RITI :THE WH , II W A 0 WHY OF INFORMING TilE PUBLI RY L METHAMI HET Ml ~ IN PRIN EORCE 8 .Jud , Jitchcll n1 crs it of orthcrn Briti sh 'o lumbi n, 20 05 T il OM UN IV ERS ITY ITY II AL T l I F NORTII ER E BRITI I I COLLJ~1BIA ovc mbcr 2009 (( ~ Juu IE M itchcl L _009 TR T In 2000, r tal m thamphetam in c mad an app aran unit and drug bu l ; h w r, the fir t publi informali n forum did not occur until carl in the l rin e arn1ng 2006. fhi documentar e idcnce and inter iew, , t c. amine th rgc ho pita! del m a pr inciall rctrc pccti e ca c p n ored tudy u ho , h W, and why OJ the informati 11 ab ut r tal methamphetamine that is pr vidcd to the public in Prince Je rgc. !\. timcline f media a c unt. rc cal an incrca c in lan gua ge de<,igncd to stimulate public concern about cr tal methamphetamine and incrca c public tru')l for the pn incial go crnment. ll ori.1. ntal di connection bet'v\ecn community agc ncie in term r ro le recognition (interna l recognition fan agenc mandate) and role perception (externa l pcrcepti n of agency mandate) ccm t increa e difficultie c mmunit 111 trategic planning an I formulation of a harcd vi ion ~ r the .. ll WL ir t and ~ r mo t, l h t thank m upp rt , tren gth and hu g thi I v uld like t c, pr r. Prkachin. r. children, J h Jer m uld n t ha\ happ ned . and n 1e, wit hout their m gra titude t m; UJ cr i )r (Dr. ll cnr I larder) and my committee \ en- il n and Dr. , ch midt) for their patience in guidin g me through th i learning pr ce There i n t en ugh r om on the page t include my c mmunit upp rter that were with me thr ugh ut thi JOUrne Brian and nk e) a \ ell a Dr and y peers (Aaron, Anders, Br oke. aune ' han vvere inva lu ab le b th in support and in s ight. I wou ld like to th ank co-w rker , taff and friend e pecially - ri c of family, friend ay rd and Kathie n 01 on. at B for their help and suppo rt f peci al menti n i Bob Thomas" ho took the time to read eve ry ver ion of thi tome from it incepti n. even th e ones that did not make it to the uperv i ory committee. l would al like to acknow ledge all my friend around the wo rld through the wonder of Facebook. Thank you for yo ur s upport. Ill L F b tra t .. kn \ led gment abl r II ntent Ill Li t f Ta bl e v lo ar VI F re'v\ rd V II .. haptcr I : Intro du cti n tru tureof he, . IIi tori ca l Bac kgr und hapter _: Literature Re iew r ta l Meth amph etamine Meth amph etami ne e: Pa t and Pre ent eth amph etamin e Fffe L Mak in g and Ma rk etin g Meth amph etamine efining ommunity and Its Re pon e t Meth amph etamin e ngagin g ommunit on Methamph etamin e and ub tance rea tin g a Meth amph etamin e Panic The Role o f Medi a in Pani c reati n edi a dvocacy in ommunity Re pon e cd 5 5 5 e 9 12 15 18 20 22 23 24 Chap ter 3: Re ea rch De 1gn 27 ' hapter 4: Re ult Doc um ent Meth do logy 1\naly is Med ia To pi Po li cin g ll ea lth ommunity Prov in cia l Abstrac ts, 1\gcn y and JlWernm ent Doc um ents bo:;trnct Co mmunity Pl annin g Co un c il Prin ce Ci eo rge ' ity 'oun c il orth ern I Iea lth uth orit 30 30 32 32 32 32 "I _).) 34 3--135 _)5 36 - (1 37 .. II J~ M intr du ti n t cr ung '' omen . r tal meth . It , REW R tal 111 ~thamphctamin' wa a on er ati n with a frien I ab ul un g \\ )lllan had l en lealin g fr Ill her rarenls in order to rurcha~e unded lik l\l ical addicti n behaviour until I hea rd th e ag l fthe man ellin g th e drug. To thi <> da , I ca nn l rcmcmhe r' hi h role ither oun g" pin ed bull d kn \\ \\ Ct' man ne \\ 8~ ad licted nnd ne \\a~ len lin g: one \HI'> I ~ an d th e oth er I . I r memt r fe elin g ill. In m mind, th ~s \vet-c habie n 1 difT rent rn 111m rri nd . Parent un g t \vn <>O n ~ an I their inv lved in the liv e . rb th) ung \\ men .'[ he home<;, \t\ hil e 11 1l ll a h , pr 'ide I be) nd the dail ~ nece ~itie . f c 1 itc thi . the girl ') ~ti ll uccumbed t th e pull fer talmcthamph etamine. l \\a thinkin g ab ut 111ethamrhetamine in thi 1 arti ular li ght '' hen it became th e topi four gr up proJe tin a cia I v\Ork rc 'a rch method cou r c. I reali/cd the co mpl c, it of thi drug. The co l t the c mmuniti e , in term ap pea red tagge ring. tim v ide net\ r 1 er onal I , p tential, and resource rk fpeer, friend , and family that were avvare of my. at , all con umin g intere tin m et h ~ mphetamine, helped to increa e my knov ledge or cry tal methamphetamin e and it ffect . A m m a rene methamph etamine ca me in crea in gly clo er t I a in g Prince 111 grcv . the cfrect own h me. y f n had friend " ho \\ere e rg t e cape th eir addiction t meth amp hetamin e. th er e ''atchcd helpl e ly a th ey lo t ground dail y. I kn " o f adult no\ li in g ' ith mental illn s due to meth and wa tched yo un g adu lt attempting t ha e f'uncti nin g relati n hip ''hilc in the cyc le faddiction and iol nee that meth in crted in their li e . "' r talmetham1 hetamine a ffe cted my life and that of my ns with ut an f LI S actually t uching it. Regi n I nG ren e n Metham 1 hetamine o ernmcnt Do umcnt 7 7 ummary 8 Inter 9 M th d I g nal umm ar) 9 40 nn cti n erti al Di onnc ti on ll oriz ontal Di . co nn c ' ti on R lc Per cpti on Marketin g 1arketin g th am1 h tamin c lcthamphdamin c ark ctin g l : fTcc ti ve n c~s 1ark tin g Pre cnli n Pre\ nti 111 Marketin g l: ffec ti cne s im elin c fM cth amph ctamin c in I rin cc ' e rge idence of Mcth 57 59 hapter 5: Di cu 1 n he Who f In f rm in g th e Pub Iie in I ri n e 61 61 R eo rge p rth ern I lea lth Dru g Dealer The I low of Informin g th e Publi c about Meth amph etamin e The Wh y of Informin g th Publi c about Meth amph etamin e umm ary hapter 6 : onclu ion Recomm endati on 44 46 46 50 51 55 62 63 6 64 66 68 72 74 Reference 76 Appendi I Appendi x 2 Appendi x 3 Appendi x 4 Appendi x 5 Appendi x 6 90 91 92 9 104 105 v Ll TOFT Figur l T pe of ocument b th umber f Panic \ igure 2 umber or Panic W rd b Figure ding f r carch participant Figure 4 Panic Word by Yearly ernment cti itic ar or uartcr f rd enlion in Media 95 cument 96 108 ccurrcnce \ ith Pro incial 116 R mmunit term t r fer t bel ngin g t a 1arti · ular gr 1u1 through a mm n ·hara ct ri ti c u h a gcograph ica I area, ' r icc mand ate, pr fe ·i nal a fili ati on. 1 r vidin g orr e i in g pc ifi , cr i e related t ) ·ryt, tal mcth <. 1111 hctamin e usc . mmunity ith a ca pital ' . th i"> t ' rm refe rt, to Prin ·c ) 'o rg ' , l riti sh ' o lumbi a. r talmcthamphctamin' ati ve r amph eta mine th at is used in a cr tall in c ~ nn . It is a ce ntral nc r o us s st ' 111 c;;t imul antu sc d illi cit! a a rec rea ti onal dru g. Meth amph tamin e dcri ali ve or amphetamin e th at is a ce nt ra l ncr us ;stem timul ant in th e medi ca l trea tm ent t,uc h a'> obes ity and ill i itl a · a re rca ti nal dru g. Thi s dru g may be in p \\d cr, tabl et, or ca p ul e G rm a \'v eil a'> crys ta llin e. cc ta timul ant dru g th at i re lated in chemi ca l c )mpos iti on t me alin e and amph etamin e. and i · u cd illi citl y for it euph oric and hallu in ge ni c cfTc t . Methamph etamine lab n are a in whi ch meth amph etamine is made th ro ugh a procc r chemi ca l rca ti n . mall opcrati n u uall onl y abl e t produ meth in cr tallin e r pmvdc r fo rm . uper lab n area in\\ hi ch methamphetamin e is made whi ch has th e re ource to pr du cc meth amph etamin e in pill and ca psul e a we ll a cr; tallin e and po\ cl cr fo rm row op (operati on) An area u ·eel to grow marij uana. Minimum barri r rv1 e er ice th at hm e fev , if an y re tn ct1 0n . on provi din g health, he Iter. addi cti on , or other nc ce · iti cs and scr ices t margin ali zed popul ati n . flcn the onl re tr icti on on crvi cc pr vi ion i no dru g r alco ho l usc on th e prop ·rt) a we ll a · no di re pcc tful or\ iolcnt language or be hm iour. .. II R :W R My intr du ti n t t y un g " om n. cr tal meth . It ry tal m thamphetamin e a a c n cr ation ith a fri end about un g \ oman had b en t alin g fr m her parent in ord er t purchase und ed like t pi ca l addi ti n be ha iour until l heard th e age o f th ey un g woman ellin g the dru g. To thi da , I ca nn t remember whi ch r le e ith er y ung pi a oman d bull do know n wa a !dieted and ne ' a dea ling; one ' a 12 and th e th er I . I rem mb r ~ elin g ill. In m mind , th fri end . Parent ere In ' ere bab ic n d iffere nt fr m my wn sons and th eir eel in the li e tl a h , pro idee! beyo nd the da il nece it ic r bo th un g \vO men . The home 'whil e not c pile thi , the girl till uccum bed t the pull of cry tal meth amphetami ne. [ wa thinking abo ut methamph etamin e in thi parti cul ar li ght ' hen it beca me th e topi c of our group project in a oc ial wo rk rc ea rch meth ods co ur e. I rea li zed th e co mpl ex ity of thi s dru g. The co t to the co mmuni tie, in term s of per onall app ared tagge rin g. s, potenti al, and reso urce wid e netwo rk of pee r , fri end , and fa mil y that we re avva re of my, at times, all co n uming interest in meth amph etamin e, helped to in crease my know ledge of crys tal methamphetamine and its effects. A my awa rene s grew, th e effec ts of meth amphetamine came in crea in gly close r to my own home. My so ns had fri ends who were leav ing Prince Geo rge to escape th eir addi cti on to methamphetamin e. Oth er we v. atched helpl es ly as they lost ground dail y. I know of adults now li ving w ith mental illnes due to meth and watched yo ung adult attemptin g to have functi onin g relati on hip vvhile in the cyc le f adcli cti on and violence th atm eth in serted in their li ve . Cry tal meth ampheta mine a ffected my life and th at of my so ns without any of us ac tu all y touchin g it. 1 TR h premi e ofthi re arch Tl a that a in gle e ent in ol ing cry tal methamphetamine in Prince e rg mad e it ne e ar t inCorm th e ommunity about tal m thamph etaminc . hil e neither the document rega rdin g cr tal methamph etamine cr incid -nt , nor the re ea rch parti cipant of thi definite cataly t appeared t merge. tud y id entifi ed a in g le 1 r r ellin g incid ent, a p n e tabli hing a tim eline of the inC nn ati on a ailable, it eemed th at th ag nd a f informing the Prin ce ' eorgc pullic ab ut cry tal methamphetamin e did n t li \. ithin th e 'o mmunity but with the Prov in cial The Briti h lumbia pr incial g vernment pon overnm ent. red the fir t Prin ce George cry tal methamphetamine public inform ati n ~ rum n February 2, 2006. The loca l MLA and the 8 o licitor General wh pre ent d th e forum D cu ed n loca l re pon c and strategic for addre sin g the threat of cr; tal m thamphetamine use (M ini try of Publi c afety and oli citor General, 2006). The pro ince a erted th at crystal methamph etamin e i , '' a se ri ou and grow in g problem in Briti h olumbi a" (Briti h olumbia Mini try of Hea lth Services, 2004, p. 3). However, th e Prince George Reg ional Ho pita! (PGRH ) detoxification unit and the Ro ya l Canadian Mounted Police (RCMP) identified cry tal methamph etamin e a a probl em for the Community in 2000, six years before the publi c informati on forum . Structure ofThesis This retrospective case stud y examined media accounts and docum ents that we re available to the Prince George public rega rdin g cry tal meth amphetamine fr m January 12, 2000 to December 3 1, 2007 . Interview participants ran ge from exec uti ve administrator to frontline service pr viders; all parti cipant frequently prov ided informati on to the public or specifi c populati ons within Prin e George about crystal meth amph etami ne. Former cr;stal 2 methamphetamine u r al o 1 articipatcd in ord er t di ern th e" h , h in[! rmin g th public about cr tal methamph tamine in Prin ce The purp l. ~ e rge. e f thi re en rch \ a t : tabli h n timelin e of pu bli c in fo rm ati on nb ut cr sta l meth amph etamin e in Prin ce 2. and ' hy'' of eo rge, Determine if th ere \va a co mpre hen i ~effort b ' ommunity age ncic to inform the pu bli in Prin e Ge rge abo ut cr) talm eth amph tamine and its eflcc ts, and 3. nmin e the age nda Prin ce ft he agenc ie in ol ed rega rdi ng informin g th e publi c in e rge ab ut cr; tal me th ampheta mi ne and it effec t . Through th e e bj ecti ve . the' \ ho, how, nnd wh of informing the publi c" we re ex pl red, th ereby enabling eac h face t of th e rc arch que ti n to deve l p it own c rnpl ex ity and depth . hapter One prov id e an ove rview of th e resea rch obj ecti ves and th eo ry rega rdin g th e prov ision of info rm ati on to th e publi c about crystal methamph etamin e. The seco nd chapter of thi s th es is exa mines releva nt literature. Chap ter Three prese nt th e methods fo r th ere ea rch and anal ys is. Chapter Fo ur di cusses the resu lts, makin g reference to th e releva nt th eo ri es whi ch are used to inform the publi c about crys tal methamph etamin e. Chap ter fi ve summari zes co nclusions and recomm end ati ons. Historical backf{round Th ere wa littl e interest to in crease public awa reness of crys tal methamphetamine in Prin ce Geo rge in 2000 . From 2000 unti I 2004, there we re few medi a acco unt of cry tal methamphetamine (other than in co nnecti on w ith arre ts in whi ch crysta l methamphetamine wa present) . In a letter to th e editor of the Prin ce Geo rge Citi ze n in 2000 (l ie. sedcnz, 200-t) tated that up t 40%> f uth in a lo al hi gh ch ere aid t be u ing r ta l methamphetamine. llo e er, the fir t public forum n cr sta l metham1 hetamin e in Prince e rge publi ' a pon ored not b I ca l er icc agen i s but b the Pr Th ere were t in ial go vernm ent. agc n 1c " h directed th e in~ rm , ti on to the publi c ab ut ry tal meth amphetamin e in Prin e e rge durin g thi tim e frame: th e R ' MP and th e orth ern uthorit . oth the p li ce~ rce and th e hea lth authoriti es marke t pr min cnt message Hea lth rega rdin g th effe t and on cq u n c of cr; ta l me th amph ctam in c u c t Prince e rge. In fac t, th e R uth throughout 1P a ti cl ca mpa igned aga in t crys tal meth amphetamine, upportin g initi ati e at th e fede ral (Pccb le . 2005a), pro in cial (Peeb le , 2004a), and muni cipall e el (the D REprogram). In add it ion to th e R ' MP ca mpaigns. th e 1-lealth Youth Dru g and orthcrn lc hoi Pr ve ntion pr gram, and tree t ' pirit (" ' tree t pirits Theatre ompan : hangin g th e wo rld ne perfo rm ance at a tim e", 200 8) pro mot d awa rene of cry tal methamph etamin e's impac t on health . Howeve r, dru g dea lers we re al o ac ti ve in info rmin g th e publi c about crys tal meth amphetamine. Often, dru g dealer used marke tin g strategies th at, at tim es, see med to mimic campaign by tobacco co mpani es, such as nega tin g poss ibl e hea lth ri sks (Love ll , 2002). Fro ntline dru g dea lers wo rked through open markets (s uch as sc hoo l ) and often determined th e market by price or avail ability of illi cit dru gs (Kerr. Small . & Woo d. 2005). Initi atin g new crys tal meth amph etamin e use rs was relati ve ly easy, eith er thr ugh fr iend (l larri on, Eri ckso n. Korf, Broc hu , & Benschop, 2007) or market manipul ati on (Mac Donald. Zhou, & Breen, 2002). Resea rch parti cip ants di sc us eel marketin g strateg ies in Prin ce George th at we re imilar to th o e found in th e literature. In 2005 , media ace unt and ther publi d cum ent b gan t in rea e th e u c of word u h a "epid mi ', "c il", and "de a tatin g" t de cribe cry tal methamph etamine (J an, 200 5; P eblc , 2005d). These w rd c nn oted a threa t that mu t be pre ented. ltimatel , Lh e w rd rai eel cr tal meth amphetamine Crom th e tatu o f a n n pr bl em, r pr bl em with n definili e beginnin g or end . to a ymb li cri . i '" hi h co mp li ed th e publi c to a t immedi ately t addre the threa t of r tnl meth amph etamine ( eum an, 1990) . urin g thi tim frame, th e prov in cinl go crnm ent needed t di vert attenti on and tncr a e public tru t after un endo r eel cut to du ati n, hea lthca re, and th e . ale of 8 Rnil. The Prov in cial go ernm ent re p ndcd to the inc rea in g pani c ab ut meth amph etamin e with re ource in th fo rm of one- ti me eed gra nt offere I to eac h co mmun ity in Briti sh olumbia . oode and Ben- Yehud a ( 1994 ), in their th e ry of the oc ial co nstru cti on ora moral panic, de cribed an elite mode l in whi ch a panic wa " fab ri cated ve r a nonex istent or tri vial threat . .. in ord er to ... di vert attenti on fro rn i ues, th at if addre sed, wo uld threaten th eir own private intere t "(p. 160). Prin ce Geo rge . a ridin g with three prov in cial Members of the Leg islati ve A se mbl y whi ch in cluded th e deputy premi er, not onl y rece ived two eed grants, but was also chosen to host one of th e oli citor Ge neral's Meth amphetamin e forum s. 5 LIT ~ R RE R I W Cry. to/ !ethamphe fmnine !though r tal meth amphetamin e wa g nera ll rega rd ed a a pec ifi c form f meth amph etamine, the li tc ratur urro un din g thi co m1 und was ften un clea r a · t whi ch pec ifi c fo rm f meth amphetamin e wa be in g disc ussed ( 1ati in, Lamp inen, & c hee, 2006). In both academi c and non-academic I iterature. meth amp hetamin e wa refe rred to a meth cry tal meth, meth amph tamine, and cry ta lm cth amphetnmin c. r th e alm a t two hundred doc um ent , book , and artic le u ed in thi paper, onl y len co ntain ed th e term cry tal meth amph tamin e r cry tal meth. ln add iti on, ome publi catio ns refe rred to meth amphetamin e a a ub tance \\ithin the catego ry amph etamine type timul ant (/\ T ) (Ki ee, 1992, 200 1; World ll ea lth rga ni zati on, 200 1). The remaind er refe rred ole ly to meth amphetamine. Th erefo re, throughout thi paper, crys tal meth amph etamin e i re ferred to as meth amphetamine unl e sa spec ifi c name wa used a a qu ote or refe rence titl e. Me thamphetamine Use: Pas/ and Pre ·ent mph etamine was first produced in the late 1800 in Japan (Lin ebe rry & Bo tw ick, 2006) . In 1932, amphetamine wa pro moted as a na al spray to treat ast hm a, and by 1937, amphetamin es we re u ed in th e treatm ent of narco lep y and hyperac ti vity ( orde te, 2004 ). Meth amph etamine, a derivati ve of amph etamin e th at wa a co mm onl y use d to treat depress ion and obe ity in th e 1950 and 1960s and reached a pea k of 3 1 milli on prescription in th e United tate in 1967 (An glin , Burke, Perrochet, tamper, & Wud- oursi, 2000). So ldi ers fro m erman y, ngland , United State , and Japan u ed meth nmphctamin e during W rld War II l 1ncrea en rg , al ertn e , and aggre n ( nglin tal. , 2000 · Nord e te, 2004). fter WWli, t kpil c Cam1 hetamin c an I meth amph etamine th at were " le rt o er fr m licit pr du cti n during th \ ar peri od" ( or lc te, 200 p. ) \ b th li cit and illi cit market in Jaj an, the United \ eden ( ord este, 2004, p. ). ln Febru ary _QQ O, th e nit d ati n amphetamin e t) pe timul ant ( T encral tate . and s cmb ly tateclthat th e c pcmd ed usc of . \v hi h inc lu ded meth amph etamin e, had evc rc n gati vc con equ enc e fo r both indi idu al and the "nati onal cc urit and (Kl ee, 200 I, p. 2 ). The T orld Hea lth t be grea ter th an the number (World Hea lth on AT u e rc ava il abl e thr ugh ve rc ignt o f ' tate ,, rga ni/ ati n co n ide red wo rld wid e co n ·umpti on o r r pc pi e who con um cd coca in e and pi atcs c mbin cd rga ni za ti on, 200 I, p. 7). Howeve r. Kl ee (200 I) p inted out th at reli abl e data a rare. a mo t co un tri e uch a weden and Japan foc u ed n " eizures, arrests and clini cal studi e of re tri cted sampl e "( Ki ee, 200 I, p. 24). The most acti ve resea rch on AT came out of th e Recentl y, th e United tate , Au trali a. and th e United Kin gdom (Ki ee. 200 I). ati ona l urvey on Dru g se and Il ea lth and th e Monitorin g the Future survey sugge ted that a dec lin e in meth amph etamin e u e among yo uth had occurred (N IDA , 2006 ). Yet th e U.. publi c health surve ill ance sy tem, Drug Ab u e Warnin g Netwo rk (DA W ), presented stati ti cs which showed a 50 perce nt in crease in emergency departm ent vi its related to meth amph etamine u e betwee n 1995 and 2002.Thi number reached four perce nt of all dru g-related visits in 2004 ( ID , 2006). ln additi on, an increas in g number o f states in th e U reported a ri se in meth amph etamin e treatment admi ss ions, a hi gh a eight percent of all sub tance use treatm ent admi sion by 2004 7 ( ID , 2006). !earl , the e tali ti methamph tamine u e in the appear d t 1 re enl c nnicting a co unt f nitcd tat . T date, metham1 h tamine re ea rch in riti h olumbi a ha G cu ec.l alm a t lu i el on treel in ol ed or marginali L c.l y uth in large urban center ( ollin el al. , e 200 · ampin n, Me hec, W od, t ltz, M ntaner. v hil e rate Martin , _0 Kerr. 200 . In iller. , trathd ee, Kerr, Li , & W od, 2006 ; anc u cr. from lay 1996 t fm cth amph etamin e u e am ng injecti on drug u er, in cr a eeL the age of m thamphetamin e u cr dec rea d (Fa irba irn et al. , 2007). I I we er, a ece mber 2004, rt d th at meth amph etamin e trend in orde le (20 04) anac.la \ ere tab le or decrea ing. Whil e mo t peo ple ha e n t e perienccd injecti on dru g u. c, current soc ial trend s whi ch demand hi gh ac hi ve ment and pe rfo rm ance ( ord es te. 2004) often rece ive co mm ent. The effect of meth amph tam in e we re perce i eel a benefi cial by orn e main trea m popul ati on uch as worke r on graveya rd hifts ( ord e te, 2004; Rawso n, An glin , & Lin g, 2002), students with hea vy co ur e loads (Lampinen et al. , 20 06: Quintela et al. , 2000), and sin gle moth ers with multipl e ro le (Briti sh Co lum bia Mini stry of Hea lth ervice , 2004; Covey, 2006). Young wo men often perce ive meth amph etamin e u e to be b e n e f~c i a l a an aid for we ight los (Covey, 2006 ; Jenkin , 1994; l obe-Arm stro ng, 2005). Fo r exa mple, an Ontari o Student Dru g Survey reported th at fe male had hi gher timul ant u e and overa ll hi gher methamphetamine use than mal es in grade I 0 to 12 (Adl af & Ivi , 1998). As recentl y as 1991 , th e US arm y used amphetamines to enh ance ~akefuln e sa nd attenti on in pil ots who parti cipated in late ni ght manoeuvre (Emon on & Va nde rbeek, 1995). Other tudi es detected meth amphetamin e u e am ong ac ti ve-d uty military per onnel in 1996 (Kun man et al. , 1996) and from 2000 to 2005 (Lacy et al., _008). 