Metzineres (in full "Metzineres - Environments of shelter for womxn who take drugs surviving violences") is a nonprofit cooperative based in Barcelona, Spain, providing shelter for vulnerable and marginalized women and non-binary people who use drugs, including homeless people. [1] [2] The project was launched in 2017 [3] and registered as a non-profit cooperative in October 2020. [4]
Beyond essential health and harm reduction services, Metzineres includes services of cover basic needs such as shower, access to internet, hot meals, spaces for peer-support, [5] modalities to engage with neighborhood communities, [6] help to entrepreneurship, art [7] and cultural activities, [8] webradio, [9] as well as a needle and syringe programme and a supervised injection site. [10] Metzineres also engage in advocacy such as demands for heroin-assisted treatment. [11]
Because of barriers to access to healthcare and institutional gaps, marginalized women and non-binary persons who use illicit drugs may not access the health or social services to which they are entitled. For this reason, some believe that "the Metzineres initiative [...] represents a promising model for how harm-reduction programs can provide essential services and support to women and gender non-conforming drug users who have survived situations of violence." [12]
During the COVID-19 pandemic in Spain, Metzineres was recognized as an essential health service by health authorities, [13] and integrated as a special intervention service in the healthcare plan of the Catalan government. [14]
Metzineres also participates in harm reduction conferences, [3] [15] international fora such as the United Nations Commission on Narcotic Drugs [16] and High-level meeting on HIV/AIDS, [17] and activist groups such as the International Network of People who Use Drugs [18] or International Drug Policy Consortium.
The word "metzinera" (plural: "metzineres") is an ancient catalan term, historically used to denigrate women accused of witchcraft, in particular for their use of herbal remedies. [2] According to FilterMag, "the 'x' in the word womxn intentionally signifies a commitment to engage cis, trans and non-binary community members." [19]
Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to decrease negative consequences of recreational drug use and sexual activity without requiring abstinence, recognizing that those unable or unwilling to stop can still make positive change to protect themselves and others.
A needle and syringe programme (NSP), also known as needle exchange program (NEP), is a social service that allows injecting drug users (IDUs) to obtain clean and unused hypodermic needles and associated paraphernalia at little or no cost. It is based on the philosophy of harm reduction that attempts to reduce the risk factors for blood-borne diseases such as HIV/AIDS and hepatitis.
Supervised injection sites (SIS) are medically supervised facilities designed to provide a hygienic environment in which people are able to consume illicit recreational drugs intravenously and prevent deaths due to drug overdoses. The legality of such a facility is dependent by location and political jurisdiction. Supervised injection sites are part of a harm reduction approach towards drug problems. The facilities provide sterile injection equipment, information about drugs and basic health care, treatment referrals, access to medical staff, and, at some facilities, counseling. Most programs prohibit the sale or purchase of recreational drugs at the facility.
Needle sharing is the practice of intravenous drug-users by which a needle or syringe is shared by multiple individuals to administer intravenous drugs such as heroin, steroids, and hormones. This is a primary vector for blood-borne diseases which can be transmitted through blood. People who inject drugs (PWID) are at an increased risk for Hepatitis C (HCV) and HIV due to needle sharing practices. From 1933 to 1943, malaria was spread between users in the New York City area by this method. Afterwards, the use of quinine as a cutting agent in drug mixes became more common. Harm reduction efforts including safe disposal of needles, supervised injection sites, and public education may help bring awareness on safer needle sharing practices.
Students for Sensible Drug Policy (SSDP) is an international nonprofit organization advocacy and education organization with focus on drug policy, war on drugs, marijuana legalization, psychedelics, juvenile justice and youth rights, drug decriminalization, criminal justice reform. SSDP promotes global youth civic engagement as a tool in reforming drug policy.
A syringe filter is a single-use filter cartridge. It is attached to the end of a syringe for use. Syringe filters may have Luer lock fittings, though not universally so. The use of a needle is optional; where desired it may be fitted to the end of the syringe filter.
Drug injection is a method of introducing a drug into the bloodstream via a hollow hypodermic needle, which is pierced through the skin into the body. Intravenous therapy, a form of drug injection, is universally practiced in modernized medical care. As of 2004, there were 13.2 million people worldwide who self-administered injection drugs outside of medical supervision, of which 22% are from developed countries.
