Harm Reduction in Honolulu

Honolulu community outreach workers give advice to avoid celeb-style overdoses. See link

Michael K. Williams died of accidental overdose that included fentanyl, cocaine

In Honolulu “Harm Reduction” is the controversial policy

Harm Reduction concedes the impossibility of harm prevention

According to my inexpert understanding, “Harm Reduction” is a policy based upon the theory that people are going to do what they want no matter the danger, no matter the educational efforts, no matter how bad it is for them. No one knows why people do things they know will hurt them–why do we start in the first place and why don’t we stop? Even if we do stop why is it so very difficult? What we know is people engage in behavior that is pleasurable but risky, as d when continued changes from merely pleasurable to compulsive and destructive. We cannot stop people. Therefore society might as well help them do what they do safely bc bad outcomes in one segment of society will effect everyone. One controversial point is: harm Reduction is not the same as encouraging people to do something, but accepting the inevitable reality of free will being the most important factor in behavior. What does this policy look like in action?

It means teaching teens how to obtain birth control bc no matter what anyone says they will not all be abstinent until marriage (is anyone?).

Honolulu Harm Reduction

In Honolulu Harm Reduction means stationing outreach workers in a van downtown on most weekdays for the purposes of exchanging, but NOT, distributing clean needles to iv drug users, giving away free condoms, passing out informational pamphlets, etc…. Everyone thought diseases like AIDS would stay confined to the population that did things society opposes–promiscuous gay sex, shooting dope, prostitution. But AIDS did not only target the “bad” people. It turned out, to everyone’s genuine surprise, that people do t necessarily have complete double lives. Sometimes they just dabble in something. They step into the scene then step out, real quick, so they are barely there. They are not full time gay, they are men, who now and again, pick up a transgender sex worker. No one would ever guess that the forbidden thing that almost never happens is actually the norm. Hence, diseases that are spread by doing something, whether it is once or as a lifestyle, these diseases travel from “them” to “us.” We don’t care about them–let the addicts kill themselves. But we care about ourselves, and it turns out we have addicts in our midst, or we engage with addicts working the street now and then. Disease outed people more than any shift in society’s attitude could have.

No one would ever guess that the forbidden thing that almost no one sees going on is actually the norm. Plenty of publicly “normal” people do the “abnormal” just a little , privately. I write this blog to show people they are not alone.

Caroleena’s purpose for the blog as it relates to harm Reduction.

People Use drugs alone–and die

Because if the stigma attached to using drugs, people do it in secret. If they overdose these us no one there to help them. They die needlessly. Articles about celeb drug overdoses, like the one linked to this post, do not say if the person was aline but they must have been bc there is always a mystery about why they were found dead. Later, the truth, or what we are told us true, us revealed. In Honolulu outreach workers have a stated goal if getting the anti overdose drug to as many people as possible, users or not. If anyone happens upon a scene where someone has collapsed and us not breathing, a good Samaritan can administer the drug as a nasal spray and simply save a life. Certainly the people hanging out with users can do the same.

Don’t use drugs alone.

Honolulu Community Outreach workers

The controversial summary: people will use drugs no matter what. Surprisingly, everyone is affected because disease does not stay within a boundary. What’s more, you might think you don’t know anyone who goes to sex workers (fir one example). Little do you know, you are probably wring, many times over. Caring about “them” means caring about ourselves.

Do I believe all if this? Would I say, rapists are going to rape anyway. We might as well help them pack a quality rape kit (the name of the supplies assailants carry with them) so that the plastic ties are not too abrasive to the skin of the person bound and gagged. What about giving burglars gloves to keep them from being cut when they break glass to force their way into a house or car? Are these extreme examples very different from giving condoms to middle schoolers? We could not do this bc harm prevention us, kind if, saying, we approve, albeit reluctantly. We would not give the arsonists fire proof gear so he can escape unburned. Would we? There are no easy answers, except one: Harm Reduction really does reduce harm.

