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Making the case for Supervised Injecting Facilities | Tony Duffin | TEDxDublinInstituteofTechnology


imagine Eddie Eddie was nine years old

imagine Eddie Eddie was nine years old when he first smoked heroin at the age

when he first smoked heroin at the age

when he first smoked heroin at the age of sixteen he was regularly injecting

of sixteen he was regularly injecting

of sixteen he was regularly injecting heroin but agent 19

heroin but agent 19

heroin but agent 19 Eddie was out of his home he was

Eddie was out of his home he was

Eddie was out of his home he was sleeping on the streets he was in and

sleeping on the streets he was in and

sleeping on the streets he was in and out of prison and he was sleeping in

out of prison and he was sleeping in

out of prison and he was sleeping in homeless hostels because of this Eddie

homeless hostels because of this Eddie

homeless hostels because of this Eddie needed to inject himself wherever he

needed to inject himself wherever he

needed to inject himself wherever he could discreetly hide himself away so he

could discreetly hide himself away so he

could discreetly hide himself away so he would inject himself in parks in public

would inject himself in parks in public

would inject himself in parks in public laneways in public toilets in prison

laneways in public toilets in prison

laneways in public toilets in prison cells in homeless hostels and because of

cells in homeless hostels and because of

cells in homeless hostels and because of this he’s health deteriorated he he

this he’s health deteriorated he he

this he’s health deteriorated he he became he contracted HIV he contracted

became he contracted HIV he contracted

became he contracted HIV he contracted hepatitis C he regularly had very

hepatitis C he regularly had very

hepatitis C he regularly had very painful abscesses and he had other

painful abscesses and he had other

painful abscesses and he had other complex health needs

due to his injecting practices by the

due to his injecting practices by the age of 25 very sadly Eddie passed away

age of 25 very sadly Eddie passed away

age of 25 very sadly Eddie passed away Eddie had gone to a stairwell in a

Eddie had gone to a stairwell in a

Eddie had gone to a stairwell in a residential apartment block and he had

residential apartment block and he had

residential apartment block and he had gone to the bottom of the stairwell to

gone to the bottom of the stairwell to

gone to the bottom of the stairwell to hide himself away and inject himself it

hide himself away and inject himself it

hide himself away and inject himself it was really he injected himself for the

was really he injected himself for the

was really he injected himself for the last time he died there hunched forward

last time he died there hunched forward

last time he died there hunched forward at the bottom of the stairs and he was

at the bottom of the stairs and he was

at the bottom of the stairs and he was there for three days until somebody

there for three days until somebody

there for three days until somebody found him there a resident of the block

found him there a resident of the block

found him there a resident of the block finally found him down there my name is

finally found him down there my name is

finally found him down there my name is Toni Duffin I am the CEO of the analyst

Toni Duffin I am the CEO of the analyst

Toni Duffin I am the CEO of the analyst drug project a small NGO based in Dublin

drug project a small NGO based in Dublin

drug project a small NGO based in Dublin my colleagues and I have well we’ve

my colleagues and I have well we’ve

my colleagues and I have well we’ve known too many tragic cases like Eddie’s

known too many tragic cases like Eddie’s

known too many tragic cases like Eddie’s and we’ve been to too many funerals and

and we’ve been to too many funerals and

and we’ve been to too many funerals and we want to do more about this but C

we want to do more about this but C

we want to do more about this but C Street based injecting

Street based injecting

Street based injecting kurz across island in places like Cork

kurz across island in places like Cork

kurz across island in places like Cork City and Limerick City and Galway City

City and Limerick City and Galway City

City and Limerick City and Galway City in other areas but if we know that it’s

