Author: The Fix

  • Relapse During Probation Grounds For More Jail Time, MA Court Decides

    Relapse During Probation Grounds For More Jail Time, MA Court Decides

    Eleven days after her probation began, Julie Eldred tested positive for the synthetic opioid fentanyl.

    Individuals on probation can face great consequences if they relapse, according to a Massachusetts court. The decision was made Monday, July 16 by the top court in Massachusetts, the New York Times reported. 

    The case that this decision stemmed from was one that had been being monitored closely by “prosecutors, drug courts and addiction medicine specialists.”

    The case was brought forward by 30-year-old Julie Eldred, who, in 2016, was convicted of larceny for stealing jewelry. She was given a year of probation with up to 30 months in jail if she violated conditions, two of which were to enroll in treatment and stay drug-free.  

    According to the Times, Eldred did enroll in an outpatient program, where she began taking Suboxone, a medication which can decrease opioid cravings and curb symptoms of withdrawal. Soon after, Eldred asked her doctor for a stronger dose. 

    Then, 11 days after her probation began, she tested positive for fentanyl, the Times notes. Because no inpatient treatment placement could be found and Eldred’s parents were out of town, the judge decided to send Eldred to a medium-security prison for 10 days. There, she did not receive Suboxone and went through withdrawals.

    “The judge was faced with either releasing the defendant and risking that she would suffer an overdose and die or holding her in custody until a placement at an inpatient treatment facility became available,” Justice David Lowy wrote in the court’s decision. 

    During the case proceedings, the defense made the argument that because substance use disorder is a “chronic, relapsing brain disease,” making it difficult for a person to simply stop using drugs.

    The prosecution countered that substance use disorder varies by individual in terms of intensity. They also argued that many people can overcome the disorder and that consequences and rewards, such as jail time or a clear criminal record, can motivate individuals to stop using.

    The seven justices of the Massachusetts Supreme Judicial Court stated that Eldred should have brought up the potential issues with her probation conditions earlier in the circumstances, when the argument could have been made in front of a trial judge instead.

    Lowy stated that judges have the responsibility of determining probation requirements while keeping the goals of rehabilitation and public safety in mind. He wrote that judges “stand on the front lines of the opioid epidemic” and are “faced with difficult decisions that are especially unpalatable.”

    According to Eldred’s lawyer, Lisa Newman-Polk, the court “rubber-stamped the status quo, dysfunctional way in which our criminal justice system treats people suffering from addiction.”

    The Massachusetts attorney general’s office agreed with the court’s ruling.  

    “We are pleased the Supreme Judicial Court today affirmed a court’s ability to take an individualized approach to probation that encourages recovery and rehabilitation to help probationers avoid further incarceration,” said a spokesperson for Maura Healey, the Massachusetts attorney general, according to the Times.

    View the original article at thefix.com

  • Bangladesh Drug War Claims Hundreds Of Lives

    Bangladesh Drug War Claims Hundreds Of Lives

    Since May, It is estimated that more than 200 people have been killed and 25,000 more imprisoned in the country.

    The violent anti-drugs campaign in Bangladesh has claimed more than 200 lives, according to human rights advocates. 

    “It is unprecedented in Bangladesh. So many people have been killed in such a short period of time,” Sheepa Hafiza, executive director of Ain o Salish Kendra, told Agence France-Presse (AFP). 

    The group estimates that more than 200 people have been killed, with 25,000 more imprisoned, in Bangladesh since May, when Prime Minister Sheikh Hasina launched the “war on drugs.” While the authorities deny wrongdoing, reports of “cold-blooded murders by police and the elite security force” surfaced at that time, Deutsche Welle reported. 

    Due to the violent and aggressive nature of the anti-drugs campaign, it is being likened to the drug war in the Philippines, launched by President Rodrigo Duterte in 2016. 

    “This is very unfortunate. We condemn these extrajudicial killings and want fair investigations into each of these killings,” Hafiza told AFP.

    A former chairman of Bangladesh’s National Human Rights Commission, Mizanur Rahman, also condemned the government’s actions. 

