"...explains the concept of harm reduction as a crucial component of a city's response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Throughout the 1990s and 2000s, this group of residents from Canada's poorest neighbourhood organized themselves in response to a growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. It's prompted many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. The previous epidemic in Vancouver sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience..."-- publisher.
Contents: Toledo, Ohio -- Hundred block rock -- A chance encounter -- Hotel of last resort -- Rat park -- Growing up radical -- Back alley -- Miami, Florida -- The killing field -- A drug-users union -- Out of harm's way -- From housing to harm reduction -- Childhood trauma and the science of addiction -- Raleigh, North Carolina -- A drug dealer finds activism -- Taking the fight to city hall -- Building allies -- Rewriting the brain for addiction -- The Vancouver agreement -- Boston, Massachusetts -- The hair salon -- Establishing Insite -- Opening day -- Consequences -- Seattle, Washington -- Drug user with a lawyer -- Protests across Canada -- Court battle -- Crossing a line -- Sacramento, California -- Prescription heroin -- "The assassination" -- Fentanyl arrives.
An official publication of the International Nurses Society on Addictions (IntNSA), the Core Curriculum of Addictions Nursing provides a foundation for expertise in addications nursing, and helps nurses achieve success on the basic and advanced additions nursing certification examination. It serves as a valuable reference for nurses in all settings and practice areas, aiding with the development or expansion of knowledge of skills in caring for clients potentially or actually affected by addictive processes. The Core Curriculum advances evidence based addictions nursing practice, while supporting the mission of the IntNSA.
This one-of-a-kind resource teaches the core principles and skills needed to care for patients whose barriers to healthcare are due to lack of insurance and/or accessible services, or based on culture; education; age; inadequate transportation; poor English language skills; homelessness; immigrant status; chronic disease; mental illness; substance abuse; or HIV. Time-saving boxed inserts establish main points, provide practical "pearls" and help locate valuable community resources.