in other areas but if we know that it’s

in other areas but if we know that it’s at its worst in our capital Dublin in

at its worst in our capital Dublin in

at its worst in our capital Dublin in Dublin city centre and we know for

Dublin city centre and we know for

Dublin city centre and we know for example that we estimate that they’re

example that we estimate that they’re

example that we estimate that they’re around 400 people who inject themselves

around 400 people who inject themselves

around 400 people who inject themselves in the public domain in any given month

in the public domain in any given month

in the public domain in any given month and they would do that on multiple

and they would do that on multiple

and they would do that on multiple multiple times and we also know that

multiple times and we also know that

multiple times and we also know that during 2012 to 2014 25 people who inject

during 2012 to 2014 25 people who inject

during 2012 to 2014 25 people who inject drugs in the public domain died in

drugs in the public domain died in

drugs in the public domain died in Dublin city centre a further 18 people

Dublin city centre a further 18 people

Dublin city centre a further 18 people died in homeless hostels in the same

died in homeless hostels in the same

died in homeless hostels in the same period people who inject drugs so we

period people who inject drugs so we

period people who inject drugs so we know that it’s a it’s a very difficult

know that it’s a it’s a very difficult

know that it’s a it’s a very difficult situation we wanted to do more and on

situation we wanted to do more and on

situation we wanted to do more and on 20th of January 2012 we began to lobby

20th of January 2012 we began to lobby

20th of January 2012 we began to lobby for a change in the law to allow for the

for a change in the law to allow for the

for a change in the law to allow for the existence of supervised injection

existence of supervised injection

existence of supervised injection facilities and we succeeded on the 16th

facilities and we succeeded on the 16th

facilities and we succeeded on the 16th of May 2017 the president Michael D

of May 2017 the president Michael D

of May 2017 the president Michael D Higgins signed into law the misuse of

Higgins signed into law the misuse of

Higgins signed into law the misuse of drugs supervised injection facilities

drugs supervised injection facilities

drugs supervised injection facilities bill 2017 and I guess when you think

bill 2017 and I guess when you think

bill 2017 and I guess when you think about it six years ago nobody was

about it six years ago nobody was

about it six years ago nobody was talking about supervised injection

talking about supervised injection

talking about supervised injection facilities but after five years three

facilities but after five years three

facilities but after five years three months and 27 days the only drug project

months and 27 days the only drug project

months and 27 days the only drug project had successfully lobbied for a change in

had successfully lobbied for a change in

had successfully lobbied for a change in the law to allow for their existence I

the law to allow for their existence I

the law to allow for their existence I want to share with you four strategies

want to share with you four strategies

want to share with you four strategies that worked for us in terms of lobbying

that worked for us in terms of lobbying

that worked for us in terms of lobbying successfully lobbying for that change in

successfully lobbying for that change in

successfully lobbying for that change in the law and firstly you need to know

the law and firstly you need to know

the law and firstly you need to know your case you need to know the arguments

your case you need to know the arguments

your case you need to know the arguments for and against supervised injection

for and against supervised injection

for and against supervised injection facilities that’s what we needed to know

facilities that’s what we needed to know

facilities that’s what we needed to know we need to know that because we wanted

we need to know that because we wanted

we need to know that because we wanted to be able to bring people along with us

to be able to bring people along with us

to be able to bring people along with us and we also needed to be able to respond

