Project Weber/RENEW

Project Weber/RENEW is a peer-led harm reduction and recovery support center in Providence, Rhode Island.

Opioid overdoses are a leading cause of accidental death in Rhode Island. Project Weber/RENEW is one of the largest distributors of Narcan in the state.[1][2][3]

Origins

Creation of Project RENEW

In 2006, Colleen Daley Ndoye started Project Revitalizing & Engaging Neighborhoods by Empowering Women (RENEW), which offered supportive services to women who engage in sex work in Pawtucket and Central Falls. Project RENEW's original mission was advocating for alternatives to arrest, encouraging law enforcement to connect people who engaged in drug use and/or street-based sex work to RENEW's services. Cheryl "Whoopi" Robinson was the first peer outreach specialist Project RENEW hired. Robinson was paid through a grant. After two years of RENEW's existence, prostitution arrests in both Pawtucket and Central Falls had dropped 90% due to RENEW's work.[4][5]

Creation of Project Weber

Rich Holcomb and James Waterman displaying the Project Weber poster at the 2010 HIV Prevention Summit in Washington DC.

In 2008, Project Weber was founded by Rich Holcomb and James Waterman, in Providence, as the first supportive services in America to exclusively serve men who engage in sex work. The project was named in honor of Roy Weber, a 19-year-old sex worker who was found murdered on Allens Avenue in Providence on Christmas Day in 2003. To learn how to open a drop-in center for men who engage in sex work, Holcomb and Waterman visited Project Rezo in Montreal, Canada, and Project Sance in Prague, Czech Republic. Project Weber opened its first drop-in center in 2013. After two years of running the drop-in center and nearly seven years of complete abstinence from drugs and alcohol, Holcomb relapsed and resigned as director of Project Weber. The merger into Project Weber/RENEW occurred, in part, to sustain the work of Project Weber, after Holcomb's departure as director. Holcomb continues to be involved in the organization.[6][7][8][9][3]

Merger into Project Weber/RENEW

In 2016, Project Weber and Project RENEW merged to become Project Weber/RENEW, and created a program to support transgender, gender non-conforming, and non-binary communities. PW/R is funded by the Rhode Island Department of Health. Weber/RENEW's interventions include education, distribution of harm reduction supplies, peer-led street outreach, addressing basic needs, HIV prevention testing, support groups, and case management.[4][10][11]

Locations

Outreach

In December 2017, Joseph "Joey" Cintron, a beloved client of Weber/RENEW, died of a fentanyl overdose at age 24. In July 2018, Cintron's sister, Erica Tierney, donated her Honda Odyssey van to the organization out of gratitude for their support of Cintron. The van is used as a mobile office for outreach workers to serve clients in Providence, Central Falls, and Pawtucket.[3][12]

In 2021, Weber/RENEW began doing outreach and distributing harm reduction supplies in Kennedy Plaza from 10 am to 2 pm on weekdays. The organization also successfully pushed RIPTA to reopen their Kennedy Plaza bathrooms.[13][14]

Drop-in centers

In 2021, Weber/RENEW opened a drop-in center in Providence run by peers in recovery.[15]

In June 2022, Weber/RENEW opened a second drop-in center in Pawtucket run by peers in recovery.[16][17]

Demographics

Staff and clients at P/WR range in age from 18 to their 60s or 70s. The majority of staff are LGBTQ and BIPOC. Many of Weber/RENEW's staff are former sex workers, several are HIV positive, and staff represent a huge range of recovery pathways.[4]

Work

COVID-19 pandemic response

In 2020 and 2021, Weber/RENEW was one of the only organizations in Rhode Island to continue in person harm reduction and outreach work, despite the risk of transmission at the beginning of the COVID-19 pandemic. In response to the pandemic, the organization expanded services to meet clients' basic needs. Weber/RENEW also started distributing COVID masks and cleaning supplies, hosting vaccination clinics, and sharing educational information about COVID and vaccines.[4]

A mother holds a sign she made for International Overdose Awareness Day.

