A harmreduction approach to alcoholism adopted by 92 of my patients in northern california utilizes the substitution of cannabis. Tobacco harm reduction is the substitution of less harmful nicotine or tobaccocontaining products for the purposes of reducing health harms in patients who choose not to use approved therapies. The philosophy and principles of harm reduction, which is new in the context of mental health hall 2007, are outlined and the application of this approach to nonadherence is presented in a planned intervention. Along with the required demeanor of advocates, harm reduction meets clientspatientscitizens where they are in life rather than requiring that they adapt to receive the. The harm reduction approach relevant in that situation would be identical to abstinence models. Hcps are well positioned to deliver harm reduction messages to their adolescent patients. Harm reduction benefits people who use drugs, their families and the community. Harm reduction keeps focus of attention is the damage done by the behavior and not the behavior itself. Although its roots are embedded in addictions treatment and public health, the principles of harm reduction can be readily observed in a variety of social work settings. An example of a harm reduction approach is providing people who inject drugs with. Nov 17, 2014 harm reduction is an oftencontroversial type of addiction treatment for iv drug use, such as heroin, cocaine, methamphetamine, opioid painkillers, and prescription stimulants. Harm reduction approach in managing substance abuse.
Harm reduction in treatment of substance use disorders. Harm reduction programs exist for several types of drugs, including opioids, alcohol, stimulants, ecstasy, and marijuana. Results of the portuguese experience demonstrate that drug decriminalization alongside a serious investment in treatment and harm reduction. Regardless of the definition, harm reduction is a philosophy, approach, and a set. The dramatic increase in the number of opioidrelated deaths has resulted in the expansion. The goal of harm reduction strategies and approaches is to reduce the negative. Harm reduction includes many options and approaches. Harm reduction and pregnancy centre of excellence for. Approach february 2015 portugal enacted one of the most extensive drug law reforms in the world when it decriminalized lowlevel possession and use of all illicit drugs nearly a decade and a half ago. A harm reduction treatment model part 2 by patt denning, phd based on the principles outlined in part 1 and on empirically validated approaches, harm reduction psychotherapy hrp uses multiple interventions, depending on the precise problems harms suffered by each individual and the goals agreed upon by client and clinician. An example of a peerbased program to work with highrisk youth was presented by. This resource provides a short introduction to harm reduction approaches during pregnancy and. Harm reduction approach to treatment of all substance use.
Harm reduction encompasses a range of health and social services and practices that apply to illicit and licit drugs. Harm reduction national health care for the homeless council. Pdf challenges to implementing the harm reduction approach. Harm reduction is most commonly used in relation to public health programming with people who use psychoactive substances, but it can also be applied to programs that address alcohol use, sexual practices, cycling, driving, gaming and others. This ceu course provides practitioners with information on harm reduction an approach to managing alcohol use, drug use, and other risky behaviors. Harm reduction is a developmentally congruent approach to the primary and secondary prevention of risky behaviour in the adolescent population. Harm reduction outreach requires practitioners to be empathetic, understanding, and nonjudgmental when approaching populations who need and deserve harm reduction practices.
At valley recovery center, we take an abstinencebased approach, but we also recognize the individuality of our clients and work together to develop treatment plans that will work for them. Challenges to implementing the harm reduction approach article pdf available in journal of social work practice in the addictions 83. A har m reduct ion approach har m reduct ion using a kind and compassionate harm reduction approach opens the door to support and guidance for people who use substances a harm reduction approach aims to reduce the negative consequences of using psychoactive substances, without necessarily reducing substance. Clinicians guide to severe hoarding a harm reduction. If, however, a client is ambivalent toward or, in fact, resistant to change, then harm reduction gives us an opportunity to build rapport and help our client make steps in the right direction. Harm reduction united nations office on drugs and crime. Harm reduction is a practical approach that employs a range of different strategies with the goal of minimising. Harm reduction is an oftencontroversial type of addiction treatment for iv drug use, such as heroin, cocaine, methamphetamine, opioid painkillers, and prescription stimulants. The five steps of the model include 1 establishing a working alliance, 2 evaluating the costbenefit. A conceptual model for reducing substance use within the context of outpatient psychiatric treatment is described. Bringing together the work of international experts, it gives a current overview of the field, highlighting the need for a coordinated framework of prevention and harm reduction measures to replace current player protection measures. Integrating a harm reduction approach in nursing practice advice published.
Engaging drinkers and drug users in a process of change jeannie little, lcsw abstract. National centre for research into the prevention of drug abuse, curtin university, perth, australia. Harm reduction coalition is a national advocacy and capacitybuilding organization that works to promote the health and dignity of individuals and communities who are impacted by drug use. For that reason, and that reason alone, we must commit to changing it. Harm reduction has also been used in primary and secondary prevention programs aimed at reducing unintended pregnancies. The harm reduction approach to drugs is based on a strong commitment to public health and human rights. The risk and harm reduction approach has found its way into various.
It is founded on respect for and the rights of those individuals who use drugs adapted from the harm reduction coalition. Rather than respond with condemnation or enforcement, harm reduction focuses on minimizing the harmful effects of mental illness and addiction, both on the individual and on society. A rational approach to harm reduction spring conference 2017 7 2. Harm reduction is a humane approach that breaks down the providerclient role barrier and allows people to provide their peers with the re sources and tools they need to cope with the risks of drugs, sex, and violence, kersh nar concluded. Harm reduction is an approach to treating those with alcohol and other substanceuse problems that does not require patients to commit to complete abstinence before treatment begins. The goal of harm reduction strategies and approaches is to reduce the negative consequences of drug abuse, not to eliminate the use of licit or illicit drugs hilton et al. Harm reduction is a set of policies and practices intended to reduce the negative effects of drug and alcohol use. This edited volume aims to facilitate the evolution of the new public health approach towards gambling. The wisdom to know the difference harm reduction handout. The guiding principles of harm reduction the history of harm reduction within vancouver and globally it is important to acknowledge that harm reduction is not a new concept. A har m reduct ion approach alberta health services. Harm reduction is the term given to a series of strategies and approaches designed to prevent drugrelated harm. As noted previously, there have been programs in the united states that fit within a harm reduction conception, but the term harm reduction was not in wide use until the late. It combines public health principles and interventions, motivational interviewing.
Parappilly, emma garrod, ryan longoz, eric eligh, holly van heukelom, christopher kit fairgrieve and bernadette pauly. The clinicians guide to severe hoarding describes an alternative strategy to help those who adamantly refuse help and yet face significant health and safety risks due to the hoarding problem harm reduction. Addressing nonadherence to antipsychotic medication. They range from needle exchange sites to managed alcohol programs to drugtesting kits at music festivals. Harm reduction principles for healthcare settings harm. Oct 24, 2017 harm reduction refers to interventions aimed at reducing the negative effects of health behaviors without necessarily extinguishing the problematic health behaviors completely. A harm reduction approach is a comprehensive guide to the harm reduction hr approach for addressing a situation in which an individual who is a severe hoarder, i.
Sharon stancliff, md, with the substance use guideline committee, august 2019. Harm reduction psychotherapy is the newest approach to engaging and working with substance users and abusers. Access to risk prevention and harm reduction measures thus constitutes a human. Principles of harm reduction harm reduction coalition. Harm reduction refers to interventions aimed at reducing the negative effects of health behaviors without necessarily extinguishing the problematic health behaviors completely. It may include abstinence, or not using substances at all. A practical approach to evidencebased clinical evaluation and management, 2018. This new effort became known as a harm reduction approach. Harm reduction is a public health approach that aims to reduce harms related to substance use. Pdf public health and the harm reduction approach to illegal. There are many other examples of harm reduction strategies that. Harm reduction is a treatment approach that seeks to minimize the occurrence of drugalcohol addiction and its impacts on the addictalcoholic and society at large. Principles the harm reduction approach to drugs is based on a strong commitment to public health and human rights.
