substance use work group - sfhiv/san francisco department of … · substance use work group...
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HIV PREVENTION PLANNING COUNCIL
OCTOBER 9 2014
Substance Use Work Group Presentation of Recommendations
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SUBSTANCE USE WORK GROUP MEMBERS
Jack Bowman
David Gonzalez
Paul Harkin
Kate Monico-Klein
Aja Monet
Jessie Murphy
Nan O’Connor
Gabriel Ortega
Gwen Smith
Michael Siever
Chip Supanich
Channing Wayne
Michael Discepola (Co-Chair)
Laura Thomas (Co-Chair)
Eileen Loughran
Hanna Hjord
CHEP Staff
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WORK GROUP SCHEDULE AND PROCESS
Met Monthly – May through September
Six 2-hour meetings
Facilitated by Elected Community Co-chairs
Laura Thomas and Michael Discepola
CHEP Staff Leaders
Eileen Loughran, Hanna Hjord
Background Research and Development
Valerie Rose
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WORK GROUP CONTEXT
HPPC Priorities
SF Jurisdictional Plan
Mayor’s CARES Task Force
Needs Assessment by Harder+Co
MAI-TCE Initiative
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TODAY’S PRESENTATION
The Substance Use Work Group is seeking support from the full HPPC Council on recommendations within 5 Priority Areas
The motion is for endorsement of the high-level recommendations
Further details and suggested action steps are outlined in the summary document
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WORK GROUP GOAL
To compile recommendations on next steps for
addressing HIV-related needs of people who
use substances
Guided Process
Identified key issues (Brainstormed by HPPC)
Focus attention on Crack Use
Categorize and Prioritize Key Issues
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FRAMING THE ISSUES
Harm reduction principles and philosophy
Embracing Existing Policies
Embracing Innovation
Embracing Change
Articulating Policy Implementation
Evidence and Reality Based Interventions
Training and Cross Training
Provider Accountability
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WORK GROUP PHILOSOPHY
People who use alcohol and other
substances are equal members of the San
Francisco community; however, they
experience stigma related to their substance
use and needless barriers to prevention and
treatment.
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FIVE PRIORITY AREAS
1. Harm Reduction
2. HIV Prevention, Treatment and Substance
Use Programs
3. Interventions
4. System of Care
5. Criminalization
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HARM REDUCTION
Recommendation 1: Align principles and philosophy of harm reduction across all substance use treatment, HIV prevention and HIV care programs
Recommit, restate and embrace the principles of harm reduction
Update the city’s harm reduction policy
Emphasize training and accountability by department and providers
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HIV PREVENTION, TREATMENT AND SUBSTANCE
USE PROGRAMS
Recommendation 2a: Ensure that people who use alcohol and other substances have access to treatment and prevention programs that are grounded in the tenets of harm reduction
Explore how HIV prevention and HIV care are (or could be) integrated into substance use programs and policies
Recommendation 2b: Recommit to a system of care that offers treatment on demand
Recommendation 2c: Remove the structural barriers imposed by outmoded Civil Service policies that prohibit programs from hiring qualified staff with specialized expertise
Provide flexibility acknowledging that staff working within mental health, substance use, and HIV need a unique set of skills and expertise.
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INTERVENTIONS
Recommendation 3: Ensure that people who use
alcohol and other substances have access to
evidenced based interventions for HIV
prevention, substance use treatment and HIV
care
Recognize importance of evidence-based interventions
that allow room for innovation and new ideas.
Recommit to outreach as an effective means to engage
hard to reach populations.
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SYSTEM OF CARE
Recommendation 4: Ensure that people who use alcohol and other substances have access to a system of care that is coordinated, cohesive, comprehensive, non-punitive and non-stigmatizing
Ensure that substance use status is not a structural barrier
Emphasize collaborations and partnerships
Ensure community engagement
Educate community about services
Address stigma
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CRIMINALIZATION OF PERSONS WHO USE
DRUGS
Recommendation 5: Ensure that people in San Francisco who use alcohol and other substances do not face criminalization as a result of substance use
Decriminalize drug use in San Francisco
Acknowledge that a public health approach is decriminalization
Create a more humane approach to substance use: care versus punishment
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NEXT STEPS…
HPPC suggests how recommendations will
affect HIV in San Francisco
HPPC supports advancement of
recommendations to internal SFDPH substance
use work group
HPPC substance use work group recommends co-
chairs’ participation with internal workgroup
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QUESTIONS & ANSWERS
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MEMBERSHIP VOTE: MOTION 1
Recommendation 1: Align principles and philosophy of harm
reduction across all substance use treatment, HIV prevention
and HIV care programs
The HPPC Substance Use Workgroup moves that
the Recommendations for Harm Reduction be
endorsed/adopted by the HPPC
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MEMBERSHIP VOTE: MOTION 2AB
Recommendation 2a: Ensure that people who use alcohol and
other substances have access to treatment and prevention programs
that are grounded in the tenets of harm reduction
Recommendation 2b: Recommit to a system of care that offers
treatment on demand
The HPPC Substance Use Workgroup moves that
the Recommendations for HIV Prevention,
Treatment and Substance Use Programs be
endorsed/adopted by the HPPC
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MEMBERSHIP VOTE: MOTION 2C
Recommendation 2c: Remove the structural barriers imposed by
outmoded Civil Service policies that prohibit programs from hiring
qualified staff with specialized expertise
The HPPC Substance Use Workgroup moves that
the Recommendations for HIV Prevention,
Treatment and Substance Use Programs be
endorsed/adopted by the HPPC
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MEMBERSHIP VOTE: MOTION 3
Recommendation 3: Ensure that people who use alcohol and other substances have access to evidenced based interventions for HIV prevention, substance use treatment and HIV care
The HPPC Substance Use Workgroup moves that the Recommendations for Interventions be endorsed/adopted by the HPPC
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MEMBERSHIP VOTE: MOTION 4
Recommendation 4: Ensure that people who use alcohol and
other substances have access to a system of care that is
coordinated, cohesive, comprehensive, non-punitive and non-
stigmatizing
The HPPC Substance Use Workgroup moves that
the Recommendations for System of Care be
endorsed/adopted by the HPPC
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MEMBERSHIP VOTE: MOTION 5
Recommendation 5: Ensure that people in San Francisco who
use alcohol and other substances do not face criminalization
as a result of substance use
The HPPC Substance Use Workgroup moves that
the Recommendations for Criminalization of
People Who Use Drugs be endorsed/adopted by
the HPPC
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THANK YOU!