18/10/2010

Episode image for 18/10/2010

Duration: 29 minutes

Every year thousands of babies are born in the UK hooked on drugs and alcohol. An Inside Out special follows a highly controversial American charity that wants to tackle the problem by offering to pay addicts cash to be sterilised. Reporter Mark Jordan is given exclusive access to Barbara Harris, the founder of Project Prevention, as she launches her charity in London and signs up the first British addict to go under the knife.

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Mon 18 Oct 2010 19:30 BBC One only on London

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  • SELLING STERILISATION

    Barbara Harris is on a mission, a personal crusade to stop what she describes as an epidemic of hidden child abuse.

    Barbara runs Project Prevention, a charity that works to reduce the number of babies born with drug or alcohol addictions as a consequence of their parent’s habits. Few could disagree with such a noble ambition. Yet project Prevention has met all kinds of opposition and dissent, mainly because of the method it has employed to achieve its aim.

    Basically, Barbara bribes addicts and alcoholics with cash. In the states where Project Prevention began thirteen years ago, addicts get $300 if they agree to long-term contraception such as the coil or sterilisation.

    Critics claim this is a terrifying throwback to the social engineering campaigns brutally carried out in America in the last century.

    Right up until the early 1970’s state legislation, particularly in the south, enabled social workers to sterilise anyone they deemed unworthy of reproducing.

    But those who accept Harris’s dollars aren’t thinking of all that. So far in the US Barbara has signed up over 3,000 drink and drug addicts to her programme. Now she wants to do the same in Britain.

    Project Prevention UK is just getting started and still has no official headquarters, yet it has already received over £20,000 in donations and hundreds of people have called its free helpline, seeking to enrol and claim the £200 per client Barbara is offering.

    Yinka Omotoso, a 28-year-old single mum, was one of the first to dial.
    Brought up in care and struggling with drink and drug addictions by 18, Yinka describes her own life as textbook tragedy.

    "You name it, I was taking it—and I was doing all kinds of nasty things to get it," she admits.

    Four years ago, she gave birth to a stillborn baby girl. Four months, later she was pregnant again. This time, her baby survived but he suffers from foetal alcohol syndrome. He has now been diagnosed with learning difficulties that will last a lifetime.

    Still addicted, Yinka says she can’t face the guilt of hurting another of her children and has signed up to Harris’s project and considering whether to opt for long-term contraception or sterilisation.

    Project Prevention’s first 'British client', a 38-year-old long-term, male heroin addict from Leicester underwent a vasectomy on the NHS. John is adamant he can’t be a father because he is struggled to beat his drug addiction since the age of 12.

    Barbara sees Yinka and John as good reasons why we need Project Prevention in the UK and she uses some startling statistics to back up her case: in the last decade the number of babies suffering from drug withdrawal symptoms has increased by nearly 70%.

    At Leicester Royal Infirmary, Professor David Field has witnessed the change. "In the 1990s addicted babies were rare occurrences on neonatal wards, now they are treated on a daily basis," he tells us. A recent survey he undertook reveals that 1 in every 500 newborns is addicted.

    The offspring of addicts have a higher chance of dying prior to or during labour. Some of those who survive are unharmed, but others never fully recover from the toxic substances they ingested in the womb and endure long-term mental and physical disabilities.

    Later on, with drug or alcohol dependent parents, there can be neglect and abuse. Two thirds of children in care have parents with addiction issues. In Scotland the figure rises to 80%.

    Barbara’s own children were adopted from a crack-addicted mother, who delivered eight children year after year.

    "I started Project prevention after witnessing what they went through," she said. "They were forced to go cold turkey in the cradle and I thought: why is our supposedly caring society allowing this to happen?"

    Project Prevention may stem from virtuous intentions and what it does is perfectly legal under current laws. But the critics are lining up.

    Addaction, one of Britain’s biggest drug agencies, has described Harris’s project as morally reprehensible. Others have accused her of playing God.

    "She’s offering money to people who are vulnerable, weak and least placed to make an informed decision about sterilisation," says Maria Cripps from Dovetail Drugs support services.

