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Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

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71–80 of 193 posts

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#71

The Midwest/East Coast really need this, since that is where all the powder, fentanyl-laced heroin goes. People are dropping like flies in those regions of the country, while I would imagine the West Coast, where black tar heroin is sold, hasn't seen as much of an increase in overdoses/deaths.

On Facebook here in the middle to upper class suburbs of Baltimore I see friends of friends OD and dying once a month. I don't understand why as growing up I dont recall such an epidemic, yet I do recall a ton of don't do drugs type of education. Has all those type PSAs & education in schools cease to exist and or not as well funded as back in the 80s and 90s?

Rise in overdoses can be attributed to dealers adding fentanyl (an extrememly strong synthetic opiate) to their product. If a particular salesman has a product which people have reportedly overdosed on will flock to them as they must be selling a stronger product. Another scenario is where the chemical isn't there in the first place and the dealer is simply mixing fentanyl with a filler, due to it's extreme potency (a dose being less than a milligram), making even a small mistake in the mixing can lead to many overdoses especially with tolerant users used to taking larger amounts.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#72
post #52

The US isn't. The City of Seattle is. This is an important distinction.

Good point. I just copy-pasted the headline, but it's Seattle and King County that is responsible for the decision, even if it is the first safe injection facility in the U.S.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#73
post #12
post #3

They should also sell heroin in pharmacies so people can inject an accurate dosage. This would greatly reduce overdoses and drug trafficking.

It works in some countries > Heroin assisted treatment is fully a part of the national health system in Switzerland, Germany, the Netherlands, Denmark and the United Kingdom. https://en.wikipedia.org/wiki/Heroin-assisted_treatment

https://www.gov.uk/government/publications/21824-licenses-to...

There are only about 300 doctors with the correct licence to prescribe diamorphine to addicts.

http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf

> Drug treatment in the UK encompasses a range of available treatments and services including community (and primary-care) based prescribing, community one-to-one and group-based psychosocial interventions to support recovery, inpatient treatment, day programmes, and quasi and fully residential drug treatment and rehabilitation support. Prescribing (principally methadone) for drug dependence is provided for stabilisation, detoxification, maintenance and relapse prevention. The National Institute for Health and Care Excellence (NICE)107 also provides guidance on a number of drug-treatment related topics and these are reviewed and updated regularly based on the latest evidence. Treatment interventions in any given area are expected to include advice and information, care planning, psychosocial interventions, community prescribing, inpatient drug treatment and residential rehabilitation. In addition, drug misusers should be offered relapse-prevention and aftercare programmes; hepatitis B vaccinations; testing for hepatitis B and C and HIV; access to hepatitis and HIV treatment; and needle exchange. Oral opioid substitution treatment (OST) with methadone is the most common pharmacological treatment used in treating heroin addiction; buprenorphine is also prescribed and injectable opioids, such as injectable methadone and injectable diamorphine, are also available but are not commonly used. Naltrexone108 is recommended as a treatment option to prevent relapse in detoxified formerly opioid- dependent people who are highly motivated to remain in an abstinence-based programme

There's some guidance available: https://www.evidence.nhs.uk/formulary/bnf/current/guidance-o...

Here's some statistics about numbers of people going into treatment. Frustratingly they don't appear to break it down by treatment type. https://www.ndtms.net/Publications/downloads/Adult%20Substan...

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#74
post #67

Yes, finally people are starting to see drugs addicts as the valuable people they are and not as disposable felons. Addiction is a sickness that affects people not a failure of morals that needs a jail sentence.

I know a high-functioning heroin addict who's a programmer by day. It's surprising to discover seemingly-normal people who have this monkey on their backs, given the popular perception of addicts.

Samuel Taylor Coleridge had an opium addiction too. We should legalize drugs and help people who get addicted, not just ban substances that some people use responsibly.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#75
post #70
post #48

Earlier quoted context omitted.

If you get a prescription for heroin that would probably lead to addiction right? Under what circumstances do you think doctors would be prescribing heroin? Because a person wants to give it a try? For recreational use? Doctors already prescribe (under heavy regulation) narcotics for pain relief. If they were to prescribe heroin, I can't imagine it would be cavalierly prescribed for anything, other to address existin…

> (under heavy regulation) ... and this is where most Heroin addicts start, actually, through prescription opiate use. Once a physical addiction is formed, heroin can be a cheaper or more accessible alternative to a prescription for say, Oxycontin. I thought John Oliver had a good segment on it: https://m.youtube.com/watch?v=5pdPrQFjo2o

> Once a physical addiction is formed, heroin can be a cheaper or more accessible alternative to a prescription for say, Oxycontin.

Something is wrong with the system for prescribing Oxycontin if black market heroin is ever cheaper or more accessible.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#76
I was at a law enforcement armorer class with some police officers from various agencies in the Northeast recently.

The most impactful thing I heard "People who get narcanned multiple times should just be killed" -- maybe not his literal belief, but the problem seems to be out of control. He had stories of "frequent customers" who kept coming to hospitals/police stations/fire departments to shoot up in the bathrooms, knowing they'd get narcaned if they OD'd.

As a King County resident, though, I want this facility nowhere near me. As long as it stays in Seattle or near SeaTac, I'm ok with it. Yes, this is NIMBYism.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#77

Yes, finally people are starting to see drugs addicts as the valuable people they are and not as disposable felons. Addiction is a sickness that affects people not a failure of morals that needs a jail sentence.

Living in a community with heroin addicts that see every opportunity to rob someone for a fix, sorry addicts are criminals first. There is no excuse for their behavior.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#78

The Midwest/East Coast really need this, since that is where all the powder, fentanyl-laced heroin goes. People are dropping like flies in those regions of the country, while I would imagine the West Coast, where black tar heroin is sold, hasn't seen as much of an increase in overdoses/deaths.

On Facebook here in the middle to upper class suburbs of Baltimore I see friends of friends OD and dying once a month. I don't understand why as growing up I dont recall such an epidemic, yet I do recall a ton of don't do drugs type of education. Has all those type PSAs & education in schools cease to exist and or not as well funded as back in the 80s and 90s?

"Dreamland" is the book that explains all this: https://smile.amazon.com/Dreamland-True-Americas-Opiate-Epid...

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#79

I used to work at a retail pharmacy and we would have addicts come in to buy needles all the time. On the one hand I felt bad about supplying these people with what they needed to feed their habit, on the other hand I felt good that they were coming to us instead of sharing needles with their buddies.

I was not good at feeding my good old cat, so I had to give her insulin injections for a while. Much later, I found the used and unused syringes in a bottom cabinet where I put them after she died. I used to work in a hospital and know you need to dispose of this stuff properly. I brought them back to the neighborhood Walgreens where I'd purchased them. The people in the pharmacy were just like "yeah right, your cat", and pretty much treated me like I was a junkie.

Then again, this is San Francisco, and there are a lot of junkies, and Walgreens people have probably heard it all. But at ground-zero here, I'd guess not too many people are buying supplies at Walgreens.

Re: Seattle Is Opening First in U.S. “Safe Injection Facility” for Heroin Addicts

#80
post #76

I was at a law enforcement armorer class with some police officers from various agencies in the Northeast recently. The most impactful thing I heard "People who get narcanned multiple times should just be killed" -- maybe not his literal belief, but the problem seems to be out of control. He had stories of "frequent customers" who kept coming to hospitals/police stations/fire departments to shoot up in the bathrooms,…

So you'd rather someone die on the street in King County then? Garuantee you this facility is not enough to support the needs of the entire area.
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