    “By killing suspects during raids, the security forces are violating the country’s legal system,” Rahman said, according to Deutsche Welle. “Extrajudicial killings are unacceptable in a democratic country. The authorities must respect human rights and respect the rule of law during their operations.” 

    According to TIME, Bangladesh is not the only country that appears to be taking cues from the Philippines. Just this month, Sri Lankan President Maithripala Sirisena announced that after a 40-plus year moratorium, the country will resume giving out death sentences for drug offenders.

    “From now on, we will hang drug offenders without commuting their death sentences,” said Sirisena. 

    “We were told that the Philippines has been successful in deploying the army and dealing with this problem. We will try to replicate their success,” said a spokesman for the president, Rajitha Senaratne.

    The last time Sri Lanka applied the death penalty was in 1976, according to the Guardian. According to Senaratne, this decision applies to 19 drug offenders whose death sentences had previously been commuted to a life sentence; they will now face execution.

    Human Rights Watch estimates that the Philippines drug war has claimed at least 12,000 lives since 2016, primarily of “poor urban dwellers, including children.” 

    Prior to his election, then-presidential candidate Rodrigo Duterte had promised to kill 100,000 criminals in the first six months of his presidency. He has encouraged violent anti-drugs enforcement and praised mass killings of drug suspects.

    View the original article at thefix.com

  • CDC Director: I Almost Lost My Son To Fentanyl

    CDC Director: I Almost Lost My Son To Fentanyl

    “It’s important for society to embrace and support families who are fighting to win the battle of addiction—because stigma is the enemy of public health.”

    The director of the Centers for Disease Control and Prevention (CDC) told a private audience last week that the opioid crisis hits close to home for him because his son nearly died after taking cocaine contaminated with fentanyl.

    “For me, it’s personal. I almost lost one of my children from it,” Dr. Robert Redfield Jr. told the annual conference of the National Association of County and City Health Officials, according to CBS News and the Associated Press.

    The AP saw a video of Redfield’s speech, which was given on Thursday in New Orleans. According to AP researchers, Redfield’s 37-year-old son was charged with possession in 2016, but the outcome of the case was not public record.

    Redfield declined to discuss the incident more in depth, but he did release the following statement: “It’s important for society to embrace and support families who are fighting to win the battle of addiction—because stigma is the enemy of public health.”

    During the speech, Redfield was outlining his priorities for the CDC. He said that since becoming director in March, the opioid crisis has been a top priority because it is “the public health crisis of our time.”

    Dr. Umair Shah, the head of Houston’s county health department, said that Redfield’s admission was a powerful statement. “It was definitely an intimate moment that grabbed the audience of public health professionals,” said Shah, who just finished a term as president of the National Association of County and City Health Officials.

    “It was a close-to-home story, and he spoke quite personally,” Shah told The Washington Post. Shah said that it’s relatively uncommon for healthcare providers to talk about their own personal experience with public health issues, but that doing so can be a powerful way to connect with patients.

    “We don’t want to be seen as too vulnerable or too unprofessional,” Shah said. “And here he is sharing such an intimate story.”

    Redfield’s background is in infectious disease and most of his professional work has been done around HIV, a condition that was stigmatized in much the same way that addiction is today.

    Once isolated to the heroin supply, fentanyl is increasingly being used to cut other drugs, including cocaine. In addition, fentanyl is increasingly being abused on its own, rather than being mixed with other drugs. In 2016, the drug was found to be present in 46% of opioid-related overdose deaths.

    View the original article at thefix.com

  • Toronto Health Officials Recommend Decriminalization of All Drugs

    Toronto Health Officials Recommend Decriminalization of All Drugs

    “The potential harms associated with any of these drugs is worsened when people are pushed into a position where they have to produce, obtain and consume those drugs illegally.”

    On Monday, the Toronto board of health unanimously accepted the decision to propose that Canada’s federal government decriminalize all drug use.

    The board made the decision upon reading a report by Dr. Eileen de Villa, Toronto’s chief medical officer, which made the case for treating drug use as a public health, not a criminal, issue.

    “What we are saying here is drug use has always been with us. Humans have always used drugs in one way, shape or form,” said de Villa, according to the Canadian Press.

