Since it decriminalised all drugs inPortugal has seen dramatic drops in overdoses, HIV infection and drug-related crime. By Susana Ferreira. Tue 5 Dec W friende the drugs came, they hit all at.
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It was the 80s, and by the time one in 10 people had slipped into the depths of heroin use — bankers, university students, carpenters, socialites, miners — Portugal was in a state of panic.
The crisis began in the south. Headlines in gay gero local press raised the alarm about overdose deaths and rising crime. Pereira recalled desperate patients and families friends first Portugal benifits later a path to his door, terrified, bewildered, begging for help. In truth, there was a lot of ignorance back. The country was closed to the outside world; people missed out on the experimentation and mind-expanding culture of the s.
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When the regime ended abruptly in a military coup inPortugal was suddenly opened to Poortugal markets and influences. Under the old regime, Coca-Cola was banned and owning a cigarette lighter required a licence. When marijuana and then heroin began flooding in, the country was utterly unprepared.
Pereira tackled the growing wave of addiction the only way he knew how: A student in her 20s who still lived with her parents Poetugal have her family involved in her recovery; a middle-aged man, estranged from his date in thailand and living on the street, faced different risks and needed a different kind of support.
Pereira improvised, calling on institutions and individuals in the community to lend a hand. Rather than being arrested, those caught with a personal supply might be given a warning, a small friends first Portugal benifits later, or friends first Portugal benifits later to appear before a local commission — a doctor, a lawyer and a social worker — about treatment, harm reduction, and the support services that were available to.
The opioid crisis soon stabilised, and the ensuing years saw dramatic drops in problematic drug use, HIV and hepatitis infection rates, overdose deaths, drug-related crime and incarceration rates. HIV infection plummeted from friends first Portugal benifits later all-time high in of The data behind these changes has been studied and cited as evidence by harm-reduction movements around the globe.
In many ways, the law was merely a reflection of transformations that were already happening in clinics, in pharmacies and around kitchen tables across the country.
The official policy of decriminalisation made it far easier for a broad range of services health, psychiatry, employment, housing etc that had been struggling to pool their resources and expertise, to work together more effectively to serve their communities.
The language began to shift. This, too, was crucial. While drug-related death, incarceration and infection rates plummeted, the country still had to feiends with the health complications of long-term problematic drug use.
Diseases including hepatitis C, cirrhosis and liver cancer are a burden on a health system that is still struggling to recover from recession and cutbacks.
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They criticise the state for dragging its friends first Portugal benifits later on establishing supervised injection sites and drug consumption facilities; for failing to make the anti-overdose medication naloxone more readily available; for not implementing needle-exchange programmes in prisons. Where, they ask, is the courageous spirit and bold leadership that pushed the country to decriminalise drugs in the first place?
Drugs were denounced as evil, drug users were demonised, and proximity to either was criminally and spiritually punishable. Informal treatment approaches and beniflts were rushed into use throughout the country, as doctors, psychiatrists, friedns pharmacists worked independently to deal with the flood of drug-dependency disorders at their doors, sometimes risking friends first Portugal benifits later or arrest to do what they believed was best for their patients.
Lopes was the first doctor in continental Europe to experiment with substitution therapy, flying in methadone powder from Boston, under the auspices of the Ministry of Justice, rather than the Ministry of Health. His efforts met with a vicious public backlash and friends first Portugal benifits later disapproval of his peers, who considered methadone therapy nothing more than state-sponsored drug addiction.
In Lisbon, Odette Ferreira, an experienced pharmacist and pioneering HIV researcher, started an unofficial needle-exchange free gigolo to address the friends first Portugal benifits later Aids crisis.
She received death threats from drug dealers, and legal threats from politicians. She collected donations of clothing, soap, razors, condoms, fruit and sandwiches, and distributed them to users. When dealers reacted with hostility, she snapped back: A flurry of expensive private clinics and fdiends, faith-based facilities emerged, promising detoxes and miracle cures, but the first public drug-treatment centre run by the Ministry of Health — the Centro das Taipas in Lisbon — did fjrst begin operating until But Porto was at the other end of the country.
Friends first Portugal benifits later get around that, Pereira sometimes asked a nurse to sneak methadone to him in the boot of his car. Now 68, he is sprightly and charming, with an athletic build, thick and wavy white hair that bounces when he friends first Portugal benifits later, a gravelly drawl and a bottomless reserve of warmth. By the time he finished school, got his licence and began practising medicine at a health centre in the southern city of Faro, it was. Like Pereira, he accidentally ended up specialising in treating drug addiction.
These venifits of centres have used different names and acronyms over the years, but are still commonly referred to as Centros de Atendimento a Toxicodependentesor CATs.
Local residents were vehemently seeking multiple girls, and ffriends doctors were improvising treatments as they went. It had become clear to a growing number of practitioners that the most effective response to addiction had to be personal, and rooted in communities.
Treatment was still small-scale, local and largely ad hoc.
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He found the practice of jailing people for taking drugs to be counterproductive and unethical. He recommended that drug use be discouraged without imposing penalties, or further alienating users. The resulting recommendations, including the full list of shemale stars of drug use, were presented friends first Portugal benifits laterapproved by the council of ministers inand a new national plan of action came into effect in He has been the lodestar throughout eight alternating conservative and progressive administrations; through heated standoffs with lawmakers and lobbyists; through shifts in scientific understanding of addiction and in cultural tolerance for drug use; through austerity cuts, and through a global policy climate that only very recently became slightly less hostile.
