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Can Delaware learn from Canada to solve our overdose crisis? Safer supply policy works

3-minute read

Jordan McClements
Special to the USA TODAY Network

A 1.8% decrease in overdose deaths is not a political victory lap, Delaware.

Numbers don’t equate human life.

Say their names.

Since I started using heroin in 2016, after my overdose in 2017, and my cousin’s death to overdose in 2019, Delaware seems to be waiting to see what other states are doing to combat the overdose crisis.

Safer supply policy could work in Delaware

Instead, the state of Delaware should be looking to the use of safer supply policy in Canada. According to the Canadian government:

Safer supply services provide prescribed medications to people who use drugs, overseen by a health care practitioner, with the goal of preventing overdoses and saving lives. They are provided in a less clinical and more flexible way compared to other care options for substance use, such as opioid agonist treatment, OAT."

Safer supply services may offer:

  • a range of medication options
  • accessible locations (for example, services available at a community health centre)
  • flexible eligibility requirements
  • flexible dosing conditions and carrying rules (for example, clients may be able to pick up their supply and use as needed)
  • flexible client goals (for example, focusing on improving health and not requiring that clients stop using illegal drugs)

These services are intended to reach people at risk of overdose for whom currently available care options have been ineffective or inappropriate.

Safer supply can provide opioid medications, stimulant medications and benzodiazepines.

Safer supply as a harm reduction practice includes support beyond drug use alone, the Canadian government states:

In some cases, safer supply services include providing or connecting people with other health and social services, where possible and appropriate, such as:

  • general medical care, including substance use disorder treatment programs
  • mental health counseling
  • supports for any other health conditions, such as HIV/AIDS and Hepatitis C
  • employment supports
  • housing supports

Meanwhile, in Delaware

The State of Delaware has not made any call to action to remove state and federal red tape around safer supply in Delaware, which costs lives to overdose in Delaware every year.

Delaware is looking to Philadelphia to understand Xylazine, which costs lives to overdose in Delaware every year.

A "stop opioids use" door knocker hangs on a doorknob during an opioids outreach event along West 23rd and North Market streets in Wilmington on Wednesday, Dec. 6, 2023. Wilmington City Councilperson Zanthia Oliver, community members and organizations distributed door knockers and opioid rescue kits, which contained Narcan and dual fentanyl-xylazine test strips, to community residents as part of the "stop the use of opioids" event.

We must wake up, Delaware. We must change ourselves. We must save lives through our innovation, Delaware. Stop waiting for the federal government to institute safer supply, and innovate, Delaware. We must create an overdose reversal medication for Xylazine. Stop waiting for Philadelphia’s treatment of Xylazine, and innovate, Delaware.

The drug supply is poisoned. Poisoned supply is why your loved one isn’t here. Poisoned supply is why my cousin isn’t here. Poisoned supply is why I overdosed. If you use drugs, the poisoned supply is going to kill you. Someone you love is going to overdose in Delaware from the poisoned supply. The poisoned supply, is why some of you won’t be here.

When you see your loved one next time, don’t simply tell them you love them. Show them. Show your loved one you love them by contacting our Delaware representatives to cut red tape from safer supply in Delaware on the State and Federal level, and create a Xylazine overdose reversal medication through Delaware innovation. Don't you want to see your loved one again, that is in crisis now? We must have a safer supply and Xylazine overdose reversal medication, so overdose doesn’t have to happen to another person, like it happened to us.

When are we going to hold ourselves accountable for tackling the most important issue of the overdose crisis? Safer supply is the most important issue of the overdose crisis. Overdoses will increase in Delaware because we as a state cannot go beyond our own thinking if we don’t institute safer supply and a Xylazine overdose reversal medication.

Jordan McClements:Our Delaware family and friends are dying from poisoned drugs. We have to help them

You want the answers to the unsheltered crisis and the overdose crisis? Change. Now. Change, by saving your loved one. Change, by loving someone else. Change, by being yourself. When you change, we change. When we change, we save our state. When we change, we save lives.

Drug use is chasing an eclipse, grasping for light. Delaware needs a rapture. We all need a rapture. The rapture of stopping overdose in Delaware is through safer supply, a Xylazine overdose reversal medication and further harm reduction.

Jordan McClements MA/MFA, is an overdose crisis journalist who will be attending Northwestern University’s Medill School of Journalism for his MSJ in Social Justice and Solutions Journalism this fall. Jordan survived overdose and lost his cousin to overdose. He resides in Felton.