#202: Dr. Julian Somers - Harm Reduction as a Public Policy Response?

Open Minds with Christopher Balkaran

00:00 -Understanding Opiate Use Disorder

03:15 - The Link Between Opiate Use Disorder and Theft

06:12 - The Impact of Crime on Community Upheaval and Safety

30:29 - The High Cost of Supporting Individuals with Opiate Use Disorder

36:43 - The Importance of Stable Housing and Community Connections

46:44 - Types of Housing and Their Impact

53:23 - Social Isolation and Stigma

57:23 - Limitations of Harm Reduction as a Public Policy Response

Summary
Opiate use disorder is a diagnosed syndrome characterized by engaging in a behavior with detrimental consequences and a loss of control. It often leads to physiological dependence and a need for increasing doses. Theft is a common form of crime among those with opiate use disorder, as they struggle to support their drug habits. The impact of crime in a community goes beyond the act itself and can erode the social fabric and sense of safety. Harm reduction is a public health approach that aims to reduce the harms associated with drug use, including the provision of safe injection sites. However, the focus on harm reduction has shifted from a comprehensive approach to primarily focusing on consumption sites, which can attract criminal activity. The government of British Columbia spends up to $100,000 per year per opiate use disorder addict, with the majority of the money being spent on support services. The conversation explores the high costs associated with homelessness and addiction, the importance of stable housing and community connections, and the limitations of harm reduction as a public policy response. It emphasizes the need for decentralized, highly supported, choice-based housing options and comprehensive support services. The conversation also highlights the impact of social isolation and stigma on individuals recovering from substance use disorders. The research conducted by Julian Somers and his team demonstrates the effectiveness of providing housing and support services in improving the well-being and stability of individuals experiencing homelessness and addiction.

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