So, it has taken me a while to write this due to not knowing what to write about, and this post may turn into a ramble. Anyway, let’s get into it! I figured I would talk about harm reduction because that is something I am a big advocate for. Harm reduction is the practice of intentionally making choices to be safer in harmful behaviors. One example of this is using condoms for hookups. It is not often seen as harm reduction because of how normalised hookup culture is. You can still get hurt emotionally from hookups, but condoms make it less likely to get pregnant or transmit STDs. I personally volunteer in the realm of harm reduction by means of being lead of the medical team for a local rave collective. People will inevitably get too drunk, or take too much of a substance or get dehydrated at a rave, and our job is to assist these people and help keep them safe. There are risks to drinking such as impaired judgement that can make it more hazardous to get to your ride, or posing a health hazard by vomiting everywhere, and we mitigate that by helping people to their rides, providing and holding trash bags and monitoring people that black out. Every med volunteer has narcan (an opiate overdose reversal agent) due to the prevalence of laced substances, and is educated on how to use it. We also provide and assist with testing for fentanyl and xylazine in substances. These things prevent and respond to overdose. In terms of other substances, we also have syringes and clean straws. We cannot mitigate the risks that the drugs will have on the body, but we can at least respond to its effects. People often demonise harm reduction, calling it enabling but that really is not the case. There is so much stigma around drug use, often seeing addicts as less than human, or not worthy of help because they “did it to themselves.” This completely overlooks the societal and personal reasons as to why someone started using substances. Another thing that surprises people is the fact I don’t preach sobriety to anyone despite being in a twelve-step program. When working in the medical tent, I ask people seeking help what substances they may have taken so I can better assist them. I have to explain that am not going to judge or get anyone in trouble, I just need to know so I can better monitor symptoms and assist. The fact that people are hesitant to tell a medical volunteer at an event that is very against law enforcement presence what they have taken speaks a lot to the stigma around drugs, as well as how prison-happy law enforcement is. People are inevitably going to drink, use drugs and have sex, no matter what our personal opinions on it, but we can help these people be safer. When it comes to people with substance use disorders or chronically use a substance, I have the mentality of keeping them alive long enough to choose to change their ways, we cannot force sobriety on anyone. (If anyone is interested in narcan training or obtaining narcan, please let me know, I can connect you with resources.)
I find it very interesting that you brought this up, as I have definitely thought about how some harmful behaviors are given assistance, but other harmful behaviors like becoming too drunk are often villainized or seen as that person’s fault, particularly if something bad comes from that. I think another big problem of that is due to the financial state that so many people are in. Stress about finances and making it to the next paycheck can be overwhelming, leading to many people looking for something to just take their mind off of it for a moment. I also think it is very admirable that you work to keep people safe, thank you for your service!
I really resonate with this post. I researched needle exchange programs in some of my other classes and the arguments I saw against them were dehumanizing, like you said. One argument I saw repeatedly was that having needle exchange programs would bring more addicts to their neighborhood, as if addicts are dangerous outsiders and not already members of their community. They have an extreme image in their head of what an addict looks and acts like and then assume because they aren’t personally seeing that, that there aren’t already addicts in their town who could benefit from those programs.