A harm reduction treatment model part 2 chrt the center. Although its roots are embedded in addictions treatment and public health, the principles of harm reduction can be. Decriminalisation of sex work is about defending human rights and being committed to harm reduction and harm prevention. Abstinence versus harm reduction valley recovery center. Harm reduction at the end of this section, you will be able to explain. Pdf on jan 1, 2018, brian emerson and others published public health and the harm reduction approach to illegal psychoactive substances find, read and. Managed alcohol programs are a harm reduction approach for people with severe alcohol use disorder that provide alcohol in a structured setting. Harm reduction is grounded in justice and human rights it focuses on positive change and on working with people without judgement, coercion, discrimination, or requiring that they stop using drugs as a precondition of support.
This clientcentered approach takes readers through harm reduction plan development, team building, goal setting, client. Substance use reduction in the context of outpatient. The board of health shall develop and implement a program of public health interventions using a comprehensive health promotion approach to improve the health of schoolaged children and youth. Health promotion, prevention, and treatment harm reduction approaches to alcohol problems have endured a controversial history in both the. Theory, definition and approaches to working with lgbt populations 3 harm reduction therapy is a motivational approach to increasing peoples desire for greater health and wellbeing and increasing their motivation and capacity to achieve a healthier life. Nurses are called to be at the leading edge of innovation, always. Definitions of harm reduction harm reduction has a variety of meanings to different people, which has made developing one general definition very difficult. Harm reduction as a model of intervention and treatment. Substance use prevention and harm reduction guideline, 2018. Harm reduction is an evidencebased, clientcentred approach that seeks to reduce the health and social harms associated with addiction and substance use, without necessarily requiring people who use substances from abstaining or stopping. Pdf the social work literature recently has supported greater use of the harm reduction approach in professional practice. Harm reduction is a humane approach that breaks down the providerclient role barrier and allows people to provide their peers with the re sources and tools they need to cope with the risks of drugs, sex, and violence, kersh. Motivational interviewing mi is a collaborative approach to working with drug users and others that helps to facilitate behavior change. Using a kind and compassionate harm reduction approach opens the door to.
The nysdoh ai and this committee strongly advocate a harm reduction approach in the care of all individuals who use substances, including those with a diagnosed substance use disorder sud. Harm reduction is a set of practical strategies that reduce the negative consequences of drug use. Harm reduction is a pragmatic public health approach to practices, programs, and policies that aim to reduce the adverse health, social, and economic consequences of substance use without requiring individuals to abstain from substance use cna, 2011. For more information and training resources on harm. The term harm reduction can be used to describe the philosophical beliefs that underlie strategies and programs, or it can be used to describe the. We examined the patient experience of receiving alcohol after th. Harm reduction strategies with people who engage in selfinjury ian f.
December 2018 all regulated members of the college and association of registered nurses of alberta carna have a responsibility to provide safe, competent, and ethical care. In the clinical context, harm reduction is an approach and a set of practical strategies targeted to reduce the negative consequences associated with substance use. Harm reduction is a proactive approach to reducing the damage done by alcohol, drugs, and other addictive behaviors, as well as addressing broader health and social issues, such as hiv transmission. The proposed model incorporates four themes from the psychological treatment literature. Targeted at risks and harms harm reduction is a targeted approach that focuses on specific risks and harms. Harm reduction is a strengthsbased and clientcentered helping strategy that is utilized in both prevention and practice models bigler, 2005. What are some examples of harm reduction strategies that you use in your everyday life. Consistent with the health care for the homeless approach to care, harm reduction strategies are useful for clinicians of all disciplines to help effect. At its most basic, harm reduction aims to provide care, and in some cases rehabilitation, to active addicts. Request pdf harm reduction approaches to alcohol use.
It incorporates a spectrum of strategies from safer use, to managed use, to abstinence. The five steps of the model include 1 establishing a working alliance, 2 evaluating the. Definition for harm reduction everyday examples of harm reductions interventions. The vast majority of the harm reduction literature focuses on the harms of drug use and on specific harm reduction strategies, such as syringe exchange, rather than on the harm reduction philosophy as a whole. Harm reduction teaching activities and resources rnao.
Harm reduction is any action that attempts to reduce the harm of substance or other behaviors harm reduction has a top down public health component and a grass roots user driven approach. Gabriela zapataalma, lcsw cadc harm reduction strategies ian. Stopping all substance use isnt required before receiving care. Harm reduction training manual bc centre for disease control.
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