Project Weber/RENEW and its clients struggled at the beginning of the pandemic with naloxone shortages. In August 2021, on International Overdose Awareness Day, Weber/RENEW, joined Coalition To Save Lives, a group of organizations and individuals raising awareness about the overdose crisis in Rhode Island and evidence-based solutions to save lives, to protest the shortage of Narcan outside of the Executive Office of Health and Human Services (EOHHS) in Cranston. At the demonstration, participants carried coffins and staged an eight-minute die-in.[18]

Clients and outreach workers also had trouble connecting because of the closures of highly utilized social service programs and public areas, due to fears of transmission of the virus, which led to a higher number of fatal overdoses in Rhode Island.[19][20][21]

Statewide reclassification of drug possession charges

In September 2021, Governor Dan McKee signed legislation that reclassified simple possession of 10 grams or less of certain controlled substances as a misdemeanor charge rather than a felony in Rhode Island. He signed the legislation at Project Weber/RENEW's office.[22]

Collaboration with schools

In January 2022, Project Weber/ RENEW taught a Community Leadership in Nonviolence and Substance Use Prevention class for students at Blackstone Academy Charter School, in partnership with U.S. Attorney Zachary A. Cunha, Local Initiatives Support Corporation Rhode Island, and the Nonviolence Institute.[23]

Advocacy of supervised injection sites

In January 2020, Project Weber/RENEW advocated for the legalization of supervised injection sites in Rhode Island.[24]

In July 2022, Rhode Island became the first state in America to legalize supervised drug consumption sites.[25][26]

In November 2022, Project Weber/RENEW and CODAC Behavioral Healthcare submitted a joint proposal to Rhode Island's Executive Office of Health and Human Services for funding to open a supervised injection site on Huntington Avenue in Providence. If the proposal is approved, $2 million in funding would come through settlement money the state of Rhode Island was paid from opioid makers. Annajane Yolken, the overdose prevention center liaison for Project Weber/RENEW, commented on the purpose of the site in The Boston Globe saying, "Dead people don't enter recovery. Our number one priority is to save lives." [27][28]

Support of stimulant-users

In 2022, Dennis Bailer, overdose prevention program director at Project Weber/RENEW, commented in Time Magazine, that the majority of Black and Hispanic crack cocaine users have received punishment and criminalization, when most white opioid users receive treatment. Bailer also spoke about the importance of improving stimulant-users' accessibility to tools designed to help to prevent opioid overdose deaths.[29]

Outreach in Kennedy Plaza

Kennedy Plaza transportation hub is a hotspot for overdoses in Rhode Island.

Project Weber/RENEW focuses much of their outreach on the Rhode Island Public Transit Authority (RIPTA) bus terminal, Kennedy Plaza. Kennedy Plaza has one of the highest rates of overdoses in Providence. In 2022, RIPTA and Providence police were criticized by The Providence Journal for not carrying Narcan in Kennedy Plaza, despite the fact that The Providence Police Department has been trained and equipped to use Narcan since 2014. Dennis Bailer, overdose prevention program director at Project Weber/RENEW, has attempted to work with RIPTA to train and assist them to respond to overdoses which had led to little response from RIPTA.[30][31]

Education around xylazine

Xylazine (brand name Rompun), a drug prescribed by veterinarians to sedate cattle, has infiltrated the illicit drug supply.

In January 2023, Colleen Daley Ndoye, executive director of Project Weber/RENEW, commented to The Providence Journal that the presence of xylazine is dominating the drug supply in Providence. Ndoye stated, "Xylazine does not respond to naloxone, so our standard response to overdoses is not always effective." Xylazine has also been causing severe soft tissue infections in drug-users that inject. Project Weber/RENEW is focused on educating Rhode Island residents about the health risks of xylazine and connect people to medical care to treat skin infections before they become fatal.[32][33]

Recognition

Awarded grants

In 2018, Miriam Hospital received a $2.5 million federal grant to partner with Project Weber/RENEW and the Rhode Island Public Health Institute to create Rhode Island's first substance use treatment program for gay and bisexual, Black and Latino men. In 2018, Project Weber/RENEW was awarded $10,000 from the Rhode Island Foundation for advocacy and training as well as to connect high-risk transgender men and women with health and prevention services. In 2022, Emily Sloan, a 29-year-old who used to volunteer with the organization, redistributed $200,000 of her generational wealth to Project Weber/RENEW, the largest private donation Project Weber/RENEW had ever received. Sloan's gift will fund retirement plans for Project Weber/RENEW employees with lived experience of substance use disorders or homelessness.[34][35][36]

PrideFest honor

In June 2022, Project Weber/RENEW were named Grand Marshals for the return of PrideFest and the Illuminated Night Parade in Providence.[37]

New York Times article

In October 2022, Ashley Perry, a person in recovery and longterm Project Weber/RENEW employee, was featured in a Times article for her outreach contributions to Weber/RENEW's clients, including serving as an emergency contact for over twenty clients, transporting clients from the hospital after being treated for an overdose, going to court with clients, helping clients expunge their records, and working holidays to bring clients meals on outreach.[25]

The article also honored the life and contributions of Cristina Ramsey, a long-time drug user, who worked for Project Weber during a period of sobriety, counseling clients and helping with harm reduction programs such as naloxone distribution and needle exchanges. Ramsey died in August 2022 and attributed her poor health at the end of her life to a contaminated needle. Ramsey credited Project Weber/RENEW with prolonging her life for the last two decades of it, with sterile needles, treatment, housing and friendship.[25]