Do we want that?

prison in hawaii

Prison in Hawaii Showed me the real me in how I coped – Home Page: Hawaii Street Life: sexy, witty, inside view by Harvard grad on Hawaii streets
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Prison in Hawaii Showed me the real me in how I coped

I was in prison in Honolulu, Hawaii during the early years if the 21st century. Life behind bars challenges you because you have no stress. Stress can be a good thing when it is in the form of challenges you have the power to conquer. Stress is harmful when you are powerless to control your situation. Of course, you are powerless to free yourself, that is the big picture. Our lives are full when we have lots of “small picture” challenges. We have no obstacles In prison. All of our basic physical needs were met in a no frills fashion. There is nothing we have to do to survive. There’s just a vast nothingness between the present and our release date. Boredom due to the lack of stimulation is soul crushing. Imagine being stuck at the first level of a video game forever. We move on to the next level BC we want to introduce moderate stressors into our environment. In prison we could spend all day staring into space and we will still be fed, sheltered, clothed. Little was required of us inmates in Honolulu’s only prison facility for women. Prison is for people who have been sentenced to over a year incarceration for their crime (s), whereas jail is at the county level, or island level if you are in the Hawaiian archipelago. Each island has a jail for both men and women. Jail is for people who are sentenced to less than a year, along with people who are legally innocent but cannot make bail. Prison is place where people stay awhile and have to figure out how to deal with what cannot be changed. Unlike other prisons, no one at the island of Oahu’s women’s prison, the Women’s Community Correctional Center (pronounced Double U triple C) was required to work or take the very few classes the prison offered. Little was required beyond standing for headcount nine times a day. When you are overwhelmed with stuff to do as a free person, you imagine how nice it would be not to be stressed out all the time. In reality, when you get to the place where there is nothing to do, you could slit your wrists from desperate boredom. If we women were to have any stimulation we had to make our own fun. When I was in prison for 20 months I reminded myself that “bored people are boring.” I created writing projects by interviewing the other women about the circumstances that brought them to be with me in prison. I offered my services as an educated woman and former middle school teacher by teaching GED classes. I helped the other women with their paperwork/grievances and did not ask them to give me a portion of their commissary. I re-read some classics, and found new faves. I reinforced my love for “To Kill a Mockingbird,” and discovered “Gone With the Wind.” Both books were so great I experienced a bit of mourning when I finished them.

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Another copng strategy was to constantly look for any injustice committed by staff, or mistake on their part. I pounced on the misdeed with written grievances and once, a lawsuit, determined to right the wrong for myself and the women who would come after me. The corrupt prison system provided me with endless battles to wage. I had a reason to get out if my bunk, leaving the hard plastic mattress-type pallet behind for a spot at a stainless steel table and stool. The weapons of my warfare were scattered around me on the table top—law books, paper, pencils. The familiar items gave me comfort.

I wanted to improve conditions. This motivation was genuine, but it was only part of what drove me.

I was bored.

Moreover, I was ashamed of wasting the education that college classmates said I only received BC of affirmative action. I hated myself for proving that every resource it took to allow me to earn my prestigious degree were resources best used on someone else. I was desperate to demonstrate that I had belonged at Harvard, no matter how grim my present circumstances. I called myself an inmate advocate to show a world that was not paying attention, that I could still use the gifts other black people had died to give me. Besides I had a mean streak a mile wide that I liked to express. I became a bully the only way a friendless nerd can—the mighty pen. My personality was an odd mixture of bitterness, negativity, a tendency to complain without ceasing and a heart to help anyone who needed assistance without losing patience and without mentioning what I had done for them. I never understood the mystery of how to get along with others and I am sure people would be surprised to know as disagreeable as I was a lit of the time, I pined for friends. Perhaps my good qualities kept me from making enemies but they were not strong enough to outweigh my unfavorable traits. I was as alone as I had always been, be it Harvard or handcuffed. People did not seem to hate me or love me. Even in prison I was forgotten by my peers and clung to my novels as I had in middle and high school. My life in prison was defined by anger, boredom, and obsessive focus on solitary projects of my creation, especially writing and exercise. Other women occupied themselves with new same-sex relationships. (I never had a girlfriend. Maybe lesbians also found me unattractive. I am not gay but the occasional flirtation would have broken up the monotony!) My coping methods to deal with life behind bars looked different from my fellow inmates but underlying my incarceration-activities-of-daily-living were the same pain, shame and isolation from which everyone suffered.

