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The belief that crystal methamphetamine smoking was safer than street methamphetamines is both rooted in empirical experience and based on intuition. The volatility of crystal methamphetamine (as compared to the volatility of other drugs) makes it inherently safer than other drugs to inhale whether smoked, injected or snorted. Following our earlier work, we and a cadre of regional partners have made efforts to educate over on crystal methamphetamine safer smoking ( Brainard, W., Engh, K., Cunningham, R., Sheridan, R., Fimrite, N., & Simms, P. (2016). Entering the Crystal Ball: Illicit Inhalation in the Hills of Colorado. Drug and Alcohol Review
Extremely volatile drugs such as crystal methamphetamine pose unique and important challenges to existing policy approaches to prevent exposure to these drugs. At the same time, many of the harm reduction strategies that have been implemented to date have been developed and tested with heroin, cocaine, alcohol and other substances. While these substances pose unique risks and an entirely different model of harm, they are generally considered safer to inhale than unpurified drugs that have a high risk of explosion, such as some opioid and stimulant drugs and cannabis. Thoroughly understanding the implications of crystal methamphetamine for harm reduction can provide some guidance and allow some of the best practices developed for other drugs to be used alongside smoking crystal. We recognize many of the standards below may be unsuitable for crystal methamphetamine in particular.
This paper is the outcome of a two-day workshop convened by the Task Force on Community Preparedness in the Denver CBD in June 2014. The role of the Group of Experts on Community Preparedness in the Denver CBD was created to coordinate organizational efforts amongst City of Denver, community partners and City services at the local level that want to address the heroin/fentanyl epidemic. d2c66b5586