1. Syringe Access Programs & Law Enforcement: Building Alliances New York State Current April 2012

2. Sharing Stories PersonalProgram About an encounter with law enforcement About SAP relationships with law enforcement

3. Achievement-Based Objectives Illustrated the interaction SAPs and law enforcement experience around syringe access Explored SAP and law enforcement perspectives that drive strained interactions Acquired the data supporting and laws regulating syringe access services

4. Achievement-Based Objectives Identified best practices for improving interactions between SAPS and law enforcement Discovered and demonstrated existing and new strategies for improving and/or building a working relationship between law enforcement and SAPs

5. Impact Of Perspective

6. ThoughtsFeelingsActions

7. World Café: Part I Law Enforcement Perspective IDU Perspective What might they think of IDUs? What are their professional & personal concerns about IDUs? What is their role? What might they think of law enforcement? What are their personal concerns about law enforcement?

8. World Café: Part II Law Enforcement Perspective IDU Perspective How do these perspectives affect the way law enforcement behaves when it deals with IDUs? How do these perspectives affect the way IDUs behave when they deal with law enforcement?

9. World Café: Part III How do these perspectives affect the work we do?

10. Fear: IDUs The Law Share needles: 1.5 x more Inject in a hurry, practice unhygienic injecting, damage veins, etc. Dont test strength drug to avoid overdose Dont report overdose Dont properly discard syringes

11. Reduces IDUs attending SAPs syringe access programs Dont collect/carry enough injecting equipment to meet injecting needs Displaces IDUs, making them to difficult to reach Means IDUs dont access other health services Fear: IDUs The Law

12. Also: Increases NSI (Needle Stick Injuries) to police Escalates interactions between IDU & Law Enforcement Fear: IDUs The Law

13. KNOW THE FACTS

14. Question 1: TRUE or FALSE? SAPs lead to an increase community crime rates and drug use.

15. Syringe Access

16. Question 2 How many people in the US are NEWLY infected each year with HIV & HCV due to syringe & equipment sharing? A.10,000 HIV & 5,000 HCV B.8,000 HIV & 15,000 HCV C.1,000 HIV & 3,000 HCV D.4,000 HIV & 9,000 HCV

17. Syringe Access

18. Don C. Des Jarlais. Beth Israel Medical Center. New York. NY IDUs HIV Seroprevalence

19. Question 3: TRUE or FALSE? Possession of sterile syringes is legal (in NYS).

20. Question 4: TRUE or FALSE? Possession of used syringes with residue is legal? (in NYS).

21. SAP Cards Confirm Membership Participants receive different coded ID cards; codes are variations of numbers and letters A 24-hour verification phone number is on the back of the ID card. Programs are anonymous and confidential.

22. Question 5 A.0 B.10 C.100 D.No limit The number of syringes that someone can carry at any one time (in NYS) is:

23. Question 6: TRUE or FALSE? It is legal to carry other injecting equipment and other drug paraphernalia (in NYS).

24. Penal Code 220.03 & 220.45 An arrest should not be made if the only charge is criminal possession of a hypodermic instrument. An arrest should not be made for residue in a used syringe. NB: Changes to Penal Code/ Awaiting new NYPD Operations Order

25. Other Equipment

27. Question 7: TRUE or FALSE? Anyone over the age of 18 can purchase syringes at pharmacies without a prescription (in NYS).

28. Question 8: TRUE or FALSE? There is a difference in the legalities around drug paraphernalia/syringe possession in New York City and New York State.

29. Question 9: TRUE or FALSE? SAPs increase syringes to be discarded in public places.

30. Question 10 What percentage of police officers have had a needle stick injury (NSI)? A.80% B.10% C.30% D.60%

31. NSI

32. Question 11: TRUE or FALSE? There is a way for SAPs and their clients to report negative interactions with law enforcement.

33. Question 12: TRUE or FALSE? Risk of infection of HCV or HIV through a needlestick is very high.

34. Making The Case Take Care Out There!

35. Working Models

36. Putting it to Work PreventionResponseEvaluation What strategies can you/the program/the client use to prevent this scenario? How can you/the program/the client respond to this scenario for a positive outcome? How can you/the program/the client know if the strategies have an impact? How can you monitor events?

37. Putting it to Work Solutions You Program Client Evaluation Prevention Response

38. Contact