Secret sex

Harem Anime-Is There Happiness in Group Intimacy, Like Threesome’s? – Home Page: Everything Red Light Hawaii2000

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God’s Wry Sense of Humor

God’s Wry Sense of Humor Shows in Sleep Research

Americans are not sleeping enough. We need 8-9 hours of sleep a night. Somehow enough of the right people have been accurately surveyed by qualified researchers to reveal that we are averaging 5-7 hours. Alright, I will accept this figure as a given. That amount of sleep as a way of life is bad for us–life shortening bad. If we want to live longer we need to get more sleep. The irony is that we may gain more time, but sleep consumes the additional hours. If you’re looking to enjoy more time by increasing your hours asleep try to develop a more active dream life.

Does this strike you as funny? Something that Alanis Morissette could have added to her song “Isn’t It Ironic” in the “Jagged Little Pill” album? Maybe I am the one with the quirky and ironic sense of humor!

Enjoying your time with your eyes closed can solve the dilemma of losing extra hours you want to consciously enjoy to sleep! Anyone know a method of directed sleep?


Ladies, Don’t Get Mad If You Notice Him Noticing Other Women

I know that there are signs that a man wants an open, public relationship with a woman. But men have thoughts about women that they don’t share with us and we women have no idea that men are thinking certain things about almost every woman almost all of the time. I did not know the hidden truths for which there are no signs. Most men look at most woman and filter the view through a sexual lense. Even if only for one hundredth of a second, men look and think “yes, no, want her, don’t want her, too old, too young, could have her if I want, wish I could have her,” etc., etc. These thoughts occur consciously or so quickly they are unconscious. But make no mistake, these ecret hiughts occur. Although men give no sign they are looking at every woman, they are looking at every woman. Sexually. That doesn’t mean they don’t move past that point of view, they do, but the sexual glasses are always hanging around their necks, so to speak, to be put on at the first sight of a new woman. What’s more, if no one would ever, ever know or suspect, and they’d never have to see the woman again, most men would secretly have sex with just about any woman. Only if the Iron clad secrecy guarantee was in place. With that guarantee, the normal guy would do anything, just once, mind you. (That’s what he’ll tell himself).

Ladies don’t get mad if he looks at another

Worry if he doesn’t look. That’d be weird. Looking is normal. There’s a protocol he needs to follow. He should be very discreet, below the radar. If he makes it obvious he is being disrespectful to his partner and the woman he is looking at. And he knows he is being disrespectful. Don’t tolerate blatant leering (remember, no loud and lengthy diatribes).


Keep in mind, I have no statistics to back up what I say, I have no unbiased data. My opinions are formed from my limited exposure to people I actually meet or know of. And these aren’t randomly chosen men I’ve interviewed, but men willing to pay for my time and/or services. I may have met waaay more men than your average woman, but that only means I have a lot of anecdotal knowledge, not true expertise. Just so you know that I know where I’m coming from with my Life Hack.

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There’s Two Ways to Live Life Vis-a-vis Death

2 Life Strategies

Death is Imminent–Live like you’re dying, ever mindful that each moment could be your last. Best for people who thrive on intensity. Yogis with Type A Personalities could thrive in this self imposed pressure cooker, bellowing the word AWARENESS to their psyches.

Death is Eventual, I guess. Live like you have all the time. Do things as you always have. Enjoy your relaxed pace. You won’t get to everything anyway, so why fret? If you must deal with the business of planning for your death, do so as if that outcome is about someone else, or only hypothetical and not immutably predetermined for you personally.

Now that I think if it, you might be right about your end. We are all so sure that death and taxes are guarantees. I’ve dealt with the latter but perhaps the former is a presumption not a promise. I never thought of this possibility before and I’ve never heard it. I might have come up with my first original idea, that my own possible death has not been proven! But I digress…

Death–imminent or eventual? Your philosophy of choice is your prerogative.

When you take death into account there are two style choices for ones approach to life. Impending or Eventual

Caroleena, expert_escort