Engaging Faith Leaders in Harm Reduction Programming - Michelle Mathis Executive Director Olive Branch Ministry

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Engaging Faith Leaders
             in
Harm Reduction Programming

           Michelle Mathis
         Executive Director
        Olive Branch Ministry
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Olive Branch Ministry
●   Founded in 2009 by Rev. Michelle Mathis
    and Min. Karen Lowe
●   Became a nonprofit in 2015
●   Serves 10 counties in the
    Piedmont/Foothills region of NC
●   Provides:
     ○   Faith-based harm reduction services
     ○   Syringe Access, Overdose Prevention
     ○   Low-barrier Suboxone
     ○   Low-barrier Hep C treatment
     ○   Overdose Response Team
     ○   Jail-based education and support
     ○   Linkage to Care
     ○   Peer Support
     ○   Holistic Approach
           ■ Yoga/Meditation
           ■ Art/Music therapy (peer led)
           ■ Non-traditional support groups

                                               Image Credits:
                                               Olive Branch Ministry
Meaningful Engagement

   Olive Branch is committed to meaningful
   engagement with people who use drugs.
      Our hope is to build to trusting relationships through
         peer support and a process of mutual learning.
          We celebrate any positive change as success.
             We practice holistic harm reduction that
                honors an individual's experience.

 Recognizing that each person is the expert in their own journey,
 Olive Branch is honored to serve as a resource, not an authority.
Today’s Objectives

● The basics of Harm Reduction
● The importance of engaging people at a level they
  feel comfortable
● How stigma can be a barrier to engagement
● Practical ways to involve the faith community in
  harm reduction efforts
What Is Harm Reduction?
Harm reduction refers to policies, programs, and
practices that aim to minimize negative health,
social, and legal impacts associated with drug use,
drug policies, and drug laws.

Harm reduction is grounded in justice and human
rights – it focuses on positive change and on
working with people without judgement, coercion,
discrimination, or requiring that they stop using
drugs as a precondition of support.
What Is Harm Reduction?

(H)arm (R)eduction          (h)arm (r)eduction

A movement for social       A set of practical strategies
justice built on a belief   and ideas aimed at
in, and respect for, the    reducing negative
rights of people who        consequences
use drugs.                  associated with drug use.
What Is Harm Reduction?

• Reducing harm is associated with high-
  risk behaviors to improve quality of life.

• It involves many programs, policies, and
  practices.

• It celebrates the values of incremental
  gains.

• It is about dignity, compassion, and hope.

• It looks different for each individual.
                                               Image Credits:
                                               Olive Branch Ministry
• It is a philosophy....
What Harm Reduction is NOT

  ● Anything goes
  ● Don’t Ask, Don’t Tell
  ● A hook to get people to treatment
  ● A direct path to abstinence
  ● Anti-abstinence

                                  Image Credits:
                                  National Harm Reduction Coalition
Is Harm Reduction Enabling?

             YES!
         (let me explain…)
The Harm Reduction Approach
Harm reduction utilizes a spectrum of strategies to reduce the
 negative consequences associated with drug use, sex work,
                     and other behaviors.

    SAFER                MANAGED
                                            ABSTINENCE
  TECHNIQUES               USE
Examples of Risk Reduction Strategies

                  OVERDOSE
                                   SAFER
  SYRINGE        PREVENTION
                                CONSUMPTION      HOUSING FIRST
  ACCESS        AND NALOXONE
                                   SITES
                 DISTRIBUTION

    DRUG
                                 MEDICATION
CHECKING AND
                WOUND CARE      FOR OPIOID USE   SPIRITUAL CARE
FENTANYL TEST
                                  DISORDER
   STRIPS
Compassionate Care

Calls for the non-
judgmental, non-coercive
provision of services and
resources to people who
use drugs and the
communities in which
they live in order to assist
them in reducing
attendant harm.                Image Credits:
                               National Harm Reduction Coalition
Pragmatic and Realistic

   Does not attempt to
   minimize or ignore the
   real and tragic harm and
   danger associated with
   licit and illicit drug use or
   other risk behaviors.

                                   Image Credits:
                                   National Harm Reduction Coalition
Evidence-Based

  Understands substance use as a complex
  phenomenon encompassing a continuum of
  behaviors, promotes reality-based and culturally
  competent drug education, and supports
  scientific strategies for reducing health risks
  associated with substance use.
Multiple Pathways to Healing

 Acknowledges that healing encompasses an
 individual’s whole life, including mind, body, spirit,
 and community, values self-determination, and
 supports people in crafting their own unique paths
 to positive change.
Stigma Is a Barrier to Care

● Science has proven that substance
  use disorder is a chronic brain disease
  that can be managed with medical
  treatment. It is NOT a moral failing
  or a character flaw.

