Fentanyl in food? Why safe injection sites are the right thing for all of us

On January 10, 2017, Matt Galloway of CBC’s Metro morning interviewed Ontario Health Minister Eric Hoskins on the fentanyl opioid crisis and noted that: “….if our food supply was threatened by a food poisoning, then all hell would break loose and that you would have all levels of government moving in the blink of an eye to react to this but the stigma that exists around overdose has led to a sluggish response….[1]” Galloway made this observation after Hoskins said that the issues surrounding fentanyl deaths related to respect, dignity, equity, the right to treatment, the urgency of the matter, the effectiveness of needle exchanges and the fact that the people who are dying are our brothers and sisters, our fathers and mothers. So far so good. But at no point in…
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Hoping for genuine efforts to address self-identified needs: Guest Blog from Pat Capponi

What if the archetype of the mad, the lonely dishevelled man screaming and scaring passersby on big city street corners could be transformed into a contributing citizen, not through the efforts of those institutions  which claim to change lives, but through genuine efforts to address the self-identified needs of the ‘ chronic patient’: decent supportive housing that enables tenants to practise autonomy, integrated staffing that reflects the value of lived experience instead of coercing, controlling and crushing independence, role models who can address self-defeating behaviours learned on hospital wards and back alleys, and earned income that relieves soul-crushing poverty When people first learn of their diagnosis, they aren’t thinking of those advertising campaigns that portray mental illness as seated in the clear-complexioned, well-dressed, gainfully employed condo dwellers, no, they think…
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The Sad State of Social Services – Guest Blog from Pat Capponi

One of the most instructive exercises we do with group members at Voices From the Street is to ask what would have helped them avoid the life path they’ve been on, lives mostly filled with pain and challenges and want, decades spent on the streets, in shelters or housing that is barely safer than a park bench. This is after we’ve stressed the importance of each person taking responsibility for bad decisions, and/or bad actions; without that acknowledgement it’s difficult to move forward constructively, it’s part of being an adult to own up to mistakes. Sometime later, we pose the important question of what society’s responsibility is: those teachers, ministers, police, parents,  and agencies that are supposed to protect the innocent and vulnerable, where were they, what were they doing,…
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Here is your diagnosis and your bullet proof vest: Wear it in poor gealth (by Guest Blogger Pat Capponi)

“The only way I could think to do this was to ask myself if, God forbid, there is another shooting of a person with mental illness, what would we say we’d left undone?” That was what I posed to myself, police board chair Alok Mukherjee and Deputy Chief Mike Federico Tuesday, July 23, as we met at headquarters to discuss future directions of the board’s mental health sub-committee, which Alok and I co-chair. I am not speaking for the sub-committee or the Service or Alok. Dr. Mukherjee and I work well together, he’s knowledgeable, soft-spoken and tenacious, all important qualities when trying to manage and advise a service that at time resists, and at other times goes the extra mile when it comes to our input. Together with members of…
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An unsustainable program (by Guest blogger Pat Capponi)

It seems simple, and I can understand the frustration as the numbers continue to rise and few people labelled mentally ill appear willing to take the steps necessary to leave the ODSP rolls.  Without knowing this community, their history and their struggles, that frustration will continue. My experience is with those who are labelled seriously mentally ill, with schizophrenia, manic depression, and PTSD,  as well as those with long term addictions to drugs like crack cocaine. In this group, poverty is the norm, days are spent in drop-ins or waiting in packed agencies for assistance that never seems timely or appropriate. These aren't people who can hide the toll taken on their bodies, spirits, minds and hopes by years of exclusion, dependence, and 'otherness'.  They are carrying with them some…
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