    “The potential harms associated with any of these drugs is worsened when people are pushed into a position where they have to produce, obtain and consume those drugs illegally. That’s what we’re trying to address through this particular report and this recommendation.”

    However, a representative for Canada’s national government said it has no plans to decriminalize or legalize all drugs. “We are aware that decriminalization, as part of a comprehensive approach to substance use, seems to be working in places like Portugal, but more study would be required as the circumstances are very different in Canada,” said Health Canada spokesperson Maryse Durette.

    Durette is referring to Portugal’s decision in 2001 to decriminalize all drugs use, in response to “one of the worst drug epidemics in the world,” according to NPR.

    Since then, Portugal has been cited by drug policy reform advocates as a harm reduction experiment that has yielded positive outcomes. Since the government made the decision to approach drug use as a public health issue rather than a criminal one, reports have shown decreases in drug-related HIV and hepatitis infections, fatal overdoses, drug-related crime and incarceration rates.

    Canada may not be ready to change policies regarding “hard drugs” like heroin and cocaine, but in June it became the second country in the world (after Uruguay) to legalize cannabis.

    Still, the Toronto health officials are hopeful that the tide will someday turn. “The only way that federal laws are going to change is if we provoke that national conversation,” said board chair Coun. Joe Mihevc.

    In 2017, nearly 4,000 Canadians died of a “apparent opioid overdose” in 2017, according to a recent Health Canada report. According to de Villa, 303 of them occurred in Toronto; a 63% increase from the previous year.

    View the original article at thefix.com

  • Narrative Therapy, or What Angelina Jolie Tells Herself About Herself

    Narrative Therapy, or What Angelina Jolie Tells Herself About Herself

    Ask yourself: As a sober person, who am I? What is my new story? What will I tell myself and others about who I am and what my life is like sober?

    Human beings are fascinated by stories. Indeed, we are particularly enthralled with stories about the lives of other people. Biographies and autobiographies always hover near the top of the New York Times bestseller lists. Kids love bedtime stories as do adults these days: Popular smartphone apps like “Calm” tell bedtime stories that send their adult users into a soft, peaceful slumber. As a therapeutic approach, narrative therapy dives into the human instinct for storytelling to help people in need. Stories can be a profound vehicle for healing.

    Not everyone, however, uses storytelling in such a positive fashion. Taking advantage of our instinctive love for stories, entertainment magazines make millions by publishing articles about famous people like Angelina and Brad, whose seemingly fascinating lives offer distraction from our own. If you were awake when the news broke out about Angelina Jolie and Brad Pitt’s divorce in September of 2016, you probably saw the headlines. Everybody saw the headlines.

    The tabloids and media alike snarled and ripped apart both Brad and Angelina, trying to create negative hype and drama. Negative stories sell a lot more than positive ones, so this particular narrative was salacious, with accusations by a vengeful wife against her husband that included out-of-control substance use and physicality towards his children, teetering on the edge of abuse.

    The stories provided classic schadenfreude — that guilty, yet pleasurable feeling you get when you hear about someone else’s pain. And we, as a collective whole, loved it. Even the rich and beautiful are not perfect, so us “average” people don’t have to feel so bad and so “less than” after all. The media capitalized on this phenomenon, and Angelina was portrayed as enraged and merciless, a bitter accuser of someone she once loved. But some people felt Angelina was going too far; an angry woman airing her husband’s dirty laundry felt like a betrayal.

    Yes, such a characterization could be true, and it could be a legitimate take on the story. But, from her viewpoint, could there be another? Could the negative portrayal of both Angelina and Brad be slanted by our society, namely the newspapers and magazines, for their own benefit? Was Brad really that unhinged and was Angelina really that vindictive?

    If Angelina and Brad chose to deal with their struggles through therapy, there would be a number of different approaches from which they could choose. Narrative therapy, a type of psychotherapy, is all about looking at the world from different viewpoints and perspectives. By looking at how narrative therapy could apply to this celebrity break-up, we can gain good insight into why this approach can be effective for adults in recovery.

    Let’s use Angelina as an example. If Angelina went to a narrative therapist, she might present a quite different perspective about her actions and the divorce than what the tabloids were touting. According to an analysis based on the theory of codependence, Angelina could be staying with her husband out of desperation, even if he were dangerous. I am not claiming that Brad Pitt was a danger to his children in actuality, but rather examining this overall narrative for argument’s sake. In this analysis of the situation, the fear of “being alone” can have a damaging influence on people’s lives.

