Harm Reduction: Pragmatic Strategies for Managing High-Risk Behaviors / Edition 1

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Overview

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. The first major harm reduction text, this provocative and timely volume examines a wide range of current applications-from needle exchange and methadone maintenance programs, to alternative alcohol interventions and HIV/AIDS prevention campaigns. Insight is also offered into the often contentious philosophical and policy-related debates surrounding this growing movement.

The book contains no figures.

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. Rather than insisting on abstinence as a prerequisite to continued treatment, proponents of the harm reduction approach aim to meet drug users "where they're at" with community-based services that empower diverse clients to set and meet their own treatment goals. The first major harm reduction text, this provocative and timely volume examines a wide range of current applications:from needle exchange and methadone maintenance programs, to alternative alcohol interventions and AIDS prevention campaigns. Insight is also offered into the often contentious philosophical and policy-related debates surrounding this growing movement.

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Editorial Reviews

From the Publisher

"Harm reduction approaches combine common sense, scientific evidence, public health precepts, and respect for human dignity. This is certainly the finest volume on harm reduction to date--a skillfully edited and comprehensive introduction for readers seeking more effective, compassionate approaches to drug use and abuse." --Ethan Nadelmann, JD, PhD, Director, The Lindesmith Center, New York

"Harm Reduction is one of the most important publications in the addictions field in the past quarter-century. It presents a compelling public health alternative to the war on drugs. Using logic and data, Marlatt and contributors discuss ways of minimizing the adverse consequences of drug use, including alcohol and tobacco. Added bonuses are that the book contains excellent state-of-the-art reviews of treatment approaches and of the problems and opportunities unique to special populations." --Mark B. Sobell, PhD, ABPP, and Linda C. Sobell, PhD, ABPP, Center for Psychological Studies, NOVA Southeastern University, Fort Lauderdale, Florida

"Harm reduction can address the emergent needs of societies in a rapidly changing 21st century. [This book] is timely, searching for common ground to provide a step-by-step pathway toward practical solutions....The diversity of strategies are placed firmly within the framework of the real world--what any worker in the front lines can do to help empower people, improve their well-being, and reduce their burden on society....Marlatt and colleagues have done an enormous service to humankind by documenting the potential for harm reduction in a straightforward manner." --From the Foreword by David B. Abrams, PhD, Center for Behavioral and Preventive Medicine, Brown University, and David C. Lewis, PhD, Center for Alcohol and Addiction Studies, Brown University

"The volume's subtitle states that the emphasis is pragmatic, strategic, and designed for managing/coping with the broad range of high risk behaviors. It is all that and more! After a strong presentation setting out the basics of the harm-reduction model, Marlatt has selected practical and immediately useful clinical chapters....This should be required reading for all 'frontline' clinicians."--Arthur Freeman, EdD

