Skip to main content

View Diary: By The Horrible Way He Died - Philip Seymour Hoffman Will Save Lives (204 comments)

Comment Preferences

  •  Harm reduction (18+ / 0-)

    What we need to do is look carefully at evidence-based ways of addressing addictions.  Incarceration of users doesn't work.  Shaming doesn't work.

    What works is:

    (a)  Reduce stigma and make treatment cheap and easy for anyone with an addiction.
    (b) Create controlled environments where individuals can use safely, provided they are also exposed to every possible chance to seek treatment.
    (c) Realize that substitution therapy (i.e bupernorphine, methadone) is a whole lot better than being dead.  Embrace long-term substitution therapy with supportive counseling in the event someone wants to get off of opiates completely.
    (d) Make sure more users know about naltrexone, have it readily available, and make sure that there's a lot of education within the culture of users on the need not to use alone.
    (e) Do more of the long, hard work of culture change - buying opiates funds a web of pain and suffering far beyond any one individual life. It needs messaging and a whole lot more careful thought on how to message.  Crack is declining because the culture is starting to turn against it.  Same thing needs to happen for opiates. I am not in favor of decriminalizing sale of opiates; I am in favor of actual rehabilitation for those who sell, which in some cases might include restitution and forcing dealers to confront the pain they cause. Won't work on sociopaths; but it might work on some.  

    “If the misery of the poor be caused not by the laws of nature, but by our institutions, great is our sin.” Charles Darwin

    by ivorybill on Mon Feb 03, 2014 at 04:40:39 PM PST

    [ Parent ]

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site