    Rather than coming forward with this codependent explanation, Angelina most likely would present a radically different narrative. Instead, Angelina was standing up for those very people she holds most dear – her children. If the accusations were true, she could have told a story about herself as a guardian of her kids, strong and fiercely protective. Rather than being scared of being alone, her decisions were based on her natural instincts, akin to a mother bear protecting her cubs. Ultimately, their welfare was her number one priority.

    A narrative therapist could help Angelina see that being committed to her children was a powerful narrative to embrace. Her fervency could be seen as having its roots in protection. She bravely stood up to protect that which she loved. And she made a number of potentially difficult sacrifices for the welfare of her kids (namely, her marriage), but she also stood for her values and intuition as a mother.

    What’s more, maybe Angelina has gone against the societal definition of a so-called “happy family.” According to the People website, Angelina made a statement to Vogue in 2006 about being a single mother when she met Brad. “I think we were the last two people who were looking for a relationship. I certainly wasn’t. I was quite content to be a single mom,” she stated.

    This vantage point would support what is called in narrative therapy the “sparkling moment” when Angelina Jolie stood up to the problem. She made the choice to leave a situation that was potentially harmful to her kids, perhaps taking the chance of becoming a “single mother” again.

    The therapist taking a narrative approach would ask questions of Angelina to guide her as she developed hope in the aftermath of her divorce. The therapist would remind Angelina Jolie of her confidence in being a single mother as shown by the quote. The potential goal would be to help her deal with the inevitable effects of her divorce.

    Single motherhood often has a negative connotation in our society. We are told how hard it is to be a single mother, but could this be different for Angelina? Could it be a way of life that Angelina enjoys? She chose to adopt multiple children before getting together with Brad, actively taking the role of “single mother.” She broke society’s mold of the “ideal” mother: someone who is in a partnership while raising kids. Perhaps the narrative therapist would examine this with Angelina, helping to posit it as one of her strengths.

    A narrative therapist helps you uncover the other side of the story that often doesn’t get told, for one reason or another. The pressures of traditional roles and mainstream ideas in society often keep these other narratives buried. A significant part of narrative therapy is about telling your story about who you are and why your life counts.

    The therapist helps clients to understand the situations and events of their lives in a manner that helps to reveal how the clients want to be in the world. A goal is to create a tangible image of what they want their life to look like and finding the evidence to support this image, which may already be in place.

    Narrative therapy works particularly well within recovery scenarios. People who have struggled with addiction often have negative stories about who they are, often because of the shame associated with being an “alcoholic” or “addict.” Finding a different story is a way of seeing yourself apart from the “alcoholic” or “addict” label and developing a way to view yourself and your life that has nothing to do with the drug or alcohol problem. A narrative therapist believes that you, as a person, are separate from the drugs and alcohol, and he or she will always remain curious and respectful.

    Many people call themselves different things and have “stories” that depend on the labels they put on themselves. For example, a “hipster” is someone who may dress in a chic, alternative way that most people outside of big cities don’t encounter in daily life.

    What story do you tell yourself about yourself in recovery? Ask yourself: As a sober person, who am I? What is my new story? What will I tell myself and others about who I am and what my life is like sober?

    There are a myriad of questions that can offer access into new stories. For example, have you ever thought about what you want to be written on your gravestone? If you were at a party, what would your elevator pitch be about who you are and what you have done in your life? What would your theme song be and why? 

    The therapy work is about developing a storyline that runs counter (or opposite to), but also at the same time as, the story of addiction. It is separate from the storyline involving the problem of drugs, alcohol, and other addictions. Just as Angelina could feel shameful for being called a “bad” wife who did not stick by her husband, there is an alternative story in which she is a “good” mother protecting her children. The therapist helps clients view themselves and their lives apart from the shame of the addiction and the resulting resentment at being viewed negatively by society.

    The narrative therapy approach can be empowering: The client is always the expert, and the therapist is the guide who asks questions. The goal of this process is to help the client build the confidence and self-esteem to be the person that knows his or her life the best.

