Responding to our Community… Travis Mitchell HCV Community Coordinator / OPS Coordinator
About Us… ⊕ Open 365 days a year ⊕ Harm Reduction Focused ⊕ Who we serve: ⊕ People who use substances ⊕ People who work as sex workers ⊕ People who are homeless or under-housed ⊕ People who are recently released from incarceration ⊕ People living with or at risk of Hepatitis C
About Us (Cont’d) Services Our Team Physicians Counselling Harm Reduction Program Nurse Practitioners Hepatitis C Treatment Team Registered Nurses Indigenous Health Counsellors Opioid Substitution Community Coordinator Overdose Prevention Site* Outreach Workers Primary Health Care Dietician Rapid Access Addiction Indigenous Elder Medicine Community Support Workers Take-home Naloxone Program
New Location 115 Barrack Street Kingston, ON K7K-1G2 Phone: 613.549.1440 Fax: 613.549.7986 Hours of operation: Monday – Friday 9:00am-4:00pm (Closed from 12:00pm-1:00pm) Saturday-Sunday 9:30am-1:00pm Holidays 9:30am-1:00pm
Rapid Access Addiction Medicine “RAAM”
Accessing RAAM Through SHC Client - Low Barrier Walk-in Centered • Open to • Collaborative • No referral or anyone who appointment • Support by needs help required Clinician • OHIP • Monday- • Referral to Friday services • Case-by-case • No time limit basis
How Does RAAM Work? Referral Assessment Therapy • ED • Substance Use • Psychotherapy History • Hospital inpatient • Pharmacotherapy ward • Why Treatment? • Withdrawal mgt • Goals? services • Primary care
How Does RAAM Work? (Cont’d) Maintenance Stability Follow-up: • Patient can • Transfer back • Ongoing use RAAM for to PC provider support as long as • Oversee Rx / • Phone calls needed Mgmt. • Emails • Connect to • Or provided • Reassessment other services w/ PC (if needed) • Achieve Tx Goals
Overdose Prevention Site “OPS”
Overdose Prevention Site What is an OPS? Who Can Access the OPS? Ministry of Health and Long-Term Care (MOHLTC) Anyone who uses substance Time-Limited through: Low Barrier Injection Life-saving Service Oral Nasal Safe & Supportive Connection!
Who Works at The OPS? EMS Harm Reduction OPS Workers Coordinator (SHC & HARS) Community Support Workers
Model of Service Harm Reduction Intake Supervision Chill Zone Supplies • Safe • EMS injection / • Substance • Harm • Post- Use History inhalation Reduction injection • Naloxone • Method Workers area • Disposal • Medical • Individuals • Connection Conditions with Lived Experience Open 7 days a week! 4:00pm – 10:00pm (11:00pm)
Thoughts…
Health Policy: Decriminalize, legalize, regulate Prescribing Safely Harm Enforcement & Reduction! Surveillance ONP, SIS, NSP Prevention Treatment
Canadian Drug & Substance Strategy A comprehensive, collaborative, compassionate and evidence-based approach to drug policy
Cycle of Relapse / Recidivism Experience(s) Coping ? Mechanism (Substance use) Treatment / Incarceration
Cycle of Relapse / Recidivism Criminal Trauma Record Lack of Social Poverty Support Experience(s) Homelessness Mental Health Stigma
Questions?
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