Illicit drug use in Australia is the recreational use of prohibited drugs in Australia. Illicit drugs include illegal drugs, pharmaceutical drugs when used for non-medical purposes, and other substances used inappropriately. According to government and community organisations, the use and abuse, and the illegality, of illicit drugs is a social, health and legal issue that creates an annual illegal market estimated to be worth A$6.7 billion. Estimates made in 2022 place the figure at A$11.3 billion per year.
Vietnam faces a concentrated HIV epidemic.
The drug policy of Portugal, informally called the "drug strategy", was put in place in 2000, and came into effect in July 2001. Its purpose was to reduce the number of new HIV/AIDS cases in the country, as it was estimated around half of new cases came from injection drug use.
HIV prevention refers to practices that aim to prevent the spread of the human immunodeficiency virus (HIV). HIV prevention practices may be undertaken by individuals to protect their own health and the health of those in their community, or may be instituted by governments and community-based organizations as public health policies.
Harm Reduction International, formerly known as International Harm Reduction Association, describes itself as a non-governmental organisation (NGO) in Special Consultative Status with the United Nations Economic and Social Council, and works within harm reduction model in the field of harm reduction. In 1990, the first International Harm Reduction conference was held in Liverpool, England. As Liverpool was one of the first cities in Britain to instigate harm reduction policies, including opening one of the first government-funded needle exchanges under the 'Mersey Harm Reduction Model', the first International Harm Reduction Conference attracted a diverse range of harm reduction proponents, including academics, community workers, medical professionals and drug user activists.
Low-threshold treatment programs are harm reduction-based health care centers targeted towards people who use substances. "Low-threshold" programs are programs that make minimal demands on the patient, offering services without attempting to control their intake of drugs, and providing counselling only if requested. Low-threshold programs may be contrasted with "high-threshold" programs, which require the user to accept a certain level of control and which demand that the patient accept counselling and cease all drug use as a precondition of support.
Responsible drug use maximizes the benefits and reduces the risk of negative impact psychoactive drugs cause on the lives of the user. For illegal psychoactive drugs that are not diverted prescription controlled substances, some critics believe that illegal recreational drug use is inherently irresponsible, due to the unpredictable and unmonitored strength and purity of the drugs and the risks of addiction, infection, and other side effects.
Gerry Stimson is a British public health social scientist, emeritus professor at Imperial College London from 2004, and an honorary professor at the London School of Hygiene and Tropical Medicine from 2017. Stimson has over 220 scientific publications mainly on social and health aspects of illicit drug use, including HIV infection. He has sat on numerous editorial boards including AIDS, Addiction, and European Addiction Research, and with Tim Rhodes he was the co-editor-in-chief of the International Journal of Drug Policy from 2000 to 2016. He is one of the global leaders for research on and later advocacy for harm reduction.
INPUD is an international non-profit organization grouping local groups and collectives of people who use illicit drugs, which aims at "A world where people who use drugs are free to live their lives with dignity." INPUD was founded in 2006 in Vancouver, Canada, and formally launched in Copenhagen, Denmark, on 1 November 2008.
Harm reduction consists of a series of strategies aimed at reducing the negative impacts of drug use on users. It has been described as an alternative to the U.S.'s moral model and disease model of drug use and addiction. While the moral model treats drug use as a morally wrong action and the disease model treats it as a biological or genetic disease needing medical intervention, harm reduction takes a public health approach with a basis in pragmatism. Harm reduction provides an alternative to complete abstinence as a method for preventing and mitigating the negative consequences of drug use and addiction.
Project Weber/RENEW is a peer-led harm reduction and recovery support center in Providence, Rhode Island.
Smoke Works Boston, also known as Smoke Works, Smoke Works Injection Alternatives, or Smoke Works Harm Reduction, is a glass pipe distributor and mutual aid initiative based in Massachusetts.
Teresa Borràs Cabacés, known in Spain as Tre Borràs or Dr. Tre, is a Spanish psiquiatrist and psicoterapeutist, author and researcher specialized in drug use and dependence and the responsible use of drugs.