    To the narrative therapist, you are so much more than just an “addict” and the negative experiences that happen to you in the throes of addiction. Doing this work can help you uncover and discover the other parts of who you are; your hopes, dreams, and preferences for living in sobriety as the protagonist and main character in your own, entirely new storyline. Is there something that only you know about who you are and what your life is like that would help you evolve into sustainable sobriety with the right attention and care? Maybe developing this side of yourself could help you stay sober and live a healthy, satisfying life in long-term recovery.

    View the original article at thefix.com

  • Coffee Won't Help Sober You Up

    Coffee Won't Help Sober You Up

    While you might feel more caffeinated, coffee does not improve motor skills that are affected by alcohol.

    Many people who need to quickly sober up reach for a cup of coffee, but while the caffeine might make you feel more alert, it won’t do anything to reduce the effects of alcohol.

    Professor Tony Moss of London South Bank University said that people might feel more sober because they’re caffeinated, but coffee does not improve hand-eye coordination or other motor skills that are affected by alcohol, according to The Independent.

    “We know from wider research that coffee isn’t an antidote to alcohol,” Moss said. “Taking coffee is a stimulant that will reverse that feeling of being slightly tired as your blood alcohol is coming down.”

    However, you’re still impaired, even if you feel slightly better.  

    “The only thing that’s going to sober you up in that respect is a bit of time,” Moss said.

    During a segment for Food Unwrapped, Moss gave five students a glass of vodka and tonic. Each cocktail was custom made to have enough alcohol to make the specific student feel tipsy, according to their body mass. The students were then asked to complete a hand-eye coordination test, guiding a metal loop around a wire without touching it. All five of the students failed the task.

    After having a strong cup of coffee, the students reported that they felt more alert, but all five still failed the test. A breathalyzer reading showed why: drinking the coffee had done nothing to change their blood alcohol levels.

    While coffee won’t sober you up, it might help you feel a bit better after drinking, especially if you’re hungover. Nutritionist Rhiannon Lambert told The Independent that while no food or drink can make you less intoxicated, there are certain choices that will make you feel better after drinking.

    “Firstly, your body is often dehydrated after drinking alcohol so it is imperative to drink more water than you usually would,” she said. “Secondly, think nutrients. Although we often crave sugary foods when there is alcohol in our system, try and start your morning with a nourishing dish to help your body to recover. Try something like a refreshing smoothie bowl or a filling porridge with nut butter and berries.”

    If you are trying to sober up, the most useful thing about a cup of coffee is the time it takes to consume. A typical beer or glass of wine takes 2-3 hours to break down in your body, so enjoying a leisurely expresso with a friend will do more than a strong brew to return your motor function to normal.

    View the original article at thefix.com

  • Native American Walk for Sobriety Focuses on Self-Empowerment and Self-Esteem

    Native American Walk for Sobriety Focuses on Self-Empowerment and Self-Esteem

    “Mass extermination and ethnic cleansing of Native Americans over centuries has Indian Country’ suffering from historic trauma. And for many of us, unsolved grief has led to alcoholism.”

    Over the weekend, a band of community members participated in the 4th annual Native American Walk for Sobriety in Richmond, California.

    The event, which took place on Saturday, July 14, was organized by the California chapter of the United Urban Warrior Society (UUWS), a national organization that advocates for the rights of Native Americans.

    “The most important goal of the Native Walk for Sobriety [are] the ideas of self-empowerment, self-worth and self-esteem,” said Mike Kinney, chairperson for the California chapter of the UUWS.

    The walk is especially important to the Native American community because substance abuse has long been a problem: “mass extermination and ethnic cleansing of Native Americans over centuries has Indian Country’ suffering from historic trauma,” Kinney explained in a recent essay published by the Richmond Standard. “For many of us, unsolved grief has led to alcoholism,” he said.

    The goal of the walk is to make the community aware of the issues surrounding substance abuse, said Kinney. “Native Americans have historically had extreme difficulty with the use of alcohol. Problems continue among contemporary Native Americans.”