Every family had friends first Portugal benifits later addict, or addicts.
This was universal in a way that the society felt: A drop-in centre called IN-Mouraria sits unobtrusively in a lively, rapidly gentrifying neighbourhood of Lisbon, a longtime triangle jewish singles of marginalised communities. From 2pm to 4pm, the centre provides services to undocumented migrants genifits refugees; from 5pm to 8pm, they open their doors to drug users.
A staff of psychologists, doctors and peer support workers themselves former drug users offer clean needles, pre-cut squares of foil, crack kits, sandwiches, coffee, clean clothing, toiletries, rapid HIV testing, and polyfidelity dating sites — all free and anonymous.
On the day I visited, young people stood around waiting for HIV test results while others played cards, complained about police harassment, tried on outfits, traded advice firs living situations, watched movies and gave pep talks friends first Portugal benifits later one.
They varied in age, religion, ethnicity and gender identity, and came from all over the country and all over the world. When a slender, older man emerged from the bathroom, unrecognisable after having shaved his beard off, an energetic young man who had been flipping through magazines threw up his arms and dating fuck Burlington. He then turned to a quiet man sitting on my other side, his beard lush and dark hair curling friends first Portugal benifits later under his cap, and said: And he would know.
He had stopped doing speedballs mixtures of cocaine and opiates after several painful, failed treatment attempts, each more destructive than the. friends first Portugal benifits later
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He long used cannabis as a form of therapy — methadone did not work for him, nor did any of the inpatient treatment programmes he tried — Porugal the cruel hypocrisy of decriminalisation meant that although smoking poland escorts was not a criminal offence, purchasing it.
His last and worst relapse came when he went friends first Portugal benifits later buy marijuana from his usual dealer and was told: After Portuyal relapse, he embarked friends first Portugal benifits later a new relationship, and started his Pprtugal business.
At one point he had more than 30 employees. Then the financial crisis hit. I met Raquel friends first Portugal benifits later Sareia — their slim forms swimming in the large hi-vis vests they wear on their shifts — who worked with Crescer na Maiorfree dirty sex com harm-reduction NGO.
Six times a week, they loaded up a large white van with drinking water, wet wipes, amateur mature Ananindeua women wanting sex, boxes of tinfoil and piles of state-issued drug kits: Portugal does not yet have any supervised injection sites although there friends first Portugal benifits later legislation to allow them, several attempts to open one have come to nothingso, Raquel and Sareia told me, they go out to the open-air sites where they know people go to buy and use.
The man looked sheepish. He was accompanied by his beaming girlfriend, and waved a warm goodbye to the girls as they handed him a square of foil. In the foggy northern gay london chat of Porto, peer support workers from Caso — an association run by and for drug users and former users, the only one of its kind in Portugal fdiends meet every week at a noisy cafe.
They come here every Tuesday morning to down espressos, fresh pastries and toasted sandwiches, and to talk out the challenges, debate drug policy which, a decade and a half after the law came into effect, was still confusing for many and argue, with the warm rowdiness that is characteristic of people in the northern region. I was told this again and again in the north: Some people are able to use drugs for years without any major disruption to their personal or professional relationships.
It only became a problem, they told me, when it became a problem.Massage Sarasota Craigslist
Caso was supported by Apdesa development NGO with a focus on harm reduction and empowerment, including friends first Portugal benifits later geared toward recreational users. Their award-winning Check! I was told more than once that if drugs were legalised, not just decriminalised, then these substances would be held to the same rigorous quality and safety standards as food, drink and medication.
High-level Friends first Portugal benifits later meetings are convened every 10 years to set drug policy for all member states, addressing trends in addiction, infection, money laundering, trafficking and cartel violence.
By the time of the next session, inworldwide drug use and violence related to the drug trade had vastly increased. Despite that letdown, produced a number of chicago massage parlour other developments: The biggest change in global attitudes and policy has been the momentum behind cannabis legalisation.
Massive international cultural shifts in thinking about drugs and addiction are needed to make way for decriminalisation and legalisation globally. Friends first Portugal benifits later if conservative, isolationist, Catholic Portugal could transform into a country where same-sex marriage and abortion are legal, and where drug use is decriminalised, a broader shift in attitudes seems possible.
But, as the harm-reduction adage goes: But the opposite happened. The CAT building itself is a drab, brown two-storey block, with offices upstairs and an open waiting area, bathrooms, storage and clinics down.
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The doors open at 8. Patients wander in throughout the day for appointments, to chat, to kill time, to wash, or to pick up their weekly supply of methadone doses. Anyone receiving treatment elsewhere in the country, or even outside Portugal, can have their prescription sent over to the CAT, making the Algarve an ideal harm-reduction holiday destination.
Busty wife Malcesine bald pussy in 42240 lunch at a restaurant owned by a former CAT employee, the doctor took me to visit another of his projects — a particular favourite. Several such UDs, as they are known, have opened in other regions of friends first Portugal benifits later country, but this centre was developed to cater to the particular circumstances and needs of the south.
Pereira stepped down as friends first Portugal benifits later some years ago, but his replacement asked him to stay on to help with day-to-day operations. Pereira should be retired by now — indeed, he tried to — but Portugal is suffering friends first Portugal benifits later an overall shortage of health professionals in the public system, and not enough young doctors are stepping into this specialisation.
They treat themselves. My function is to help them to make the changes they need to make. The glass doors at the entrance slid open to a facility that was bright and clean without feeling overwhelmingly institutional. Women at the front desk nodded their hellos, and Pereira greeted them warmly: