True it’s not necessarily the majority of people coming off meth but the people being seen in residential settings may already have gone through the more intense part of withdrawal with paramedics and in ED.
The meth rampage is not an urban myth. The paramedic protocol is physical restraint and IV ketamine.
The brain damage is one the most troubling aspects. There’s a frightening number of young people coming into adulthood with meth induced brain damage that will place increasing demands on health resources and sadly prison resources.
But it’s not every meth user. However it is a group that appear to be being left out of the current harm minimisation debate. And they are the most vulnerable and most at risk to themselves and others.
People who have the wherewithal to engage in a residential setting don’t pose quite the same dilemmas and risk as those that don’t. And those that don’t I think have less chance of having their voices heard.
The effective decriminalisation of small time possession and use is welcome news even if the government is choosing to be coy about it.
But as others are pointing out there needs to be a substantial boost to treatment funding as the other part of the equation.
Something else that should be a very high priority is increased funding and resourcing of acute mental health facilities. That is where the most vulnerable wind up and at present these units are being turned into war zones by drug use and consequent anti-social behaviour placing other patients and staff at great risk.
Specialist secure detox units could be one part of the solution. Separating those with violent P rage from vulnerable people with mental health issues. It’s often the case now that people admitted to acute inpatient units are exposed to violent and predatory behaviour which is highly traumatic.
One theory of the origin of this form of extremism has been disproved at least. These people are not the product of oppression or some sort of western imperialism. Their grudges and grievances are based on hatred of difference which has been with us for a very long time.
I do think there’s something new about how social media effects the liberal democratic process. Being a bit inclined to the medium is the message I think it’s partly about how things are being said not just what is being said.
However, looking at Europe, the dynamic is a fairly straight forward one of ultra nationalism vs internationist inclusion. What brought about Brexit has been with us for a long while - in group out group antagonism. Long before social media.
Maybe a new development in politics, but not for humanity, and that is where the problem is our selves.
Yes, is social media just giving us what we already have been doing just in another guise or does social media tap into something in us that has been hitherto latent.
Social media certainly provides something we have not had before in our social history - an instant audience, or the impression of one at least, anytime one wants.
Some things might be very difficult to combat. Misrepresentation is extremely easy on Twitter, deliberately taking things out of context would be very difficult to police. Then again if people don’t want to check for context then they’re already on board with the message.
Is this a new development in politics? We’ve had very bad things happen in the past without social media.
Because you did a little bit of academic study, and a bit of internship, and maybe some work around the outskirts of the 12 step programs and now make a living out your addiction job, doesn’t automatically make you an expert.
Possibly you’re more familiar with the real hard edge of addiction – something most people don’t see.
There’s some very difficult decisions to be made with drugs that don’t sit easily with the classic harm minimisation model.
The other side of the coin to harm minimisation is risk management. How to deal with people who pose a risk, a serious risk, to themselves and others. It’s going to take some form of coercion and secure residential settings.
We have a Deputy Prime Minister who explicitly demonised Muslims and has built their career on fostering ethic hatred.
That might be the place to start – where people did actually incite hatred for political gain.
People who have done things like burgling chemist shops or driving with ridicules blood alcohol levels while having small children the car.
I think I see your point. Perphaps this is about identifying and dealing with different personality types and addiction.
Some people respond well to addiction services that cater for people wanting to change and who have the ability to change and in the meantime don’t pose a risk to others.
But there’s people who aren’t like that the may require some form of stricter regime.