8 tal. (200) ugge ted thatmethamph etamin u e in th e mi litar wa re lat d H we er, La to the regional drug cen . me militar dru g 1 li cie ee med t eli c ura ge methamphetamin u e am ng pers nn eL e\ en in regi n \v here ci ili an u c v a hi gh. "Th e e [p ch o timulant ] [fu lied] lab r, [fac ilitated] longer h ur o r ork , [enhanced] erall work in ten it and focu , and [crea ted] a kind of freneti c indu striou ne s, em bod mg, m n ca n alu '" ( ingc r ct al. . ~006. p. ~05) . . ome blu e c liar v orker used th rein , ke meth amph tamin e t in crca e alertn e ome job ro utine . imil arl y, and \\ake fuln es~. and to dec rease the monotony o f me tru ck dri cr al o percc i\ eel meth amphetamin e as benefi cial wh n dri in g I ng el i tance (Je nkin s, 1994; Kl ee, 2 0 I; Anglin, & in g. 2002 : R. Rawso n, ln inter te\ ord este, 2004; Rawso n, nza le , & Brc th en. 2002). v ith t\ ent fi e liJ V po iti ve men who had ex with men, 'emple, Patterso n, and rant (20 02) in ve ti gated th e men' moti vati on fo r meth amph tamin e u e. Most participant tated that fri nd introdu ced th em to th e dru g, and th e most co mm onl y given rea on for methamph etamin e u e wa to enh ance ex ual pl ea ure (88%), fo ll owed close ly by th e de ire to get hi gh (84°/o). Parti cipants stated th at they were more likely to participate in unprotected anal sex whil e u in g meth amph etamin e, as we ll a ee k out hi gh ri sk partners or have sex with men th ey wo uld not oth erw ise choo e for a ex partn er. Methamph etamine seemed to enabl e u ers to have longer lastin g sex and multipl e orgasms. In additi on, participants wh o found an al sex painfu l used meth amphetamin e to relax and increase the pl easure of anal sex. In a stud y of 49 excerpts from a prev iou stud y on gay and bi sex ual men, simi lar moti vati ons for meth amphetamin e u e was shown, in cludin g in crea eel sex drive with greater endurance, decreased e ual inhibiti on, and a hi gher pa in tolerance ( reen & ll alkiti , 2006) . Baskin- omm er and omm er (2006) recorded simil ar result in a 9 ur f24 un1 er il ludent nge le , alifornia. The tudenl , l t 24, repoti d 111 mcrea ed e ual ri k takin g ( e ith ut c nd m use and e u in g methamphetamine . tudent al ith multipl patiners) while reported an incr a e in relati n hip iolenc e \ ith methamph tamine u e. tudie ofth erfe t of methamph tamine u e in communitie , e pe iall regardin g p ibl e c n cq ucnc e uch as Ill and oth er "c: ua ll y tran mitted infecti n through hi gh ri ·k sexua l ac ti ity. ( Jib on. Lcam n, Jarlai , & Mal \v 200 : empl e, rant, Fl nn , 2002; .' emaan, De Patte rso n, 2005) are in crca ingly prominent. Afef ha mpheI om ine Effect,. ntil the 1970 , the main urce or methamphetamine v.,ere black market product diverted (through theft or ubterfu ge) from pharmaceutical c mpanie (Burton, 1991 ). Whil e pharmaceutical methamph eta min e wa a lega l. tand ardiLed medication, methamphetamine produced in home lab lack dover ight by the regulating bodie Vvhic h ensu re the are ty of th e community for u er and non-u ers, and monitor th e quality of th e prod uct. Methamphetamin e produced in home lab . or large illicit manufact urin g operati ons (super lab ), wa con idered five tim e more potent than the lega ll y made product of the 1970 (Rawson, Anglin, & Lin g, 2002). Meth amph etamin e has also been produced in home laboratori es from rec ipes available on the intern et (Rawson, Anglin, & Ling, 2002; trang. 2007). As well as bein g cheaper and more accessible than other illicit dru gs (Covey. 2006; Lineberry & Bostwick, 2006), methamphetamine ha proven to be diver e in its consumption: it can be smoked, snorted, ingested, injected, and in se rted vag inall y or ana ll y ( ovey, 2006 ; Lineberry & Bo twick, 2006) . Common characteristic of meth amph etamin e use, such a appetite uppress ion and slee p depri va ti on, with chro ni c usc ca n lead to 10 gniti e and/ r m t po r d di pin g abi liti e ( ct al. , 200 6; rd er u h a an iet , dcpre i n and fati gue whi ch, in turn , lead e , 200 ; in ge r et a l.. 2006) an I i lencc ( inge r et al. , 2006). Long term effe t vcy. 2006 ; el inc f m th amph ctamin c use includ e troke, itT gular hea rt b at, abdomin al pcin . tremblin g. an, iet . in omni a, ( nglin ct al. , 2000; ovc , _006 ; lD . _006) a we ll a Pro ! ng d p chi atri c mptom meth amphctam in e u c ( hang tru ctural change to th e bra in (Vo lkow et al. , 200 I). ec m t be cau cd by cJ pam in c defic its fro m li ala. Ern l. olkO\ . 2007; ' ck in c ct al. . 200 I; Wang ct aL 2004) and appear to orrelate vv ith the c, tent or m tham1 hetami ne u e (Sck in c el al. , 20 01 ). ome peo pl e Vv h u e meth amphe tam ine e, hib it mc th amphetamin -in duced p yc ho i . am ti ati n. anhed nia (Wa ng ct al. . 2004). delu i ns. hallu cina ti ons ( ri urapanont et al. , 200 ). and in co herent peec h (A li et al., 2007; Tay lor, & Lentz, 2007; all aghan, Brand . g nh ardt. Ro burgh. & Mc Ketin , 2007) . Fo ll ow ing a tud y of 15 chroni c meth amphetamin e u er . ekin e ta l. (200 I) uggested th at methamphetamin e may co ntri bute to pro longed psyc ho i . Ma r hall . Belcher, Fe in stein , and O'Dell (2007) tated th at there were long lastin g defi cit fo r object recogniti on memory in rats ex posed to methamph etami ne. Volkow et al. (200 1) advocated fo r mo re resea rch to detennin e if meth amph etamin e use in crea ed ·'vuln erabili ty to Parkin on' di sease or oth er neurodegenerati ve di ea es" (p. 381 ). ln th eir tud y of brain image of chro ni c methamphetamine users, Baicy and London (2007) found co rti ca l defic it in abstin ent meth amph etamine users that affected functi on related to ma in ta inin g dru g abstinence. Th e chemi ca l changes in the brain we re acco mpani ed by im pa ired inh ib itory control or the abi lity to monitor drug u e behav iour. Ultim ately. th ese fin ding ugge t that Il the chan ge t the brain fr m chr nic metham 1 hetaminc u e pia a ro le in cravin g and relap e am ng pc pl e ho ea e t u e methamph tamine. ocia I impact of mcthamph tam inc usc ce rn i mi lar to th er ub Lance d pendenci e . ~ (Te et Bre ht, nglin, u h a a de rea cd ability to parent dTccti\ cl ( It hu l r, 200 D ian , _oo , relati n hit Morgan & Joe. 1996), and p I dru g u c ( been d cument d. iolencc (Ba kin - omm crs u ~ tin . .... 00 : Re id . Elif on. S mm er , 2006 ; terk. 2007) have !though Ba kin -, omm er and .' omm cr (2006 ) re1 ot1eu incrcnsed partner i lenc \\ ith meth amph etamin e u e among uni er it tud cnt , nge 18 t 24, meth amphetamin e u e did n t pi a; a ignifi ca nt ro le in carr') in g v..capon uch a a gun s or kni ve , r a nn in Li gating fac tor\\ hen fi ghtin g \\ ith tra ngc r . maj or diCfer nee bet\\ en meth amph etamin e and oth er dru g \ as found in th e area of treatm ent, pecificall y regardin g the length of tim e Cor inpati ent trea tm ent (Brecht & vo n Mayrhau er, 2002; Cretzmeyer, arrazin, Huber, Bl ock, & ll all , 2003; Frawley & ' mith, 1992; Hunt, Kuck, & Truitt 2006 ; Obet1 et al.. 2000 : Raw on. onzal e & Breth en. 2002; R Rawso n et al. , 2000: tran g, 2007 ). Stand ard treatm ent prog ram in th e nitcd tates and Canad a are based on th e Minneso ta Mode l. twenty eight days of inpati ent rehabilitati on foll owed by extended outpati ent th erapy and/or parti cipati on in 12-step group such as Alcoholics Anon ymous (Rawso n, 1999) . According to several studi e . peopl e who we re addicted to meth amphetamine seemed to require more than th e 28 days all otted for inpati ent rehabilitati on (Brecht & von Mayrhause r. 2002; 2003; Frawley & retzmeye r, arraz in . Huber, Bloc k, & Hall , mith , 1992; Hunt. Kuck, & Truitt. 2006 ; Obert et al. . 2000; R Rav so n et al. , 2000 ; Strang, 2007) . 12 retzm er tal. (200 addi ti n wa unne argued that different treatment[! r methamph etamin e ar ho e er, the alternati e treatm ent m del c amin ed in thi stud pro id ed at 1-a t I wee k ofint r enti n. Th li[i t le fa per on" h wa methamphetamin e ft n po e e lement o f di ddi ctcd to rg ni za ti on uch a irregul ar lcc pin g pattern , in adequ nte nutriti n, c. ce i e c. ual ac ti vit , and a socia ln ctw rk f th er meth amphetamine u er ( ve , ~006; R Rm c; n. 1999; R Ra\\ SO n, a. ht n, Domi er, & Reiber, 2002; Whitten, ~00 ) \\h ic h ma) t' quire longer per iodc; to tab ili ~:e. Whi le th tand ard 2 da treatm ent pr gram appea red to be effec ti e for orn e peo pl e recove ring from meth amph tamin e u e. th er req uired a longer in-pa ti ent peri od to all ow fo r life tyle stabili zati on ( o , _006 : Whitten, 2006). The literature i · in co nclu ive on thi s a pec t of methamphetamin e u e. Making and 1\farketing Me thamp hetamine Due to easy acce ibility of chemi ca l co mponent and rec ip e for meth amph etamin e on the intern et, a lab can be located loca ll y, rath er than so l ly in oth er co untri e or large r centres, which create complex consequ ence for th e co mmunity (Hall & Broderi ck, 199 1). For exampl e a methamph etamin e lab create six pound of to ic waste per pound of methamphetamin e produced (B ergu s, 1997; Bl ac kwe ll & olm enar, 2000; Lake & Hu ard , 2001). The resultin g tox ic waste is often nu shed into the sewers or thrown on th e ground. thereby contaminatin g th e surroundin g environm ent (Lin eberry & Bos twi ck, 2006). A home which has been used as a methamphetamine lab i fi ll ed with airborn e co ntamin ants from the chemi cals used to make methamph etamin e (Martyny, rb , Arbucl le. & VanD yke, 2005; Martyny, VanD yke, McCamm on, Erb, & Arb uckle, 200 5). tudi e have illu trated that chi ldren, youth, and adul t who live in a home where a lab is prese nt, ex hibit imil ar ph) ica l ho direct! u and p c h l g i a I e fD t a Lin berry & o t i k, 200 ; omm er . a kin , & methamphetamin (Fergu on, 2000 · a kin- mm er , 2006 ). t 1 re ent, th ere no informati on n the length f c p ur time in a h m meth amphetamin e lab ncce ary t pr du ce the e ph n mena. Jl ov.e r 'detect bl a irbo rn e once ntrati on of h drochl ori c ac id , i dine. and methamphetam in e v. ill remain \ ithin a tru cturc G r at lea t _4 h ur " (Mart n . ~ rb. th ere i th e c rbu kl c. an ke. 200 . p. l 5 ). , e era I mo nth after a lab is d ismantl ec.l id ence that mcthamph tamine k ite ( e . 2.006: art) n ~. ntam ina tio n le e l are still high on urface within an Dyke. 1c amm n. Erb. & rbuck le. 2005). Train ed haza rdo u materia l team are requi red to a!c ly dies pose of any hemi ca ls and a te. and t dec ntami nate pe pie th at li ed r v.o rked in am th amp hctam ine lab ( o ey, 2006). Fir t re po nd er to lab uch a po li ce. fire fig hte r , ambul ance attend ants, soci al wo rker . and ho pita! p r nn I are at hi gh ri sk fo r meth amphetamin e co ntamin ati on from th eir ex pos ure t t xic air b rn e chemi ca ls (Martyny, ~ rb, Arbuck le. & VanD yke, 2005; Martyny, VanD yke, Me amm on. Erb . & A rbuckle, 2005: McFadd en. Ku b, & Fitzgerald , 2006: Strang, 2007). A U stud y fo und that some fir t re po nd er to methamphetamine-assoc iated eve nts requi red treatm ent fo r re pirato ry and eye irri ta ti on; most, howeve r, did not require hos pitali zation (Ce nter for Di ease ontrol and Preven tio n, 2000). In one case, three ho pita! empl oyee experi enced nausea and vo miting whil e treat in g a perso n invo lved in a meth amphetamine lab expl o ion (Center fo r Di ease Co ntro l and Preventi on, 2000). Dealers in methamphetamin e empl oy marketin g tec hniques whi ch are si milar to main strea m bu iness. Legitim ate marketin g trateg ie , uch a giving fre ampl e , arc mimi cked by peopl e dealin g methamph etamine (ll arri on, Eri ckso n, Korf. Broc hu , & 14 er the dealer mi ght n t tate whether the am] le Ben h p, 2007) . H methamphetamine. orne upcr lab (lab rat ric ' ith the rc a urce and equipment to manufacture meth in tabl et and pill form) combine meth' ith oth er illi it ub tan e in their manu fa turin g proc ( 4; trang, ~007) th ereb increa in g th e op portunity t rde t , 2 introduce dru g u cr t methamt hetamin e and it effect . t ra\'e dance in Vane u er and ctobcr ~002 and P ci1e I and teste d pill that were M ntreal b t\>v een old a ~ c ta y. pril ~00 . the R ' nal y. i of the multiple ampl e rc,ealcd that nly a mall percentag of th e illicit dru g contained pure c ta ) . The remaind r of the pill that were <>o ld a Ecs ta y, c ntained a ariet r illicit drug f' hich methamphetamine wa the most commo n ( ord e te. 2004 ). han gin g the chemical co mp iti n f illicit drug 111 rdcr t increa co n um er expos ur to methamph tamine (thereb in crea ing th e con umer market via addiction) i a trategy remini cent of th o e u eel by big tobacco compa ni e (L e ll , 2002; Mitchell, 2006; Wiga nd . l998) . Big tobacco companie targeted children and yo uth (Ling & G lantz, 2002) through marketin g trategie uch as chew tobacco 'v ith cherry candy flavouring that was availabl e in the United States, Canada, and the United Kin gdo m (Love ll , 2002). The taste of the flav ourin g was stron g enough to last two or three minutes, all ow in g the child to adju t t th e bitterness of tobacco (p. 38). Some communities in the U have reported trawberry flavoured methamphetamine, methamphetamine combined with pov dered drink mix (Gambre ll , 2007) . Some police officer beli eved fla ouring les ened th e chemi ca l ta te or and poss ibl y calm ed fears of first tim e methamphetamine user (GambrelL 2007). 15 D fining 'ommunity and It. R span es to Methamphetamine The h alth fa communit r lie h a il bel ngin g t a gi n c mmunity. Ludic ha e n ea h member ex1 ericncin g a en c h 0 \\11 that r oc ial c nne ti n i nc e ar to the health and qual it of an indi idual' life, \\ hi! the ab ence o f c mmunity i related t an 111crea ofri k-takin g beha i ur (1 rae l, McKni ght, 1994; a. e, Reber. 1!all fo r , March. & Bontemp , 2007; t rr. he kovvay, , chul; , & Zimmerm an, 199 ; adu hin . rri a. Workman, J ne . 1997: ,' chwartL, 200 5: , cmcnza, nth on , 20 04 ). lt i not urpri in g, then, that e tabli hing c mmunit . both a a geo grap hi c area and a a er icc popul ati on, ha a long hi tory in anada ( lark. 1962). cad mic literatur ontain , numerou definiti n of what a c mmunity i . Most peopl e perceive ommunit prim aril y a age graphi ca l area, uch a a neighbo urh town ( aulkin , Larso n, & Rich, 1993: d or alt r, 2006). Howcv r, c mmunity ha horizontal and ertical frame' ork th at interac t with oth er age ncie or geographi ca l area . !\ hori zo nta l framewo rk refers to th e interacti on of peopl e, gro up . or orga nizati on . 'v\hil c ve rti ca l fram ewo rk refers to the relati onship between th e loca l co mmunity and th ose in th e large r soci ety and culture (Walter, 2006) . The term community is furth er delin ea ted th ro ugh th e e framewo rks by addin g phrases such as ' th e co mmunity to which we provid e ervice,' or ' th e community that was dealing with a pec ifi c iss ue' (Humm el, 1996: Walter. 200 6) . In her di scuss ion of conceptual framew ork of community bui ldin g practice, Walter (2006) di sc u e ther influ ences used to define community, such a the agency mandate, th e ervi ce provid er's rol e, and the obj ectives of th e fundin g bodie . The interacti on among the e vari ous influ ence form a community con ciou ne , which i ' , es enti all y. a more fluid idea th an th e hori zontal and vertical framewo rk . he co nce pt of co n ciou ne s defin e 16 c mm uni t a the 'percepti n . cu ltural in t racti on n tru t , and fram e rk thr ugh whi ch ith ne an ther and our en ir nment ar filtered and har d" (W alter. 2006 , p. ne i ible in m ral j ud gm nt of de en ednc . p liti ca l d min ance, and per a nal bi a e . er implif) in g th e natu re ofc mmunit crea te e, lu ionar y deflniti on 70) . that n I OU ere n longe r fun cti nal G r mmunity buildin g. nee "communit " i defi ned. th e path f interve nti on G r addressin g subs tance usc need t b ch en. in ce th e beg inn ing in 'anada. com mu niti e have bee n address in g ub tance u e i ue at a I ca l le el aul kin . Lar on. & Ric h. 199 ~ Reber, Hall[! r , Kadu hin . & Ja ne . . 1997). Jn 1986, the ttawa lark. 1962; ' axe. barter fo r ll ea lth Promotion pl aced the communiti e · ··ow ner hi p and c ntrol ! th eir own e nd eavo ur~" (Labonte, 2006 , p. 82) at th e ce ntre f th hea lth pro moti n strategy. 'ommunity de elopm ent and co mmunity empowe rm ent are t'A o ba ic trateg ie fo r inter cnti on 111 communiti es. ln a critical refl ecti on on co mmunity and co mmunity deve lopm ent. Labo nte (2006) desc ribes co mmunity deve lopm ent as a co mbin atio n of co mmunity orga ni zati on and mobi lizati on. Co mmunity deve lopment occurs \\ hen " both practiti oner and age ncy arc committed to broad change in th e stru cture of power relati ons in soc iety th ro ugh the upport they give community groups" (p.82) . Ag uirre- Ma lina and Gorm an ( 1996). in a review of co mmunity- ba eel approach es for th e prevention of substance u e, stated th at "commu nity deve lopm ent hould be th e ult imate goa l of preventi on trateg ies beca u e it enables individu als and co mmuniti es to increa e th eir control over th e determin ant or hea lth by secur in g th e too ls (reso urce , skills, auth ority, etc) needed to change th eir environm ent" (p.34 1). ommuni ty deve lopment attempts to move th e foc us o f ubstance use intervention 17 fr m the indi idual b ha i ur to n ir nmental fa tor tem "\ ithin a c mmunit (p. 41 nomt mmunit de el pm nt a the initial tep tO\ emp erm nt, a While ell a the impetu uch a " o ial, political and rman ( 1996) vie e I guirre-Molina and rd ac hi' in g per onal and mmunit rx ll tainab le hange. n id rin g the relevance of empO\\C rm cnt to commun it inter enti on for w m n \ ith Ill , eeker. uenthcr- rey, and Raj ( 1998) defined mmunit emp werme nt a 'a n inter nti n [th at] [ ought] to !Teet c mmunit)-\\ ide change in hea lth-re lated behavi or b rga ni zing communitie to define their health pr blcm , to identify th e determinant of th chang th e pr blcm , and to engage in cffecti e indi idual and co ll ect ive ac ti n to e determinant ,. (p.8 ). he community emp \ crm ent paradigm posits that no beha iour is entirely und er th e le, oluntar co ntrol of the indi idu al per on (Beeke r, Guenther- rey, & Raj , 1998). he community co ntext, a we ll a co ncep t of c nsc iou ne affects the manner in which behavi our are viewed. The empowe rm ent prin cipl e i particularl y apt in the stud y by in ge r et al. (2006). Through dru g monitorin g and knowledge of methamphetamine trend s, inger et al, identifi ed Hartford onn ecti cut a a po ibl e ite of increa in g methamph etamin e use. Resea rch ers tarted to empowe r th e co mmunity by creating awarene s befo re meth amphetamin e use became probl ematic . Although th e stud y is ongoing, methamphetamine use continued to in crease in that community. Engaging Co mmunity on Methamphetamine and Substance Use trategie for engag in g community around sub tance abuse, pec ifica ll y methamphetamine use, are complex and multi -leve ll ed. ervices and reso urces that are necessary for addre sin g methamphetamine u e are often viewed a unrel ated by ervice provid ers (Jobe-Arm trong, 200 5). From a public hea lth tandpoint, there wa a commitment 18 t re p nd t mctham1 h tan1inc u c from ia l and en ir nm ental per pe live in the c mmunit (Labonte. 