Pubdate: Tue, 10 Mar 2009 Source: Victoria Times-Colonist (CN BC) Copyright: 2009 Times Colonist Contact: http://www.canada.com/victoriatimescolonist/letters.html Website: http://www.canada.com/victoriatimescolonist/ Details: http://www.mapinc.org/media/481 Author: Marilyn Erickson Referenced: http://www.mapinc.org/drugnews/v09.n236.a04.html STIMULANT ADDICTS DESERVE DETOX, TOO It's interesting that directly after Jody Paterson's column indicating that Victoria's 21 new detox beds will not accept stimulant (crack and crystal meth) users, Vancouver Island Health Authority's director of mental health and addictions, Allan Campbell, contradicts his own director of addictions, Dr. Laurence Bosley, by insisting that the new facility will accept detox clients regardless of the substance used. Perhaps he and the head of the facility should communicate. As an addictions worker, I've not been able to take stimulant users to adult detox for several years. I've been told at various times that they do not require a medical setting to detox in because their life is not at risk, and I had the same answer this week that Paterson did. Campbell's letter also added that the admission criteria include whether a patient's withdrawal symptoms will pose a serious health risk during the detox process, which by VIHA's own admission, seems just another way of saying, "so we will not be accepting any of those disruptive downtown stimulant users here." Crystal meth addicts generally require longer periods of detox and a calm, safe environment during withdrawal, along with an intensive physical and mental health assessment, as they are weak, damaged, aggressive and irritable. In my opinion, this constitutes an urgent need for medical management and supportive withdrawal and VIHA should reverse it's discriminatory policy immediately. Instead of half a ward of empty detox beds, maybe they should start treating some of our sickest street people properly and give them at least an opportunity to get well. Marilyn Erickson Addictions outreach worker Victoria - --- MAP posted-by: Larry Seguin