    As more people become aware of these issues, some Native American communities, like UUWS, are taking action to stop the cycle. “The return to our traditional spiritual beliefs and values helps us to lead lives free of alcohol, and Native Sobriety walks are crucial in raising awareness surrounding the issues of alcoholism and alcohol abuse in the Native communities,” said Kinney in his essay.

    A day prior to the approximately one-mile walk from the Grocery Outlet to the Native American Health Center in Richmond, supporters of the UUWS gathered at the local Souper Center to serve a hot meal to about 145 people in need. The service was made possible by a donation from Rebecca Marlin Pet Care in nearby San Pablo.

    “We in the Native Community know how important it is for we as Native People to set positive and spiritual examples to our high-risk teens and young adults,” said Kinney.

    “Historically, Indian Country has always had social marches throughout the United States to bring awareness to mainstream society to better educate them about our conditions and how we were living both then and now. Native Sobriety Walks are a direct outgrowth of that,” he said.

    View the original article at thefix.com

  • Young Men Scale Mountains in Unique Recovery Program

    Young Men Scale Mountains in Unique Recovery Program

    The 2xtreme Foundation helps youth overcome drugs, family issues, and more.

    One support program has set itself aside from the rest, by guiding young men in crisis along a better path—a program that concludes with scaling 20,000 feet of mountain.

    The program, a part of the 2xtreme Foundation, involves 10 months of mental and physical preparation for the group climb. Not only that, the young men—who struggle with family life, drugs, school, or other issues—are taught the importance of accountability and community service.

    John Davis, who founded 2xtreme more than 20 years ago, is the cornerstone of the program, according to testimonials provided on the foundation’s website.

    “John was different from the beginning. It wasn’t just the climbing and the outdoor approach—it was how he reached out to me and was willing to meet me where I was at as an individual,” said Bryce, who first met John when he was in high school. “John accepted who I was, and changed the focus from what was wrong with me and how to fix it, to what I was doing and where I wanted to go.” After graduating high school, Bryce was able to scale Mt. Elbrus, the highest mountain in Europe, with the 2xtreme Dream program. 

    The mountain-climbing expeditions have also been to Mt. Kilimanjaro in Africa and the Andes in South America.

    “I learned a lot of life lessons about being a man, taking responsibility, dealing with guilt and failure, and celebrating my successes,” said Nelson, another participant.

    The latest group completed the program in May and began their climb in June.

    “Ten months ago I was really heavy into drugs. I didn’t have a good relationship with my parents and they sought out to find John,” said Luke.

    “Being sober for the past nine months has really allowed me to mature. It’s funny how everything plays out, I feel like the last nine months have been one of the best nine months of my life. I’ve met incredible people. I’ve had incredible experiences and [now] I’m going to be halfway across the world hiking [and] building relationships with people that I’m going to have the rest of my life.”

    The ultimate goal of 2xtreme is to establish a center where young men can receive mentoring and counseling, and have a place to do indoor climbing, gaming, and skateboarding.

    View the original article at thefix.com

  • Vancouver Sees Success in Peer-Supervised Injection Sites

    Vancouver Sees Success in Peer-Supervised Injection Sites

    The chief coroner of British Columbia estimates that without the safe injection sites and without opioid antidotes, the death count would be triple what it is.

    In Vancouver, Canada, individuals who wish to use injection drugs have the option of doing so in a safe environment, supervised by their peers.

    According to NPR, downtown Vancouver is home to the Vancouver Area Network of Drug Users (VANDU), a place that serves as a safe space for those using injection drugs. The location is equipped with various supplies like clean needles and sanitizing pads. On the wall, there is a poster highlighting the safest places on the body to inject. The site also provides treatment materials, if someone requests them.

    Hugh Lampkin, a site supervisor and vice president of VANDU, explained that the site’s injection room is an area where an attendant watches over individuals using drugs and administers overdose antidotes if necessary.

    The idea behind such sites, which are often peer-run, is harm reduction, Lampkin says. In other words, if people are going to use drugs, Lampkin and his colleagues would rather they do so in the safest manner possible to minimize the chance of overdose.

    Lampkin himself has a history of heroin use and discovered VANDU at a point when he was really struggling. VANDU hosted support groups and meetings, which Lampkin joined.