    Barbara’s own response to such criticism is scathing. "I’m not forcing people to be sterilised. I offer them a choice of contraception but people want to focus on the extremes. I sometimes think there is an industry of do-gooders, social workers and the like, who have a vested interest in keeping things as they are. They can continue to collect a wage as long as there is a problem, as long as there are still kids being born into addict hell.

    "Well, the social workers and their like have done their best for years and it’s not good enough. I’m offering something different, and paying addicts for being responsible."

    Yet is putting money into the hands of addicts akin to feeding their habit? And what if in later years they regret being sterilised?

    Harris insists that if clients have kicked their habit—and can prove it—Project Prevention will pay for their surgery to be reversed. Yet for women reversal operations have a poor success rate at around fifty per cent and for men, revising vasectomies is by no means guaranteed.

    This is a sensitive topic with no easy conclusions. Many may disagree with Harris’s approach, but no one can deny that she is drawing our attention to an issue that’s remained unspoken and unseen for too long.

    Note: Some names and details have been changed.

    Feature by Zack Adesina.

  • Wake up call - John's story

    'John', a 38-year-old addict from Leicester, is the first person in the UK accept money to have a vasectomy after being involved in drugs since he was 12-years-old.

    This is his story...

    "It was confusing to say the least, perhaps disorientating would be a better word to describe how it felt to suddenly awaken, on my back, on the bathroom floor, stark naked and soaking wet, and surrounded by strangers who were leaning over me and peering intensely into my face.
     
    For a second or two I lay there struggling to grasp the situation I was in. Then I was struggling to gain my feet, but being prevented by strong and assertive hands. There were unfamiliar voices telling me to relax, that everything was okay, though in their unfamiliar faces was obvious fear that contradicted that statement adding to my rising sense of panic. Then the penny dropped as an overwhelming sense of shame swept over me, and filled me with the wretched realization that I had done it again, I had “gone over”. That is to say I had overdosed, and these strong, assertive folk around me were members of a paramedic crew who were busy trying to asses and increase my chances of survival. It dawned on me at roughly the same moment that somewhere in this befuddled scene would be Angela, and for that matter her daughter Natasha, who were most likely both under the firm impression that I was dying, right there on their bathroom floor.
     
    "Oh nooo!" I wailed out loud, "Not again, NO!" Then, as I became more lucid by the second, the Naloxone they had pumped into my system beginning to flush out the heroin, clearing my brains receptors along with my thoughts, "Where's Angela? Is she okay? Where is she?"
     
    "She's fine, she's in her bedroom, someone's with her," was the reply. I could hear Angela’s voice as she was talking to somebody, they were saying something along the reassuring lines of "He’s okay; he's asking for you, he's going to be fine." Or words to that effect.
     
    I had indeed done it again. I had committed the indiscretion, of nearly killing myself, accidentally, by injecting an amount of street heroin that was clearly much stronger than I had anticipated. I had taken the liberty of choosing to do this whilst enjoying a bath in my new girlfriend's home while her teenage daughter was in the next room. It was clear that this dose had been more powerful than my recently re-awakened tolerance levels could cope with. It was becoming equally clear that the decisive intervention of these two women had saved my life.

    All of these facts came banging down onto my consciousness simultaneously as I lay there on the bathroom floor, not yet fully awake enough to be embarrassed by the inappropriate aspect of my status, being nude, wet, shivering and surrounded by strangers, or by the growing realisation that it must have been Angela and her teenage daughter, Natasha, who had between them hauled my unconscious body out of the bath, avoiding standing on the sharps and other paraphernalia I had left laying on the floor nearby.
     
    "Not again!" I repeated loudly as the enormity of my faux-pas, and what consequences could result from it, hit my conscious mind like a relentless attack of uncomfortable truths. As it turned out, not all the consequences were bad ones after all. This overdose (or indiscretion as I prefer to call them) was the last in a long list of close calls, but for many reasons this one proved to be my "wake up call" that did more to get me truly on the road to recovery than any previous troublesome event in my rather troubled life.
     
