JEFFERSONVILLE, Ind. – Programs aimed at reducing the harm associated with drug use are facing obstacles in some states, including Indiana. These programs, often called “harm reduction” initiatives, provide clean needles and other supplies to drug users in an attempt to prevent the spread of diseases.
However, concerns have been raised about whether these programs unintentionally encourage drug use. A previous federal order restricted the use of federal funds for certain supplies, like cookers, arguing they enable illegal drug activity. While needles were already restricted from using federal money for purchase.
In Indiana, a law allowing needle exchange programs is set to expire next year unless lawmakers take action. Some officials have directed programs to stop using federal funds for certain supplies, leading to changes in how these services are provided.
Clark County health officials are now using private funds to purchase supplies and distribute them in a discreet way. Meanwhile, other states like California continue to use state funds for similar programs.
Some experts worry that these programs are becoming too political. Dr. Eric Yazel, a health officer in Clark County, believes that drug users will find ways to use drugs regardless of these programs. He argues that providing clean supplies helps prevent the sharing of needles and reduces the spread of diseases, protecting the broader community.
However, critics, like former Indiana Attorney General Curtis Hill, share the concern that these programs might encourage drug use, a view also reflected in the previous federal order.
The Clark County program offers various services, including clean needles, overdose reversal medication (naloxone), and testing for HIV and hepatitis C. They also provide information on drug treatment, food banks, housing, and job placement.
Program Director Dorothy Waterhouse emphasizes the importance of compassion and helping people access treatment. The program is located near Austin, Indiana, which previously experienced a severe HIV outbreak linked to drug use.
Joshua Gay, a former drug user, credits the Clark County exchange with helping him get sober. He received encouragement from health workers and sought treatment. He also used naloxone provided by the program to save a friend from an overdose.
Despite the challenges, supporters of these programs argue they are effective in preventing disease and connecting people with treatment. They point to data showing that needle exchange programs do not increase drug use or crime.
Across the country, opinions on these programs vary. While some states support them, others are considering eliminating them. In West Virginia, a health department recently stopped distributing needles, but continues to offer other services like naloxone and disease testing.
The U.S. Department of Health and Human Services emphasizes that federal funds can still be used for life-saving services like education and naloxone.
The future of these programs in Indiana remains uncertain. Advocates are working to extend the state’s needle exchange law and highlight the importance of these services in addressing drug use and preventing disease.