    “I was telling a bunch of strangers my life story, and it was something I’d never done before,” he told NPR. “After that just about everybody came up and either hugged me or shook my hand.”

    He says that in his experience, peer-run sites are preferred to sites run by authorities due to having fewer rules, no paperwork, and peer supervision.

    “If you put this up against another service provider where you have a PhD or a psychologist, I would put my money on a place like this.”

    According to Mark Lysyshyn, medical health officer at Vancouver Coastal Health, these sites and the people that run them are helping authorities when it comes to the opioid crisis.

    “These community agencies and groups of peers and associations of drug users, they’re the ones who are making the innovations. They’re telling us what to do,” he said. “They showed us how to create pop-up supervised injection sites. They know the community, they know where to put these things. So they’ve been able to solve a lot of problems.”

    Vancouver officials say that no one has died at any of the medical or peer-run sites. Chief coroner of British Columbia, Lisa Lapointe, tells NPR  that without such sites and without opioid antidotes, her office estimates the death count would be triple what it is.

    Though injection drug use is illegal in Vancouver, NPR says, the police support the injection sites and do not make arrests. On the other hand, the Drug Enforcement Administration (DEA) in the U.S. maintains that the sites host illegal activity and anyone involved with operating one could face legal consequences.

    View the original article at thefix.com

  • YouTube Creators Detail Their Mental Health Struggles

    YouTube Creators Detail Their Mental Health Struggles

    “My life just changed so fast. My anxiety and depression keeps getting worse and worse. This is all I ever wanted, and why…am I so unhappy? It doesn’t make any sense. It’s stupid. It is so stupid.”

    For many, having a YouTube channel with millions of subscribers would be a dream come true. From the outside, it looks like a fun way to avoid having a real job and rake in a ton of money. But it’s certainly not as easy of a life as it looks. There’s a lot of pressure to keep cranking out content to keep your channel going, and there’s no promise of a steady income.

    As Engadget reports, a number of YouTube creators have been speaking out about their mental health struggles. One YouTube creator, Elle Mills, who has over one million subscribers, posted a video called “Burnt Out at 19,” where she said, “My life just changed so fast. My anxiety and depression keeps getting worse and worse. This is all I ever wanted, and why the fuck am I so unfucking happy? It doesn’t make any sense. It’s stupid. It is so stupid.” 

    Many YouTube creators also feel the pressure of having to constantly crank out content without a break. Jacques Slade, whose channel has close to one million subscribers, tried to take several days off and relax, but he panicked. “I don’t have content for the next four or five days,” he said to himself. “What’s that gonna do to me? What’s that gonna do to my bottom line? When I come back, are people still gonna watch my videos?” 

    Where people with “regular” jobs can count on a regular paycheck, people with YouTube channels make money depending on how many ads their videos have, the length of the videos, and how many people are tuning in. With Google’s ad guidelines, videos can be removed for trivial reasons, which can cut down on a creator’s income. And it isn’t just the pressure of cranking out new videos that can take its toll. There’s also the fear of not staying relevant with a very fickle audience.

    As Karen North, a professor of communication at USC explains, “For YouTubers, the entire relationship [with their audience] is based on what they upload. Therefore there’s a tremendous amount of pressure to maintain not just the quality but the image that they manufacture on a daily basis… [If someone is] absent due to illness or vacation for a few days, audiences want entertainment, and they won’t just wait for next week’s episode. Instead they’re going to go search for something else to fill their time.”

    One full-time YouTube creator, Sam Sheffer, still recommends taking mental health breaks from social media, “even if that means not uploading for two weeks. As long as you do things with the right intent and come back strong, things will work out.”

    To try and make YouTube a healthier environment for creators, the company has now set up a $4.99 membership fee for some channels and others can sell merchandise from their pages to boost their income as well. (You have to have at least 100,000 members to charge the membership fee, and you have to have over 10,000 subscribers to sell merchandise.)

    There has also been an effort to provide YouTube creators with mental health services, and there have also been support groups at events like the VidCon conference.

    One YouTube creator says, “I’d like to see YouTube take a more active and actionable role in helping creators outside of the platform, which itself still needs a lot of work.”

    View the original article at thefix.com