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He is a veteran drug legalization advocate with a ready smile and a youthful appetite for life. In the s, he organized street demonstrations for the regulation of recreational drug use. First conceived in the United States, LEAP brings together current and former police officers to push for policies that treat problematic substance use as a public health rather than law enforcement issue. Within a few steps of entering the verdant park, we ducked behind some undergrowth, leaving the gravel path for a hidden hangout for local hard drug users littered with trash and soiled tissues. No one home. Within 30 seconds, we were back among families and chic young people sprawled across perfectly kept grass catching the sun. I came to the Netherlands because the US model for responding to substance use and abuse is resulting in the death of one American every five minutes. And for every fatal overdose, there are 15 non-fatal overdoses that cause physical and mental trauma. They not only affect the victims but also tear at the fabric of our families, communities and society. It does not have to be this way. The Dutch overdose rate is 19 times lower than in the United States. The availability of intoxicating substances is not the issue: the Netherlands is flooded with them. More cocaine is confiscated at the port of Rotterdam than all US ports of entry combined. Still, the prevalence of cocaine use was lower in the Netherlands than in America as of Moreover, the Netherlands is routinely ranked one of the happiest, safest, most productive and child-friendly places in the world. How is that possible? While problematic use of drugs and alcohol is prevalent across socio-economic classes, the most visible kind of addiction is the one most Americans see going to work or the grocery store every day. Destitute panhandlers at busy intersections and collapsed figures sleeping on cardboard boxes under unsuspecting stoops. But substance use does not necessarily lead to homelessness. Rises in homelessness in an area are driven primarily by housing costs affecting poorer communities, the Pew Research Center found. In the Netherlands, the number of people experiencing homelessness almost doubled to 0. Not too dissimilar to the United States. How does the Dutch public health care approach effectively prevent individuals with problematic substance use at-risk of homelessness from ending up on the street? Ruud Rutten, chairman of the Tactus addiction rehab center in eastern Netherlands estimates that while 90 percent to 95 percent of people with substance addiction can recover through a combination of outpatient individual or group cognitive behavioral therapy, medication-assisted treatment, and steady employment, there will always a be few whose chronic substance use requires full-time social subsidization. In search of the Dutch solution to this small but care-intensive group, I accompanied Has to a one-story brick building housing chronic users an hour-and-a-half drive south of the capital near the Belgian border. Operated by the Dutch Salvation Army, the facility is tucked away on a leafy campus that includes a rehab center situated a short bike ride away from the town of Bergen op Zoom. Staff appeared relaxed and the halls were clean if somewhat bare. Has and I installed ourselves in the communal kitchen with brochures for Mainline, a leading harm reduction and drug monitoring non-profit based in Amsterdam for which Has works. Has Cornelissen at the Mainline headquarters in Amsterdam. It was lunchtime and residents ranging from their 30s to 60s came through to make sandwiches. Although addiction had hardened their features, residents appeared recently showered, well dressed and amiable. As he cleaned their drug pipes, Has questioned curious residents about the quality of the street supply. While fentanyl has not yet been seen in the Netherlands, such fieldwork monitoring helps ensure the use of dangerous new drugs is quickly addressed if it appears. Residents are allowed to use alcohol and drugs while they are provided housing at facilities like this one across the Netherlands. It is a last resort for those whose addictions have taken everything else from them. The two dozen residents get a private room with a bathroom. They share kitchen, living room and dining room spaces. During the day, they are free to bike into town and otherwise go about their business as they see fit. Staff teach residents life skills such as proper sleep schedules, cooking and cleaning. There is no pressure to stop using, but if they ask, residents are quickly referred to rehab, employment and other services. The back-of-the-napkin explanation for how such facilities are financed includes that each Dutch citizen who breaches the poverty line receives around euros per month from the state. Of that, euros goes to paying for mandatory private health insurance coverage, euros to the housing non-profit, and the rest can be spent at will provided recipients have no outstanding debts. Local and national government funds also subsidize housing non-profits to ensure their financial viability. This facility is a prime example of the effectiveness of the so-called housing-first model. Initially pioneered in New York City in the s by a doctor named Sam Tsemberis, it contends that giving people experiencing chronic homelessness long-term stable housing without preconditions and with voluntary support services is key to achieving improved lives. While the model has faced pushback in the US, it has been fully embraced in the Netherlands. Homelessness negatively exacerbates mental and physical health while undermining the public social fabric. In the Dutch model, by contrast, residents of housing-first models maintain their individual freedoms and dignity, the public sphere preserves its order and peacefulness, and taxpayers benefit from the lower administrative burdens required to operate the scheme than the cost of emergency shelters, recurring incarceration and emergency hospital care seen in America. We drove through a gated entrance with no outward signage into a small courtyard flanked by two elegant buildings. The complex is in an affluent neighborhood near the train station in the city of Enschede. The city sits on the border with Germany an hour-and-a-half by car from Amsterdam with a population of about , The first building we entered was three stories high, homey, full of handmade art, and prompted the feeling of being in a day care. In the backyard garden, a staff member led an arts and craft workshop. Inside, a group of mostly men were helping with chores or talking among themselves or with staff. As Has questioned users and staff about the local street-drug market, I found myself talking in conversational English with one of the local drug dealers. He regaled me with stories of his youthful crime escapades involving stolen cars and moonlit rendezvous. Now, he said, he fills his times with fanciful dreams of moving someplace warm and dry. Before long another individual joined us, and together they walked away toward a less observable part of the