburgh: 64% drop in needle sharing after 3 months of using syringe exchange
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Outcomes: NaloxoneCDC: 1996-2010 trained 53,032 people with 10,171 drug reversals.
Drop in mortality rates in San Francisco, Chicago, Massachusetts, New York City
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You can’t lift someone up unless they trust you