Bernard J. Turnock
This is a comprehensive presentation of harm reduction as a public health strategy for specific behavioral and addictive problems. Harm reduction has emerged as an important weapon in the war against addictive and otherwise unhealthy behaviors in many parts of the world, and now in the U.S. as well. This book provides a comprehensive overview of the roots of the harm reduction movement before examining its usefulness in addressing a variety of high-risk behaviors involving alcohol, tobacco, and illicit drug use, as well as in the control of HIV and other sexually transmitted diseases. A wide audience will find this book of value. Students, professionals, researchers, policy makers, and others interested in harm reduction will find both a broad treatment of the subject and very specific insights into its application for various health problems. This book addresses its subject matter in a straightforward yet provocative manner. First, it establishes the state of the art in the U.S., and then reviews the historical development of harm reduction in other societies that have more quickly embraced harm reduction policies. Approaches and interventions are presented examining harm reduction strategies for control of the adverse effects of alcohol, tobacco, illicit drugs, and unprotected sexual activity. Issues of harm reduction in vulnerable populations are also discussed leading full circle to a final chapter on the current status of harm reduction and public policy. Other than a somewhat tedious opening chapter, the various elements of the book work well together. Overall, this is an important contribution to the public health and public policy literature. However, the very nature ofharm reduction as a non-judgmental, value neutral approach to addictive and otherwise high-risk behaviors brings it into conflict with the predominant moral beliefs of most policy makers and much of the general public in the U.S. It is precisely for this thoughtful and provocative treatment of some highly controversial topics that this book is recommended.
Booknews
Harm reduction is an approach to the management of substance abuse and other problem behaviors which seeks to help clients understand risks involved in their behavior and make decisions about their own treatment goals. Explains the rationale of the harm reduction model and examines a range of applications in diverse populations. Insight is also offered into philosophical and policy-related debates surrounding harm reduction. Annotation c. by Book News, Inc., Portland, Or.
Doody's Review Service
Reviewer: Bernard J. Turnock, MD, MPH (University of Illinois at Chicago)
Description: This is a comprehensive presentation of harm reduction as a public health strategy for specific behavioral and addictive problems.
Purpose: Harm reduction has emerged as an important weapon in the war against addictive and otherwise unhealthy behaviors in many parts of the world, and now in the U.S. as well. This book provides a comprehensive overview of the roots of the harm reduction movement before examining its usefulness in addressing a variety of high-risk behaviors involving alcohol, tobacco, and illicit drug use, as well as in the control of HIV and other sexually transmitted diseases.
Audience: A wide audience will find this book of value. Students, professionals, researchers, policy makers, and others interested in harm reduction will find both a broad treatment of the subject and very specific insights into its application for various health problems.
Features: This book addresses its subject matter in a straightforward yet provocative manner. First, it establishes the state of the art in the U.S., and then reviews the historical development of harm reduction in other societies that have more quickly embraced harm reduction policies. Approaches and interventions are presented examining harm reduction strategies for control of the adverse effects of alcohol, tobacco, illicit drugs, and unprotected sexual activity. Issues of harm reduction in vulnerable populations are also discussed leading full circle to a final chapter on the current status of harm reduction and public policy. Other than a somewhat tedious opening chapter, the various elements of the book work well together.
Assessment: Overall, this is an important contribution to the public health and public policy literature. However, the very nature of harm reduction as a non-judgmental, value neutral approach to addictive and otherwise high-risk behaviors brings it into conflict with the predominant moral beliefs of most policy makers and much of the general public in the U.S. It is precisely for this thoughtful and provocative treatment of some highly controversial topics that this book is recommended.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781572308251
  • Publisher: Guilford Publications, Inc.
  • Publication date: 7/16/2002
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 390
  • Product dimensions: 9.00 (w) x 6.00 (h) x 0.93 (d)

Table of Contents


Foreword, Abrams and Lewis
I. Overview of Harm Reduction
1. Highlights of Harm Reduction: A Personal Report from the First National Harm Reduction Conference in the United States, Marlatt
2. Harm Reduction around the World: A Brief History, Marlatt
3. Basic Principles and Strategies of Harm Reduction, Marlatt
II. Applications to Addictive Behaviors and
High-Risk Sexual Behaviors
4. Harm Reduction for Alcohol Problems: Expanding Access to and Acceptability of Prevention and Treatment Services, Larimer, Marlatt, Baer, Quigley, Blume and Hawkins
5. Harm Reduction, Nicotine, and Smoking,
Baer and Murch
6. Harm Reduction Strategies for Illicit Substance Use and Abuse, Tapert, Kilmer, Quigley, Larimer, Roberts, and Miller
7. Harm Reduction and HIV/AIDS Prevention, Peterson, Dimeff, Tapert, Stern, and Gorman
III. Matching Strategies to Diverse Ethnic Communities
8. Bringing Harm Reduction to the Black Community: There's a Fire in My House and You're Telling Me to Rearrange My Furniture?, Woods
9. Alcohol Use and Harm Reduction within the Native Community, Daisy, Thomas, and Worley
IV. Can Harm Reduction Play a Role in U.S. Drug Policy?
10. Harm Reduction and Public Policy, Weingardt and Marlatt
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