Harm Reduction: A New Direction for Drug Policies and Programs

Overview

Since the 1990 First International Conference on the reduction of Drug-Related Harm, the term 'harm reduction' has gained wide currency in public health and drug policy. Hitherto, a heated struggle between prohibition and legalization of addictive substances occupied the field, and this debate tended to obscure practical, collective approaches. Harm reduction, an emerging blend of policy directives and program initiatives, is of growing interest to scholars in several disciplines. This new approach was inspired ...
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Overview

Since the 1990 First International Conference on the reduction of Drug-Related Harm, the term 'harm reduction' has gained wide currency in public health and drug policy. Hitherto, a heated struggle between prohibition and legalization of addictive substances occupied the field, and this debate tended to obscure practical, collective approaches. Harm reduction, an emerging blend of policy directives and program initiatives, is of growing interest to scholars in several disciplines. This new approach was inspired by the positive outcomes of such public measures as needle exchange programs for reduction of HIV risk, methadone maintenance programs, education on the risks of tobacco use, and server intervention programs for the alcohol industry.

The sustained intellectual effort to conceptualize and evaluate this method of treating substance use problems is proving fruitful, but as yet, only a few papers on the subject have emerged. Ranging from history and social theory to human rights considerations, this book is illustrative of the scope and vigour of the emerging harm reduction model. The essays, appearing for the first time in this collection, cover a wide variety of topics which include policy; women and reproductive issues; the experiences of special populations; concepts, discourse, and human rights; defining and measuring harm; and interventions.

Researchers and practitioners will benefit greatly from the varied papers in the volume which combine insights into policy-making and frontline outreach efforts with comprehensive conceptual and empirical approaches. Harm Reduction represents an important initiative in making academic work accessible and useful to a larger community,and provides guidance for policy evolution and programs.

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Product Details

  • ISBN-13: 9780802007568
  • Publisher: University of Toronto Press, Scholarly Publishing Division
  • Publication date: 7/26/1997
  • Pages: 608
  • Product dimensions: 6.25 (w) x 9.15 (h) x 1.49 (d)

Meet the Author

Diane M. Riley is Assistant Professor of Behavioural Science at the University of Toronto and Policy Analyst at the Canadian Foundation for Drug Policy.
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Table of Contents

Foreword
Acknowledgments
Introduction: The Search for Harm Reduction 3
1 The Case of the Two Dutch Drug-Policy Commissions: An Exercise in Harm Reduction, 1968-1976 17
2 Legalization of Drugs: Responsible Action towards Health Promotion and Effective Harm Reduction Strategies 32
3 The Battle for a New Canadian Drug Law: A Legal Basis for Harm Reduction or a New Rhetoric for Prohibition? A Chronology 47
4 The De-Medicalization of Methadone Maintenance 69
5 Readiness for Harm Reduction: Coming to Grips with the 'Temperance Mentality' 80
6 Harm Reduction at the Supply Side of the Drug War: The Case of Bolivia 99
7 Harm Reduction, Human Rights, and the WHO Expert Committee on Drug Dependence 119
8 Harm Reduction, Doping, and the Clashing Values of Athletic Sports 131
9 Will Prisons Fail the AIDS Test? 151
10 Is Prenatal Drug Use Child Abuse?: Reporting Practices and Coerced Treatment in California 174
11 Towards a Harm Reduction Approach to Alcohol-Problem Prevention 195
12 Reducing Alcohol-Related Harm: A Balanced and Disaggregated Perspective 203
13 Harm Reduction and Licensed Drinking Settings 213
14 Reducing Alcohol-Related Harm in Communities: A Policy Paradigm 228
15 Harm Reduction and Alcohol Abuse: A Brief Intervention for College-Student Binge Drinking 245
16 Animal Self-Administration of Cocaine: Misinterpretation, Misrepresentation, and Invalid Extrapolation to Humans 265
17 Harm Reduction Interventions with Women Who Are Heavy Drinkers 290
18 Two Steps Forward, One Step Back: Anti-User Bias in New York State's Approach to Needle Exchange 303
19 Shopping, Baking, and Using: The Manufacture, Use, and Problems Associated with Heroin Made in the Home from Codeine-Based Pharmaceuticals 324
20 'Really Useful Knowledge': The Boundaries, Customs, and Folklore Governing Recreational Drug Use in a Sample of Young People 340
21 Alcohol and Other Drug Use in the Punjabi Community in Peel, Ontario: Experiences in Ethnocultural Harm Reduction 365
22 Female Drug Injectors and Parenting 383
23 The Harm Reduction Model: An Alternative Approach to AIDS Outreach and Prevention for Street Youth in New York City 393
24 Working with Prostitutes: Reducing Risks, Developing Services 410
25 A Harm Reduction Approach to Treating Older Adults: The Clients Speak 429
26 Harm Reduction Efforts inside Canadian Prisons: The Example of Education 453
Contributors 473
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