Complex Needs and Challenging Behaviors –Of Service Providers

Nicole WigginsCAHMA Manager

ACT Peer Based Drug User Organisation

Represent injecting/illicit drug users and people on pharmacotherapies –our peers/ our community

Organisational philosophy is user/peer-centred that supports the rights of our community to self organize and form peer based structures and processes in order to reduce drug related harm

Promote and protect the health and human rights

Challenge the social and legal barriers to the health and well-being by ensuring access to the resources and means to reduce drug related harm

Maintain an active public voice on issues affecting our community

Provide avenues through which the interests and needs of our community can be represented

Representation and participation

ACT Alcohol Tobacco and Other Drug Strategy Implementation & Evaluation Group;

AMC 18 month Evaluation of AOD Services Advisory Committee;

• ATODA – ACT Peak Body ATOD Sector;

• Opioid Treatment & Advisory Committee (OTAC);

• Alcohol and Other Drug Workers Group;

• Various Government Inquiries

CAHMAbelieves that people who use illicit drugs and people on opioidpharmacotherapies have the right to be treated with dignity and respect andbe able to live their lives free from discrimination, stigma and health andhuman rights violations.

Challenging Behaviors of Service Providers

Discrimination

Complex Needs of Service Providers

Restrictive Access Criteria

Complex and Restrictive Policy of Service Provision

AIVL National Anti- Discrimination Project

The Overall Aim of the project to gain an understanding of why there is a stigma attached to injecting drugs and how these attitudes might be addressed in a future campaign

Specifically the research sought to:

Understand the community’s perceptions of people who inject;

Explore in detail the existing stereotypes;

Understand why the stigma / prejudice exists; and

In this context how the community might respond to messages aimed at addressing misconceptions and prejudices.

being criminals and thieves who are willing to do anything to get what they need without considering others;

having poor hygiene habits;

being bad parents who neglect their children / are unreliable.using dirty needles in desperation of needing to use drugs;

being irresponsible in the disposal of needles;

likely to have disease of some kind caused by use of dirty needles or poor hygiene habits; and

ultimately selfish with no consideration for others.

This was very different than how people who inject drugs see themselves

People who inject drugs identify themselves has being survivalists, resilient and resourceful, with their drug use only a small part of who they are

Not the ‘out of control’ junkie for whom drug use is perceived to over ride all other characteristics or qualities.

The dominant personality traits of IDU are seen to be:

Selfishness;

Unreliability;

Dishonesty;

Untrustworthiness

WHO IS THE INJECTING DRUG USER?

• Sadly Jim is homeless because of some mental health issues• And David, who runs his own business is an injecting drug user

Leave your prejudices at the door …

DavidBusiness man

RuthMother

JimHomeless

SueTeacher

GaryBuilder

WHICH IS THE MOST DANGEROUS

• Alcohol causes more social issues, more domestic violence, and costs the community more than injecting drug users

THESE PEOPLE SHARE SOMETHING IN COMMON

They all inject drugs …

YOU WOULDN’T DISCRIMINATE AMONGST THESE PEOPLE

• So why discriminate against these

Woman HIV Positive Mental Health PhysicalDisability

Gay Black

Injecting Drug User Injecting Drug User Injecting Drug User

The impact of stigma and discrimination on the health and lives of people who inject or have injected drugs is significant.

Impacts on access to essential health services;

Reinforcement of negative self - worth

Changing Attitudes

Addressing Stereotypes ,Stigma & Discrimination

Consumer Input

Consumer Input

Consumer Input