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Peterborough Drug Strategy www.peterboroughdrugstrategy.com Citizens, prevention, enforcement, treatment and harm reduction organisations, working together to reduce the negative impacts of substance use. Why a Four Pillar Approach? • Substance use is a population-wide issue • Impacts are felt at the local level • Integrates fragmented responses • Provides a framework for decision making • Promotes inter-sectoral collaboration • Local level: traffic collisions, poverty, crime, poor health outcomes, use of shelters, sense of safety in the downtown. Prevention • Refers to interventions that seek to prevent or delay the onset of substance use as well as to avoid problems before they occur. • More than education, prevention involves strengthening the health, social and economic factors that can reduce the risk of substance use, including access to health care, stable housing, education and employment. • Examples of prevention include mentoring programs, municipal alcohol policies, and limiting the sale of alcohol. Harm Reduction • Refers to a range of pragmatic and evidence-based public health policies designed to reduce the harmful consequences associated with drug use. • An integrated approach that includes harm reduction ensures that people who use injection or inhaled drugs are at lower risk for the transmission of HIV, Hepatitis C and associated health risks • Harm reduction includes blood alcohol limits, safe injection equipment and condom distribution, counselling and referrals, etc. Treatment • Refers to the programming provided to people already dealing with a substance use issue, with services ranging from a philosophy of total abstinence to one that focuses on managing use. • People present for help along a continuum of problems related to their substance use. • Creating a community that is integrated in its messages and response to substance use concerns has the opportunity to intervene early and appropriately. • Examples of treatment include residential withdrawal management (“detox”) and outpatient treatment, counselling, and substitution therapies (e.g., methadone maintenance therapy). Enforcement • Refers to interventions that seek to strengthen community safety by responding to the crimes and community disorder issues associated with legal and illegal substances. • Enforcement includes the broader criminal justice system of the courts, probation and parole, etc. • Examples: R.I.D.E. programs, investigating the sale and distribution of illegal substances, enforcing the Liquor License Act, community policing initiatives, and court diversion programs. Focus 2009 - 2010 • Prescription opioids • Raising public awareness • Improving relationships • Tangible, observable projects Resource and Partnership Development 2011 • Expanded mandate to include all substances (alcohol, illicit drugs & medications) • Established web presence and materials • Secured two year funding • Expanded Steering Committee • Compiled known data into Discussion Document • Film showings • In-service training • Resource and prevention development with local students • Speakers and info sessions for parents and educators Raising Awareness Youth Outreach • Project Frontline – Increased police presence in schools with focus on diverting youth in contact with the law to John Howard Society programming. [2009-2010] • Peterborough Youth Partnership - $20,000 from Ministry of Community Safety and Correctional Services to employ a Coordinator to Work towards local youth intervention initiatives.(2011) • CBC Program (2010-2013) Supportive Environments • Medicine Clean Out Campaign - spring 2010-2013 • Medical Planning Group on Opioid Safety - sharing information and developing strategies • Co-location of staff • Community Support Court Community Partners • The local agencies represented in the first stages of the conversation were: • Peterborough County-City Health Unit (Prevention) PARN – Your Community AIDS Resource Network (Harm Reduction) Four Counties Addiction Service Team (Treatment) Peterborough Lakefield Community Police (Enforcement) Peterborough Social Planning Council Centre for Addictions and Mental Health • • • • • Community Partners • Ontario Provincial Police • Peterborough Social Services • Kawartha Pineridge District School Board • Peterborough Catholic School Board • John Howard Society • Canadian Mental Health Association • Park Place for Youth • Fleming College • • • • • • • • Youth Emergency Shelter The Bridge Youth Centre Champions for Youth Park Place for Youth Whitepath Consulting KLM Counseling CAST Canada Peterborough Native Friendship Centre • Hiawatha First Nation • Lakefield Youth Unlimited Getting to a Strategic Plan • Funding - Ontario Trillium Foundation 20112012 • Literature Review and Consultation PlanCommunity consultationAnalyze the dataResearch and evidenceCompile and produce reportPrioritize and implement • Implementation and evaluation – 2012 & beyond. Current Projects • Youth Engagement • Life UnLeashed • PotTalks • CBC • Film Making Current Projects • Strengthening Families • Pilot in 2012/13 • Fund and partnership development • Proceeds of Crime • 6 sessions in 2013/14 Current Projects • Peterborough Overdose Prevention (POP) • Multi-partner engagement • Broad base training • Peer engagement and multi stage overdose prevention training • Naloxone 911 • Take Home Naloxone [email protected]