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Assignment Task:

Task:

Key Issue One: Do MSIC have positive health benefits for people experiencing addictions?

The issue at stake here is whether MSIC produce positive health benefits (such as reduced deaths from overdoses), or whether they increase drug-taking behaviours and
hence have negative health effects.
Those arguing for the Richmond MSIC, (or for the benefits of similar centres more generally,) claim that the research indicates that these centres have positive health benefits for those experiencing addictions. The most compelling evidence here comes from an independent review of the MSIC which found that there were no deaths from overdoses at the centre and that 21-27 deaths may have been avoided, and that there were reductions in ambulance callouts for drug related issues and public reporting of drug using behaviours (Hamilton 2020, p. vii). Further, it was reported that the centre provided early detection of blood-borne diseases, allowing treatment of these (Hamilton 2020, p. xv), a finding echoed by an international study of similar facilities (Belackova et al. 2018). A systematic review of 47 different studies that considered the public health effects of using medically supervised drug-use spaces found that “consistent evidence demonstrates that [these facilities] mitigate overdose-related harms and unsafe drug use behaviours, as well as facilitate uptake of addiction treatment and other health services among people who use drugs” (Kennedy et al. 2017, p. 161).

Some researchers arguing against, or sounding caution about, the Richmond MSIC or similar facilities, argue that studies considering the evidence often do so simplistically, leaving out issues such as population-level effects and longitudinal considerations that might see rises in drug taking behaviour or overdoses over time (see for example Caulkins et al. 2019). Others take a more oppositional approach, arguing that there are clear negative health effects generated by such centres. A report from Drug Free Australia (Reece et al. 2020) analysed the evidence presented in the Hamilton Report and conducted its own statistical modelling. They found that “estimates of 21–27 deaths averted by the MSIR are based on indefensible and inept assumptions, most likely on bloated overdose figures” (Reece et al. 2020, p. 4). In contrast, the authors of this report argued that by normalising rather than working to prevent drug use, increased experimentation and long-term health effects, including dependency and the ongoing risk of overdose, were a result (Reece et al. 2020, p. 9-10).

 

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  • Posted on : October 12th, 2019
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