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Syringe Access Programs & Law Enforcement: Building Alliances
New York StateCurrent April 2012
Sharing Stories
Personal Program
About an encounter with law
enforcement
About SAP relationships with law enforcement
Achievement-Based Objectives
Illustrated the interaction SAPs and law enforcement experience around syringe access Explored SAP and law enforcement perspectives that drive strained interactions Acquired the data supporting and laws regulating syringe access services
Achievement-Based Objectives
Identified “best practices” for improving interactions between SAPS and law enforcement Discovered and demonstrated existing and new strategies for improving and/or building a working relationship between law enforcement and SAPs
Impact Of Perspective
Thoughts
FeelingsActions
World Café: Part I
Law Enforcement Perspective
IDU Perspective
What might they think of IDUs?
What are their professional & personal concerns about IDUs?
What is their role?
What might they think of law enforcement? What are their personal concerns about law enforcement?
World Café: Part II
Law Enforcement Perspective
IDU Perspective
How do these perspectives affect the way law enforcement behaves when it deals with IDUs?
How do these perspectives affect the way IDUs behave when they deal with law enforcement?
World Café: Part III
How do these perspectives affect the work we do?
Fear: IDUs ↔ The Law
Share needles: 1.5 x more
Inject in a hurry, practice unhygienic injecting, damage veins, etc.
Don’t “test” strength drug to avoid overdose
Don’t report overdose
Don’t properly discard syringes
Reduces IDUs attending SAPs syringe access programs
Don’t collect/carry enough injecting equipment to meet injecting needs
Displaces IDUs, making them to difficult to reach Means IDUs don’t access other health services
Fear: IDUs ↔ The Law
Also:
Increases NSI (Needle Stick Injuries) to police
Escalates interactions between IDU & Law Enforcement
Fear: IDUs ↔ The Law
KNOW THE FACTS
Question 1: TRUE or FALSE?
SAPs lead to an increase community crime rates and drug use.
FALSE
Syringe Access
DOES NOT:
ENCOURAGE drug use
INCREASE crime rates
INCREASE # of new injectors
Question 2
How many people in the US are NEWLY infected each year with HIV & HCV due to syringe & equipment sharing?
A. 10,000 HIV & 5,000 HCVB. 8,000 HIV & 15,000 HCV C. 1,000 HIV & 3,000 HCVD. 4,000 HIV & 9,000 HCV
B
Syringe Access
DOES:
REDUCE risk for HCV
REDUCE risk for HIV
Don C. Des Jarlais. Beth Israel Medical Center. New York.
NY IDUsHIV Seroprevalence
Question 3: TRUE or FALSE?
Possession of sterile syringes is legal (in NYS).
TRUE
Law enforcement is often unaware of syringe possession laws.
Question 4: TRUE or FALSE?
Possession of used syringes with residue is legal? (in NYS).
TRUE
Possession of sterile and used syringes is legal if from SAP/ESAP/OOPP.
SAP Cards Confirm Membership
Participants receive different coded ID cards; codes are variations of numbers and letters
A 24-hour verification phone number is on the back of the ID card.
Programs are anonymous and confidential.
Question 5
A. 0
B. 10
C. 100
D. No limit
The number of syringes that someone can carry at any one time (in NYS) is:
There is no limit on the number of syringes a SAP/ESAP client may carry.
Question 6: TRUE or FALSE?
It is legal to carry other injecting equipment and other drug paraphernalia (in NYS).
FALSE
It is NOT legal to carry other drug paraphernalia with
residue.
Penal Code 220.03 & 220.45
An arrest should not be made if the only charge is criminal possession of a hypodermic instrument.
An arrest should not be made for residue in a used syringe.
NB: Changes to Penal Code/Awaiting new NYPD Operations Order
• It is NOT legal to carry other drug paraphernalia with residue.
• Sharps containers are NOT considered drug paraphernalia
Other Equipment
Question 7: TRUE or FALSE?
Anyone over the age of 18 can purchase syringes at pharmacies without a prescription (in NYS).
TRUE
Individuals over 18 can buy up to 10 syringes in an ESAP pharmacy. BUT…
not everyone has a SAP ID card to possess syringes.
Question 8: TRUE or FALSE?
There is a difference in the legalities around drug paraphernalia/syringe possession in New York City and New York State.
FALSEThere is no limit on the geographical
location in New York City or State. Injectors can possess syringes in areas where there
is no SAP if a SAP/ESAP member.
Question 9: TRUE or FALSE?
SAPs increase syringes to be discarded in public places.
FALSE
Fewer discarded syringes: 82% return rate
Question 10
What percentage of police officers have had a needle stick injury (NSI)?
A. 80%B. 10%C. 30%D. 60%
C
• 30% police have had at least one NSI
• SAP does NOT increase NSI
NSI
Question 11: TRUE or FALSE?
There is a way for SAPs and their clients to report negative interactions with law enforcement.
TRUE
In New York State, there is the New York State Department of Health
Incident Form
Question 12: TRUE or FALSE?
Risk of infection of HCV or HIV through a needlestick is very high.
FALSE
NSI in healthcare settings less then 1 in 400
NSI community settings appears negligible
Making The Case
Take Care Out There!
Working Models
Putting it to Work
Prevention Response Evaluation
What strategies can you/the program/the client use to prevent this scenario?
How can you/the program/the client respond to this scenario for a positive outcome?
How can you/the program/the client know if the strategies have an impact?
How can you monitor events?
Putting it to Work
Solutions
YouProgram
Client
EvaluationPrevention Response
Contact