Today, you are taking the first affirmative step to a more empowered and healthier you. Gradual and incremental change processes are known to be the norm in recovery from substance use disorders. Harm reduction as a model of intervention and treatment. Interventions supported by scientific evidence for substance abuse treatment harm reduction and prevention draft fnihb use only 3 1. Harm reduction policies are used to manage behaviors such as recreational drug use and sexual activity in numerous settings that range from services through to geographical regions. In addition to these inperson interventions, harm reduction therapy is also being implemented via webbased or computermediated forms. 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. Harm reduction santa barbara therapists full spectrum. Although harm reduction was originally and most frequently associated with substance use. An alternative approach to addictions this acclaimed clinical guide, now substantially revised and updated, has helped thousands of clinicians put the proven principles of harm reduction into practice with therapy clients who have substance use problems. A lthough many treatment programs still adhere to a 12step approach with abstinence as the only acceptable outcome, other approaches such as motivational interviewing, harm reduction, and cognitive therapy work with the client to set more flexible goals. More recently, harm reduction therapy hrt has come forth as a humane and pragmatic alternative to traditional abstinencebased addiction treatment and to the moral model of substance abuse i.
Alan marlatt and associates, this is the authoritative work on harm reduction. Practicing harm reduction psychotherapy, second edition. Everyday low prices and free delivery on eligible orders. In canada, funding, administration, and delivery of health servicesincluding those targeting people who use drugsare primarily the responsibility of the provinces and territories.
This suggests that harm reduction outcomes are unaffected by severity of alcohol dependence and that harm reduction may be the best goal for highly dependent drinkers who are unable or unwilling to achieve an abstinence goal. Harm reduction, or harm minimization, refers to a range of public health policies designed to lessen the negative social andor physical consequences associated with various human behaviors, both legal and illegal. Both abstinence and moderate drug and alcohol use fall under the umbrella of harm reduction. Work on this article was partially supported by a national institute on alcohol abuse and alcoholism grant f31 aa01823801a1 awarded to diane e. Harm reduction is an umbrella term for interventions aiming to reduce the problematic effects of behaviors.
This book will show how these simple changes in emphasis and expectation. The main strategy in the philosophy of harm reduction is almost the opposite of abstinence. So, if you know of a quote or tip that we should use please let us know, well consider anything from leaflet content, sections of reports and research, quotes from youtube videos, even quotes from ancient philosophers both of. Second, we conducted focus group interviews with a.
Download the the opiate resource pocket guide for a more comprehensive book of community resources for opiate addiction treatment and recovery. The founder of harm reduction therapy talks about meditation, college drinking, 12step programs, and the limitations of abstinenceonly interventions. Written by pioneers in the field, the book shows how to. Does harm reduction programming make a difference in the. The harm reduction guide for managing drugs and alcohol 1 by denning, patt, glickman, adina, little, jeannie isbn. The state of harm reduction in north america in 2017. In harm reduction for highrisk adolescent substance abusers, maurice s. Harms and harm reduction workbook emcdda home page. The second edition of practicing harm reduction psychotherapy is a book whose time has come. Marlatt called it, of harm reduction provides an important public health alternative to moral and disease model of substance abuse lee et al. Monitoring quality and coverage of harm reduction services. A person who goes from 80 drinks per week to 60 drinks per week has made a positive change and is successful at harm reduction. Interventions supported by scientific evidence for.
Each video in the series presents a distinguished practitioner working with a real client. Introduction background this report was prepared in response to a request from the first nations and inuit health branch fnihb, health canada, for a concise synthesis of the evidence for the effectiveness of. Harm reduction diverges sharply from the currently accepted treatment model for alcohol and drug problems. For instance, you dont have to stop drinking or doing drugs to start the therapy that will be part of your healing. Art therapy, sometimes called creative or expressive arts therapy, is a form of psychotherapy in which the primary mode of communication is the use of different art media, as defined by the british association of art therapists baat. The evidence over the past ten years shows the steady progress of harm reduction around the globe, yet also shows how fragile this progress is due to a lack of firm political support and financial investment. Serving as chief medical officer at harm reduction therapeutics, judy is responsible for the strategy, direction and execution of the companys clinical development plans.
This excellent book brings together researchers and practitioners who have made significant contributions to the growth and acceptance of harm reduction as an integral, viable, and effective approach to minimizing the negative consequences of highrisk behaviors. This site is a personal project of two harm reduction advocates and, as im sure youve worked out, this is a big project with over 250 quotes or tips a year to find. A comprehensive harm reduction program to educate the community about safer drug use, fight the spread of infectious disease, and provide drug treatment enrollment. Her publications for professionals include practicing harm reduction psychotherapy. Pdf harm reduction therapy for cooccurring disorders. All of the clients involved are people who are grappling with the pain of addiction.
In harm reduction therapy, any treatment goal that helps reduce harm to an individual is valid. Moderate drinking, harm reduction, and abstinence outcomes. Alcohol and drug treatment centers are generally abstinence based. Price new from used from vhs tape, ntsc please retry. Harm reduction keeps focus of attention is the damage done by the behavior and not the behavior itself. Keep people alive and encourage positive change in their lives keeping people who use drugs alive and protecting their health2 are the most urgent priorities.
Christian jarrett on the dark underbelly of psychology. Harm reduction is an increasingly recognized approach to the management of substance abuse and other behaviors that may pose serious health risks. A new treatment for drug and alcohol problems 9780765703736. In order to advance the field, we first conducted participatory research of harm reduction with 120 clients using nominalgroup technique to develop culturally relevant outcomes to measure progress. Harm reduction therapy for addictions dvdrom january 1, 2000 by dr. 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. The therapist accepts the client on his or her own terms and tries to reduce barriers to treatment. The role of the harm reduction therapist is closer to that of a guide, someone who. Patt denning, phd, is director of clinical services and training at the harm reduction therapy center, san francisco.
In harm reduction therapy, any treatment goal that helps reduce harm to an individual is valid both abstinence and moderate drug and alcohol use fall under. In harm reduction we meet you where you are and work with you there in a nonjudgmental way. Alan marlatt, an expert on harm reduction and relapse prevention, works with an africanamerican client who is addicted to heroin and considering entry into a. Harm reduction is a pragmatic approach that meets people where they are at. Now is the time for governments and international agencies to end the harm. Desensitization and reprocessing, more commonly referred to as emdr. Alan marlatt introduction this video is one in a series portraying effective approaches to therapy for addictions. Gordon alan marlatt november 26, 1941 march 14, 2011 was a leading clinical psychologist in the field of addictive behaviors from the 1980s through the 2000s. Harm reduction psychotherapy is a compassionate, clientcentered approach to helping people reduce or eliminate the effects of harmful or risky behavior.
Harm reduction with pharmacotherapy for homeless people with alcohol dependence. Harm reduction is a response to substance abuse that arose from the substantial presence and increase in bloodborne diseases, such as hiv, among injection drug users. Harm reduction is finally recognized as a basic concept that. According to tatarsky 2002a however, the big book of aa is the original harm reduction text and abstinence can be the best harm reduction approach. There arent too many proscriptions in harm reduction. Harm reduction is grounded in the recognition that many people throughout the world are unable or unwilling to stop using illicit drugs. Harm reduction principles and strategies are designed to minimize the destructive consequences of illicit drug use and other behaviors that may pose serious health risks. These patients are not likely to recognize a problem, be. In addition, drug and alcohol problems are the most frequent comorbid condition associated with other mental disorders making accurate assessment and effective. Web or computerbased interventions have been developed for a variety of problematic behaviors, including alcohol use, tobacco use, physical activity, nutrition and weight loss, eating disorders, and violence. In harm reduction therapy, the therapist helps clients identify the specific harm their substance use is doing to themselves and others and then make and implement an effective plan to reduce that harm. Harm reduction services such as needle and syringe programmes nsp and opioid agonist therapy oat have been increasingly established, with 90 countries having nsp to some degree and 80 at least one oat programme operational by 2016.
Harm reduction therapy means we meet the client where they are and help them along for as far as they will let us. H arm reduction therapy is an innovative approach that focuses on reducing the harmful consequences of drug use. Epidemiological research indicates psychoactive substance use is the most prevalent axis i disorder. Written by pioneers in the field, the book shows how to do effective therapeutic work with people still using alcohol or other drugs. This has contributed to reductions in viral infections e. You no longer have to struggle silently with the challenges you face. When someone undergoes psychotherapy, the hope, obviously, is that they will recover. Harm reduction is a controversial model for treating drug users, with little formal research available on its operation and effectiveness. Harm reduction therapy offers an alternative to the 12step framework, as it does not ask clients to abstain from alcohol as a condition of treatment, unless that is the clients goal. While it is most popular to promote abstinence in treatment, there are many who reason that harm reduction strategies should be used more often than they currently are. Harm reduction in adult populations trauma centers according to samsha, alcohol and drug abuse was associated with over 1. Harm reduction therapy is a program in which client and therapist work together to identify the most pressing issues to reduce the harm that is being done, establishing goals and implementing gradual, realistic steps to achieve them. Widely recognized as an expert on drug treatment and dual diagnosis, she is one of the main developers of harm reduction psychotherapy. Likewise any reduction in risky behavior is a positive change.
It does not look as to the why of the behavior, nor does it give a program for living that is better than engaging in the addictive behavior. G alan marlatt author see all formats and editions hide other formats and editions. Harm reduction for highrisk adolescent substance abusers. He conducted pioneering research in harm reduction, brief interventions, and relapse prevention. The characters of julio who is the narrator and linley are fascinating, the plot is extremely romantic though it doesnt seem to be at first, and the key message is one of hope that, even though admittedly somewhat unrealistic, is very encouraging, uplifting and just the right thing if youre looking for a valentines story with a difference. The book has the joint purpose of showing how people successfully regulate their drug use, and to describe how continued drug use can be effective therapy, either through substitution e. Chrt the center for harm reduction therapy the center. The first major harm reduction text, this provocative and timely volume examines a wide range of current applicationsfrom needle exchange and methadone maintenance programs, to alternative alcohol. The wisdom to know the difference harm reduction handout. List of books and articles about art therapy online. Individually tailored solutions to substance misuse. In this remarkable series, seven leading practitioners conduct sessions with actual clients. This groundbreaking book presents the harm reduction approach, a powerful alternative to traditional treatment that helps users set and meet their own goals. For example, at one end of the spectrum, harm reduction may seek to reduce the risk of hiv transmission by supporting needle exchange programs.