POLICE ASSOCIATION OF NOVA SCOTIA 77 should be considered helpful only if they encourage abstinence from substance abuse as their final goal. (Canadian Society of Addiction Medicine, Policy Statement, 1999) There is no agreement within addictions medicine concerning the best approach to addiction. There is support within the health services community for both an abstinence and a harm reduction approach. As addictions medicine is not a law enforcement area of expertise, we are not well positioned to argue these issues or support one approach vs another. d) Needle exchange programs (NEPs) The CACP and the RCMP supports the National AIDS Strategy in advocating a community-based needle exchange program model including [all of the following integral components]: outreach, education, counseling, testing of needles and drug users, the provision of condoms and the exchange of needles. (CACP policy from 1995) Our partners in addiction medicine have told us needle exchange programs are only effective when offered in conjunction with full service support (housing and employment outreach programs, counseling, and community support services). The NEP must also employ needle-return measures, so the number of addicts using the service can be registered and the prevalence of communicable diseases can be assessed. (Addictive Drug Information Council, British Columbia, 2000) e) Community Injection Sites At this time, further research is needed to show how they can be beneficially applied in Canada. It is not clear that what seems to work in a few European communities can effectively be applied within a Canadian context. f) Methadone maintenance programs Methadone maintenance can provide addicts with a period of stabilization and transition while they try to put their lives back together, if they are properly supported by counselling and social services. However, there are significant risks involved in providing easy access to methadone because it is an extremely powerful opiate similar to morphine or heroin. (Dr. Douglas Coleman, Addiction Medicine Specialist, "Speech to International Conference on Drug Use", Montréal, March, 1999) g) Medicinal uses of heroin / heroin substitution - clinical trials Currently, heroin is available by prescription as a painkiller. It is not frequently prescribed because other, less addictive, alternatives have proven more effective. Clinical trials using heroin would require a controlled structure, including a limited number of test subjects, urine tests, high levels of counselling and all other available social support, including housing and employment programs. The CACP and RCMP supports research into medicinal uses of any currently illicit drug. We accept that it is the responsibility of Health Canada scientists and Federal Legislators, through their research and regulatory approval process, to safeguard the interests of all Canadians. h) Club 'designer' drugs Club or 'designer' drugs are being used by young adults at all-night dance parties such as "raves," dance clubs and bars. MDMA (Ecstasy), GHB, ketamine, methamphetamine (speed) and LSD are some of the party drugs gaining in popularity. No precursor drug, including ecstasy, is benign, as some of the effects of use include:intensified sensory perception, heightened interpersonal feeling toward others, acute serotonin depletion, toxicities such as tachycardia, panic, and could induce seizures, coma or death especially if used in high doses or combined with other drugs. (see for more specific information) Club drugs are generally produced by organized criminal groups, with little care for the quality of the drugs they manufacture or distribute, or the health risks they may present. (Cpl. Scott Rintoul, "Designer Drugs and Raves", 2000) i) Raves Police strive to protect the health and safety of youth, who are the main audience at rave parties. By working with rave promoters and providing substance abuse training to security guards, and by working (...Substance Abuse Issues continued) (continued...)