References

  1. Staff, Brian Amaral Globe. "'Fentanyl is killing people. It's thinning the streets.' - The Boston Globe". BostonGlobe.com. Retrieved 2023-02-07.
  2. "Opioid overdose alert issued for 9 RI communities". WPRI.com. 2022-03-31. Retrieved 2023-02-07.
  3. NEWS, ALISON BOLOGNA, NBC 10 (2021-05-12). "Man starts program to help addicts, including himself, stay clean". WJAR. Retrieved 2023-02-07.
  4. allen (2022-08-30). "Building relationships and fighting for systemic change in Rhode Island". AIDS United. Retrieved 2023-02-07.
  5. "Prostitution Control in America: Rethinking Public Policy", Safer Sex in the City, Routledge, pp. 209–228, 2016-04-15, doi:10.4324/9781315607429-19, ISBN 9781315607429, retrieved 2023-02-07
  6. "Police: Suspect in 2003 Providence murder 'shouldn't rest too easy'". WPRI.com. 2021-09-24. Retrieved 2023-02-07.
  7. Milkovits, Amanda. "'Invisible' shines spotlight on male prostitutes". The Providence Journal. Retrieved 2023-02-07.
  8. "Former Male Prostitute Helps Hustlers Leave R.I. Streets | EDGE Boston, MA". EDGE Media Network. Retrieved 2023-02-07.
  9. "Options Magazine | Drop-In Center Opens for Male Sex Workers in Providence". 2016-03-03. Archived from the original on 2016-03-03. Retrieved 2023-02-07.
  10. Milkovits, Amanda. "R.I. groups serving female and male prostitutes to merge". The Providence Journal. Retrieved 2023-02-07.
  11. United, AIDS (2020-04-17). "Seven Amazing Community Groups That Support Transgender People". POZ. Retrieved 2023-02-07.
  12. Milkovits, Amanda. "Van a donation in name of overdose victim". The Providence Journal. Retrieved 2023-02-07.
  13. "Rhode Island community members turn to mutual aid, direct outreach during pandemic". The Brown Daily Herald. Retrieved 2023-02-07.
  14. "RIPTA: Kennedy Plaza bathrooms to reopen Wednesday". WPRI.com. 2021-06-23. Retrieved 2023-02-07.
  15. Amaral, Brian. "Paving a road to recovery in Rhode Island - The Boston Globe". BostonGlobe.com. Retrieved 2023-02-07.
  16. Judson, Abigail. "'Life-saving' Project Weber/RENEW opens new location in city". The Valley Breeze. Retrieved 2023-02-06.
  17. NEWS, ALISON BOLOGNA, NBC 10 (2022-06-29). "Project Weber Renew expands into Pawtucket to save lives". WJAR. Retrieved 2023-02-06.
  18. Ahlquist, Steve (2021-08-31). "Advocates rally, stage 'die-in' for dedicated narcan funding stream". Uprise RI. Retrieved 2023-02-07.
  19. PhD, Alexandra Collins (2020-03-27). "Shelter in place?". People, Place & Health Collective. Retrieved 2023-02-07.
  20. Collins, Alexandra B.; Ndoye, Colleen Daley; Arene-Morley, Diego; Marshall, Brandon D. L. (2020-09-01). "Addressing co-occurring public health emergencies: The importance of naloxone distribution in the era of COVID-19". International Journal of Drug Policy. 83: 102872. doi:10.1016/j.drugpo.2020.102872. ISSN 0955-3959. PMC 7373067. PMID 32713765.
  21. Amaral, Brian. "Fatal overdoses spike in R.I. as more toxic drugs and COVID isolation create 'perfect storm'". The Providence Journal. Retrieved 2023-02-07.
  22. "Governor McKee signs legislation reclassifying certain drug possession charges". ABC6. 2021-09-28. Retrieved 2023-02-07.
  23. "U.S. Attorney joins high school mentoring program for substance abuse and violence prevention". ABC6. 2022-01-26. Retrieved 2023-02-07.
  24. "New legislation would establish harm reduction centers". WPRI.com. 2020-01-31. Retrieved 2023-02-07.
  25. Weiland, Noah (2022-10-12). "As Overdoses Soar, Rhode Island Embraces a Daring Addiction Strategy". The New York Times. ISSN 0362-4331. Retrieved 2023-02-06.
  26. Solowski • •, Jason. "Safe Consumption Sites Are Coming to New England This Year". NBC Boston. Retrieved 2023-02-07.
  27. Staff, Brian Amaral Globe. "Fatal R.I. overdoses remained high in 2022. Here's what two organizations want to do about it. - The Boston Globe". BostonGlobe.com. Retrieved 2023-02-06.
  28. Rhode Island PBS Weekly | Reducing Harm | Season 3 | Episode 14 | Rhode Island PBS, retrieved 2023-02-07
  29. "The Potent Drug Mix Causing Unprecedented Rates of Black Americans to Overdose". Time. 8 February 2022. Retrieved 2023-02-07.
  30. "After an overdose in Kennedy Plaza, advocates fault police, RIPTA for not carrying naloxone". The Providence Journal. Retrieved 2023-02-06.
  31. "Advocates urge RIPTA to improve overdose response in Kennedy Plaza". The Brown Daily Herald. Retrieved 2023-02-06.
  32. "'Enormous problems:' Animal sedative found in local drug supply increases overdose risk". The Providence Journal. Retrieved 2023-02-06.
  33. Malayala SV, Papudesi BN, Bobb R, Wimbush A. Xylazine-Induced Skin Ulcers in a Person Who Injects Drugs in Philadelphia, Pennsylvania, USA. Cureus. 2022 Aug 19;14(8):e28160. doi: 10.7759/cureus.28160. PMID 36148197; PMCID: PMC9482722.
  34. Borkowski, Rob (2018-09-20). "The Miriam Hospital gets $2.5M grant for substance abuse treatment for gay and bisexual black and Latino men". Providence Business News. Retrieved 2023-02-07.
  35. ChrisS. "RI Foundation Awards $53,200 in Grants to 8 Nonprofits Serving LGBTQ Communities". GoLocalProv. Retrieved 2023-02-07.
  36. Amaral, Brian. "$200k gift is largest private donation ever to Project Weber/RENEW - The Boston Globe". BostonGlobe.com. Retrieved 2023-02-07.
  37. Spirit, Boston. "RI Pride announces grand marshals, new parade route, festival location | Boston Spirit Magazine". Retrieved 2023-02-07.
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