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We Need A Bit Of Grey

Tony Trimingham

ref: July 98 Heroinsight

I find it very sad that there is so much polarisation among people working towards a common goal in so many drug related areas. Those who think in black and white ways and denigrate and attack others who cannot share their views is neither helpful nor constructive.

I have to say though that I spend sleepless nights at times wondering if I am on the right track and I hope I have enough flexibility to change my thinking if necessary or if better options occur. I also believe there is room for all types of approaches to each of these areas and different people will benefit from different methods.

The methadone treatment is a case in point which seems to raise people's emotions and turn normally rational compassionate people to attack others, whom I also know to be equally caring. It seems fairly obvious to me that there are negatives to this treatment that need to be acknowledged.

At the moment it is only option publicly available and we certainly need to have alternatives to choose from. The new treatments being trialled will hopefully join methadone and people will be carefully counselled to the best treatment for their circumstances.

There have been some cases of abuse by prescribers and users. There are cases of negligence, lack of education and not enough intervention to encourage people to reduce or eliminate their dosage. These negatives could be addressed by more funding resources being allocated to the programs.

On the other hand, many thousands of formerly chaotic users and their families now have their lives much more under control, thanks to this treatment. It keeps them alive and healthier with better employment prospects, financially better off, less exposed to criminal activity and stabilises their relationships.

It is an option, which many thousands will attest, has taken them out of the mire of illicit heroin use.

Yet, I have to say that I have received two very vitriolic letters from readers attacking the articles that appeared in last month's newsletter.

The authors of these letters are normally reasonable people who probably have good personal reasons to criticise the methadone program. The extent of their attacks, however, goes beyond reasonableness. To suggest there are criminal conspiracies involved in the methadone program by people we know to be humanistic and caring is going too far.

There are vested interest groups whose motivation is to prey on those who need our help and those of us who care should be expanding our energies in helping, not fighting among ourselves as to who has the right answers.

If there are things that need changing, let's work together to bring about changes that give better service and more options.

Black and white thinking is too prevalent and has contributed greatly to lack of progress through history in handling drug issues. Grey needs to be adopted, or maybe even rainbow coloured, in our approaches to building a better system to help those who need it.

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