and we also needed to be able to respond

and we also needed to be able to respond to any counter-argument robustly and so

to any counter-argument robustly and so

to any counter-argument robustly and so we got together the information that we

we got together the information that we

we got together the information that we needed to give you an example when we

needed to give you an example when we

needed to give you an example when we when we set out to do a statement of

when we set out to do a statement of

when we set out to do a statement of intent as it were we launched a

intent as it were we launched a

intent as it were we launched a strategic plan in there we had a goal

strategic plan in there we had a goal

strategic plan in there we had a goal which was which was to gather

which was which was to gather

which was which was to gather stakeholder support lobby for the change

stakeholder support lobby for the change

stakeholder support lobby for the change in the law and then to to deliver a

in the law and then to to deliver a

in the law and then to to deliver a supervised injection facility and we did

supervised injection facility and we did

supervised injection facility and we did that we put that out in the public

that we put that out in the public

that we put that out in the public domain on the 20th of January 2012 but

domain on the 20th of January 2012 but

domain on the 20th of January 2012 but it was contentious and one of one of the

it was contentious and one of one of the

it was contentious and one of one of the people who were due to get up on the

people who were due to get up on the

people who were due to get up on the stage with me that day to launch the

stage with me that day to launch the

stage with me that day to launch the strategic plan we couldn’t bring

strategic plan we couldn’t bring

strategic plan we couldn’t bring themselves to come on the stage because

themselves to come on the stage because

themselves to come on the stage because they’re the fear of the backlash that

they’re the fear of the backlash that

they’re the fear of the backlash that they perceived would come afterwards

they perceived would come afterwards

they perceived would come afterwards that was instructive to me I I

that was instructive to me I I

that was instructive to me I I understood that was helpful

understood that was helpful

understood that was helpful it made me understand that we were going

it made me understand that we were going

it made me understand that we were going to need the evidence we were going to

to need the evidence we were going to

to need the evidence we were going to need to be able to explain ourselves as

need to be able to explain ourselves as

need to be able to explain ourselves as best we could to bring people along with

best we could to bring people along with

best we could to bring people along with us so that’s what we did we we gathered

us so that’s what we did we we gathered

us so that’s what we did we we gathered the information from across the from

the information from across the from

the information from across the from across the globe and the evidence from

across the globe and the evidence from

across the globe and the evidence from across the globe and we we put out a

across the globe and we we put out a

across the globe and we we put out a position paper we put out a position

position paper we put out a position

position paper we put out a position paper explaining what we were trying to

paper explaining what we were trying to

paper explaining what we were trying to do and the evidence for it and we

do and the evidence for it and we

do and the evidence for it and we instructed a barrister who worked for

instructed a barrister who worked for

instructed a barrister who worked for free and to help us and produced a legal

free and to help us and produced a legal

free and to help us and produced a legal opinion and I’ll come back to the legal

opinion and I’ll come back to the legal

opinion and I’ll come back to the legal opinion in the moment so we gathered so

opinion in the moment so we gathered so

opinion in the moment so we gathered so we need we needed to know our case and

we need we needed to know our case and

we need we needed to know our case and we did that secondly we needed to know

we did that secondly we needed to know

we did that secondly we needed to know our stakeholders not to not just who

our stakeholders not to not just who

our stakeholders not to not just who they are

they are

they are but what their needs were and we needed

but what their needs were and we needed

but what their needs were and we needed to speak to their self-interest and

to speak to their self-interest and

to speak to their self-interest and stakeholders in this regard were health

stakeholders in this regard were health

stakeholders in this regard were health and policing people who inject drugs

and policing people who inject drugs

and policing people who inject drugs businesses local community etc so to

businesses local community etc so to

businesses local community etc so to give you example from looking at the

give you example from looking at the

give you example from looking at the evidence we we were aware that that when

evidence we we were aware that that when

evidence we we were aware that that when you open up a supervised injection

you open up a supervised injection

you open up a supervised injection facility in an area where we’re street

facility in an area where we’re street

facility in an area where we’re street based injecting is is a problem a

based injecting is is a problem a

based injecting is is a problem a significant problem when

significant problem when

significant problem when you open one of these services you

you open one of these services you

you open one of these services you improve the amenity of the area that’s a

improve the amenity of the area that’s a

improve the amenity of the area that’s a very important message for certain

very important message for certain

very important message for certain stakeholders businesses in the city

stakeholders businesses in the city

stakeholders businesses in the city center people who live in the city

center people who live in the city

center people who live in the city center

center

center so people who visit the city center

so people who visit the city center

so people who visit the city center anybody but but you know particularly to

anybody but but you know particularly to

anybody but but you know particularly to speak to the stakeholders interest we

speak to the stakeholders interest we

speak to the stakeholders interest we made sure that that that message was

made sure that that that message was

made sure that that that message was going out there and we did that which

going out there and we did that which

going out there and we did that which brings me on to messaging the third

brings me on to messaging the third

brings me on to messaging the third thing you need to be needed to do was

thing you need to be needed to do was

thing you need to be needed to do was engage with the media and we needed a

engage with the media and we needed a

engage with the media and we needed a great to engage with the media

great to engage with the media

great to engage with the media significantly and widely consistently

significantly and widely consistently

significantly and widely consistently and I met with a friend of mine who

and I met with a friend of mine who

and I met with a friend of mine who again gave his time for free because

again gave his time for free because

again gave his time for free because we’re a charity he gave his time for

we’re a charity he gave his time for

we’re a charity he gave his time for free and he told me he said look what

free and he told me he said look what

free and he told me he said look what you’re trying to achieve you’re trying

you’re trying to achieve you’re trying

you’re trying to achieve you’re trying to change the law to allow people to

to change the law to allow people to

to change the law to allow people to inject themselves in a safe space with

inject themselves in a safe space with

inject themselves in a safe space with with unknown or illicit drugs so that’s

with unknown or illicit drugs so that’s

with unknown or illicit drugs so that’s newsworthy and you can make your own

newsworthy and you can make your own

newsworthy and you can make your own news now to me now it seems so obvious

news now to me now it seems so obvious

news now to me now it seems so obvious but on that day when he told me that it

but on that day when he told me that it

but on that day when he told me that it was a light bulb moment it was an aha

was a light bulb moment it was an aha

was a light bulb moment it was an aha moment and I took that ball and I ran

moment and I took that ball and I ran

moment and I took that ball and I ran with it and if you simply go online and

with it and if you simply go online and

with it and if you simply go online and do a search for an illicit drug project

do a search for an illicit drug project

do a search for an illicit drug project you will see that the level of media

you will see that the level of media

you will see that the level of media engagement that we have over the last

engagement that we have over the last

engagement that we have over the last four years so that’s engaged with the

four years so that’s engaged with the

four years so that’s engaged with the media and then fourthly you need to

media and then fourthly you need to

media and then fourthly you need to reach out for help okay what we were

reach out for help okay what we were

reach out for help okay what we were doing was was never been done before and

doing was was never been done before and

doing was was never been done before and we were gonna meet hurdles and to get

we were gonna meet hurdles and to get

we were gonna meet hurdles and to get over those hurdles we were going to have

over those hurdles we were going to have

over those hurdles we were going to have to be well determined we were gonna have

to be well determined we were gonna have

to be well determined we were gonna have to be problem solvers and we were going

to be problem solvers and we were going

to be problem solvers and we were going to need help to give you an example of

to need help to give you an example of

to need help to give you an example of that we we had realized that because of

that we we had realized that because of

that we we had realized that because of the the legal opinion that I mentioned a

the the legal opinion that I mentioned a

the the legal opinion that I mentioned a moment ago that we would need we would

moment ago that we would need we would

moment ago that we would need we would need to change the law we also had come

need to change the law we also had come

need to change the law we also had come to the conclusion that we needed to do a

to the conclusion that we needed to do a

to the conclusion that we needed to do a lot of the heavy lifting if we wanted to

lot of the heavy lifting if we wanted to

lot of the heavy lifting if we wanted to see this be successful and what I mean

see this be successful and what I mean

see this be successful and what I mean by that is we wanted to draft the

by that is we wanted to draft the

by that is we wanted to draft the legislation but we didn’t have the

legislation but we didn’t have the

legislation but we didn’t have the capacity in-house

capacity in-house

capacity in-house and we didn’t have the expertise

and we didn’t have the expertise

and we didn’t have the expertise in-house to draft legislation so we

in-house to draft legislation so we

in-house to draft legislation so we reached out and we reached out to a

reached out and we reached out to a

reached out and we reached out to a group called the voluntary assistance

group called the voluntary assistance

group called the voluntary assistance scheme of the Bar Council of Ireland and

scheme of the Bar Council of Ireland and

scheme of the Bar Council of Ireland and we went to them and we said would they

we went to them and we said would they

we went to them and we said would they help us and they said they would and

help us and they said they would and

help us and they said they would and they said about drafting legislation

they said about drafting legislation

they said about drafting legislation that that would allow for the existence

that that would allow for the existence

that that would allow for the existence of supervised injection facilities if

of supervised injection facilities if

of supervised injection facilities if enacted so they worked for free again

enacted so they worked for free again

enacted so they worked for free again for 12 months in their own time

for 12 months in their own time

for 12 months in their own time a group of barristers who had

a group of barristers who had

a group of barristers who had established a small group to have

established a small group to have

established a small group to have drafted legislation and then they handed

drafted legislation and then they handed

drafted legislation and then they handed it over to us then I had another hurdle

it over to us then I had another hurdle

it over to us then I had another hurdle right we had led draft legislation

right we had led draft legislation

right we had led draft legislation robust draft legislation but we had to

robust draft legislation but we had to

robust draft legislation but we had to get it into Parliament he’d never been

get it into Parliament he’d never been

get it into Parliament he’d never been done before so we reached out again that

done before so we reached out again that

done before so we reached out again that we reached out to the then Minister of

we reached out to the then Minister of

we reached out to the then Minister of State a honor ridden who was responsible

State a honor ridden who was responsible

State a honor ridden who was responsible for the National Drug Strategy and we

for the National Drug Strategy and we

for the National Drug Strategy and we asked him for his help and he said he

asked him for his help and he said he

asked him for his help and he said he would help us and he began the

would help us and he began the

would help us and he began the legislative drafting process and he was

legislative drafting process and he was

legislative drafting process and he was our first political champion and then

our first political champion and then

our first political champion and then our second political champion was his

our second political champion was his

our second political champion was his successor Minister of State Katherine

successor Minister of State Katherine

successor Minister of State Katherine Byrne TD who who took up the baton from

Byrne TD who who took up the baton from

Byrne TD who who took up the baton from Minister ridden and and got it through

Minister ridden and and got it through

Minister ridden and and got it through Island’s parliamentary processes to the

Island’s parliamentary processes to the

Island’s parliamentary processes to the point where her president Michael D

point where her president Michael D

point where her president Michael D Higgins enacted the legislation on the

Higgins enacted the legislation on the

Higgins enacted the legislation on the 17th of May a 16th of May 2017 so just

17th of May a 16th of May 2017 so just

17th of May a 16th of May 2017 so just to summarize it all up in our experience

to summarize it all up in our experience

to summarize it all up in our experience and upon reflection the strategies that

and upon reflection the strategies that

and upon reflection the strategies that that work for us were to know your case

that work for us were to know your case

that work for us were to know your case both for and against the proposed change

both for and against the proposed change

both for and against the proposed change you want to make know your stakeholders

you want to make know your stakeholders

you want to make know your stakeholders not just who they are but what are their

not just who they are but what are their

not just who they are but what are their needs and speak to their self-interest

needs and speak to their self-interest

needs and speak to their self-interest engage with the media engage widely and

engage with the media engage widely and

engage with the media engage widely and regularly and finally reach out for help

regularly and finally reach out for help

regularly and finally reach out for help because if you’re trying to do something

because if you’re trying to do something

because if you’re trying to do something that’s never been done before you’re

that’s never been done before you’re

that’s never been done before you’re definitely going to need that help and

definitely going to need that help and

definitely going to need that help and throughout it all do what you can and

throughout it all do what you can and

throughout it all do what you can and work hard to bring people along with you

work hard to bring people along with you

work hard to bring people along with you thank you

”

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