For #humantraffickingawarenessmonth released their report outlining a human rights & public health approach to #humantraffickingprevention + response. Here's a snapshot of their multi-layered approach. Follow them for more about this paradigm shifting report.
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Ashley Shukait, MPH, CHES
@AshleyShukait
| Mom | 
| Wife | She/Her | harm redux-abolitionist-Nerd 
| views and rants are my own
| Wife | She/Her | harm redux-abolitionist-Nerd | views and rants are my ownBelleville, MIJoined April 2017
Ashley Shukait, MPH, CHES’s Tweets
If there's one thing that I could beg for is for all ERs and hospital providers to aggressively treat opioid withdrawal + pain. It's evidence-based and humane. We need to look at our own practices and what we are not doing, rather than pathologize or blame individuals.
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These substance use treatment centers bragging about coercion (strongly suggesting); forced 12 step meetings, not giving #mat #buprenorphine and “accountability drug screens”, just highlights the issues in #michigan at a systemic level. People are dying BC of their moral elitism.
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So sad with all the attention over lead, I can’t get a real contact to address the machine parts that broke off into my food from Thanksgiving. Makes me question all of the attachments and additional products I’ve bought from them.
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🚨New pub from centerstl.org team: Leveraging the expertise of grassroots outreach & CHWs who've BEEN addressing & raising the alarm about overdose in STL's Black communities, we describe a model identifying drivers of racial inequities. 1/5
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Nothing like waking up to this…Knowing we have health insurance that should be covering this is reassuring, but what about people who don’t? Would they get all the additional tests and medical treatment that will bring in more cost?
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Interested in proposed SAMHSA changes to methadone regulations as below? Will they have an impact? Pls attend our upcoming webinar on methadone with policy experts, advocates w/lived experience + clinicians on 01/27/23 12-130 EST bit.ly/SAMHSAUpdatesW
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This remarkable pilot study by colleagues at found that local pharmacies can retain people in opioid addiction treatment more effectively than doctor's offices and dedicated addiction treatment facilities. Read about it here and in the :
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Made it to print in the - thanks for a great story and bringing so much awareness to the work we are doing at
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Majority of residential drug treatment
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What's 100% a total scam, but we still accept it in society?
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Do you support non-prescription access to naloxone (the opioid overdose reversal medication)?
Do you think naloxone should be available over-the-counter?
If so, the FDA wants to hear from you by 11:59pm EST January 17th!
federalregister.gov/documents/2022
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💖 such a beautiful soul that continues to help us learn and grow.
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Today is @AnarchoPharma's birthday. Joe died last March, of an aneurysm. He was a fierce harm redux/drug user rights activist. He was often dismissed due to mental health + drug stigma. Pls read his tweets today. See his brilliance, compassion, creativity & rage at injustice.
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A 🧵 on fentanyl, the misinformation surrounding it, and how it’s related to the War on Drugs. Scan the QR code for sources. It goes to a google doc with everything used. Always check your sources and stay compassionate. 1/?
#harmreduction #publichealth #endthewarondrugs
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Instead of learning from the past, fear and panic are driving policy that doubles down on failed tactics. My latest opinion via .
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#addictionmed colleagues - Here’s the DEA memo, for all of us who have been eagerly awaiting guidance on #buprenorphine prescribing #XtheXwaiver deadiversion.usdoj.gov/pubs/docs/A-23. Thanks for sharing.
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Out of 91.8 million who used prescription opioids in 2015:
- 95.3% did NOT misuse them. Of those who misused, nearly 2/3rd did so to relieve pain.
- 99.2% did NOT end up with OUD
2015 National Survey on Drug Use and Health
acpjournals.org/doi/10.7326/M1
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Drug decrim means people who use drugs will never go to jail just for using/possessing drugs.
10 years ago this month, I was a full-time paramedic student on the dean’s list, working at Domino’s Pizza, earning income and military education benefits. I was addicted to heroin.🧵
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The amount of restrictions and barriers in these “anti-poverty grants“ are the exact reasons they will not make a dent and keep ppl in poverty. 🤮 It’s so degrading and dehumanizing.
