
WestEnder
December 3, 2009
While educational anti-drug programs such as the 26-year-old D.A.R.E. (Drug Abuse Resistance Education) continue to thrive internationally, the principal investigators of the Vancouver-based Urban Health Research Initiative (UHRI) joined a long line of critics in denouncing D.A.R.E.’s effectiveness at a local press conference last week (Nov. 24), where UHRI investigators Dr. Evan Wood and Dr. Thomas Kerr unveiled their 10-year prospective report on illicit drug use in Vancouver. The report aims to directly inform the City of Vancouver’s Four Pillars drug strategy, the provincial government’s response to hard drug use, and the federal government’s new National Anti-Drug Strategy, which controversially removed harm reduction from the plan in 2007.
Dr. Wood and Dr. Kerr’s report seeks to provide comprehensive information on hard drug use in Vancouver that they hope will help to determine how well B.C. is responding to the city’s drug problem, particularly in the inner city. Despite a large body of scientific evidence supporting the effectiveness of harm-reduction programs such as Insite, the supervised-injection facility in the Downtown Eastside, the report suggests that policy-makers continue to be stuck in a debate mode that doesn’t help the drug users they purport to address.
“The [Harper] government chose to remove harm reduction from the National Drug Strategy, despite the fact that the World Health Organization and United Nations actually endorse these interventions. We also have seen a government that’s continued to provide increased funding to programs that have been thoroughly evaluated to no longer work,” Dr. Kerr told a large audience at the Downtown Eastside’s Carnegie Community Centre. “The most obvious example is the D.A.R.E. program. There are many published studies which show that the D.A.R.E. program is ineffective, and that this is a government that’s continued to throw more resources on a program that doesn’t work, and yet it has placed a moratorium on the establishment of supervised-injection sites... despite a massive body of literature and endorsements from the scientific community showing this is an effective intervention.”
D.A.R.E. seeks to prevent drug use by having school-aged students pledge not to use drugs or join gangs. The program has been widely criticized since its inception in 1983, but very little progress has been made in the way of new methods to address drug use, in Vancouver or elsewhere, says Dr. Kerr.
“I could produce any number of reports to make the point that harm reduction is scientifically proven, and we need to really move past that debate,” adds Dr. Wood. “But, of course, there are lobby groups who have taken interest in Vancouver’s drug policies, and certainly the [U.S. organization] Drug Free America Foundation has been very active in terms of publishing a report funded by RCMP to basically attack this science.”
Using information obtained through Freedom of Information Requests, Dr. Wood and Dr. Kerr state in their report that senior bureaucrats in the George W. Bush White House played a key role in helping draft Stephen Harper’s drug strategy, widely criticized for taking an American ‘war on drugs’ approach. “From a scientific perspective, that is a massive flushing of taxpayers’ dollars down the toilet,” Dr. Wood says.
Harm reduction is key to the approach taken by the staff at Vancouver’s Youth Community Outreach AIDS Society (YouthCO), Canada’s first youth-driven organization providing peer education and support for HIV and Hepatitis C-positive youth. “It has caused more stress and anxiety for [us] knowing that the federal government has taken harm reduction out of its drug strategy, which is a core value of our organization, so it does definitely raise some fear,” YouthCO executive director Stephanie Grant told WE. “We know the federal government is not moving in the right direction regarding this topic.
“Our approach, when it comes to potentially decreasing drug use among youth, is to focus on getting to the core of the issues that lead youth to become problematic substance users.”
Self-esteem and the residual effects of residential schools, Grant says, underscore many of YouthCO’s educational workshops. Despite those efforts, the effectiveness of organizations like YouthCO will be limited as long as drug policy remains in its current incarnation.
“The status quo is unacceptable,” says Dr. Kerr, whose report also makes a case for a supervised-inhalation facility to accommodate the rising number of crack-cocaine smokers in the city. “This is not really earth-shattering news. Other countries have gotten this right: they’ve implemented treatment on demand, they have innovation in terms of developing new treatments, they’ve created harm-reduction programs, low-threshold employment opportunities for drug users, found a way for policing to partner with public health in a way that’s supportive. And they’ve seen the demand for drugs decline, public order problems decline, and all the problems with health-related harm decline.”
The UHRI report on Vancouver’s drug situation is available for download at http://uhri.cfenet.ubc.ca.
PHOTO: Stephanie Grant, executive director of YouthCO AIDS Society. By Doug Shanks.












