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Sam Quinones

The Growing Tragedy of Fentanyl and the Potential for Recovery

The following text is reprinted from the Dreamland Newsletter report on the Kensington area in Philadelphia, PA

I’ve been several times to the district in Philadelphia where dealers awaken their customers each morning with cries of free “Samples!” Kensington was once all about heroin. But fentanyl has taken over and addicts are frozen in bizarre positions — “Kensington yoga,” as it’s called.

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The Synthetic Drug Era is Here: Canada Should Take Notice Before It’s Too Late

This article, reprinted with permission from Sam Quinones, was originally published in The Globe and Mail, January 2022.

I recently met a woman who runs a shelter in Tennessee and has worked with the homeless for decades. She was disheartened. There was a time, she told me, when we could help people recover from drugs and alcohol addiction through therapeutic intervention. This, in part, involved teaching life tools: how to prevent relapses, apply for jobs and rent apartments, recover drivers’ licenses and, above all, repair relationships with loved ones. It was hit and miss, but there was reason for optimism. “Recovery is possible” was the upbeat catchphrase.

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The Integrated Circle of Care is a fluid and collaborative approach followed by workers from different agencies weaving through St. John’s Kitchen. Within this approach, staff members from each agency are aware of their specific personal roles. However, the high level of collaboration between workers means that people can approach any worker, without knowing their agency association or specific role, and still receive support – either that worker will support the person directly, or they will introduce the person to another worker who can support the person more appropriately.

This approach makes relationships more natural and support more accessible. Workers from different agencies are easily approachable, meaning that people build relationships with multiple workers. Having relationships with different workers is important to a person’s support – it makes support from a trusted source easy to find, and means that people have a choice of worker to approach in any given situation.

In order to maintain a circle of care around a person, workers from different agencies ask for consent from the person for information to be shared between workers. Continuous communication between workers helps to ensure that people do not fall into gaps between services, and also that services are not duplicated.