During the Montgomery County Board of Supervisors meeting on October 28, 2024, Dr. Noelle Bissell from the New River Health District provided a comprehensive update on the district's harm reduction program, which is part of a broader initiative to address the opioid crisis. The meeting highlighted the ongoing challenges of substance use disorders and the importance of nonjudgmental support in recovery efforts.

Dr. Bissell emphasized that harm reduction is about meeting individuals where they are, focusing on risk mitigation rather than elimination. She pointed out that the perception of risk varies among individuals based on their experiences and environments. The program aims to create a supportive atmosphere that fosters connection and trust, which are crucial for effective recovery. Dr. Bissell noted that 75% of individuals can recover if they feel connected and supported.

The presentation included a historical overview of the "war on drugs," illustrating its detrimental effects on public health and the stigma surrounding addiction. Dr. Bissell shared alarming statistics, revealing that overdose deaths have surged from 6,700 in 1971 to over 100,000 in recent years, despite significant financial investments in drug enforcement. She argued that the stigma associated with substance use disorders often leads to inadequate care and further marginalization of affected individuals.

The RISE Above program, launched in January 2024, has been instrumental in providing harm reduction strategies, education, and resources. Dr. Bissell reported that the program has seen a steady increase in engagement, with individuals returning for follow-up visits, indicating a growing trust in the services offered. The program also addresses basic needs, such as transportation and housing, which are critical for individuals seeking recovery.

Dr. Bissell highlighted the prevalence of methamphetamine use in the New River Health District, noting that many users are also exposed to fentanyl, which significantly increases the risk of overdose. The harm reduction program distributes essential supplies, including naloxone, hygiene kits, and safe use kits, to mitigate health risks associated with drug use.

The meeting concluded with a call for continued support and understanding from the community, emphasizing that treating individuals with respect and dignity is vital for fostering recovery. Dr. Bissell's presentation underscored the need for a compassionate approach to substance use disorders, advocating for policies that prioritize health and well-being over punitive measures. As the program evolves, the focus remains on building relationships and providing the necessary resources to help individuals on their path to recovery.