2006). Thi m th d u uall implic a top-do n implementation of th e public h alth mod I th at ha little re emb lanc t the c mmunit ·. conte. lual reality ( bel n, 00 I; ibb , 2002; oluti n b deci ion maker ozick, _007). The t p do\ n m del r fer to the imJ o iti on of uch a health administrat r or p lie maker ) with littl e con id erati n ·~ r the indi idual c ntc. t r communitic . Ian ' c mmunitie c pcrience a top d wn method of in lu ion through f rum . lc cu group~. and interview Briti h olumbia Mini try f ll ealth crvi e . 200 : 2000: Waitzfelder, ~ ngel. & ilbert. 19 ( belson, 200 I; ldblatt. ~00 : Parker & ' adbo i , ). I I \ ever. thi i ften inclusionary in problem identification, not in oluti on (Briti h 'olumbia Ministry of Health , 'ervice , 2004; Halkiti , 2006: Park r & reen & adboi . 2000). Fighting Bock, aU ca e tudy of ten community program with the mandate t " reduce the demand for alcoh I and other drug by developing a ingle unified ystem of prevention and treatment" (Lindho lm . Ryan. Kadu hin . axe, & Brod ky. 2004, p. 266) illustrated that the difference between nationa l needs and community n ed may be substantial. The funder' natio nal mandate required demonstrable outcomes of deer asing substance abuse while the Fighting Back campaign wa built one tablishing capacity for addressing substa nce use within the community (Hallfors, Cho, & Kadu hin . 200 I: Lindholm, Ryan, Kadushin, Saxe, & Brodsky, 2004). For exa mpl e, street li ght were not recognized as action to decrease sub tance use on a nati onal leve l ( a e eta!., 200 I), .Jet in crea in g percepti n of afety and empowerm ent encouraged the co mmunity to continue addressing difficult iss ues such as ub tance use (Bent, 2003: au lkin , Lar on, & Rich, 1993). The top down trategy of identirying I ey co mmunity leader and organization \\ho 19 will deli er pr gram and initiati e meant littl if the communit a n t a ti in creating and implementing a har d i i n f ub tan e u e inter enti on ( a e Reber, Hallfl r , Kadu hin, J ne , 1997). I engaged zick, 2007 ; h in and Debru n (2006) p int out, the t p-d o n model o r oluti on impl emcntati n i unlike! to crea te u tainabl c chan ge ithin communit . n ther di friculty ~ ith the t p-d ' n mcth d [ prog ram impl ementati on i th e challen ge r en urin g that inform ati n reac he it intend ed audi ence. For exa mpl e, according to the Briti h olumbia ini try o r Hea lth (2004 ), meth amph etamin e u e wa dec rea in g am ng yo uth , et cdu ca ti n ab ut meth amphetamin e co ntinu ed to targe t yo uth in sc ho Is. ing retro pecti e dru g use hi tori c to exa m in dru g u e behav iour among yo un g peo pl e in a large urvey in Ontari o, De it, fford , and Wong ( 1997) reported th at th e hi gh-ri sk peri od for yo uth dru g initi ati on bega n around 12 yea r f age, with peak initi ati on G r illi cit dru g occurrin g betwee n 15 -19 year . Th ey furth er tated th at hi gh quit rates arc seen within th e first few years of use (D eWit, Offord , & Wong, 1997). In an editori al addre si ng th e creati on of programs for decrea in g meth amph etamin e use, Ritter (2 00 7) tated th at ·' unfortun ately th e evid ence does not upport their effecti ve ne s in preventin g th e uptake or redu cin g th e usc of illicit drugs'' (p. 22 8) . l-Ie furth er asse rted th at developin g a strateg ic ev id ence-based approach "to reduce the production, di stributi on, u e and harm s a soc iated with methamphetamine" was neces ary (p. 227). Creating a Methamphetamine Panic For a c mmunity to d velop a res ponse to methamphetamin , th ere need to be an awareness of a probl em. ommuniti es are often overwh elm ed with oc ial and hea lth is ues requirin g recogniti on, fund s, and acti on. Thus, in order fo r a co mmunity to be co ne rned 20 ab ut methamph tamine it mu t be perce i ed a a threat. Th e pcrce1 ti n a ompli hed in a ra threat can be mmunit b e tabli hing c nce rn and fear regardin g meth amph etamin e, it u e and c n qucn c within th communit ·; in oth er "" rd , co n tru ctin g a pani c (J enkin , 1994). cial pani c gcncrall r II ' im ilar pa tte rn . ith dru g , pa nic, typi ca ll y beg in ith p li e maker. and lcg i lat r demo n tra tin g th at a drug is "enjoyin g an c. pl os ivc grov thin popul arity," r i e ere ph "e. trcme l add icti ve·· th at "eve n cca iona l usc ca n ca u c ica l addi cti on," and i "c ncouragc[i ngl bi7atTC and io lcnt be hav iour" (Jenkin , 1994, p. 7). The e claim are th u uppo rted thr ug h i ual rep resc ntati n f c trcme e ampl e of addi cti n, uch a th e face of methamphetamine ("Face of meth "; Jenkin s, 1994). Word uch a "e pidemi c" (conj uri ng vi ion of pl ag ue and un co ntro ll ab le spread of di ea e) and 'emergin g cri i " ( uggestin g future c n equ ence \.\I ill be wo r e th an current experi ence) further propel th e pani c (J enkin , 1994, p. 15). Social pani c related to ub tance use were used by th e Prog re sive onservati vc party in Canada in an attempt to in crease politi ca l popul arity in 1984 (Jcn en & Ge rber, 1993) . Jense n and Gerb er (1 993) outlin ed a four stage proce of pani c co n tru ct ion: incipi ency, coalescence, creati on and poli cy form ati on, and leg itim ati on. Thi process wa all egedl y used durin g th e 1984 federal electi on ca mpaign to boost Prog ress ive Co n ervati ve popul arity. Howeve r, the ev idence used to demon trate an increase in dru g use wa often in conclu sive. Acco rding to Jense n and Gerber (1993), at tim e "aggress ive enforce ment ac ti viti e "(p. 457) were related more to th e political clim ate th an an actu al in crea c in irug use or traffi cking. 21 de and B n- Yehuda (I gr up f peopl 4) di cu ed m ral pani c a a onditi n, e ent, or hi h had bee n declared b m ral pr Lec tor , ft en media , reli gi u leader , politician and th cr ri ght, thinkin g p opl " p. l 55). to be a threa t t the per epti n of a oc iet . B increa in g ia l threa t_ peop le ~ h ar 1 re ente 1 a in ti ga tor of th e threat are tereo t pcd and de ianti ze d. ;O de and Ben-Yehud a 199 ) also icl enti fi e three model ~ r initi atin g a pani : liti t. gra roo ts. and intere ·t gr up . rhc g ra~ ro t mode l e se ntiall y tat that ani u \ hi ch ha b en d rmant ha_ managed to rega in publi c attenti n. On ce th e i ue ha th publi c' intere t. p liti cian . or med ia . ace rba te the i ue in uch a way as to appea l t th e publi c' co nce rn ram ra l threat. Eliti t m del create a pa ni c none, i tent or tri ial threat. .. to ga in er "a mcthin g of va lu e or di ve r1 attenti on fr m i ~ ucs th at, if addre ed, \ ould threaten their \\n pri vate intere t "(p. 160). Jnterc t group uch a police, profe ional orga ni za ti on , to a large d gree. med ia, act in d pend ently fro m th e e lite to ex pres th eir own ethic and morals. " Pani c ofte n entail populi t entim ent whi ch sees a threat as eman ating from po erful, hi gh- tatu trata. Their ve ry power and tatu s impar1 an ominous, dreadful qu ality to th eir ca pac ity to harm co mm on, hone t. hard -workin g folk''(Goode & Ben-Yehud a, 1994 , p. 162). Th e public often di rega rd ed ev id ence whi ch states that th e poss ibility of harm fro m the threat i minim a l. fn tead, th e drea d of an " in vo luntary, un co ntroll abl e, unknowabl e, unfamili ar, ca tas tro phi c, ce rtain to be fata l and delayed in th eir manifestati on" event is embraced a reality (Goode & Ben-Yehud a, 1994, p. 163 ). The role of the media in panic creation Although medi a is " responcl[in g] to real -world cue '' (N eum an, 1990. p. 16 1) in th e repot1in g of methamph etamin e or oth er ub tance use, it is often bl amed or credited \\ ith rn ti galing pani . Th m diad n tin ent opini n through th pr entati n of the e an i ue r ach publi ' ith cnt ; ho e er, it n n innu en e publi c nt r i u ( bel n, 001 ; the attenti n o f the medi a. medi a then initi ate a\\ arenc mm ent on th i ue ( th e e enl, the pub! ic, th e g um an, 199 ). eum an, 1990). On c b , aturatin g th e c mbination of intcra ti on betwee n ernm ent, and th e mcd ia i nece , ar to create th e perccpti n o r a ri i for an u tain d peri d. For g \ crn mc nt <;. I ca l agcncie . and c mmunity gro ups, medi a (in it ari u ~ rm ) i th e m t a mm on meth od of in crea in g methamph etamine awa rene . lth ugh th ere i littl e e\ i len e to indi ca te th at media ca mpaigns arc effecti ve in pre entin g melh amphelamin u e (Ri tter. 2007), it rema in a pop ul ar lrateg for informin g and edu ca tin g the publi c of th e haza rd a ociated with meth amp hetamin e usc (Briti sh olumbia Mini tr of Hea lth r ic . 2004; Ritter, 2007; Waitzfc ld cr, Enge l, & Gil be ri , 1998). eum an ( 199 0) id entifi e fo ur wa th at medi a pre ent ev nt to ga in pub! ic attenti on: cri i , symbolic cri i , probl m , and non-problem . a beginnin g, middl e, and end , durin g en 1 impl y mea ns th ere i hich tim e the medi a attempt to draw th e pu blic's attenti on to th e event by examinin g it from many di f ferent angles ( eum an, 1990). nli kc substance use, whi ch has no definiti ve end , wa r fa ll under thi s catego ry, as do co urt trials, and natural di sasters. A symboli c cri si i unli ke ly to have re oluti on yet th ro ugh "a co mbinati on of events and th e responses of th e governm ent, the pub! ic, and th e medi a [led ] to a public definiti on of th e problem of cri is propo iti on for a limit d peri od of time" (p. 169). To catego rize methamphetamin e as such wo uld onl y wo rk in th e initi al pha e of awarene s as ubstan ce use i an ongo in g i sue. Probl ems ca n e peri cnce pe ri od of udden change whi ch are simil ar to cri ses ( uch a un empl oyment or inn ati on \\ hi ch are reported 2 with regularit with uta tuall c ntainin g a t r lin e). Th ere are re1 ea ted attempt to rai inter tin probl m through c mple p li and ec n mt theo ry but without a clear endpoint. The diffi cult v ith meth amph etamine, r any Jther ub lanc e abu e i sue, i th at it fall int the categ r o f non-probl em or a Ia tin g cial pr bl cm with littl e publi c interc t (N euman , 1990) . M th amph etamin e perh ap i a yml li e cri is: hovve r, it rare! ca pture the publi · att nti n for long, a th ere i no foreseeab le re olut i n. Pro in ial strateg ies (Briti h olumbi a Mini tr [ I! alth , crv icc , ~00 ), fo rums r fundin g ann o un ce ment (Mini tr of Publi c 'a f t and oli citor ' cncral, 2006) \\ hi ch addrc meth amphetamin e use may hold public intere t ~ r a h rt time: hO\\.C cr. th e are not u tain ab lc ( cum an, 1990 ). Afedio A dvocacy in ( 'o mmunif) · Responses Wallack (200 6) uggest d th at th e u e of m e di a ~ r advocac hifted the foc u from individu al beha iour to oci al and h a lth poli c . Effecti ve medi a advocacy entered on th e ability to arti cul ate the goa l fo r change ( tanton, 2004; Wa ll ac k. 2006). A co mmunity whi ch was empowe red with the ability to begin poli cy change had th e potenti al fo r sy temati c tran form ati on which affected not onl y the indi vidu al but al o environm ental change such as methamphetamin e precurso r (ch emi cal ) leg islati on and sa les (Aguirre-M a lin a & Go rm an, 1996). Vega and Roland (2005) and Cox and Cunningham ( 1998) demonstrated crea ti ve meth ods for workin g effectivel y with media that increase d publi c awa reness and inv olvement. Cox and unnin gham examined a media-l ed campaign whi ch addre ed substance u e by in creasin g invo lvement and inve tm ent ~ r co mmunity age ncie . Co mmunity members paid a reduced price for adv erti in g th ro ugh spa n or hip of dru g and alcohol free eve nt and the co mmunity coa liti on (Cox & Cunnin gham, 199 8). These 24 initiati e 111 rca d attendance ate ent and in c tment in the (2005) D und that deferring c HlV and c nd om u in ol ement. t and p oling re e ll a prese nting me age ab ut in a m rc 1 o iti e and eve n hum oro u li ght. increa ed co mmunit ega and R land r c mm end ed th at an e\ a luati on c mp nent b in cluded fro m th e b gmnm g f an initi ati e fo r two rca econd , t urce , a mmunity. Vega and Roland n : fir t, to pro ide c idcnce of change; and tabli h a ba eline of c mm unity kn \\ ledge regardi ng th e i uc before th e campaign b gtn . A sse, sing Comrnunity eed e ment of meth am1 hctamin c and ot h e r ~ rm of ub tance ab u e 111 a community co mm on I D cu 2 007 ). Dru g dea lin g (a nd it a n \\h at i , lacki ng in th e co mm unity (Kretzmann & McKni ght, ompanyin g envir nm ntal effe t ) i ee n a de monstrating the vi ibilit of need in a neighbo urh ood ( aul kin , Lar on, & Ri ch, I 99 ; 200 3). Crim e stati ti c ( aulkin , Lar on, & Ri ch. 1993: oetz & Mi tc hell , oe tz & Mitc he ll , 20 03), HlV/AtD rates (Vega & Roland , 2005), and oth er indi cato rs of meth amph etamin e addicti on, such as child\ elfa re repot1 (Covey, 2006) often prov ide asse mcnt of th e need for reso urce . Demon trating need is neces ary in ord er to acquire th e fundin g needed to in crease reso urces and opportuniti es fo r the co mmunity to addre s meth ampheta min e ab u e (Saxe et al. , 2001 ). One challenge with assess ments based on need (a nd th e acco mpanyin g reco mm end ati ns) is that the reso urce and tim e nece sa ry to reach impl ementatio n and demonstrate effectiveness are often inad equ ate ( tim on, Fitch, Ball , & Rh ode , 1999). Assessments are often perform ed by academics who e pro po als require more fun d th an are ava il abl e, and require knowl edge tran lati on for th e inform ati on to be u eful at th e grassroots 25 le el ( tim n, Fit h all, & Rh de , 1999) . ln additi n ri g r u in e li gati on require time that hind r the communit in addre ing th immediate i. uc ( tim Rh d , 1999) . n ther rili i m of need a Funding av ard Cten co me to c mmuniti helpl ne [! cu on pro in g help le ne n detailin g the Ia cKni ght. 2007). c mmunit ' Ia k o f ability (Kretzmann dcm n tratin g the lac k f ability t ad drc ment i lhi n, Fit h, Ba ll , & ot nl i fundin g given for co mmunit i ·uc \\ ith current reso urce , but d mon trated ia th propo al may a tu all in rca c the fundin g gi en to a communit (Kegler, T\\ i , & Lo k. _000: Libby. 200~) . John McKni ght ( 1994 ), ln tilute at rth we tern -direc tor f ct-Ba. ed ommun ity Deve lopm ent ni vc r it in lllin oi . tatcd that b th th e hea lth system and community coa liti on /as oc iati on are nece ary ~ r co mmunity hea lth and we lln e . Th ere need to be a rec gniti on f the gift of co mmunity (McKni ght, 1994 ), in ord er to build ustainability into co mmunity effort , an id ea whi ch oz ick sugge ted in , o Place Like flame (2 007). Many co mmLmiti e need to j in tog ther to addre s ubstance use by fo rmin g coaliti on (Kretzmann & McKni ght, 20 07 : Maye r, 2002). In ome co mmuniti e , the coaliti ons presented long term strateg ic for addres in g ervice i ues (Libby. 2002), r erved as a vi sibl e presence advocatin g for change (Cox & Cunnin gham. 199 8). In oth er communiti es, trategies were short term with little impetu to co ntinu e th e coa liti on beyo nd current initi ati ves (Jobe-Arm strong, 2005: Wein gart, Hartm ann , & Osbourn e, 1994 ). FosterFish man et a1.(2006), in a tud y of the initi ative, Yes ~Ve Can! (a mini -grant program with staff support to enco urage co ll ecti ve ac ti on) asse rted that coa liti on member req uired ca pac ity building in order to acces fundin g opportunitic , as we ll a mentorin g and upport to fee l includ ed in the proces , patii cul arl y in th e initi al ph a es (L indh olm , R) an, Kadu hin, 6 a e, Br d k , 200 ). Brin ging t geth er di er e ector f the ommunit uch a bu in s , I cal go crnm ent , and oa liti n member , reated c nfli ct whi h wa diffi cult and Ill me a e tmp ibl c too ere me (ll allfor , Kadu hin , 200 I: Li bby, 2002; h , )fllmunit in c lu i n 1 n ce ar for indh olm , R an, Kadu hin , a, e, Br d ky, 2004). u e ful change at all leve l · ho\ er, in ome in tancc 111 (.; 111 her need to ee an initi al change befor the ar willi ng t in e. t ti me and effort ( a ul k in <~, Lars n, Rich, 199 ) 27 Thi ca e tud focu d on under tandin g th c nte, t of indi idua l , erv1ce ag nc1e and rga ni za ti n with r ga rd t inform ati n pr \ id d to th e public about meth amph etamine ithin a in gle ettin g, Prin e characteri ti eo rge, Briti h olumbi a ( i enh ardt , ~ 00 2). Th e main f th eca e tud meth d i th e u e f da ta fro m multipl e ource (, take, 1995; Yin , 1994); thi permit tri angu latio n th ereby in c rea ing the ~y a Jidit of th ere. ea rch. he ca e it elf i an e ami nati on of publi inG rm ati on about methamphetamin e in Prine orge. ro m thi p int forth . th e c mmun ity of Prin ce th e conceptu ali zati on f co mmunit by a cap ita l lette r, as in co rge i cJ i ffere nti ated fro m ~ mmunity. The re ea rch focus o fthi stud y i hea lth . not a an utco me, but a a renec ti on f ' mmunity awareness fth e potential ri k of meth amph etamin e u e be fore u e reac hed a criti ca l ma . Thi s resea rch focu had three component . Fir t, th e re ea rch ought, through a tim elin e of publi c in fo rm ati on about meth amph etamine, to determin e if a pec ifi c event nece sitated in fo rmin g the public about meth amphetamine u e and any co n equ nee \ ithin Prin e eo rge. , eco nd . th e resea rch attempted to clari fy \ heth er there \ a a co mprehen ive effort by Co mmunity agenci es to inform th e publi c. Finall y, th e re earch in vesti gated the age nd as in vo lved in informing the publi c. Ofthe six so urce of data identifi ed by Yin ( 1994) as co mponent of a case tud y, four we re used in thi s tud y: docum ent , archi val reco rd s, interv iew and parti c ipant observati on (p. 80) . Th e oth er two so urce of evid ence, direct obse rvati on f behav iour (whi ch was un attainabl e due to lhe hi stori cal nature of thi s ca e lud y, p.86-87) and ph ica l artefacts such as too ls, wo rks of art, or oth er ph ys ica l evidence (p.90), we re not re leva nt to thi s resea rch. oc um ent u eel includ e letter , age nda , meetin g and rorum minu tes. media 28 article , and pre II a r lea e , a uch a tran cription ftel e document that' ere r ie' ed ontain ther d cument that' er pertinent to there earch ion id o lip , and ab fb k and id eo . rchiv al r parti ipant \.V ho attend ed meth amph etamin e informati on or a tion forum a we ll a funding di bur emcnt [ro m th e pro in ce. Final! , inter 1e ere c ndu cted v; ith ommunit member . Parti cipant b cr ati on n te 'A er take n at l\\ meth amphetamin e awa rene s eve nt Yin (1994) ca uti ned th at parti cipant-ob er er data co li c ti on ma introdu ce bi a in three way : th e re ear her' parti cipati on in or au cacy o r th e i ue; th ere ea rcher beco min g a upporter of the group : and/ r th e re archer' in uffi cient n te tak in g n th e va ri ou per pective du to time co nstra int (p. 89). Hov.eve r. th e pos ibility f bi a is typi ca ll y balanced by medi a acco unt andre ea rch pa ti icipa nt inter iew whi ch al o desc ri bed th e events, all of whi ch are u ed to balance eac h oth er. The stud y u ed purpos ive sa m piin g in whi ch parti cipant elec ti on wa predetermined by criteria relevant to informing th e publi c about methamph etamin e in Prin ce Geo rge (G uest, Bunce, & John so n, 2006) . The goal was to interview a many peo pl e in vo lved in informin g the public about meth amph etamin e as poss ibl e (Guest, Bunce, & John so n, 2006). Through repeated menti on in th e doc um ents on meth amph etamin e in Prin ce Geo rge as we ll a recommendati ons from oth er resea rch participants, indi viduals involved in informin g th e ommunity and /or th ose who were kn owl edgea bl e about methamph etamine or ub tance u e were as ked to parti cipate in an intervi ew. Th e research participants ranged from exec utive admini trator , to frontlin e service pro vider , to form er methamph etamin e u er . Per ns acti ve ly in vo lved in methamphetamine u e were al so so ught for an interview: hm'Ve cr. no 29 lun te r came h rward , and thi id a wa aband n d. -- thica l a1 pr I ing human ubj ect pri r t th e int r iew ( cc re R le ant d um ent and inter ie\ al pp cndi \\ ere ana l zed eparatcly. th en ombin ed to re eal a tim e lin e fm cthamph tamin c aware ne a re eived for l ). II inform ati on wa in Prin ce e rge. um ent v ere u edt va li da te th e in ~ rm ati on in th e inter iev" (Y in , 1994) through th e pr i ion f co ncrete date . Inte r ie\\ ad ded