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Examination of Safe Crack Use Kit Distribution from a Public Health Perspective

2015; Wiley; Volume: 7; Issue: 4 Linguagem: Inglês

10.1002/wmh3.169

2153-2028

Dessa Bergen‐Cico, Alicia Lapple,

Substance Abuse Treatment and Outcomes

World Medical & Health PolicyVolume 7, Issue 4 p. 349-367 Article Examination of Safe Crack Use Kit Distribution from a Public Health Perspective Dessa Bergen-Cico, Dessa Bergen-CicoSearch for more papers by this authorAlicia Lapple, Alicia LappleSearch for more papers by this author Dessa Bergen-Cico, Dessa Bergen-CicoSearch for more papers by this authorAlicia Lapple, Alicia LappleSearch for more papers by this author First published: 25 October 2015 https://doi.org/10.1002/wmh3.169Citations: 4Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract This paper examines the policy of safer crack use kit (SCUK) distribution within the city of Winnipeg, Canada. Publicly funded, SCUK distribution policy has been a contested topic throughout Canada, despite evidence that crack users represent some of the most marginalized members of society. Using the four pillars approach to drug policy as a guideline, the balance of allocation of resources for harm reduction is critiqued. Harms associated with crack use are broadly categorized as being associated with methods of use or social harms. The effectiveness of the current SCUK policy is examined according to the guiding principles of reduced harms and cost effectiveness. Research supports SCUK distribution based on the merits of increased health contacts and harm reductions. Data indicate the SCUK distribution policy supports efforts to reduce the transmission of communicable disease, notably Hepatitis C. A cost-benefit analysis and assessment of the policy's effectiveness in reducing harms supports continuation of SCUK. Our conclusion advocates for the expansion of the current policy to emphasize further engagement and greater emphasis on working against associated social harms, but notes the need for further research on the topic. Benefits of peer-based kit distribution are discussed and potential alternatives to the current SCUK policy are explored. References Alexander, Bruce K. 2006. " Beyond Vancouver's "Four Pillars: An Historical Analysis." International Journal of Drug Policy 17 (2): 118– 23. Backé, Horst, Kim Bailey, Diane Heywood, Shelley Marshall, and Pierre Plourde. 2012. Safer Crack Use Kit Distribution in the Winnipeg Health Region. Winnipeg, MB: Winnipeg Population and Public Health Program, Winnipeg Regional Health Authority. Bergen-Cico, Dessa, Sarah Wolf-Stanton, Radmila Filipovic, and Jordyn Weisman. 2015. " Trauma and Neurological Risks of Addiction." 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