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Powerful article by of . An absolute must read and a story I've seen too many times to count.
bostonglobe.com/2022/12/22/mag
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Please, tell me #harmreduction #pwud #drugresearchers were there. How many have been sounding the alarm for years and have been ignored. Listen to people who have almost died from the wounds, anemia and other complications caused.
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I’m so bummed. Making Toum (garlic sauce) for the family and couldn’t finish because the food processor/chopper melted and sent metal shavings and Plastic pieces into the food. Made my hands hurt for nothing.
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I wrote this for Filter about what it was like seeing pharmacy-based methadone in Australia contrasted to the carnival of cruelty - clinical OTP setting in the US.
Why are people being punished for asking for help?
#freemethadone #ClinicCruelty
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Interested in making life-saving #methadone more widely available? Follow our new National Coalition to Liberate methadone ! 🙌🏼 Thanks to our Twitter guru
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We can’t blame kids for:
📌not resolving conflicts,
📌acting out,
📌not reaching out/receiving help;
When adults aren’t providing environments:
✅that value/affirm them,
✅that show they’re cared about,&
✅w/ tools & skills
to work through their issues w/in themselves & w/peers.
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2022 Snapshot: We secured over 375,000 affordable or free pipes for #HarmReduction programs in 35 states, helping increase connections and reducing reliance on syringes.
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"Xylazine is the primary adulterate (in the drug supply)," Shinefeld said. "I say that because we no longer consider fentanyl a primary adulterate, but (rather) the primary component. Fentanyl started to take over the drug supply in 2010. There's not very much heroin left.
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Police of America: Fentanyl doesn't fly up your nose in a breeze and cause overdose. No alleged police overdose has ever been confirmed by a routine toxicology test. This case looks like the others, with symptoms of panic and anxiety. Be safe out there.
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Research funding agencies and universities are talking a big game about anti-racist research.
But how can research actually disrupt racial hierarchies & promote equity?
Check out our latest in on links between CBPR & anti-racism👇🏽
ajph.aphapublications.org/doi/10.2105/AJ
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"[BC's] proposed accumulative threshold of 2.5 g for personal possession is too low and will negatively impact PWUD in rural communities, particularly those in remote and coastal communities who have to travel...to buy drugs in bulk"
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After much highly respected people suggested this to me, I applied for my townships board of trustees empty seat. Big shoes to fill from , if I get it.
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As the pandemic continues with long-term impact on our communities, people with disabilities continue to sound the alarms and support each other with little to no resources.
In response, we’re excited to announce the Disability Frontlines Fund at TWF: thirdwavefund.org/disabilityfron
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❤️❤️❤️ Pretty sure Michigan is headed this way, including the push for drug court. 🤮🙄
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Join collaborators from @AbolitionistSW, @idha_nyc, and @interruptcrim in an IG Live conversation about pushing back on carceral mental health services this Wednesday, December 14th at 6:00 PM EST.
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⚠️Action Alert⚠️ — Your members of Congress need to hear from you. Send them an email today calling on them to fully fund the federal programs that will help to end the HIV epidemic.
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You can’t say happiness without saying penis!
You’re welcome, makes me giggle too.
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How many people on Twitter run a jail or prison? No idea. BUT, all jails in the US should offer all treatments for OUD. The Dept of Justice says so. So does every court decision in the last 4 years. And the 8th Amendment. What is the biggest barrier: The DEA.🧵
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Check out this article that features our drug checking program and some of the work I help support at our overdose prevention center ❤️🩹
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If your political career is more important than equity and centering community health - then just say that. Don’t dance around it with politrickin speak.
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Same. Mine have cared for injection wounds, brought me comfort meds while detoxing, given me clean rigs & naloxone, warned me about bad batches, and helped me reverse friends' overdoses with more gentleness and humanity than any EMT I've personally encountered. twitter.com/stephenHRNRP/s…
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