● Addiction is highly stigmatized, and
  that stigma is fueling an American
  public health crisis.
Stigma Is a Barrier to Care

                   ● Addiction is a public health
                     epidemic.

                   ● Stigma isolates people.

                   ● Stigma discourages people
                     from seeking treatment.

                   ● Stigma even impacts how
                     health professionals treat
                     patients.
Stick and Stones...Words do Hurt
       ●   Humanity before disease or behavior.
       ●   Ask how an individual wishes to be addressed.
       ●   Use person-first language, while respecting identity-first language.
       ●   Using clinical or justice-related terminology is acceptable, as long as it
           is not stigmatizing or prejudiced.

                 Don’t Say:                                    Instead, Say:
Addict                                        Person with substance use disorder
Alcoholic                                     Person with alcohol use disorder
Drug problem, drug habit                      Substance use disorder
Drug Abuse                                    Drug misuse, harmful use
Drug Abuser                                   Person with substance use disorder
Clean                                         Abstinent, not actively/currently using
Dirty                                         Actively using
A clean drug screen                           Testing positive for substance use
Former/reformed addict/alcoholic              Person in recovery, person in long-term recovery
Opioid replacement, methadone/buprenorphine   Medication assisted recovery (MAR)
maintenance                                   Medication for Opioid Use Disorder (MOUD)
Relapse                                       Reinitiate Use
Person-First Language

             ● You can reduce stigma, and help save
                lives, just by changing your language.
             ● You can help reverse harmful
                stereotypes about addiction, improving
                access to care and support for people
                affected by this disease.
             ● Person-first language is proven to
                reduce stigma and improve treatment.
Video Credits:
Olive Branch Ministry

Audio used with permission from Artist
Stigma as a Barrier to Faith

                       •Change begins with
                        Leadership.
                       •Words Matter.
                       •Service without requiring
                        a Theological
                        Conversation or
                        Commitment is Key.
Harm Reduction for Every Congregation

•The introduction of Harm Reduction to
 congregations needs to reflect their interests
 and level of comfort.
Traditional & Non-Traditional Supports

 • Support groups for:
          • Families who are directly impacted
          • Grief support groups
          • 12-step/Celebrate recovery
          • People in active addiction
 • Educational opportunities
 • Harm Reduction as a ministry
Medication Take Back

  •Bulletin inserts
  •Newsletters
  •Basic opioid facts
  •Coordinate with law enforcement
Supply Drives - Kit Making Gatherings -
Blessing of the Naloxone

  •Supply drives
  •Wound care kits
  •Syringe exchange kits

                                  Image Credits:
                                  Faith in Harm Reduction
Transportation Opportunities

•Church van or bus
•Volunteers
•Transportation to medication-
 assisted recovery clinic, therapy, or
 visitation with child
Peer & Volunteer Led Group Activities

  •Art Therapy
  •Music Therapy
  •Yoga/Exercise
  •Pet Therapy
  •Game Night

                      Image Credits:
                      Olive Branch Ministry
Naloxone Training/Kit Making Fellowship

   •Hold a basic Naloxone 101 and Overdose Awareness event
   •Ask attendees to put together naloxone reversal kits
   •Think outside the “box”

                                 Image Credits:
                                 Olive Branch Ministry
Syringe Services in Partnership
 with Harm Reduction Efforts
●Promotes the building of trusting
 relationships with people who use
 drugs
●Increased availability of clean needles
 likely reduces HIV infection. (WHO)
●There is no evidence of negative
 consequences. (WHO)
●The programs are cost-effective.
●People who participate in
                                           Image Credits:
 syringe exchange programs                 Olive Branch Ministry

 are 5x more like to enter
 an abstinence-based treatment
 program. (CDC)
National Faith in Harm Reduction Movement
   Our Mission:

   Co-create a healing justice
   movement in partnership with
   faith communities and people
   who use drugs to develop
   resources that center harm
   reduction messages, principles,
   and practices.
                                     Image Credits: Faith in Harm Reduction
Submitting Questions and Comments

         Submit questions by using the Q&A feature.

         To open your Q&A window, click on the
         Q&A icon on the bottom center of your
         Zoom window.

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Thank you
   The purpose of RCORP is to support treatment for and prevention of
substance use disorder, including opioid use disorder, in rural counties at the
                 highest risk for substance use disorder.

                 Michelle Mathis:
            www.olivebranchministry.org
                  828.291.7023
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