garden. The atmosphere was relaxed. I enjoyed a cup of tea. Once Has felt he got the information he needed, we walked across the courtyard to the second building. Two men disassembled old bikes as we passed. The one-story structure felt more clinical. As I took a seat with Has to chat with a staff member, two gentlemen in their 60s smiled brightly as they smoked cocaine from customized pipes in an adjacent room separated from us by a large glass window. One of them gave us an enthusiastic thumbs up that we heartily returned. The building houses three separate safe consumption rooms: one for smoking, another for injecting and the third for drinking alcohol. The injection room was empty except for two metal chairs in front of a spare metal table attached to the wall. Heroin is primarily smoked. However, newly arrived migrants from eastern Europe are slowly bringing with them the intravenous drug habits more prevalent in their countries. In the room where we were all sitting, the staff member supervised the entire process through fishbowl windows with views on the outdoor entrance and two consumption rooms. He checks people in, writes down what drugs they are using and how much, and monitors usage in case something goes wrong. Overdoses are rare because the heroin is pure with few adulterants. To use the rooms, participants must be registered with the facility, a relatively easy process. The drinking room is through a separate outdoor entrance. Unlike the medical atmosphere of the injection and smoking rooms, it feels more like a cross between a bar and a living room. Sitting at a long dining room table, half a dozen men enjoyed tallboys of a local brew, supervised by a staff member. If participants help with chores around the facility, they are allowed a few beers on top of their hot meals. There is some crossover between those who use the drinking and smoking rooms, but it was unclear to what extent. Has cracked some jokes in Dutch before we made our way to the final section of the facility. Unlike in the US, methadone is routinely prescribed as take-home medication to chronic patients for multiple weeks at a time. Patients must have failed methadone treatment numerous times and meet other stringent requirements. Mental health counseling is required as part of the program, and patients must come daily to the clinic for their doses. That explains why some continue to utilize the smoke room using street heroin. The integrated addiction day care and treatment center is open every day from a. All the men and women taking part have some form of housing when the center is closed not provided by the organization. By giving a place for the chronically addicted to go during the day with warm meals and proper treatment, the center effectively promotes individual dignity and public safety. On returning to Amsterdam, I contemplated why the Netherlands of all countries had come to pioneer the implementation of an integrated public health approach to substance use. The Dutch believe citizens should be able to love whom they want, use the drugs they want, be assisted in suicide, engage in prostitution, gamble and otherwise live private lives without interference from the government. They are also ruthless about their desire to bring a sense of peace to the public sphere. The streets are clean of trash, there are almost no wandering homeless people and lawns are always mowed. Unlike in the United States, where public order is primarily associated with law enforcement action, in the Netherlands, it is achieved through robust social housing, mandatory private health care and modest welfare programs. Law enforcement is utilized as a last resort. A farmhouse in Lisse surrounded by iconic Dutch tulips. Over 10 percent of the Netherlands is reclaimed land, 26 percent of the country is under sea-level, and 55 percent is flood prone. Since its founding, Dutch communities have had to painstakingly work together to build, fortify and maintain a world-renown system of dykes to ensure their country thrives. All residents are expected to do their part to build and sustain the common prosperity the Dutch enjoy. The clear guardrails and their strict enforcement reduce potential conflicts to a minimum while enabling everyone to travel in the way that best suits each. It is hard to overstate how peaceful this bustling city of , inhabitants appears after coming from Washington D. In the months leading to my departure, two friends were robbed at gunpoint. After a month in Amsterdam, the greatest disturbance I expect to hear is a bike bell. Thanks to their integrated public health approach, the Dutch go about their day nonchalantly without fear of the unexpected or the unpleasant. By the time you finish reading this dispatch, 30 Americans will have overdosed, two of them will be dead. Fathers leave behind grieving children and wives. Sons and daughters leave distraught sisters and brothers. The empty chair at Thanksgiving dinner, the uneaten burger at the July 4 th cookout, the guilt we suppress hurriedly walking by another homeless encampment. It is my hope that investigating public health approaches and their cultural underpinnings in the Netherlands, Portugal and Brazil over the next two years will inspire fellow Americans to implement policies that promote individual dignity, public peace and most of all, compassion. Top photo: A local marching band prepares to perform for the Tulip Flower Parade outside the town of Lisse. Rowland Robinson May 30, Dutch Salvation Army facility housing at-risk chronic alcohol and drug users. ICWA appoints new fellows. Loading Comments Email Required Name Required Website.
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In Bergen op Zoom, the police have been dismantling a drug lab for at least two days. Research is being conducted at a house with a large plot behind it where greenhouses and two sheds stand. Specialized officers have been walking around for two days and there are cars from SEON, a company that helps with dismantling drug labs. Videos show drug barrels being loaded into a truck. It is unclear which drugs were being made. A resident of the neighb…. The police have been investigating a building on the Heerlesebaan in Bergen op Zoom for at least two days. The road has been blocked and there are many SEON cars, which are usually used to dismantle drug labs. After reports from Omroep Brabant, the municipality confirms that it is indeed a drug lab. This is a house with a large plot behind it with greenhouses and two warehouses. Local residents see that the police have been working here for two …. Saturday, September 14, Set Location. For You. Israel-Hamas Conflict. European Politics. UK Politics. European Economy. Ukraine Politics. Russia Politics. UK Economy. Ukraine War. Asian Politics. Keir Starmer. Police have been dismantling the Bergen op Zoom drug lab for days. Summary by NOS. Share menu. Lean Right. High Factuality. Omroep Brabant. Think freely. Coverage Details Total News Sources 0. Bias Distribution. Show All. Trending Internationally. Trending in U. Trending Topics.
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