    They kept me in the hospital for 24 hours. The first 12 or so not letting Angela leave my side and why? Because these experienced doctors, who had seen this whole drama played out many times with many people, didn't think I was going to make it through the night, and they didn't want me to die alone. My arrogance insisted they had it all wrong of course, that I just needed to go home and sleep it off and I would be fine; what a fool! I was dying right there in front of my lover’s eyes and all I could think about was getting all my stash and kit out of the house in case somebody had called the old bill, more concerned with ending up in jail, than ending up in the morgue! Typical junkie.
     
    Like I said, this "indiscretion" was one of many during my 15 or so years’ long career as an opiate addict. Why was this one so special? Because I realised something after the drama had settled and I was released from hospital, not just that I nearly died that day, that is something I've realised many times in my somewhat charmed existence, but rather I realised something I hadn't felt those other times, not felt during much of my life beyond childhood to be honest; I realised I didn't want to die yet.

    I cared. I cared that my death, there and then in that manner, would have devastated so many lives, my family, and my genuine friends, not to mention the two women who had just saved my life.

    There was also the realisation that I wasn't done with life yet. I'd still got stuff I wanted to achieve, or at least make a serious effort at achieving, there was stuff I needed to prove still too, to myself sure, but also to those folk, few and far between though they may be, whose opinion of me mattered, and to all the judgemental people over the years who'd assumed a certainty about my destiny they had no right to assume, the knockers and 'put you downers', the  cynics and sceptics who mocked and sneered and laughed at the notion of me ever being anything other than a worthless, hopeless addict.

    Then there were all the folk like me, the downcast, downtrodden, browbeaten ones out there who, like me, had written themselves off, believing the lie they'd been told so many times, the accusation that they deserved everything they got. I had to try to show them, to be an example to them, give them hope! It can be beaten, this unfair, in-just and uncaring world, this place called Earth that is hell for so many, when it should be Eden for all. That thing, whatever it is that keeps you down, holds you back, fences you in and stops you being the real you, the best you you can possibly be. Yes it can be beaten.
     
    For me that thing is chemical dependence, and it's a fight I haven't quite won yet, not entirely. But that horrible day, when everyone around me thought I was on my way out, was the turning point for me. It wasn't the day I started fighting it, I've been fighting this thing for my whole adult life, but it was the day I started believing I could win.

    That was the day I found the better me, the stronger me, I might even call it the heroic me inside, that had the will to fight it, and enough self belief to beat it.
     
    People say drugs are evil, but they are not. Drugs don't have morals; they are inanimate, beyond any moral identity, just a force of the natural world. Drugs can be used positively or negatively.

    What is evil and destructive is our relationship with drugs, our exploitation of them for profit, our wilful use of them as a moral scapegoat, a way of denying the evil in ourselves. It is people who are evil, when we embrace that which destroys all that's noble in ourselves, that which causes suffering and thrives on misery. When we do that which dismisses or denies the sacred nature, the inviolate value, of life.

    When we refuse to believe our life, or indeed any life, has value and when we do, or say, or encourage or condone either by action or in-action, that which hinders the transcendence of others, denies the human spirit's capacity to reach beyond the limits of our perceived natures and become something better than we were before.
     
    So I battle still with my vulnerability to addiction. I battle still with many flaws in my character, and in my community, my society, my world. However, if this fight has taught me one thing it's this. Never give up, never write anyone off, for truly have I learned that "every man and every woman is a star, waiting to be born."

  • STERILISING THE ADDICTS

    STERILISING THE ADDICTS

    Leaflet from American campaign.

  • Video: Sterilising the addicts

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  • Cash payments for sterilisation

    Cash payments for sterilisation

    Drug addicts are being paid cash to undergo sterilisation.

    American charity Project Prevention is offering £200 to any drug or alcohol addict in London, Glasgow, Bristol or Leicester who is willing to be prevented from having children.

    BBC News: Charity offers UK drug addicts £200 to be sterilised
  • Have your say...

    Have your say...

    Drug addicts in the UK are being offered money to be sterilised by an American charity, to stop babies being damaged by drugs during pregnancy. What is your view?

    Have your say: Should addicts be encouraged to be sterilised?
  • EPISODE CREDITS

    Episode Producer - Zack Adesina

Credits

Presenter
Matthew Wright
Producer
Andy Richards

Broadcasts

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