a dep th to th e in forma ti on ~ und in docum nt d data and cr ated a full er unde r tand in g of meth amphetam in e trend in Prin ce e rge. Doc ument vv rc fir t grouped int the ir re pect i e ca tego ri es i.e. medi a reports. Th en content analy i \ a empl ;ed to sort incident in to theme . Once th ose ite ms we re stabili zed, th e data wa re- orted to determ in e if th eme were stab le. Durin g th e th emati c anal si of the docum ent , a predomin ance of conce rn provok ing or pani c wo rd descri bin g methamphetamin e wa n ted. A ll doc um ents we re th en examined for the u e of pani c wo rd These word such a e il, and epid emic we re co unted accordin g to type of doc um ent . Thi s anal y is all owed th e info rm ati on to be so tied into th e major meth od of in fo rm ati on de li very; such as creatin g or co mmunicatin g pani c. In ad d iti on, the pani c wo rds occ urrin g in med ia doc um ents we re co unted by yea r of menti on. Analy is futi her co un ted th e men ti ons into yearl y qu arters to determin e a tim e Iine of panic wo rds about meth amph etamin e. Themati c analys is was determined to be more appropri ate for analyz in g the intervie\\ data. In additi on to repea tedl y li tening to th e reco rded interviev. , tra nsc ri pt of th e interv iew we re read and reread. The re ultin g th emes represe nted an und erstandin g of envisioned meaning, fro m en ing th e importance of fragment s or co n\ ersatio n, to the o\crall experi ence o fth e inform ati on about meth amphetamine ( ae lli , 2000; Willi. , 200 1). nalysis 0 of the inter iew found multipl e Ia er rge whi ch r f infi rm ation and dcc i nated in imil ar e pen cnce thr ughout the n makin g w ithin Prin ce mmunity. T Docum nts M ethodolo?J he preliminar inquir foc u ed n invc ti ga tin g when inC rm ati n n methamphetamin e be ame a ail abl e to th e publi c. l hi in e ti ga ti on ofth e o ea rch rapidl y beca me an rail in ~ nn atio n n meth amph tamin "' usc in Prince eo rge, which ,, a av ai !abl e t th e publi c up t Dec mber l , 2007. Initi all y, fourteen ' ommunity ·erv ice orga ni zati n were c ntac ted in ord er t req ue t inform ati on on \\ Orks hop , inform ati on e ion , pamphl et , etc. foc u in g on meth am ph da min e ( ee Appendi ). Doc um ent we re rece1 v d from one co mmunity age nc . Local databa es, in cludin g th e Prin ce Reso urce Librar , the oil ge of ew co rge Publi c Library, aledoni a Li brary, th e orth ern I lca lth ni ve rsity of orth em Briti h Co lumbi a Library, reso urce library for choo l Di tri ct 57, Prin ce Geo rge Free Press, Prince George Thi Wee k, Prin ce George Citi::.en, Vanco uver Sun, The Province, and Prin ce Geo rge City Hall , we re sea rch ed usin g th e fo ll ow in g criteri a: crys tal meth amph etamin e, crys tal meth , amph etamine, methamph etamin e, and Prin ce Geo rge. eventy-e ight docum ents, archi va l record s, intervi ews, and notes of direct ob ervati ons we re found. The earli est refe rence appeared in the Prince George Citizen in 2000 and th e mo t recent one wa fo und in th e Prince George Free Press November 30, 2007 . The Prince George Citizen database yield ed thirty-two arti cles fittin g the criteri a. Database for both Prince George Free Press and Prince George This ~reek revea led no res ults. Thi s return seemed hi ghl y unlikely: th ere fore, mi cro fi che reco rd s \\ ere cro referenced w ith th e date from th e Citi ze n with no res ult . Per onal readin ......g res ulted in t\\ 0 2 arti I cond carch add ed n further atiic le . Databa e for the fr m th Fre Pres. . Vancouv ' r , un and Th e Pro\ ince returned a ingle atiicle that menti n d methamphetamine in Prince eorg Prince orge Tele i ion (P ) id e clip dating hack t 1999 pro id ed forty- eight 1 o ibl e id e clip but nl y e en th at fit the re ea rch criteri a. Tran cripti on of th e clip \ ere in luded in th e anal\ i. . ear h o f th e Prin ce corgc ' it ll all databa')e fro m 1997 t December ~007 re ulted in G ur findin g. pertainin g to meth amph etamin e. Du e to internal polici e r ga rdin g th e relea c of pre iou I aired prog ram at ' anadi an Broadcas tin g orporati n ( B ), neith er tran cript nor ab tra t were avail abl e B r thi B Radi o Prin ce Geo rge shows tud y. earchin g th e Prin ce the College of f eo rge Publi c Library, th e orth ern Il ea lth Reso urce Library, w Ca ledoni a Library, the Uni cr ity o f orth ern Briti sh olumbia Library, and the reso urce library for ch oo l Di tri ct 57 database re ulted in ne vid eo fro m th e Prince George Publi c Library and eve n vid eo and one boo k fro m Re ource Centre. The choo l Di tri ct 57 C Library had thirtee n re ource whi ch in clud ed repoti , teac hin g guid es, books, and vid eos. Al so inc luded in the analys is were patiicipant ob ervati on notes fro m th e 2006 Briti h Co lumbia Solicitor General' s Meth amph etamine Forum in Prince Geo rge and a Meth Buster prese ntati on in 2007 (" Meth campaign launched", 2007) . To be as th orough a po sibl e, nonacad emi c website were scanned usin g th e G OGL E internet sea rch engin e. Of the 14,000 res ults only four fit th e criteri a. Anal ' lS Med/(/ Topic. Prine e rge media pr duced thirt nine do ument whi h fit the earch parameters. T ent eight appeared in the Prince Georg' 'itizen, i on Prince eo rgc Telcvi i n, five in the Prince 'eo rge Fre) Press, and one in the Vancou•· 'r Sun. E. am in ati on f th e e media d cum nt produced~ ur theme : p Iicing. hea lth . c mmunit)'. and pro incial. Policing rti le th at ei ther origi nated\\ ith or had quoted the R them . There \\ere four ubtheme inform the Prin t 1P comp ri ed the 1 olicin g the p Iicing theme compri eel of the trategie u eel to eo rge publi ab ut m thamphctamine: enforceme nt, pre cntio n, legi lati on. and orga ni zed crime. The enforcem nt ubth eme dealt \v ith arre ts and charge in ol in g methamph etamin e. M t item pre ented informati on from this point of view includin g the fir t large methampheta min e lab di cove red in orthern B (Peebles, 2007b). The prevention ubtherne focu ed on role mode l , soc ial cau e of methamph eta min e u e, and harm reducti on. One item spec ificall y discus eel marketing strateg ic by dealers and poly drug use which had not been previou ly menti oned in conjunction with methamphetamine (Peebles, 2006b) . Although the RCM P believed " ham1 reducti on should not be the fir t meth od of prevention" (Peebles, 2006 b). police obv iou ly saw harm redu cti on a part of their role . The legislative ubtheme was comprised of media articles about tougher entence for drug dea lin g and bylaw D r c t recovery. Th e bylaw chan ge were an atte mpt to hold landlords accountable for activities on their rental propert y, specifi ' all y grow ops and drub lab (Peeble . 2004a). Whil e th e Feclerallegi lator we re happ y (Peebles, _Q04a) ,, ith 4 tr ng r enten e and enforcem nt [or methamphetamin in ol d crime , the R MP were cone rned about the n \ I gi lati n ince th v ith lh han ge (Peebl r g1 en n additi nal re ource to dealt , 2007 b). he final ubtheme 'Aa orga ni zed rim e and th e r le it pia ed in methamphetamine and oth er drug problem in Prin ce e rge: I d n' l think there i a ingle Cree lance drug dealer. ·1he tree t dea ler may not r a!ize hi or her conn ecti n but i r you go up the ladder of where th o c drug come from, it i n't I ng berore 1 u run into orga ni zed crim e a th e sou rce (8 stat d by R MP uperintendcnt B. ' lark in Pecb le , 2005c). 1-Iea/th The econd theme of the med ia item \a health , the public information provided by th e Northern Hea lth Authority and Alcohol and Dru g Pr ve nti on. A rthern J lea lth manager claimed meth ampheta min e u e peaked in 2002 and wa actu all y declining (Jan, 2004) . Yet in 2005, orth ern Health Youth Dru g Preve nti on started an 1\nti-Meth campaign against the "dan ger-cand y of choice'' (Peeb le , 2005 d) . In 2007, methamphcte1mine was desc ribed in th e Prince George Citizen as an epidemic ("Meth ca mpaign lau nched", 2007), whil e Northern Health Youth Drug Preve nti on taled th at Prince George ee med to have reach ed a plateau in methamphetamine u e (Peeb le , 2007a). In 2004 (Jan, 2004), the Northern Health Auth ority stated they were "we ll ahead of th e rest of th e province" in addres in g meth amph etamine issues, ye t it was not until 20 05 th at\ e saw "peop le hake methamphetamine addiction"(Peeb les, 2005 d) . t a tim e when orthern Hea lth management tated th ey were takin g an vera !I yslem appr ac h to methamphetamin e, there . ecmed to be a lack or c he i n within the sys tem itse lf. Du e to methamphete1m ine education, "dealers had 5 t w rk at llin g [methamphetamine] " (Peebl methamphetamine a 2007a). till the drug f h i e in In 2005 , initial eli cu i n t the ame tim e, and on the treet (Peeb lc , 2007a) . h f meth amphetamine effect cc urr din relation hip t individual populati n (b th main trea m and hi gh ri k), the lab , and orga ni Led crime (Pceble , 2005 d) . The in~ rmati on \ hich \ a 1 r idee! bv orthcrn ll ea lth manageme nt nnd fro ntlin e taff appear , up n e amination, t be eli j int d nne! c ntradict r). Co mmunitv The c mmunit theme re aled a hil't that c urred in the pre entation of methamph tamine information from 2004 t 2007. ntil late 2007, de criptivc lang uage uch a eleva tatin g, pidemic, th e extreme examp le of homele ne , and face of methamphetamine we re u eel. In methamphetamin e awa rene ove mber 2007, an advert i ement pre ented in an inD rmati onal format ( 11 rystal meth ... it' in ou r community: be aware! 11 2007). The "faces of meth " was repl aced with a picture of two teenage girl leanin g on each other. Th focus on vio lence from methamph eta min e u c in previ ous yea rs appeared more subtl y through ame page inform ation on Ph oe ni x Tran ition Society ("a reso urce for women and children who were in ab usive situ at ions"), and loca l Liberal MLA s ("pl ease talk to yo ur children today abo ut the dangers of cry tal meth''). Up until 2007 , much of the methamph etamine awarene s focused on prevalence. Provincial The provincial theme was made up of docum ents about th e olicitor enera r meth amphetamin e forum , fundin g, and Mini try o f Children And Fa mili es. Pro\·in cial methamphetamine forum s supported ommunity and schoo l ba ed programs that address the " meth crisis" ([ cebl es, 2006a). Alth ugh the fo rum was to give the public ''a clear sense or 6 what thi dru g i d ing n I al tr et on methamphetamine u t th and pr alence were fr m th L forum it wa ann unc d that e wa to be eli bur d am ng all 8 it wa c n id erabl y le th fundin g (P ebl e , 200 a) , th e pert ralmilli on d li ar c mmuniti e ; h v e er, h p I e at the G rum er Main land (Peebl es, 2006a) . ~ r meth amph etamin e initiative hen thi fundin g wa eli tributed - ten-th ou and d li ar 1 er co mmunit ( oulik , 2005). Furthermore, a a eed grant to tart a pr gram or an ac ti ity to targe t meth amph etamin u e, not u tain ed r long term hange ( ' ulik, _oo ). In reascd fundin g ll oca ti n for hea lth treatm ent and r 1ce bud get\ a not eli cu eel . A b.\ tracts. Agency and Gm·ernmen f documents A bstracts Mo t re ource doc um ent abstrac t rev iev. ed in Prin ce e rge librari es used pani c word s to info rm the publi c about methamph etamin e. For e ampl e, the offi cial abstrac t for ry tal M eth (Harrow, 2007) tated that it pro vid ed '' inform ati on about th e dru g crys ta l meth , explaining what it wa , describing its effect on an addi ct' ph ys ica l app ea rance, mind , and body, and di scus in g the co nsequ ences of cry tal meth abu e." Yet, a a Prin ce George resource, th e boo k's ab tract descripti on rea d: "[thi s pamphl et] di sc u se [d] th e effects and dangers of crystal meth and its damag in g phys iolog ica l effect on th e mind and body." Pani c words such a dan ger, harsh rea lity, horror, epidemi c, wrec ked li ves, and phra e like "sweepin g across anada at an alarmin g pace" (Davi s, 200 5) and "se nsiti ve viewer may have troubl e watching thi s program " ("Ruin ed li ves: the dan gers f meth amph etamine", 2003) appear in so me form in alm o tall ab tracts. 7 Communi! Planning ouncil um nt fr m th Prince e rg mmunit Planning ounci l ( P ) demon strated a lear plan f engagement G r methamphetam inc av a rene (Florey 2005 b) . idcr , ge nera l publi , and bu inc were intended to Meetin g with ke I ader , r r omm endati on and/ r aeti n "(F lore , 2005a). re ult in a" lid plan forum. the P " a no I nger in Prince fter an initial lvcd in implementing the c; trategic plan or informin g the e rge publi . Rather, the orga ni ati on, umm ari e , rep rt , and minute from all n v r n "' ~ cu ed on y uth , rath er than the di cu 1 note howed that nl y in the criminalju tice gr Llllll g were pecific pers ns w illin g to enact the action item . ommunit . The action pl annin g thcr action theme con istently li t d "v luntec r from the co mmunity'' who acted upon the yo uth agenda. Both th M th Watch pamphlet ( DMA ') and Enforcement Agency (D A) the people attending Dru g lert (Drug nforcement Admini trati n 2003) we re given to P meetin gs about methamphetamine. Both 1 amphlet so ught to increa e bu ine s cooperation by focu in g on th e dange r from methamph etamine production . While Meth Watch di scu ed increas in g cooperation bet een law enforcement and bu iness, the DEA Alert used panic language to link criminal activitie to bu in ess losses. Prince George City Co uncil Although th ere were five menti ons of methamphetamine" ithin the 2005 to 2006 Prince George ity ounci l minutes and agenda , there was onl y one di cu ion about methamphetamine . A mem t c unci! a ked for as istance towa rd mee tin g pace rental or printin g cost" hould the need ari e" (Madden, May 23, 2006) . Two Prin ce George agcnci 8 (Nati e ri nd hip entre and t. Patrick ' Il u c) had ubmitted appli ations G r the pro incial c mmunit grant G r methamphetamin pr gram . orfh rn ff, a/th Authority II of the rth ern ll ea lth uth rit document \-vhich eli methamphetamine u c incorp rat d the outh theatre methamphetamine pamphlet (Briti h olum bia 0 1111 an u eel dru g pre ention and . ' treet , pirit . Both 1n1 tr of ll ca lth , ervice , 2004) ant.! pregnane pamphlet ( r U\ er et al.. 2006) avo id ed u ing pani word and judgments r gardin g meth amph tamine u c. Regional CoJ?lerence on JV!ethwnphetcrnnne he Regional onferen c n Meth amph eta mine offered work. hops for crvJcc provider ("Regional conD renee on methamph etamine". 2007), and yo uth ("Regi nal conference on methamphetam in e: Youth program", 2007) . ervice pr vid cr inform ati on n methamphetamine includ ed emergenc y res pon e to meth amph etamin e use. mental hea lth effect , and recogniti on of a meth amph eta mine lab. Youth we re engaged in unique work hops such as hip hop and multim edia; they also participated in a preparation work hop to "develop a coll ective voice'' for eli cus ions between yo uth and ervice provider , focusing on " ideas and in sights a well as rea li stic oluti ons.'' Although there was a repo rt wr itten w ith recommendati ons from thi s conference as stated by research participants. a copy has not been located. Government Documents Th e pr vincial resp nse to crysta l methamph etamin e co ntain ed some fear ba eel lang uage such as "c rys tal meth ... is a dangero us choice" and a "horribl e drug" ("Speaking notes for th e li on. Shirl ey Bond" , 2006) ; hm eve r. th e maj or it or information in the 9 p akin g note D cu eel n th e new eli eu ion f pr incial h alth eurri ulum ~ r ch l . Ther wa no ho l c l ure during the meth amphetamin [! rum , even th ough an e pert from th e I v er mainl and eli cu eel the necc it of acce ptance and afc cho l to enhance th e protccti e fac t r for tud ent to re i t dru g u c. Meth amph etamine m arenc c;; initi ati e made it apJ ear a if new money wa a ail able for addi cti on [n lead, pre cnt r go upp rt. u ha hi rl et add icti n trea tm ent did not recc i\ e nev fundin g. 8 nd and the , oli it r enera l re iterated th at th e rnm ent pent billi on eac h year n menta l hea lth and addit io n . The meth amph etamin e in itiati e \ h ich wa t up t pro vid e te nth u and do ll ar to every co mmunity in Briti h olumbi a wa managed th ro ugh fundin g app li catio n . not free ly given to eve ry co mmunity. Two Prince Geo rge age ncie appli ed fo r and re e ived grant . Summary The type of meth od u eel to inform th e co mmunity about meth amph etamin e we re important in influencing th e publi c' perception. A graph of th e re ults revea led whi ch age ncy docum ents used th e most pani c wo rd s when info rmin g th e publi c. th ereby desc ri bin g wheth er the maj ority of th e info rm ati on on methamph etamine use was pani c crea ti on or fac tu al inform ati on (See Appendi x 2). Initi all y, th e Prince George Citi:::en seemed to ha e used th e most pani c wo rd s (1 .29 word s per doc um ent). Howeve r, th e rati o of pani c word was hi gher w ith PGTV (2 .75 word s per docum ent), Prov in cial relea e (2.2 pe r doc um ent), and Schoo l Di stri ct 57 (2 per document) . pon furth er e amin ati on of the number of pani c wo rd s a majo r in crca e in 2005 \va revealed (3 1 menti ons). Thi anal y i all owed the time!in c of methamphetamin e-related pani c wo rd s about to be vi ibl e (sec Appendi 3). In 2005, th e num ber or pa nic \\ Ord more 0 than trip led fr m 2004. Thi e alati n eem t indicate that an agen r per on wa champi nin g r peaking ut ab ut methamphetamine u !nler vie11'S Me!hodoloy:y Inter ie\ were one of the m t important urce f inform ati on ~ r thi ca c stud y. emi- tructured, p n-ended qu e ti n \\ ere th e mo t ad antagc u (Yin , 1994) . ommunity member were n t I im it d in length r breadth f th cir rc p n e . lth ugh qu e ti n and prompt \ er pre-d e igned, the prompt ' ere n t ften u ed a c cry attempt wa made to ensure acti eli tenin g, and th rough n t takin g to max imize data co ll cc ti n (M aso n, 2002). Re earch participant r c ived an inform ati on pac kage pri or t th e interview whi ch contained all form th at we re peti in ent to their pati icipati on (sec Appendi x 4). Precedin g th e intervi ew confid enti ality and anonymity we re disc u sed to en ure inform ed co nsent (M a on, 2002). R earch participants had the opti on of hav in g th eir transcript return ed to th em for comm ents. ix ofth e s ixteen resea rch parti cipant re iewed co pi e o f th eir transc ript but no changes were requested. Intervi ew often occurred in th e parti cipant' s offi ce and th e meetings ran ged from ten to nin ety minutes . Gills we re given fo ll ow in g th e interview tn recogniti on of the tim e and know ledge shared by the research patiicipant . A shoti repo rt of the findin gs was offered to all resea rch participants. For anonymity, th e intervi ew , reco rd ed on compact eli c , were num be red \\ ith the key doc um ent co ntaining th e research parti cipant' s name and co ntac t in fo rm atio n in a separate database (Tri-Co uncil p olicy stutement: Ethicul conduct for reseorch im 'Oh'ing 41 humans 200 ). oll ab rator II tran crib r h igned c nfid ntia lit agreement . In addition, th e peer alidat d ana l i categ rie ign d a confidentialit agreement. Re ear h patii ipant v.ere initi al!) coded b th eir r le within th eir )rgan iza tion ( e pp ndi , 5). he e categ ne 'A ere till to r ea ling ' hen quoted inc njuncti n with a 1 ecifi agen y. ThereG re, re ea rch participant are cited a re carc h participant (RP) u tng a d number. Ana(vsts Fir t, a de cribed b Yin ( 1994), the initial 'Ca n u edt he interv iew que Li ons a categorie . Re earch participant data '' a cparatecl into th e fi e que tion re ponse and th en compiled" ithin the matched que ·ti on ( re \'ve il. 200 ). 1. Wh en do yo u reca ll fir t becoming m arc of crys tal methamphetamine? 2. Wh at do yo u reca ll of our organi zat ion' s react ion t cry tal methamph etamine? 3. Wh en do yo u reca ll first discu in g the po ibl e impli ca ti on of cry tal methamph etamin e for the municipality of Prince George? 4. What wa th e prec ipitating factor ( ) that made yo u and/or yo ur orga ni zat ion want to inform th e pub! ic about crystal meth amph etamine? 5. How did yo u and/or yo ur organi za ti on choose to inform the public abou t crysta l methamph etamin e? Grouped in thi s manner, a tim eline of methamph etamin e in Prince .eorgc \\ a , created. eco nd , the intervi ew data wa exa min ed for overa rehin g theme acros the que tion categories. Third , re earch parti cipant data wa exa min ed in relati onship to there earch 2 que ti n f ho h , and h the Prine e rge public a inB rmed ab ut methamphetamin • umm ory nal f int r iew data re ea lcd th e ~ II ' in g th me : di c nn e ti on and marketin g. Within th e th eme f di c nnee ti n, th re " ere ubth eme hori z ntal eli f erti ca l and nnecti n. R le id entifi ca ti on \H I a ub tanti a l c ntributor to horiLo ntal eli conn e ti on' hi h \ as r l ant to a di . cu i n f th reaso n for hori z ntal eli co nn ec ti on; et n it V\ n, it pr eel alm the interview v ith ubth emc marketin g effec ti en ef~ cti t irrcl VL nl. 1arke tin g wa a predominant th eme throughout f marketin g meth amph etamin e and meth amph etamin e a \ ell a marke ting pre enti on and preve nti n marketin g ene . La t, \ a th e tim e line f meth amph etamin e in Prin ce eo rge a revea led by th e re ea rch participant Disconnection Lack of continuity, or eli co nnecti n, of meth amphetamin e info rm ati on was th e first th eme of the interview . This di sco nn ecti on appea red to have both ve rti ca l and hori zo ntal subth emes. The vertical di sconnecti on subtheme referred to th e di s imil arity in kn ow ledge within th e hi erarch y of Co mmunity serv ice prov ision and the pub! ic in Prin ce George. The hori zontal di sco nnecti on subth eme was th e inco n istency of inform ati on fro m age ncy to agency. Difference between se rvice age ncie see med to make sharin g inform ati on seco ndary to meeting th e needs of mand ated popul ati ons. Ve rlicol Disconnection The vetii cal eli co nn ecti on subtheme, or the inco nsistcn y of meth ampheta mine awa renes , mov d both up and down from th o e v ho we re mo t info rm ed, namely th e 4 fr ntline r tee pr ider . ard mo em nt referred t e r tc pr vider , while th d v n ard m [In 2000] the hi gher up .. .at M F Dev I pment] be au e" e cuti e and admini trati e em nt referred to th Prin e [Mini tr f eorge pub lic. hi ldren and Fami ly ere M FD at that tim e ... we ere told that "if meth 11'as really a prohl ?IJI she would hm ·e heard ohoul itfi·om Vic toria by 17011 ' ",and the e en) uth that\.\ ere hard ore meth use r th at we had in th e pr gram did n t ee m t influence that )pinion (RP OO I). Vertical! , er i pro id er e. p ri enced methamphetamine inver different way . Fr ntlin e worker con id ered methamphetamine a eri u i ue th at needed immediate ac ti n; ~ r e uti e admini trati n, h \ ever, it appeared unrelated to th eir mandate of service (RP002). By 2003, the majo rity fparticipant were a\\are ofme th amp hetamin . In 2005, orthern Hea lth had ''d i cu ion with manage ment table and planning tab le and confe rence table " (RP015). At a hi gher e ec utive leve l, there wa littl e awa r ne a recently as 2007 (RP00 2). However, thi s may have been more reflective of rising nee d, rather than ignorance. Most participant stated or impli ed they we re ove rw helm ed by th e leve l of need wi thin th eir mandated populations and agenda (RP 005, RP007 , RPO 10, RPO 12, RPO 14, RPO 15). The final popul ati on that was engaged in di scu sio ns abou t methamphetamin on February 2, 20 06 in Prin ce George was the public. Most research participants w re not actively edu catin g the public, prefe rrin g to devote energies andre ource to their mandated service populations (RP005, RP007 , RPO 10, RPO 13, RPO 14, RPO 15). Withou t information from serv ice orga ni zati ons, the publi c appeared limited in th eir knowledge and , thu , in their ability t take ac ti on. 4 florizo ntal Di. anne lion The hori zo ntal di co nn cti n ubth cme \ a a1 parent in that th ere c n tent m ag ab ut m thamph tamin e fr m th e er i e pr a id entifi ed thr ughout th e inten ie ommunit re p n e. and o rwhe lming need as not a id er.. Meth amph etamine a on 1 ue am ng man th at d mand ed a th er c mpe tin g i ue \\e re h mele ne , lack of hea lth ervtce , f th e re earc h part icipa nt 'ser 1ce p pu lati on . !though meth amph etamine wa co n id ercd prob lematic, it wa un clea r t what c tent it affec ted th e ommunit . me admi ni trat i c researc h pati icipa nt be li e ed that methamphetamin e u e had n t affected Prin ce prov id er di eo rge in a major wa :on the th er hand, mini mu m barrier erv tce u ed igni fica ntm ethamp hetamine use among the ir p pul ati on. . Minimum barrier er ice provide r xp re ed co nce rn and onru ion abo ut th e perc pti on that meth amphetamin e \\ a no I nger a threat (RP007, RPOI 2). Yet, th e mo t comm on statement fro m minimum barri er serv ice prov iders wa th at staff was not train ed to dea l w ith the in crea ed violence (RP OOS, RP 007, RPO12, RP O14 ). The udde n d i co nn ecti on from long te rm meth amphetamin e-u in g cli ents created confu ion. gri ef and, in orne ca es, fear among serv ice prov id er . However, thi rea lity wa appa rently not addressed th rough the local ve nu e of kn ow ledge d issem inati on such as fo rum , wo rkshops, or co nfere nces. Role Perception A lthough ro le percepti on did not meet th e criteri a of a subth me, it\ as a ubstantia l co ntributor to th e hori zo ntal di sco nnecti on subtheme, both by th e se r icc age ncy it elf a well a by oth er age ncies. Although th ere wa a mand ate for service provi ion for each resea rch patii cipant, th ere also seemed to be a ro le a perce ived by oth er agencic . The ro le 45 percepti n fa 111 e r i e a gene wa difficult to identif t thi a pect a1 peared in trumental a erbating h rizo ntal di c nnecti n. n ample f role perception\ a chool i tri ct 57 in Prin e eorg . _. r choo l ', the mandat v a to du ate hildren, and at tim e \ ithin that rea lm , to addre 1 ue uch a methamphetamin e u e that hind red learni ng. ·'The cho I (did] ha\ ea r le to play there; it lat i n. It canno t be the fi [did] n t ha e a role t pia 111 1 was a percepti n of ch a the approp ri ate arena~ r educating children on a var iety f c mmunit i ue including ub lance u c. II 'Ae er, ch mandated fun ti on not pr it G r e er body" (RPO I 0). There I curri culum delivery wa th e i ion of inG rrnation ab ut ub tance u e. ven though frontline r i e provider had little free tim e or re ommunity ba ed prev nti on planning, orn e er 1c pr urcc to devote to ici er perceived th e role of an authority to be not onl one who wa r pon ibl e for pre entin g informat ion to th ommunity, but al o to provid e or ugge t so luti n rega rdin g methamph eta mine and its consequence . There was concern from one agency that a frontline se rvice age ncy [ hou ld be] the prim ary gro up head in g thi [event] . . . Whil e they may have been experienced wo rking with the client base, they we ren' t qualifi ed rea ll y to do plannin g. What came out of it wa not omething anyone could rea ll y work with (RP006). Service providers did not posse th e ex perti se or reso urce which were nece ary to lllO\'e the agenda of meth amph etamin e awarenes beyo nd spec ific foca l population , and reach the entire ornmunity. 6 t time the credibilit of informati n urr unding methamphetamin e u e wa mmunity wa r Iat d to r I 1 er cpli n. One of the be t e ample of r I percepti on b th R MP . lth ugh th ir mand ate of cr ice \'v a p !i cin g, there were man pr gram in mmunit whi ch\ ere p n ored b the R ' R RE ( ru g bu c tance du eati n), a pre enti n 1 rogram deli creel by th e R M P in ch o I hen [the age nd a \'v a ] dri\ en b th e c mmun il), it [beca me jmore ace ptabl e becau e it [v\ a ] n t th e '' man" r th e g \ crnm ent sa in g yo u ca n' t do thi . It [v a ] co min g fro m oth er in ti rmed ouree that ay, " if ou do thi s, thi i \ hat \viii happen to )O u·· (RP 009). The R MP age nd a of crim e redu cti on through in formati on pro ided to yo uth about ub tance u e vva regard ed a credibl e and appro pri ate fo r children and yo uth . n th e oth er hand , ervice prov id er regard ed pro in cial initi ati ves w ith su pi cion (RP O15). ve n though th e Pro incial initi ati e targeted ub tance u e edu cati on at children and yo uth (RP009), th e government wa perc ived as hav in g a hidden age nd a (RPO OI, RP 007), not as ca rin g about the Community. Conflict in role perce pti on was vi ibl e in the u e of out id e expe rti se in prefe rence to Community-based know ledge. Co mmunity prov id ers we re vi ewed a ex pert in Vanco uve r and other communiti es, and Prince Geo rge serv ice age ncies frequ entl y so ught expert informati on about methamph etamin e use fro m out id e north ern Briti sh Co lum bia. ome providers (consid ered loca l ex perts) arti cul ated, howeve r, th at th eir ro le was to in fo rm th eir own mand ated popul ati ons, not the publi c. 7 Marketing The th m , marketing, a defined a 'th pr ce f planning and utin g the oncepti n, pri in g, pro m ti n. and di tributi on of id ea , good , and er i e han ge th at ati f indi idu a l and rga ni7ati onal goa l ··( Kee fe, 2004). Th re ubthem e ere two rmarketin g: th e marketing rdru g ' and the marketin g o r a cri i rega rdin g methamphetamine. B th the ill ic it dru g and the preve nti n marketin g campaign had e ffects on th communit . Marketing J'vte thamphetomine Th e ubtheme fm arke tin g meth amphetami ne wa dru g dea lin g r lra fli ck in g. Marketin g trateb ic created ad ire fo r a produ ct (in thi s ca e, meth amph tamin e) and , if they did th eir job co rrect! , trateg ie in crea ed de ire n e th at mark t wa e tabli shed. A with main stream bu sine , th e goa l of marke tin g a to max imi ze profit . For the mo t part, marketin g wa popul ati on- pec ifi c. One of th e target market wa th e yo uth in sc hoo ls, often with other yo uth dea lin g methamphetamine and oth er dru g . " How many of yo u if yo u wa nted to co uld get meth , co uld get cry tal meth '? '' I think th ere we re about two kid in the roo m that didn ' t put up th eir hand . Then I sa id '' How many of yo u if yo u wa nted to could get it in less th at half an hour?" About half th e kid s still had their hand s up .. . [that showed] th ey co uld buy it fro m somebody w ithin the schoo l ri ght now (RP OOI). The availability of methamphetamine in choo l stro ngly sugge ted th at the dea ler we re other yo uth . Se llin g methamph etamin e within the schoo l al o ugges ted a trong relati onship to impulse buyin g. In additi on. there eemed to be an in ves tm ent in peer press ure or " fittin g in" as a marketin g too l (RPO 19) . 4 ru g dea ling al tated b had t include the r ducti n fharmfu l percepti n fthe product. n re ear h parti ipant, the be t d terrentt methamphetamin u f methamph tamine n wa seem g me u er (RPOO I). 1 l we er, metham1 hetamin e marketer nega ted harmful perce pti n b w1n g th er y uth wh o did n t e, hibit ign of m th amph etamin e u e· om marke ter al referred to meth am1 hetamine by anoth er nam e (RPOO I) . The pee r to pee r marketin g \v a ab ut re lati n hip and tru t. . ome o f the participant 'co mm nl ab ut meth amph etamine referred to th e relati on hip betv ee n th e cli ent and " their" dea ler. v.hi ch indi atec.l a tru t re lati n hip imil ar to main str·eam bu in c (RP00 5, RP 007 . RP O18 . RP O19) . l'd b talkin g to pe pie in my ffi cc[w ho we reJu sing meth and I was hearin g thin g lik ·'oh it' no wo r e th an ma kin g p t''. Y u [wo uldJ have alm a t wo rd for word the ame co mm ent fro m i diffe rent peopl e and when yo u di ve into th at a littl e bit yo u find out th at th ey' re all from th eir ource fo r th eir drug (RPOO l ). ltimately. the repetiti on of pec ifi c phra e by c li ents to serv ice prov id ers indi cated th at tru st was u ed to increase meth amph etamin e market and thu profit . Eve n wh en dru g dealin g marketin g in vo lved chan gin g the name of th e dru g. for exampl e from speed to crystaL or mi xing methamphetamin e with oth er dru gs. the key to continu ed profit was th e co nstru cti on of a relati onship bet\.veen bu ye r and se ll er (R POO I, RPOO S, RPO 18) . A th e tru st wa s es tabli shed (and , po ibl y, addi cti on was crea t d), th e methamphetamin e user was more likely to be open to a relati onship of e, changin g dru g hr profit or personal use. A promotion to dea ler may be related to how co nn ected the methamphetamin e user was to pos ibl e market (RPO 18, RPO 19). 49 hem indebt dne em nt from melhamph tamin e u e t addict i n creat d a en t the dea l r. The indebt d per n wa then market. M thamphetamine marketing had grovvn int f pi ited' ithin the illicit drug rgani zed crime that eemed to mcrea e ther criminal acti itic . ne da thi ' man i I u, in g or add ict [and] c me in badly beaten ove r a drug debt. 1\ o weeks later. 5hc might be the ne beating on some ne or intimidating omc n e l e bccau e he ha lto pa ] rent. .. it ' n t spec ifi c to cr tal methamph eta min e but it eemcd like it v a ge ttin g much worse at the a me tim e. It part of the trat g; to have c cry nc indentured into that organi zed crime. Y u \\ e a tv\ cnty dollar drug debt; yo u're going to have to w rk that ff in om \ a (RP007). Many activitie surpa eel mcth amph tamine market in g to include the ale of other dru g or violent activitie , yet, the tru t relation hip between dealer and user that wa e tablished durin g methamph etamine u e eemed to till exist. Organized crim e act iviti e uch a drug dea ling, intimidati on, and prost ituti on, used the dea ler-u er relation hip to expa nd drug traffickin g (RPOOl, Rp007 , RPOl8 , RPOI 9). Research participant became aware of some of the effect of methamphetamine marketin g through either profess ional or personal e perience. Methamph etamin e effects were different from those of other illicit dru g in term s of behaviours pre ented. Some of the kid s who hadn ' t ate in a number of da ys coming in and th e food go in g literall y ri ght through them where th ey wo uld oil th emse lve . They would not make it to the wa hroo m ... we didn 't understand that was part or 50 them n t eatin g ·~ r da d n 't kn ... th at wa what i g in g on and th In additi on methamphctam in c u found li ent r lati n hip lf v e had to dra tmpa tful t our taff . .. and [ uthJ are ca red (RPO 12). changed th e per ona I ity f th e u er . , er tcc pr vid cr ignifi ca ntl altered a io lence became more promin ent. an kind of line aro und their be ha i ur or th eir c ndu ct, it \ a th ugh \\IC \ ere ta lking t orn e ne that \vC had no pre-c istin g re lati on hi p \ ith ... We had alway bee n ab le to re i on ha in g s me ort of pre- xi ting hi tory and \\Orking relation hi1 ... long ta nding cli ent th at we r j u t un plu gged and io lcn t (RPOO ). Fo r er ice pro id er , cha nge in their client \'vere ofte n un e pected and un ex pl ain ed. lac k of in C rm ati n abo ut meth amp hetamin effects, in cludin g violence, ec hoed throughout th e in te rvi vv and left mo t ervice prov ide rs d pe nd nt on th e intern et or med ia for kn ow ledge: We had one yo uth at the tim e tha t wa an honour ro ll stud ent th en he started to slid e. Th en wea l o were co ncern ed beca use there i not a lot of informati on out there, she was pregnant. o what we re th e impli cati ons to th e fet us? And th en oth er kid on it ... we' re not so mu ch about info rmin g the publi c as trying to get info rmed ourse lves, and th ere was n't a lot of in fo rm at ion out th ere (RPO 14 ). Lac k of kn owledge co ntinued to tretch th e abilitie of ervice prov id er as meth amphetamine effects on mental hea lth in creased. One of the things we had a rea ll y hard tim e with wa thi dru g' · effect . The behav iours th ey were hav ing, we re th ey dru g effec t or \ve re the menta l 51 health i ue ? That a hu ge becau e e had d ne me in h u trainin g but n t t that le el (RPO I 2). mpt m of meth amphctam ine u c brought p ch log i al a se menllo the ~ re front of . . er Ice pro 1 10 11 . A,fethumphelam ine Th furk cting E.flecti, ·eness ubtheme f meth amphctarn in c mark ting cffcc li cnc (a dcterm ined by idence o f in rea ed dru g u c) \ a demon trated th ro ugh di s u ion of th e impac ts on rvtce pr Th are icker ph ica ll y ... in auditi on to mental hea lth , ub lance u c kind f mea n there i al o lot of I IlV/ 10, i ue . hepatiti s, a lith e things th at goe al ong ith dru g u e. ab ce e , and all kind of thin g . Incredibl y poo r dental hea lth , with th e cry tal meth their teeth arc just damn near go ne. Lots of it i from th e meth but lot of it i not have any ... acce s to lot of ervices (RP007). When I tarted doin g thi s wo rk twe lve yea r ago . we had ... a so t1 f biker bar. Th ese guys we re doin g what they were doin g but they didn ' t co me into my environm ent .. . [so metim es] th ey wo uld come loo kin g for so me wo men th en 1' d go and ay 'ge t the hell off the property'. It didn ' t bother me and l wa n ' t wo rri ed ... I wo uldn ' t do that now in th e sam e way . .. there are several ga ng in town th at are obviously into th e whole dru g trad e but its co mpli cated our wo rk imm ensely. The wo men th at come to us used to be more ea il y identifi ed as the victim (RP00 7). 52 metime the i lenc i aggre i n t ward the taff. m re r that. Like ' f.- k here' be n a l t u, ou f ing c' and g ttin g di respe tfu l hard ! happened be~ re ... it' about their dru g u e , it' ab ut organi zed crim e, it about our back are again t th e wa ll, on equence e ha e nothin g (RP007) . f methamphetamine u e ra nged from ph y i al illn e , t vio lent ocia l interaction \ hich were c mpl icated b th e co nte, t f the li vc of peopl e who use d methamphetamin and ther dru g . Meth amph etamin e effec t cr ated a ve ry different reality for erviee pro i ion th an had bee n pre iou I e, peri enced. Marketing Pre,·ent ion In th marketing pre enti on ubthcmc, medi a wa a marketin g to I a we ll as a bu ine which old inform ati on. Initial! in 2000/20 0 I, meth amph etamin e was bri e ny mentioned in medi a, t pi ca ll y as a dru g th at wa preva lent in crimin al ae ti viti c or in difficulti e with yo uth . Media marketin g did not ga in ignifi cant momentum until 2004 at which time ··we did ... our ve r ion of bi g expos itory pi ece ... th at cry tal meth was involved" (RP00 3). Thi wa not to impl y th at m di a did not have an interest in ommunity wellne s; however, its business age nda ma y have innu enced th e promoti on or methamph etamin e a an is ue. Alth ough medi a was a maj or co ntributor to in creas in g methamphetamine awareness, the first publi c inform ati on forum about methamph etamin e in Prince Geo rge did not occ ur until Febru ary 2, 2006 . Th e BC So licitor General's Meth amph etamine Forum wa part of a meth amph etamin e awa reness and inform ati on gath ering initi ati ve sponso red b the provincial go vernment . The forum res ulted fr m an initial ga therin g of Co mmunity stakeholder in an e ffort to co mpel a co hes ive res pon c to methamphetamine (RP007). l'h i 5 wa an c ample of marketin g methamph etamin pre enti n. brou ght methamphetamin to th U ptCI n. [! r fr the pro incial go ernment nt, the go ernment' moti ati n wa viewed with tated b one r earch participant,' when ou're een in the publi a eith er g vernment or ervtce age nc u' re rt f labell ed with an agenda" (RP006) . nlike the interdepend ent relati n hip bet\ ee n meth amph etamin e co n um er and their lea ler , th ere a little tru st at1i cul atcd fo rth g ernm ent. Pre enti n marketin g crea ted t\ o di ve rge nt te\\1 ne in whi ch meth amph etamine v a the hi r e il in the ub tance hi era rchy, and th e th er, where meth amph etamin e wa ju t one f man ub tance . The " meth i e iI" tandp in t e pres ed by th e r rov in ial gove rnm ent e med t ca u e a determ ined pu ·h by er ice age ncie to broaden th e age nd a. Minimum barri er er i e age ncte aw mo t of their popul ati on u in g meth amph etamin e, ye t ervice prov id er ex pres ed th e iew th at lac k of ervtce , not meth amph etamin e use, wa the main i sue (RP OOS, RP006 RP008 ). A Ith ough meth amph etamin e was a sign iII ca nt probl em for minimum barri er se rvice age ncie , poly dru g use made it imposs ible to targe t methamphetamine specificall y in an interve nti on (RPOO l , RPOO S, RP008). The Prov in cial focu on meth amph etamin e use, co nstri cted too ls deve loped by th e Mini try of Edu ca ti on as well as Prince Geo rge service age n c i es~ a more ge neral foc us wa needed. Marke tin g prevention was not as clear as dru g traffi cking. Th e provincial me age was abstain fro m meth u se~ th e community mes age see med to be th at meth was one issue among ma ny, uch as po ly dru g use and lac k of hea lth servi ces for ub tance u er , whi ch all needed to be addressed in marke tin g preventi on (RPO I 0, RPOO I) . Re ea rch patii cipants oft en co mm ented that the preva lence of methamph etamine u e was uncertain . ome ervice r rov id ers ex pre sed th eir beli ef th at methamphetamine u e \\ as 54 tabi li ing rat lea t n t a pr blemati a other c mmunity i ue (RPOO I, RP009 , RPO II , RPO 13). er IC pr ther pro id r de ribed witne in g an in r ase in 1 eo pie u ing methamphetamine . icier ic\ eel th le el of hard hip in Prince methamphetamine u e. a e. acerbated b pre i u g er ice (RPOO , RPOO , RP007, RPO I 0). orge. includin g ernmcnt cut to frontline and hea lth any cr IC C pr ici er were ove rwh elmed by th e mcrea ing h alth need of their population Th inf rrn ati on pr con tent with ided abo ut methamphetamin e and it efTect did not cern ommunity concern . There' a focu on cr tal meth be au c mcth i maki ng it clfa foc u . The more it ' in th communit . the more the police have to face it. th e more the health profe ional hav to face it and th e mor th e tea her have to face it. The more if go in g to be on everyb ely' radar creen (RP003). The RCMP tated crack cocaine ca used more poli cin g is ues. chool Di stri ct per onnel ai d methamphetamine i sue di ffe red from sc hoo l to schoo l. rthern Hea lth employees reported increas in g mental health i sue . Community serv ice pro vid ers had differing views on the preva lence and seve rity of methamphetamin e use in Prince George. For ome, methamphetamine was no longer an iss ue (RPOO I, RP009 , RPO 11 ); whil e for ther , methamphetamine u e and con equenc es were still a predominant i sue for erv ice provision (RP007, RPO 12, RPOO S). A major tool for marketing preve nti on was funding. At th e oli citor eneral" Fo rum , seed fundin g (ten th ousa nd dollars) wa to be giv en to every BC community that impl emented a pro gram for methamphetamine u e and awarene . 55 l ha e been pre ented v ith m m area a in g v hat fr m n n-pr fit organization in oullying e pre ented to them t recent community con ultation or addiction revi \ i the ame thin g \ e a ked for in 1974 ... th ere realignment of rc urcc to actual! ge t on with 'lome ill be a r th e recommendation but I ha e . ome ccptici m a thi i not ye t a po liti ca l e. crc i e that i backed up\ ith re ourcc (RPO 15). Ther \vere no er ice enhanc emen t annou ncc menL, uch a an rn rca e in th e number of treatment bed or coun c ll or , at the forum. I'hcrc were t\ o ignifi ca nt diffi culti e with u in g funding initiati a a method f addre ing methamphetamine u c. hr t, meth amph etamin e a not nece aril a diffi ulty in e ery community. eco nd , the one-tim e seed gra nt did not increa e th u tainability of er ice to addre meth amph etamin e; thu , th e ann oun ce ment s emed more political than upporti ve. Funding with sin gle i ue focus, a w ith meth am1 hetamin e necess itated that Community agencies continually redefine their service in ord er to mee t requirement Service providers were willin g to adju t description of events, programs, or ervices to ensure a component match ed the funding co nditi ons (RPOO I, PR007 ). Thus, determining the prevalence of methamph etamine use (or even efficacy of initiati ves) was prob lematic . Provincial funding initiative were unabl e to address issues caused by methamphetamin e and substance use in a su tained mann er. The Northern Hea lth Authority seemed a hampered by funding issues as frontlin e service provid ers. Th ey too , identified increa in g hea lth need at a time when provincial hea lth fund s were being cut (RP005, RPO 15). The co n traint n the Northern Hea lth Authority were uch that plannin g for additional funding did not exist (RPO 15). Northern l leal th Auth rity fund co uld not adequately adore. s men ta l health and 5 addi ti n pr i i n to Prince init iati e fo r methamphetamine pre pre i u I cut b the pro in cial g e rg , let al n all f northern 8 . The ommunity nti n had n t rep l ed th fund for service pr vi ion crnm nt. Pre vention · farkeling Effeclir eness Th ubtheme o f pre enti n marketin g effc ti cnc s re ealcd that in Prince pro incial fund en abl d erv1 agc n JC to in c rca e a\ a rene thr ugh onG rene effecti ene of meth amph etamin and publi c inf rm ati on . e i n . 11 v. e er, it v.a diffi cult t mea ure rea n . Fir t, a majo r diffi culty wa h w to ~ G r e, ampl e th ro ugh hea lth utco me . crim e ~ ta ti ti c , r anecdota l the efficac of pre enti on marketin g for tvv a e eo rge, informati on. 'econd, th ere \ ere three main p pul ati on requirin g asses ment: th e targeted group , th e i ibl e, and th e in vi ibl e popul ati ns. population was a ll nlike dru g traffi ckin g in whi ch th e target ommunity member and profit indi ca ted succe fulm arketin g, prevention required compl ex definiti ons in ord er to a ses effecti ve ness . A convenient and popul ar approac h for preventi on marketin g wa to targe t choo l stud ents for methamph etamin e awarene s and preventi on initi ati ves. Whil e yo uth may have ex perimented with meth amphetamin e, most did not end up on th e street or li vin g with addiction . Further, yo uth who had succumbed to methamph etamin e addi ction u uall y I ft schoo l o if th e interventi on was not effecti ve, th at youth could not have report d thi s outcome. As a trend indicator, the decreased meth amph etamin e u e am ong yo uth ' ho attend ed schoo l was mi sleadin g (RPOO I) . Not all yo uth we re in need o r methampheta min e prev nti on (RPO l 0) . In fac t, broader sub tancc use age nda \ ere more suitab le a \\ as indicated at pro vin cial plannin g tabl es. 57 Pre en lion marketin g t the i ible p pulati n of people u ing m thamphetamine eel ubpopulation of th 111 FIIV/ , mental and ph eat hi gh ri k ~ r omplicalion f ub tance us , such a ical hea lth i u ; man u er v ere treet in olved. When eli cu in g mark tin g pre enti on e!Tec ti vene , ome er ice pr icier found that methamphetamin e u e had signifi ca ntl y decrca eel (RPO II. RPOO I, RP009) . Yet, minimum barrier cr ice pro icier. \ ere fru tratcd at the c c lu i n of th eir reality which included hi gh rate of meth amphetam in e usc among their p pulation (RP 007, RPO 12). The need within th ir r ic populati on acce other er ice until they \vanted t \\ 3 o en\ he lmin g. an meth amp heta min e co n um er did n t ut do\ n, quit or were in extreme need of medical r 1ce . Additi nail . the u e f multiple minimum barrier ·ervice increased th e probability that an inter enti on \ a delivered r peat dly, thu innating the data collected. Marketin g pre enti on effect i ene wa virtua ll y impo ibl e amo ng the invisible populati on of main strea m methamphetamine user . For exampl e, main tream wo rkers in natural reso urce indu stri es used meth to increa th ir ab ility to work longe r hour and thu increase their net wage. " He was doing meth and working a a logger in th e bu h ... th e idea of someo ne who i doing meth hand lin g a cha in saw is just scary ... he is working lor bonu so he is go in g for more money" (RPOO l ). Measuring interv enti on efficacy was impo ibl e while this population remained invi sibl e. So me prov id ers tated that methamph etamin e use in Prince George seemed to stabili ze, yet there appeared to be no doc um ented ev id ence to support uch a claim (RP O12). Decreased meth amph etamine use may have been entirely unrelated to prevention acti ity. In tead, witne in g the visibl e symptoms of chroni c meth amph etamine use. such as iolencc 58 or phy i al and mental health deteri rati n eemed to ha det rred many pe ple from tryin g n encouraged e at ion f methamphetamin u melh or The b t a er i n inform ati on th at ou get [i J from ju t talking to ome ne h u it ... there i an o ld a ing th at ' en junkie d n' t tru tjunki e ' and j unkie think meth hea d are ra7) ... e ac tl \vhat happened in the 70. (RP OOI). n accurate pi cture fth e pre enti n marke tin g effcc ti' cne an \va not demon trated through dotal e id ence of dee r a ed r tab iliLed meth amphetamin e u c. eth amph etamin e marke tin g cffect i cne community' re pon tem c uld be mea ured via th e strain on th e u h a hea lth , minimum barri er crvices, treatm ent, and policin g. Hovveve r, calcul atin g pre enti on marketin g effec ti ene s a co mpl ex. Effec tive methods for a e in g total methamph etamine u e or preventi on effi cacy among th e se parate and di stinct popul ati on (targeted, visibl e. and in vi ibl e) of Prin ce Geo rge did not seem to be ava il abl e. Timeline of!l !ethamp he!amine in Prince George Most research parti cipants identifi ed awa rene s of methamph etamin e as a prob lem in 2000/2001. During thi s peri od. many parti cipants we re workin g or invo lved w ith se rvices in whi ch few (if any) access restri cti ons ex i ted (esse nti all y, minimum barri er fro ntlin e services). Although so me of th e resea rch parti cipant wh o id entifi ed methamphetamine a a problem in 2000/200 I we re in management or admini trati ve pos iti on , their ro le did not ensure dec ision makin g autonomy. There we re always oth er leve l of co n iderat ion: Youth Dru g and A lco hol Preve nti on was under th direc ti on of Mini stry of Chil dre n and Fa mily Deve lopm ent, for exa mpl e. No t until 2004 was th ere menti on of )O uth ear ly int n ·ent ion 59 pr gramming in the rthcrn Health Plan): 200 ~ -06 to 200 7- 08 , 2005) . uth rity (Ifealth servic redesign pion (Busin ess g ncic and program whi h er iced the methamphetamine u in g r o1 ul ati n v ere cparate and li tinct from ach other. Thu , h riz ntal di connecti n inhibited the recogniti on of th e impa t fm ethamph tamin e through ut th e mmunity. [ntcre tin gl , in ~004 th e majo rity f the dated doc um ent (7 of ll) we re c n ern ed ' ith p li 111g 1 ue uch a arre L, law . and b) Ia' . Th e bulk of po li cin g iss ue were related t pr r rt holdin g , uch a th eft or bu in g a h u e formerl y u ed as a methamphetamin e lab. Fev f th e doc um ent ee med co nce rn ed w ith meth amph etamin e use it elf a a pub Iic harm . In add iti on, th e e ca lati on of pani c w rd in 2005 va lid ated res arch participant ' ie\ th at th e initi al appea ranc o f meth in Prin ce eo rge in 200 0/2 00 I was not perceived as ca u e for alarm . nother v i ibl e trend whi ch emerged th ro ugh th e tim eline wa a co nn ecti on between methamphetamine and wea pons. In th e medi a report , menti on of meth amph etamin e combined with oth er dru g and. more spec ifi ca ll y, gun , beca me more co mm on from 20 03 up to the end of 2007 . T he docum entary ev id ence co rroborated research parti c ipant di scl o ures of gan gs and ga ng related violence in creasin g in relati on hip to th e dru g trade in Prince George. Additi onall y, ev id ence of arrest for multiple drug pos e sions supported research parti cipant statements: " it' s so co nn ected with all that po ly dru g use and peo pl e arc using anythin g they can get th eir hand s on" (RP007). 0 Evidenc of Methamphetamin !though e tab Ii hin g pr r alence f m thamphetamine wa n t a tatcd go al of thi arch it wa a maj or p int f di u i n thr ugh ut intervie\ provinc , methamph tamin e wa a ignifi ant prob lem a and documents. T the how n through both governm ent d cum ent andre p n e (co mmunity grant and chool pr gram de el pmcnt). ll owevc r, d cumentary e idence, andre earch participant omm ents indicated that methamphetamine wa n t the epidemi prop In 2004, the 8 ed b the province. oroncr pro ince with 4 being in Prin ce 'er icc tatcd th at th ere 'Ac re 174 illi cit dru g dea th in th e eorge (" 8 A lth ough 3 ut of9 d ath in northern 8 erv ice Annual Repo ti 2006"). occ urred\ ith methamphetamine pre ent, thi s did not indicate that metham phetamine wa th ca u e of death nor that th e death occ urred in Prince George (8 Coroner or ner ' erv ice, 2005). fntere tingly, death by illicit drug in 8 ("BC ervice Annual Report 2006") howed that th e majority of deaths occurred between age 31-50, not yo uth under 20. In British Columbia Youth IIeolth Trends : A retrospective, from 1992-2003, Tonkin (2005) stated that "folkl ore or myths surroundin g so me forms of substanc e mi suse may outpace the actual behavi our ' (p. 19). Tonkin al o stated that methamph etami ne u e in BC was declinin g. The 2003 Adolescent Hea lth Survey (Katzenstein & Li ebe L 2004) revealed that 7% of Northern Interi or students indicated ha vin g u ed amphetamines as co mpared to 4 percent in there t of the prov ince (p.16). Howev er, "havin g us d amphetamine "did not mean methamphetamin e use or continual use. Oth er studi es indi ca ted a ignificantly hi gher use among tree t in vo lved yo uth (Tonkin, 2005). ll wever, thi street invol\cd resenrch origin ated from urban co mmuniti es in outh ern BC ("Bet\\Cen the Cracks: ll ome le ·s) outh 61 anc u ll1 r", 2002) and wa n t u eful t e tab li h pre alene r trend in then rlhern B eorg . n e id en e rega rdin g m thamphetamin e treatment ( allaghan, Ta lor, Viet r & Lentz, 2007 ; allaghan et al. .... 007) wa inacc urate in talin g n rth ern trend related t methamphetamine . The trea tment facilitie di eu ed did not provide ervice n rthern det . The reG re. tati tic in luded patient from thcr pari of ificati nand trea tm ent re !el y to dditi onall y, rd s hm d ev id ence ofpe pie acces in g se rvi ce hich e eluded main tream and methamphetamine involved per on who had not reac hed a point of needin g r v antin g he alth erv rce . The orthern Hea lth uth ril h wed 232 community addiction crvrce adm i ron for amp heta min e mi u e in 2003 (British olumbia Mini try of Hea lth erv ice . 2004). H v e er, th di clai mer tated that cli ent may have had m re th an one ad m i sion in 2003 and methamph etamine may n t have been the primary dru g used. The overall ev idence suggest that methamph etamine use was not a majo r problem in Prince eorge durin g th e tim eframe tudied, 2000 to 2007. Yet, thi s did not dimini sh th e rea lity of methamph eta min e use and its con eq uence for minimum barrier ervice providers in Prince George. In stead, the ava il ab le data demonstrated a signifi ca nt gap between evidence and know ledge in the Co mmunity. BC Health office r Kendall cautioned. "if officials get 'too worked up,' there is a ri sk th ey will take methamph eta mine "out of context of what work in terms of dru g-a buse prevention and educati on" (" Don't overdramatize meth crisis, health offi cer warn ", 2004). 62 DI The goa l of thi ca e tucl a toe amine th agenda behind the information pro id d to the pub! ic ab ut methamphctami ne in Prince ach f th v ho, h c ntainecl it and wh categ ri c \\a eo rge: the h , h wand why. eparate and eli tin t from th e others and wn c mpl e. iti e of who, h \ , and wh . For exa mpl e, th e R MP , rthern Health and l a l drug deal er \ ere re pon ible for most fthc informati on in Prince or'\ h ' in[! rm ed th e public about meth amph cta rnin . wa , for them t part factual and unrelated t methamph etamin e. 'I l \ 'the Prince eorge mmunity prevention informati on increa eel panic \.\Ord about e rge public were inlo m1 ed abo ut methamphetamine app ar d t be thr ugh in crea eel panic\ ord in media repo11 in 2005. The in crea eel panic word s chang d the Community' perception of meth amph etam in e. increa eel panic word and inform at ion provided to the he 'why' of both ommunity abo ut meth amphetamin e and consequence of u e, related to the large r Prov inci al gove rnm en t agenda of panic creation in order to increase public tru t. The Who of Informing the PubLic in Prince George Two view were prominent in local methamph etamin e awareness: prevention, and dru g dealin g. Policing and Northern Hea lth marketed prevention mes ages mainl y through Prince George Sc hoo l District 57 . Howeve r, drug dea ler also had an objective, to increase profits from methamphetamine sa les. From prev nti on to dru g dea lin g, strategic planning was utilized to ga rn r large r market for the product. 6 R MP h R MP ndu led a multile cl campaign against methamphe tamine with wti e at the federal (Pccbl . 200 a). pro incial (Pccble , 2004a) and municipa l lc cl (t R ~ pr gram . The media actively engaged in metham1 hetarnine awarcne tl publi hed at1icle tl cial fa tor in methamphetamine u, e (Pceble'l, ~006b). Police brought t when n enforcement ("Drug bu . t", 2000) and on 1 Iicing per pcc ti e of ommun ity "'entati n real liCe fielu c ! erience of'the con equences ofmethamph tamine u c. : nCor ement' main premi e \\a quence. hindered other leterrence: an ideology that harsh and wirt ommunit) member from committing the , amc action 1den. 2000). From a p Iicing pcr'>pectivc. the goal f harm reduction wa achieved by: di rupting e tabli hcd market~ and thereb~ reducing rublic disorder, as well as interrupting upply and thereby driving up drug price and incrca ing the time drug u er ha e to ·pend earching lor drugs ... These approache also aim to prompt drug users to refrain from drug usc or enter treatment out of fear of ad er e c n~equences (e .g., arre~t, incarceration) or by making habits difficult to u tain due to rising rrice. (Kerr, Small, & Wood, 2005, p. 211) perspective wa evident through the media accounts or arrests and drug bu ts in Prince )rge from 2003 to 2007. Another method of marketing prevention\ hich the RCMP used to inform the public "" through ommunity policing presentations in Prince ()corge, especially to elementary secondary schools. 'I hrou gh a variety or communit policin g initiatives, the RCMP were a vein informing the Community of'tiH:ir k11owkd 'l: ("l\klh c:unpaign launched". _007). 64 R MP pre ntati n Ill r a in gl a know led ged pre nt d in[! rmati on for "J u t a Kn cia ! fact r (Peeble , 200 b) and ·· approach ( eck, t 998) . orthern 1-fea/th he g al f the rth ern ll ea lth uth rit wa 1n crca in g health within the mmunit with meth amrh etamine in~ nnati n D cu ed on harm redu ti on. Th e hea lth informati n wa deli\ ered. in large part b Pre nti nand orth ern Health Y uth Dru g and trcet pirit (" tree t pirit Thea tre performance at a tim e", 200 8). trect r irit \. a a omrany: lco hol hangin g th e v..o rld one uth th atre co mpany that r erform cd interacti ve forum thea tre. In additi n. pa mphl et and perform ance focu cd on in crca 1n g know I dg and av\ a rene of th co mple, iti c f mcthamph etam ine u c. Drug Dealers Dru g deal r had their goa l too - incrca ed pro fit . T heir prin cipl e strategy to in crease profit was th e nega ti on of preve nti on in form ati on (RP OO I). In many way , methamph etamine marketin g parall eled stra teg ies of bi g tobacco co mrani es. As Lin g and Glantz (2002) dem onstrated. tobacco adverti ement subtl y targ ted yo uth . Whil e not as co mpl ex as tobacco trateg ie . methamph etamine dea ler ugges ted th at co nse quence in anti-adve rti sin g prese ntati ons such as th e " faces of meth"( "Face of meth ")were not th e experience of all methamphetamine users (RPOO 1). Dea lers often gave free sa mpl es to introduce meth amph etamine to new use r in th e hope of in crea ed ales (ll arri on. Eri ckso n. Korf, Brochu , & Benschop, 200 7). 5 Th flow of !J?forming !he Puhli, oboul Methamphetamine ln 2005 the Pr vincial g r ernm nt re ponded l the "methamphelamin panic" with ur e in the form of one-lime eed grant which vvere offered to each community in Briti h lumbia that de eloped a methamphetamine inter ention/preven ti on pr gram . Thi re pon e occurred at the ame time thatth pr vin ial Liberal were dealin g with i sue public lru t relat d to ch I cl urc . h alth cut . a well as the sa le f f Rail (1-.latley, 2005;, "Pr mi r put n de~ n ive", 2005). In their th ory of the ocial con truction of a moral panic, de and n-Yehuda (1994) de cribed an elite model in which '' the elite fabricate a panic o cr a nonexi tent r tri ial threat ... in order to ga in omcthin g fvalue r di crt alt nti n from i ue . that if addre cd. \ 160) . uld threa ten their wn private interests" (p . iven their declinin g popularity, the prov incial Liberal needed to dem on trale care and concern in order to rega in public upport . reati n of a methamphetamine panic nece sitated the mov ement of methamphetamine from a "non-problem" to a "symbolic cri i " ( euman, 1990, p. 167). Media wa e entia! in order to change public percepti on. Community awareness of methamphetamine up to 2005 often made the national and international news, such a the CBC Fifth Estate production, Dark Crystal (Davis 2005). For the gove rnm ent to benefit from the creation of a "methamphetamine crisis" (Peebles, 2006a), the public needed to perceive a direct impact on ommunity. Even th ough methamphetamine was n tan is ue in 2004 for the Northern Hea lth Authority (Jan, 2004), methamphetamine 'v\a deemed to be a Cri S IS. A popular proces which created investment in a" ) mbolic crisis" ( cuman. 