Expanded Substance use services
What are Expanded Substance Use Services?
Expanded Substance Use Services aims at reducing the harm associated with using drugs through a variety of public health interventions.
It begins at its most fundamental level with recognizing that all people deserve safety and dignity and does not treat drug use as a moral failing, but as a chronic, treatable disease that people can find long-term recovery and sobriety from.
It acknowledges that traditional approaches from the medical, law enforcement, and behavioral health communities have not been successful in reducing the demand for or use of substances, nor have they adequately addressed the negative consequences associated with drug use.
In short, expanded services “meet people where they’re at.”
Focuses of Expanded Substance Use Services
Acceptance – Expanded Substance Use Services recognizes that both licit and illicit drug use is a reality in our society; it’s important to focus on reducing the negative impacts rather than overlooking or denouncing them. Harm reduction strategies are essential in this effort, providing practical and compassionate solutions to improve health and safety.
Social Equality – Expanded Substance Use Services acknowledges that the realities of poverty, class, racism, social isolation, past adverse experiences, sex-based discrimination, and other forms of social inequality impact individuals’ susceptibility to and ability to cope with drug-related harm. We also recognize that we must confront our internalized oppression or group-based privilege and that this is a sensitive endeavor that demands our attention, reflection, consideration, perseverance, and a readiness for self-reflection.
Safety – Expanded Substance Use Services understands that drug use is a complex, multifaceted phenomenon that spans a range of behaviors from severe use to complete abstinence.
Quality of Life – Expanded Substance Use Services bases its success of interventions and policies by the quality of individual and community life and well-being.
Non-judgment – Expanded Substance Use Services advocates for offering services and resources without judgment or coercion to individuals who use drugs and the communities they reside in, aiming to support them with prevention, treatment, and achieve long-term recovery and sobriety.
Autonomy – Expanded Substance Use Services affirms that people who use drugs (PWUD) are the primary agents in reducing the harms of drug use. This approach seeks to empower PWUD to exchange information and support one another with strategies tailored to their real-life usage conditions by offering prevention and treatment services, and supporting them to achieve long-term recovery and sobriety.
Compassion – Expanded Substance Use Services does not try to downplay or disregard the genuine and negative impacts and risks associated with the use of illicit drugs.
Goals of Expanded Substance Use Services
Enhancing education on life-saving overdose prevention and the spread of bloodborne infections associated with shared needles or equipment. This encompasses the implementation of safer sex kits, wound care kits, hygiene kits, drug testing kits, and the availability of overdose reversal agents like naloxone.
Reducing the stigma linked to drug use is crucial to motivate individuals who use drugs to pursue treatment and achieve long-term sobriety, by linking them with health and social services, peer support services, and or support groups. Expanded Substance Use Services also works on informing the public about the significance of these services.
Promoting safer sex practices to reduce the spread of sexually transmitted diseases and infections, by educating on the importance of distributing condoms, lubricants, and easy access to treatment and testing for sexually transmitted diseases, Hepatitis C, and HIV/AIDS.
Opioid Epidemic
The United States is currently grappling with an opioid and fentanyl crisis, marked by a sharp rise in overdose fatalities among drug users. This epidemic is particularly prevalent in suburban and rural areas that lack Expanded Substance Use Services.
The current challenges for harm reduction involves the limited access of services to these heavily affected and less-reached areas. Most importantly, continued education is needed to reduce the stigma of people who use drugs (PWUD).
Language Matters
Labels like “addict,” “manipulative,” “mentally ill,” etc., are extremely stigmatizing and have been proven to be barriers to treatment. Person-centered language uses terms like “person with substance use disorder” instead of “addict,” “testing positive/negative” instead of “clean” or “dirty” for drug screening, and “recurrence of use” instead of “relapse.” Instead of “maintenance therapy”, saying someone is “replacing one drug for another,” person-centered language uses “medications for opioid use disorder (MOUD)” or “opioid agonist therapy.” “Substance use disorder” can cover a wide variety of substances (including alcohol) as well as the severity of use.
Person-centered language puts people first, meaning it recognizes that before someone is a label, they are an individual worthy of dignity and respect. They are defined by more than their substance use, mental illness, or physical disability. They are an individual who possesses unique abilities and strengths.
The Expanded Substance Use Services program focuses on reducing the harmful outcomes that can affect People Who Use Drugs (PWUD). Expanded Substance Use Services contain evidence-based approaches that are crucial to involving people who use drugs and their families. We focus on empowering people by allowing them to make informed and educated decisions about their lives and drug use while providing life-saving resources to people who use drugs.
These life-saving resources include, Naloxone, Fentanyl and Xylazine test strips to prevent fatal overdoses. Safe Sex kits protect and prevent sexually transmitted diseases and infections such as HIV, Hep C, and Herpes. Wound care kits are also available and help prevent life threatening infections that may affect those who inject drugs. By offering these services and more, we are also able to connect one on one with the individual and provide them with other resources they might not otherwise have access to. When we offer Expanded Substance Use Services choices, we’re offering individuals the chance to take their life back from drug use one choice at a time.
Resources
Mid Shore Behavioral Health, Inc.
Contact: Jackie Salb, Overdose Prevention Coordinator – 410-770-4801 x326
Offerings: Peer Support, Wound Care Kits, Fentanyl/Xylazine Test Strips, Safe Sex Kits, Hygiene Kits, Naloxone, Good Samaritan Training.
Caroline County Health Department
Contact: 410-479-4918
Offerings: Peer Support, Medication Assisted Treatment, Safe Syringe Program, Naloxone Training, Mobile Treatment Unit, and more.
Dorchester County Health Department
Contact: 410-228-7714
Offerings: Peer Support, Naloxone Training, Safe Syringe Program, Outpatient Treatment, Dri-Dock Wellness and Recovery Center.
Contact: 410-778-1350
Offerings: Peer Support, Naloxone Training, Wound Care Kits, Fentanyl/Xylazine Test Strips, Safe Sex Kits, Hygiene Kits, No Harm in Helping Van.
Recovery-In-Motion (RIM) Center: Peer support, support groups, teen space, yoga, movies, job search, recovery housing. For more info: 410-778-5895.
Queen Anne’s County Health Department
Contact: 410-758-0720
Offerings: Peer Support, Medication Assisted Treatment, Wound Care Kits, Fentanyl Test Strips, Safe Sex Kits, Naloxone Training, Naloxone OneBoxes.
Peer Support: 410-778-1350
Talbot County Health Department
Offerings: Peer Support, Naloxone Training, Outpatient Treatment, and more.
Peer Support: 410-819-5602