1990, p. 167) wa to demon trate a threat to chi ldren and outh. Statistic in Briti sh Columbia 66 (T nkin, 200 ) did n t d m n tratc hi gh rate f methamphetamine u am ng ma1n tream uth. Therefore, to create m ral panic pri or kn ledge of methamphetamine needed t be the po iblc co n eq uence f long term mcthamph etamin u e n the e trap lated t ho indi idual and th con equence ommunit) ( eck, 199 ). rea ti n of a threa t in cr a eel the vi ibility of [methamphetamine u e through med ia im age ( av i , 2005; Kwan , 2 000 ~ eitzeL 2005~ Pecbl e . ~004b. 2005d~ , "Ruin ed li es: the danger of methamph etamine", 200 ) \\hich reinforced pcrcepti n of"da ngero u choice" and " horribl e dru g''(" peakin g not for the II n. hirl e on I", 2006) with "e il ide effec t "( Pceb lc , 2006a) to the public (Beck, 1998). The Prince 2006) "taking eorge public v a now awa re of the "grow in g cri i " (Jan , er the trcct "(Jan. 2005) and that "treatment centres are more relu tant to take on cry tal meth amp hetam ine u er a a result of th eir i lent tendencie '' (Jan, 2005). ccording to um an ( I 990), abu nd ant panic wo rd s throu ghout 2005 represented th e eli co very sta ge of an i sue-attent ion cycle, that moved from non-probl em to problem or ' ymbo lic crisis'' (p. 167). This tage was often acco mpani ed by exc item ent in commu nity to "do so methin g effective" (p. 164) regarding the iss ue. Funding ann ou ncement during the election campaign emphasized the urgency of the crisis and the wi llin gne s of the government to help co mmunity deal w ith methamphetamine. As Ne um an ( 1990) pointed out, public interest at thi s leve l of inv olvement was not susta inab le as the comp lexi ty of the is ue became in creas ingly prominent. In late 2006, perception br ade ned to polydrug u e with complex contributing factors~ thi ultim ately re-establi heel methampheta min e a a nonprobl em w ith no foreseeable o luti on (Neuman, 1990). 67 The Why of b?formin[; the Public about Methamph tamine. Ther Prince a a p cifi c ag nda behind informing the public ab ut methamph tamine in rge relat d to th e Pro in ial g [methamphetamine in Prince ernment . er tc e pro ider eli cl o eel the pre ence e rge t mana ge ment a earl a 2000 , et thi reality wa ign red . Th e fir t medi a acco unt of meth am1 hetamin e in Prin ce Geo rge ccured in 200 (" rack h u e raided ", ~ 00 ). Pani word uch a "dange r", "ev il ", and ''dirt y filth y dru g" that de crib d m th arn phetamin c \\ ere ba ica ll unh ea rd b e ~ rc May 2004 (li e sedenz, 2004 ). There \\ ere three mcd ia acco unt from th e orth ern I [ealth Y uth Dru g and rth ern Hea lth Authority (J an, 2004) and lco h I Pre enti n (Pcebl e , 2004b , 2005d) in 2004 and earl 2005 which eli cu eel meth amphetamin e: h weve r, the inform ati on was presented factual! \ ith onl t\\ O pani c word bet\ een th e cl cum ent . Thu , th e increa ed pani c wo rd in 2005 did not demon trate th e orth ern I Jea lth uth ority' vi ew of meth amJ hetamin e. Th e number of panic\ ord in 2004 more th an tripl ed durin g 200 5: from nine to thit1y one. From Ma y 200 l to May 2005 , the BC Liberals, led by Premi er ord on ampbell, broke man y of the promi ses made durin g th e 200 I prov inci a l electi on ca mp aign. The credibility and publi c tru st in the gove rnm ent sub tanti all y dec lin ed, to th e po int where " th e voters simpl y [do not] beli eve [Ca mpbell]" (Strac han, 2006). With maj or credi bi Iity i ues directly related to educati on and health cuts, as well as th e oppos iti on to the sa le of B Rail, the Premi er needed an iss ue th at impro ved hi s "cruel and uncarin g" im age and restored pub! ic tru st ( trachan , 2006) . Th e issue of provincial publi c tru st related directl y to Prin ce Geo rge, a co mmunity with three Liberal MLA . Eve n th ough there wa co n iderable oppos iti on to the sa le of BC Rail , pariicularl y in north ern B wh ere Ma yo rs and bu in es lea ders spoke out aga inst the 68 al , Prince rge May r f in lc publici did remier ampbell' credibility d up] orted the ale (De iccio , 2005). N t nl y lin e, but the Prin e e rge May r v a al o affected through hi in ol em nt v ith th e pr vin cial Liberal . oode and pr inci al g en-Yehud a ( 1994) eli cu ed in th eir th eory o Cpani c c n tru cti on, the ernm ent needed a cri i ' hi ch demon trated ng in g ca re and once rn o f th e h alth fit c n titu ent . The is ue ultim ate! nee ded edu cati on imp Iicati on whi ch d mon trated c nccrn for outh and chi ldrcn. Th e e effort vvc re to denect attenti on from the ale t 8 Rail , V\ hi ch \va and had to be ac hi eel w ith ut pendin g large am unt methamphetamine. ( ee 111 olved in th e 8 till a hot t pic f'or many in B , mo t noti cea bl y in the north , Cmoney. Th e cho en iss ue wa ppendi 2 fo r a more detail ed acco unt fth c tim elin e and i sues Liberal pani c co n tru cti on). Th ere was a lac k of ev id nee rega rdin g th e preva lence of meth amph etamin e pec i fi e to Prince eo rge both in gove rnm ent doc um ents and prov in cia l resea rch (8 Co roners Service, 200 5; Tonkin , 2005). tatement by re earch parti cip ants indi cated th at whil e meth amphetamine wa a ignifi ca nt pro bl em for ome age ncie , the larger i sue '"a th e lac k of fundin g th at en ured su tain abl e program , treatm ent bed , and other hea lth ervice . Alth ough the Methamph etamin e Enviro nm ental Sca n Summit was hosted in Va nco uve r in November 2002 (Briti sh Co lumbi a Mini stry of Hea lth Services, 2004 ), pr vin ciall y speaking, few changes rega rdin g meth amph etamin e occ urred until aft er th e elect ion in 2005. In October 2005, th e B gove rnm ent created th e Cry tal Meth ec retari at in add iti on to the fund s pr v ided to co mmunity programs (Mini stry of Publi c afety and oli cito r General , 2007). The increa e in pani c wo rd s did not begin until 2004 with mo t occ urring in 2005, the year of th e prov incial electi on. In fac t, th majo rity o rr ani c \VOrd s occ urred afte r 69 th electi n wh en Premier ampbcll wa p nenc1n g a 2006) . he fir t publi in0 rmati n e ion in Prince ffect wa th e 8 lth ugh Prin ol i itor vere lack f pub! ic tru t ( trachan , corge n mcthamph tamin e and its nc ra l' M thamph etamin e Fo rum held on Fcbruar 2, 200 e rge' in clu ion appea red to be clu e t th e innu nee of a loca l ML , publi c tru t and the li be ra l im age ma ha c bee n m rc fa n in ce nti c. l In 200 , v hil c g crnm cnt d irected it methamphctamin m arcne in Prince um11w r_v ub ta nti al rc urce toward in an em rt t inc rca e publi c tru t, the va ri ou . . erv1cc age nc1e e rge were n t tryin g to increase awa rene . E trcme need in service popul ati on echoed throu ghout re ea rch parti cipant inte r iew . From eclu c ti n to hea lth t m1n1mum barri er ervice, re ource , b th hum an and fin ancial\ ere ove rwhe lm ed. Whil e thi s environm ent prov id ed an idea l atm osph ere in whi ch to take co mprehensive ac ti on th at addre ed th e effect of methamph etamin e in th e ommunity, thi s was not th e rea lity. l obe-Armstrong (2005) stated that erv ice age ncies oft en perce ive th emse l cs a unre lated to eac h oth er. Attempts to aclclre me thamph etamin e a part of a pl an of trateg ic acti on could have united most of the segmented reso urces within Prin ce Geo rge; ye t, a in g le issue focu s, methamph etamine, had the oppos ite effect (S inge r et al. , 2006). Yo uth quick ly domin ated co nce rn s abou t meth amph etamine in Prince Geo rge. A yo uth age nda , \ hil e appro priate, shifted attenti on fro m strateg ic pl anning for the ommunity to a whi ch stymi ed di scuss ion about meth amph eta min e affec t on other area uth agenda uch a bu ines (N OMA ), mainstrea m wo rker (Briti h Co lumbi a M ini stt· o r I lea lth ervice , 2004: Klcc. 200 I; Sin ger ct al., 2006), and post eco ndary tudcnt (Ba I in -So mmcr & , ommcr , 2006: 70 uintela et al. 2000). a e (200 I) dem n trate I that the i ibi lity of illicit dru g d e not ne e aril indi ate hi gher dru g u e and dep ndenc . -:ven th ough hi gh ri J ibl thr ugh ut minimum barri er . . r tce age nc1 e . Labonte and Minkl r ( ~ 006 ) tated th at " care w rk r t uth u age is nt ct m [und ermin e ] the e f~ rt upp rt" (p . 7) prog ram th at ar uniqu e t th e fhcalth mmunity' differin g populati on and their n cd . 111111 n c mpl aint \ a ... too mu ch tim e and m ne on talkin g, pl annin g andre archin g loca l nee d ra th er th an d in g s methin g about probl ems th at neighb urho d and min ority rga ni ati on [ftndj imm edi ate and obv iou hey al be li e e th at ... ove rh ead co t wa ll ow re ource th at g ra~s ro ts organi zati on co uld use more effecti ve ! (Lindh o lm , Rya n, Kadu shin , axe, & Brodsky, 2004, p. 269). ome frontlin e servi ce pr vider ex pre s bittern e towa rd th e proce of in clu sive and ys tematic acti on with reso urces that ee m to be ·'wasted" on loca l and prov incial mee tin gs (Singer et al. , 2006) whil e oth er embrace it as an opportunity to rai e y temi c i ues at policy tabl es. The percepti on of addre sin g sy temi c i sues through po li cy deve lopment i that it wastes valu abl e reso urces and opposes frontlin e service prov i ion iss ue . Thi perception creates a co nfro ntati onal enviro nment regardin g methamphetamin e awa renes m Prince Geo rge. Labonte and Minkl er (2006) identify three co mponent for effecti ve co ll abom ti on I) "comm on definiti on of the probl em", 2) ''co mmitm ent to coll aborate", and ) " identi lica ti on of the stakeholders" (p . 93). The three components are initi all y in place: ye t, the hirts in orga ni z ing agency and foc u on a yo uth age nd a tall th e pro posed ac ti on that arose from 71 eli u ion . Fo r e, ample, th e on ly acti n item that inc lude rnm uni ty member will ing to lun t r ffort i in the area f policing ("Regiona l conference n methamp h tam ine: Y uth program" , ~ 00 7 ) . Th ere arc t\v po ible v h w uld normal! communit i planati n r r such an outc me: l) per ons luntee r are alread wo rking in th e yo uth arena , and/or 2) the imp! o cr helm ed w ith need. er helmin g need re onate mo t tron gly with re arch parti cipant . Orga ni za ti on diffi culti e , fundin g limitati on , and appropriate eli bur em ent of findin g fr m th e ~ rum s, re ~ r to th e need for pec ifi c kill s and time to addre ommunity i u in a tim e! mann er. "Gra r ot cntiti e metim c lacked D rma l orga ni zati n or admini trati e capac ity" (Lindh lm , Rya n. Kadu hin , Saxe, & Brod ky, 2004, p. 271) th at are nece ary to rn o c an age nd a forwa rd . Ideall y, unifying th ommunity to address meth amph etamin e i sue wo uld gath er ' creativity, energy, reso urce and in crea e th e impact'' of strateg ic acti on (Lindh o lm, Rya n, Kadu hin , Sa xe, & Brod ky, 2004 , p. 27'2). Howeve r, th e id eal ''contradi cts th e co rnp titi on and egmentati on that are the in stituti onal co ntext" of serv ice prov i ion at all leve l (p. 272 ). Competition refer to '"direct or indirect co ntes t betwee n se ctor or orga ni zati on over reso urces ... in cludin g clients, tafl grants, co ntrac ts, and publi c credit for loca l initi ati ve " (p. 272). Lobbyin g for co mmunity attenti on is anoth er form of co mpetiti on betwee n age nci es. An y interage ncy cooperati on brin gs with it the mand ates of each age ncy with the service provid ers' co mmitm ent to ensure th at their spec ifi c focu or o luti on is at the forefront of any Co mmunity ac tion. Gras root co ntex t , fund er co ntex ts, politi ca l and business co ntex ts also present barri er to co mprehensive effort to ad dress meth amphetam inc use (Libby, 2 00 2~ Saxe, Reber, Jl allfor , Kadu shin , & Jones, 1997). 1\ los t resea rch part icipant state that the main issues cli ents arc fac ing is po lydru g usc and barrier · to hea lth 72 n nce n t methamphetamine. a e et al. ( 1997) a ert that the diffic ul ty " in co rwin rn g gra -r and min rit rgani zati n t participat .. . Psl c nvinc ing them they hav a say in the d Cl ion-m akin g procc " (J . 62). he competiti on i o ern t nly rc ur e but also a " bared i i n" ( a, , Reber, H a ll~ r , Kadu hin , & J ne , 1997, p. 58) . Th e D rum whi ch initiate I in Prin ce b d . Th e eo rge lac ked a formal pr ce mmunit Pl anning 'o un cil <;tarted t inform ommunity member about methamphetamin e whil e th e de eloped a plan for co mprehensive ( Iore y, 200 5b). Thi pr cc r de finin g ommunity acti on tail ed due to fr ag mentati on in vi ion and lac k o f recogniti on of meth amph etamin e affect on ommunit, a a whole. Verti ca l kn ow ledge differed ub tanti all y fr m admini tratio n to frontline crvice pr vid crs; howeve r, thi di sco nn ecti on did not affect mprehen i e pl an that addr eel meth amph etamin e u e. I loriLontal di sconnecti on created a" tru gg le within [the co mmunityl ove r whi ch trateg ies we re emp loyed and who should co ntro l them" ( axe, Reber, Hallfor , Kadu shin & Jone , 1997, p. 362). Although coll aborati on betv. ee n age ncie i ac hi eva bl e (Lindholm , Rya n, Kadushin , Saxe & Brod ky, 2004), cooperati on require a clear definiti on of th e i ue, uch a th e preventi on of methamphetamine use, as we ll a th e ro le of eac h co ntributin g age ncy and service provid er, and the co nnec ti on of th at iss ue to va ri ous segments o f th e co mmunity. 7 L lnG rming the public in Prine t u and olution can reate barri er welln e . Mand at for er i pro a difficult ta k. ompr hen ive m n and iffering per p cti ve ment t ward er helming need ithin th e n mmunity ommunity en ure th at pro idin g in~ rm ati n t th e 1 ubli c i large ly "o n th e id e of th e de k." In additi n, mmunit apac ity to addre probl em dimini h ith ut , trategic pl annin g to mo e ~ nv ard in a co mprehen -ive manner ( aye r, 2002). ll ori zo ntal eli c nn ec ti on '' ithin ' mmunit indi ca te th at mos t res pon e to meth amphetamine, rcga rdl e of th e age ncy in vo lved, are rega rd ed with cyni c ism and u pic ion f a hidd en age nda. Fragmentati on pr vic! an adva ntage for ex tern al agend as as \ ith politi cal lobb in g. ln clu i e know ledge harin g ca n be an ea rl y wa rnin g of a new dru g tr nd as we ll a oth er i sue th at acco mpany m th amph etamin e uch a th e vio lence and mental hea lth effects. Hall and Broderick ( 199 1) reco mm end th at co mmuniti es create trateg ie for monitorin g such as loca l drug epid emi ology netwo rk . The network w ith '·represe ntati ve fro m health , crimin al ju ti ce, and other co mmunity age ncies affec ted by dru g abu se" (p. 11 3) trackin g local data may reveal "e mergin g dru g pro bl em[ ] .... much soo ner than it wo uld be detected from national data or urveys" (p. 11 3). Thu s, Prince Geo rge co uld reap the ben fit of interage ncy coo perati on rath er th an traditi onal ind ependent ac ti on. "Network of addicti on treatm ent programs and health department may anti cipate and all ocate th erapy re ources at th e onset of a [dru g] outbreak'' (p . 11 8). " Loca l strateg ic ma y more rapi dl y id entil'y, pre ent, interv ene in , and stop ex pansion of the pro bl em'' (p. 119) . 74 Diffi ultie ith r le rec gnition dem n trate that I al trategie req u1re awarene f the di er e I ill et t ad an e the ommunity re pon pro ider ne d to be m are f th e d i rrering ki II a I ng term p li change (Hall & t at va ri u tage gencie and f pr es uch r derick, 1991) and hort t rm frontlin e action ( tim on, Fitch, Ball, & Rh de . 1999). dditionall th rcle ancc r pecific acti on , uch a forum , addr (Mayer, 2002). cr icc pro ider require kn wlcdg r nrcre nce , and provincial meetin gs in in g meth amphetamine u e. Recognition of th e ab iliti e and kill w ithin th e mmunity ' uld al o a ll ow partner hip '"'hich de rca e barrier and incrca e ca pac ity (Mayer, 200_), rath er th an the current com r etit ion of th e mo t needy age ncy r pr gram (Kretzmann & McKnight, 2007). Broader. cr ati c partner hip , such a bu in e s owner ment rin g y uth , could enc ou rage coh i e c mmunity, and knowledge haring. There is little recogniti on of the capac ity or ommun ity re ourccs such a pe pie, age ncie , in tituti ons, and bu ines e . lmpot1ing expert fro m the urban outh i problematic. The northern experience is unique with difficulti e that are related to both geograph y and resources as we lL and th e capacity for creative re ponse . outhern re pon es to methamph etam in e are not contextua li zed to the northern reality; for exampl e, th e longe r and co ld er winter conditi on for street involved persons inevitably create different co nditi on . Conver ely, the northern reality also in clud es the ab ility to impl eme nt uniqu e program s uch as trcet Spi rits and Meth Busters, "a loca l publicity package so people [co uld] learn abo ut meth " ("Me th campaign launched" 2007) . Recogniti on or successes and le so ns lea rn ed by variou age ncies a ' ith Fighting Buck (Ha ll fors, Cho, & Kadu hin , 2001; Lindholm, Rya n, Kadushin, a ' t\ & Brod ky, 2004) increase feeling of empowe rm ent to addrcs dirticult i sues (Bent, 2003; 75 aulkin Lar on, Rich, 199 ). H we er, the maj r difficult in Prince thr ugh the agenda fin~ rmin g the public and th the Ia k of a hared i ion. Without c rge a di connection within the i ion th at i embraced by the entire een ommunity is ommun ity, not ju t egmcntcd p pulati n an initi ati c t create am re re ponstve y lem ultimately fail. Recommendal ions Fir t, th e reation of an cpid emi olog i al netvv ork w uld be neces ary to monitor and inv e ti gate ub tancc u e in Prin c eo rgc. Idea ll y, thi entity v ould be di tin ct from th e municipal go ernm cnt , le tit bee me a hea lth and wc lln e de elopm ent rath er th an buildin g co mmunity capac ity. member from loca l g co mmittee guid ed by eco n mJ c a q arate body, acceptin g ernm ent and er icc age ncies a we ll as ' ommunity members hould minimize perc epti on f bi a or hidd en age nd a , lnclu i e kn ow ledge haring in th e epid emi olog ica l netv. ork wo uld act a an earl y warnin g of dru g trend as we ll a oth er trend related to changes in loca l dru g use such as incr a in g need in hea lth ca re, poli cin g, and minimum ban·ier se rvice prov i ion. Thi s netwo rk would also decrea e th e tim e lag betwee n awarenes and interventi on whil e prov idin g an inclu ive pi cture of the impac t of a dru g and th e path th ro ugh Co mmunity se rvice and age nci es. For exampl e, RCMP co uld be th e fir t to notice a ch ange in dru g trend s and th en health se rvices or thi s co uld occ ur in rev rse. Kn ow ledge of trends in oth er co mmuniti es. such a the Lower Mainl and , wo uld all ow th e netwo rk to inform th e publi c of po ibl e impacts to se rvi ce pro vi ion and hea lth outco mes whil e retaining the north ern co ntext. Second , th ere wo uld need to be recogniti on of th e benefits o r stra teg ic pl annin g to addre s substance usc in a co mprehensive mann er. No t onl y wo uld plann ing be ncccssa r for increasin g th e capac ity of Prin ce eo rge to address the chall enges of ubs tancc usc, hut thi , 76 wi ll al d mon tratc an ackn wlcd gmcnt ftbe re urce and kil l that different group bring t ne initiati e . W rk hop t inform crvi e pro ider and the ki II necc ar at ari u ha rt t rm and tag ommunily member of of a trateg ic procc , uch a fronll in e action in the tcmi po li cy chan g in the I ng term, c uld in rea e appreciation for the pr ce . It \J.. Ould be e entia! for th e ornrnunit to recognize th at each a ti n relatin g t ub tan u e, v., hcthc r it initi ate within hea lth are. p !i cin g and/or outh , ca n affect the mmunit a a \vh le. There fore, th e '" ho le 'o mmunily hould re pond to sub lanc e use trend that af~ t hea lth in a trategic manner. hi rd . th e apac it) of th e ommunity hould be en ouragcd, demonstrated, and initiated a a mo em cnl. Re ogniti on fth e abiliti e and kill s ' ithin Prin ce all o partner hip vv hi ch co uld dec rea e ba rrier and in crease capac ity. creati e partn er hip uch a partnerin g yo uth with se ni or or bu in c eo rge will roader and m rc owners a mentor could encourage a co he ive Community and know ledge sharin g as well a in creas in g empathy and co mpa ion fo r di ffe rent kill and abiliti es. Finall y. we mu st recogni ze and utili ze th e pl eth ora of local ex perti se throughout Prince Geo rge. Deve lopin g a ros ter of prese nte rs and th eir pecifi c area of ex peri isc w iII allow an interventi on or di sc u sia n, such as workin g w ith violent cli ent or recognr z rn g specific mental hea lth iss ues, to be co ngru ent to the audi ence. Thi will al o all ow th e service provid er, agency or co mmunity member, th e opportunity to hi ghli ght their abiliti , challenge , and spec iali zed kn ow ledge to oth ers in th e co mmunity leadin g to dec reas in g di sconn ecti on betwee n gro up and thu s reso urces for all popul ati on . 77 78 bel n, J. (2001) . n ler tandin g the ro le fc ontc tual influence on local h alth-eare dcci i n makin g: ca tud re ult from ntari o, anada. Social Science and fedicine. 53, 777-79 . I i , F. J. ( 1998 ). Rece nt finding from the ntari , tud ent Dru g dlaf, ~ . M., ur ey. 'anadiun fedical Associatio n Journal. 159(5), 45 1-454 . se rm an, I . 1. ( 1996). ommunit -ba ·cd appr ache for th e guirrc-M Iin a, ., pre enti on f a lco h I. t bacco. and oth er dru g u c. A nnual Revie lt' of Public !Jealth, ] "'~, 7-3 8. li , R., ai g nt, M., 1ar den, J .. onti cro, M., ri urapanont , M., un ga, /\ ., et a l. (2007) . WJIO M ulti-, ire Project on A/ethamphetamine-induced 1\ychosis: A descrtjJtive report offindingsfrom fHtrticipaltng countries. Park id e, outh Au tra li a: Dru g & I h I cr icc outh u tra lia. It hu 1er, . J. (2005). Dru g- nd ange rcd hi ldren Nee d a 'o Ilab rati vc Re pon e. 'hild TVel(are, 8-1(2) . 17 1- 190. ommun ity An glin , M. D., Burke, ., Perroc het, B.. tamper, ., & Wud- our i, . (2000). I li story o f th e methamph etamin e pro bl em. Jo urnal (~f P.\ychoactive Drugs, 32(2), 137-141 . Anti-m eth fund seek ing appli cati ons. (2005, ove mber 29). Prince George Citizen. p. 5. u tin , A . A . (20 04 ). A lco ho l. tobacco, oth er dru g u e. and vio lent behav io ur among nati ve Hawa ii an : Ethni c prid e and res ili ence. S ubstance Use and J\ /is use, 39(5), 72 1-746. B.C. cut health erv ic s mos t oth er don't cover. (200 I, December 8). Prin ce Ge(Jrf.Se Citizen. p. 5. B . . leg islature co uld s it by umm er, Ca mpbell ays. (2 001 , May 18). Prin ce Ge01xe Citizen, p. 6. Baic y, K., & Lond on, E. D. (2 007) . Co rti co limbi c dy regul ati on and chro ni c methamphetamine abu se. Addiction, 102(s l) , 5-1 5. Bas kin- So mm ers, A., & So mm ers, I. (2 00 6). Th e co-occurrence o f ub tance use and hi ghri k behavi or . Journal (~f Adolescent Health. 38(5) 609-6 11 . B oroners Service. (2 00 5). Deaths \1'ifh metlwmphetamine present: 2000-~00-1. Burn aby, BC : Mini stry o f Publi c Sa rety and So li citor General Burnaby, Po li cin g and ommunity Sa fety Branch. B oroners Se rvi ce 1\nnual Report 2006 . Retri eved Jul 30, 2008, from htt ://www. )SSg.gov.bc.ca/coro ncrs/ ub iica tions/docs/annua Ire orL006. xl r 79 B Rai l ad catc til l fi ghtin g. (2005, Januar 2 ). Prince George Free Press, p. . B Rail m etin g draw packed hou e. (2 005, pri l 17) . Prin ce George Free Press, p. 5. Be k, J. ~ . ( 1 998 ). 1 0 0 ear f "ju t a no"ve r u "jut a kn w": Ree valuating dru g edu cati n goa l for th e c ming ce ntur . Evaluation Re1ie\1', 22 1), 15-45. eeker, ucnthcr-G re , ., & Raj, . ( 199 8). ommunity emp we rm cnl paradi gm drift and the prim m preve nti n f HI I ID . So ·ial Science and 11-Iedicine, ../6(7) , 83 18 2. Bent, K. . (200 ). 'The pc pi c know '' hat th l: ant ": n empowe rm ent proce of u tain abl e, cc I gica l co mmunit hea lth . A d l'(m ces in urs ing .)'cience, 26( ), 2 15226. ervic\ f med ica l t ico log and potenti al for e p urcs to Bergu , J. . ( 1997). cland estin e dru g labo ratori e in aliforni a. TVos hington Public llealth, 15. Betwee n th e rac k : I Iomele yo uth in Va ne uve r. (20 02). Retri eved Jul y 30, 2008 , fr m htt p: //,, ' '". ihpr. ubc.ca/mcd ia/McCn.:ar) 2002.pd f Blackwe ll , A. G., & olm enar, R. (2000). ommunity-buildin g: fro m loca l w i dom to publi c po licy. Public Health Rep ort. 11 5(2 -3), 16 1- 166. Brecht, M . L. , nglin , M. D .. & Dylan, M. (2005). Coerced trea tm ent fo r meth amph etamin e abuse: di ffe renti al pati ent charac teri sti c and outco me . A m.! Drug A /coho / Ab use, 31(2), 337-356. Brecht, M. L., & vo n May rh auser, C. (2002). Differences between Ecsta y-u ing and nonusing meth amphetamine u ers. Journal (~fP.~ycho uctive Drugs, 3../(2), 2 15-223. British Co lumbi a Mini stry of Il ealth ervices. (2004). Crystal rneth and other amp hetam ines: A n integrated BC strategy. Vi ctori a, BC: Mini ter of ' tate for Menta l Hea lth and Addi cti on Services. Bro uwe r, K. C., Case, P., Ramos, R., Mag i -Rodri guez, C., Buca rd o, J., Patte r on, T. L., et al. (2 006). Trend s in production, traftic kin g, and co nsumpti on of meth amphetamine and coca ine in Mex ico. S ubstan ce Use & Aiis use -11 (5 ), 707-727. Burton, B. T. ( 1991 ). I Ieavy metal and orga ni c co ntaminants as oc iatcd wi th ill ici t meth amph etamin e produ cti on. In 1\ Iethamphetamine ab use: Epidemiologic issues and implications (p p. 47-5 9). Bethesda, MD : Na ti onal In stitute on Dru g Ab u e. ae ll i, K. (2000). Th e changing face of ph enomenolog ica l resen rch: Trad itiona l and America n ph enomeno logy in nursing. Qualita/h •e llealth Research, 10(3), 366-377. Ca llag han, Bmnd , Tay lor, & LentL. (20 07) . Th e clini ca l charac teristi c, or ad ole_cents reportin g meth amphetamine as their prim ary dru g of cho ice : 1\n C;'\Hlll ination of)outh 80 admitted to inpatient ub tance-abu e tr atment inn rthern Briti h anada, 2001-200 5. Journal of Adolescent lfealth, ..fO( ), 286-289 . lumbia , all aghan , R., a I r, L. Vi t r, J. Lentz, T. (2 007) . ca e-matched compari son of readmi ion pattern b t ee n prim ar meth amphetamine-u in g and primary cocain eu in g ad le cent engaged in inpati ent ub tance-abu e treatment. Addictive Behavior, 32( 12), 3 10 1- I 06 . allaghan, R., ictor, ., at uba, K ., annin g. R., Tayl r, L. , & Lentz, T. (2007) . Trend in m th amph etamin e u e in north ern 8 , 200 1-2005. BC lvfedicul.!ournal, -1 9(7) , 82- 86. ampbelltumbl e in app ro a! ratin g: C\ 1 II . hovvs half th e vo ters still uppo1i premi er's effort to cut c l . (200 I , Dece mber 19 ). Prince GeorRe 'ifi::en, p. 6. andid ate tang!' on eco nom , tru t. (2005, May 16). Prince GeorRe Citizen, p. I . aulkin , J. P., Lar on, R . ., & Ri ch, T. F. ( 1993). Geograph y' impac t on th e ucccss of foc u ed loca l dru g enforce ment ope rati n '. 5'ocioeconomic Planning Science, 2 7( I), 11 9-1 30. enter for Di sease ontrol and Pre enli on. (20 00 ). Publi c hea lth con equ ence am ng fir t re pond ers to emergency events a oc iated w ith illi cit meth amph etamin e laboratori e -- elec ted tate 1996 -- 1999. Aforh idity and Afortality Wee kly Rep ort, -19( 45 ), I 02 11024 . Chang. L., Ali cata , D ., Ern t, T., & Volkow, . (20 07 ). tru ctural and metaboli c brain changes in the tri atum a soc iated with meth amph etamin e abu se. Add iction, I 02( 1), 16-32. Chin o, M ., & Debru yn, L. (2006) . Buil din g true ca pac ity: indi ge nou model fo r indi ge nou co mmuniti es. A merican Journal of P ublic ffea/th, 96( 4 ), 596-599. Clark, S. (1 962). The developing Canadian community. To ronto, Ont.: Uni ve rsity of Toro nto Press. Co llin s, C. L. , Kerr, T., Kuyper, L. M., Li, K., Tyndall , M. W., Marsh, D. C., et al. (2005) . Potenti al uptake and correlate of wiII in gnes to use a supervi sed mokin g fac iIity fo r non inj ecti on illi cit dru g use. Journal qf Urhan !Iealth: Bulletin c?l the CH' York Academy (~f Me dicine, 82(2), 276-284. oulik, M. (2005). rys talm eth reac ti ons. Prin ce Geo rge, 8 : PG TV News Centra l. ovey, II. C. (2 006). Th e methamphetam ine crisis strategies to save addicts. families. and communi! ies. Westport, onn : Pracgc r Pub Iishcrs. 81 unningham , . ( 1998). Practical per pective : fn vo l in g ma media repre ntati e in communit c aliti n . American Journal of Ilealth tudies, l.f( I), 42-47. ra k h u re raided. (~00 , Ma I). Prine } George 'i fizen, p. 5. II , J. W. (200 ). Research de.'ign : QualitiPe, quanfifatil'e, and mixed methods· approche.s·. Thou and Oak , : age Publication , Inc. retzmcycr, M., , atTaLin, . V., I Iu ber, D. L., Block, R. 1. , & I !all, J. !\. (200 ). Treatment of methamphetamine abu e: Rc carc h finding and clini ca l dire tions. Journal (~f , ubstance A hu.P Treatment , 2../(3 ), 267-277 . r talmeth ... it' in our community: be aware! (2007 , Press. p. I 7. Da ovember 30). Prince George Free , I I. (2005). Dark cr ·tal. On Fifth Estate [Videorecording]: 8 De icci o, '. (2005, ovember I). Many vote wo n't forget Jack of opp Rail ale. Prince George Cit i::en, p. 4. Ed ucational ale . iti n towards B. ' . egenhardt , L., R xburg h, A., & McKetin, R. (2007). Hospital epa rati on for ca nn abi -and methamp hetamine-re lated p ychotic episode in Austra li a. The Medical Journal qf Australia, 186(7), 342-345. DeW it, D. J ., Offord, D. R., & Wong, M. ( 1997). Patterns of onset and ces at ion of drug use ove r the ear ly part of the life course. Health Educa tion & Behaviour, 2../(6), 746-758 . Don't overdramatize meth crisi , health officer warn . (2004, November 16). Prince George Citizen, p. 5. Dru g bu t. (2000, May 3 1). Prince George Citizen, p. 5. Dru g Enforcement Admi ni stration. (2003 ). Methamphetamine: Preventing the retai I diversion of pseudoephedrine. Washington, DC: U.S. Department of Ju tice . Eisenh ardt, K. M. (2002). Building theories from ca e tudy research. In A.M . Huberman & M. B. Miles (Eds.), The qual it at i1•e researcher's companion (pp. 5-36) . Thousand Oaks, CA : age Publication , In c. _. mon on, D. L., & Vanderbeck, R. D. ( 1995). The use of amp hetamine in U. . tactical operations during Desert h ield and Storm. A vi of ion. ,)jwc:e ond Environmental Aiedicine, 66(3 ), 260-26 . Faces of meth L{j'e or meth: Be CJystal clear Retrieved June 15, 2008, rrom http ://www.l ifconncth . com /#/l~lcc s ofmeth /4 5 14974 755 ir Force 82 ., Bu to n, J. . Li, K., M ntaner, J. ., & Wood, ""' . (20 07). lncrea in g iatcd harm of cry talmethamphetam inc inj ction in a anadia n ett ing. Drug and A lcohol Dep endence, 88(2- ), 1 - 16. Fa irbairn, . K rr u and a rgu n, T. J. (2000) . (J\ ·erviell' of m >(/icaltox icology ond potentia/ for expos ures to eland slin ~ drug laboratories in 'al~fornia . Davi , alif. : a vi Reg io nal Po ison ntrol ent r. Flore , L. (2005a) . Letter f appr ciati on. Prin ce ' eo rge, 8 : ommunity Plannin g Fl rc , L. (200 5b) . eth amph ctaminc forumommunit Plannin g ouncil. unci !. ge ncy invitati n. Prince George, B F ter-Fi hman, P. ., FitLge rald, K., Brandel! " ell , B., havi , D. & Van ge ren, L. . (2 00 ). M bi Ii7in g re id ent r r ac ti on: the ro le of small win and tratcgic upp rt . A merican Jo urnal (~f ( 'ommunity Psycholoxy, 38(3-4 ), 143-1 52 . ra \ ley, P. J., & , mith , J. W. ( 1992). ne- ca r foll ow-up aft er multim odal inpati ent treatm ent for c ca ine and meth amph etamin e dep nd encie . Journal q[Sub stance A bus Treatment. 9( 4 ), 27 1-286. ambrell , J. (2 007). ew threa t: Fruit-n avo red meth . The , eottle Times . Gibso n, D. R. , Lea mon, M. H ., & Flynn , . (2 00 2). Epidemi o logy and pub lic hea lth co n equences of methamphetamin e u e in Ca li~ rni a' entral Vall ey. Journal qf P. ychoactive Drugs. 3-1(3) , 3 13-3 19 . Goetz, B., & Mitch ell , R. (200 3). ommunity-buildin g and reintegrati ve approach e to community pol icin g: Th e case o f dru g co ntro l. Social Justice. 30. Go ldbl att, A. (2 004). A co mmunity stakeholder view ofcrystal meth in Edm onton: Trencl.\·, s trategies, challenge · and needs . Edm onton, Alta: oc ial Deve lopm ent Workin g Group of th e Safer Citi e Ad viso ry Co mmittee. Goode, E., & Ben- Yehud a, N. ( 1994 ). Moral pani cs: Culture, politi c , and oc ial constructi on. A nnual Review of Sociology, 20, 149- 17 1. Gov't loo ks to slas h hea lth cost . (200 I, Oct ber 25) . Prince George Cit i~en, p. 5. Gree n, I. A., & ll alkiti s, P. (200 6). Crystal methamph etamine and sex ua l oc iality in an urban gay subculture: An electi ve affinity. Culture. !Jealth and .'l'exuality. 8, 17-3 3. ue t, ., Bunce, A., & John so n, L. (2006). I low man y intcrvie'A s are enough?: n experim ent with data saturati on and va ri abilit . Field !v!ethod\·, 18( 1), 59-8 _. Hall , J. N ., & Brod eri ck, P. M. ( 199 1). Co mmun ity netwo rk s fo r rest onsc to abu se outbreak o f methamph etamine and its analogs. Nil A Research 1\fonograph. I 1 -, I 09- 120 . 8 Hall~ r , h II. , & Kadu hin , . (200 I). Fightin g back again t ub lance abu e: Are mmunil oa liti on \ innin g. rlmerican Journal of Preventive 1edicine, 23(4) ~ 7-245. ll arri ., ri k on, P. ., l rf, . J., r hu , . & Ben chop, A. (2007). H w much ~ r a dime bag? n . ploration of youth drug marke t . Drug and Alco hol D )pendence, 90( I ), .. 27- 9. Harr w, J. (_007). Cl)'5ilal met h. I lat le , T. (2005, Ma Citi:::en. eVv York: R en entral. 17). ' ampaign promi e of2000 lay unrulfill ed. Prince Cieorge Health service redesixn plan (Business Plan) : 2005-06 to ~0(J7-08. (2005). Retr ieved May I. 008. fr m http ://\\\\ \v .northern he a I th .cal bou t/ Financ ia I /\ccou ntab iIi ty/documents/ I 3 07Bu ine sPian2005-06to2007 -081· 1 L.pd f. He edenz, . (2004, Ma 15). rystalmeth epidemic am ng teen . Prin ce Cieorxe Citizen, p. 4. Hoekstra, . (2004, March 25) . ll alt B. . Rail ale, northern leader ay. Prince CJeorxe 'iti:::en , p. I . Hoek tra, . (2005, pril 28). Broken promises, vi ion highlight political forum . Prince George Citi:::en, p. 1. Hummel, J. M. ( 1996). Starting and runninx a nonprqfit organization. M inneapoli Univer ity of Minneapolis. Hunt D., Kuck, S., & Truitt, L. (2006). /l.!ethamphetamine Use : Lessons Learned, final report to the ationalfnslitute oflustice (No. CJ 209730). United States: /\BT Associates Jn c. Israe l, B. A., Checkoway, B., chu lz, A., & Zimmerman, M. ( 1994). I lealth education and community empowerment: conceptualizing and mea uring perceptions of individual, organizational, and community control. flea II h Education Quarterly, 21 (2 ), 149-1 70. Jan , C. (2004). rystal rneth. Prince George Prince George TV Jan , . (2005). rystal meth laws. Prince Jan , . (2006). Meth ~ rum: Night. Prince ew Central. eorge, B : PGTV New cntral. eorge, B : P TV New. Central. J nkin s, P. ( 1994). "The ice age" the social con truction of a drug panic. Justice Quarterh ·. 11 , 7-31. 84 Jen en, _. . L. & erber, J. ( 199 ). tate effort t co n tru ct a oc ial prob lem: The 1986 war n drug in anacla . 'anadian Jo urnal ofSociolOf!;)', 1 (4) , 45 3-462. J be- rm tr ng, M . (200 5). A co mmunity g uide: fral egie. and in! rventionsfor dealing l1'ifh crystal m ethamphetam ine and other em ' rg ing dru[< /rends. V ictoria, B : Methamphetamin e a k roup of the I-- ra er ll ea lth Addi ti ons er ice Pl annin g leering mmittee. Katz n lein , ., & iebe l, . (-0 04). flea/thy youth del'elopmen/ J orthern Interior re[ ,.._ il) 0 0 N w..:l +-' c il) Je V'J -Ue r E E 880-PO +das-1nr un r -pd \f ~ il) > 880-PO ldas-1nr G j---;80-PO +des-In r -z >< Je V'J -Ue r Q 880-PO ldas-ln r w..:l a... 0.... [unr-!Jd\f Jelf'J-uer ~ u c > 0 l-, 0.... 0 0 N c ..q0 0 N C'0 0 0 N ~ spJOM 3!Ued JO Jaq WnN 0 c il) (.) (.) u 0 Q) 0 a... ro Q.) >- c '':J u u 0 '- Q) ....... '- ro Cl _..,., N 0 0 N '- ro Q) >- >- ....0 880-PO -o -~ '--o 0 Q) Vl ~ 0 0 N 880-PO +das-1nr un r-!Jd\f Jeii'J-uer 3:2 u c ro a... Jelf'J-uer ~ a... c u Je V'J -Ue r +das-1nr unr-!Jd \f 0 r::: Q.) ::J -- ___,.. Q.) (.) . :J --, :J +das-1nr l.{) c ....... u -- 0 N 3 0 880-PO i ...c ....... l.{) - N ro N Jelf'J-uer \.0 l.{) 0 ~elf'J-uer ~ 0 C'0 0 <.0 0 0 0 '- 0 il) 4-Q 0 Q) 0 0 0 N c Q) u c :.J .i: Q) a... E .:: ·- -o t- il) "T l.{) il) bJ) Q) '- t 0 0.. il) ?1) CY: V1 u.... ro 108 I. . . iberal win the pro incial el ction with 76 of 79 eat . ampat gn prom 1 e included : n cut t health are, not to ell r privatize 8 frozen (" Rail , and to I eep tuition . leg i lature ould it b summer, ampbell say ", 200 I; Hatl ey, 2005). In "a n Oct 19 bull etin to hea lth mini str e. ec utivc admini strati n by rd er[ed] the cuttin g of 5 mill i n ove r th e ne ' t three year ". The pr vincial go vernm e nt fr ze hea lth and edu csti n fundin g over the next three yea r ("Gov't ok to Is h hes lth c t ", 200 I). a. Th e pr in cis l go crnm ent make cuts to uppl cmentary medi cal pl an benefits, dru g eli gibility, and Medi ca re premium a istanee (" B.C. cut hea lth ervicc mo t other don't cove r", 200 I). b. An Ipso -R eid poll show Premi er Gord on Ca mpb II' approval ratin g i down from 70 to 5 1 per ce nt in three month ; whil e hi go vemm ent' approva l rating fa ll s from 71 to 49 perce nt ("Campbell tumbl es in approva l ratin g: ew poll shows half the voter ti II sup po rt premi er's efforts to cut costs", 200 l ). 3. January 1, 2002, the Me di ca l Se rvice Pl an cutb ac ks tart. The gove rnm ent dec lares th at it w ill onl y fund 'acce s to medi ca ll y nece sa ry' heal thcare (" ampbell tumbl es in approva l ratin g: New poll how haiCth e \ Otc rs stil l support premi er's efforts to cut cost ", 200 I) . 4. ln a survey o f I 500 Ca nadi an by Leger Marketin g, " BC shO\\Cd up ' ' ith the lowest leve l o f sati sfac ti on fwith th e edu ca tio nal Sys tem! of n!J prO\ inccs" ("Poll bl as ts gov't for edu ca ti on cuts", .... 003). 109 Th lead r f the Prin ce O \\ ew Dcm e rgc that ca ll rati Part ree i c a 25,5 80-nam petition in n the pro incial go ernmc nt to keep B Rai l publicly ned ( iel en, 200 ). a. !'he petition with " more than 2,000 ignature opp ed to the pri ati;ati n r Briti h olumbian r 13 . ". Rail ervice [i s] pre ented in th e lcgi lature" (Rud , ~00 ). b. rter e\e n 2002,200 ho I clo ure. helps to meet a 9.6-million hortfall in tart vvit h a projection ora furth er 9.9-milli n hortfall in th e _00 -04 budget C' trick land, 200 ) . 6. In an open letter to Premier 10rd n 'ampbe ll . "some nm1 hern C ity cou nci l! rs, ma or , and businc have igned up with labour to ca ll on th e 8 government to halt the ale of B Rail (I loek tra, 2004). 7. B Medical/\ ociatio n post graph on a web ite th at h \ time aero the province for variou urgene 111 rca e in wa it duet cut to Medicare ( ic l en, 2004). 8. Opinion poll hO\ that "over 75 per cent" or the Prince JCOrge population arc aga in t the ale orB Rail ("BC Rai l advocate still fighting", 2005) . 9. At aBC Rail meeting people expres~cd the opinion that ··cordon ampbell and the 8 ' Liberals shou ld be voted out or office in th e upcoming election f'or breaking hi s promise not to ell B Rail"\ hile one per. on challenge. the Prince George Mnyor to defend the sa le ("BC Rnilmeeting dra\\"' packed hou se". 2005) . liO a. Former Liberal , Paul pending are a ru ettlet n tat and that "Premier that r c nt increase in government rdon am pbell can't be tru ted"(Hock tra , 2005). b. I ue brou ght up the day before th e electi on in clud es' the ale of B. . Rail [which] dem n trate c mplete betraya l ftru st and lacko fintegrity on th e part of [ ord on ampbe llj' Liberal s ... " Other brok n promi e includ e clo ure or cutbac l 7 1 ho pita! and emergency roo m , wage cut for ho pita! worker , eliminate 2,500 pos t- eco nd ary l ac hers and other taff, double college and univer ity tuiti n fee , increase cia . . I ZC In e ery grad e, and cuts training and appre nti ce hip program (" and id ates tan gle on econo my, tru t", 20 05). c. In the May 17, 2005 electi n, the Liberal governm ent major ity hrink from 79 to 46 seats. 10. Prince George Mayor welcomes the prov in cial gove rnment announcement of 7 milli on dollar to help 'battle the grow in g problem with crysta l methamph etamine'' (Nielsen, 2005). II . A letter to th e Ed itor describe the Prince George Ma yo r as being out of touch with regular folks. With busine , many notihern BC city council and tvvo separate Prince George poll show in g the public i op posed to the sale of B. Rail , '' Mr. Kins ley did everythin g he cou ld to up1 ort \\h at his community did n t, and that is betraya l'' (DeCiccio, 2005). lll a. ML hirl ey 8 nd ann unc s a pr vincia l governm ent plan to introd uce, Meth rVatch, a program to monitor " bu ll ales of cold medicatio n that can be u ed to make cry tal m th ' (Peeble , 2005b) . b. The pr incial governm ent relea e 2 mi llion dollar t uppoti co mmunit -ba cd pr grammin g to fi ght " th e use of crysta l methamph etamin e" ("A nti -meth fund eekin g appli cati on ", 2005). 12. Fe b 2, 2006, oli citor cneral' Meth amph etamin e forum held in PG . Whil e MLA hirl ey Bond ann ounce choo l initi ati ve to edu cate students about meth , there are no in crea e in fundin g fo r trea tm ent bed . a. On e repotier note that in September 2005," ampbcll was characterized as cru el and un carin g" however by March 2006 th ere was a perce pti on that Campbell had mell owed in hi leader hip tyle ( trachan, 2006).