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Harm Reduction and Substance Abuse

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Harm Reduction and Substance Abuse
Running head: RESEARCH PAPER

Harm Reduction and Substance Abuse
Liberty University

Abstract
This paper examines how harm reduction is a theoretical model which has been proposed to address the harm which is caused by the behavior of an individual, not only to themselves, but also to the wider community. In particular, it looks at how the model has also provided a potential framework for dealing with substance abuse, and has been adopted in practice in many countries around the world. This paper examines the principals behind the theoretical model, and how these can be applied to successfully treat substance abusers. Specific applications of the model are also examined to determine how successful certain strategies have been in reducing harm, and how any limitations could be overcome to improve future implementations.
Harm Reduction and Substance Abuse

Introduction About 200 million people or 5% of the global population are estimated to have used drugs at least once in 2006. Around 2.7% of the global population use drugs at least once a month, and around 0.6% are recognized as drug addicted or problem drug users. It is estimated that currently around 13 million persons worldwide inject drugs and that there is an increasing trend in the numbers of persons abusing cannabis and amphetamine-type stimulants (United Nations Office on Drugs and Crime, 2006). It can be seen from these figures substance abuse is an important issue which needs addressing. However alongside the concerns relating to the number of illegal drug users around the world are a barrage of other concerns. There are many problems which drug addiction causes to both individuals and societies. This includes disease transmission, most notably HIV/AIDS. The connection between the two is often a direct result of sharing unsterilized injecting equipment among injection drug users. It can also be indirectly a result of drug use, where injecting drug users transmit the disease through



References: Bradley-Springer, L. (1996) Patient education for behavior change: Help from the transtheoretical and harm reduction models. JANAC, 7(1), 23-33. Des Jarlais, D.C. (1995) Harm reduction: A framework for incorporating science into drug policy. American Journal of Public Health, 85, 10-12. Des Jarlais, D., Marmor, M., Paone, D. and Titus, S. (1996) HIV incidence among injecting drug users in New York City syringe-exchange programs. Lancet, 348, 987-991. DuPont, R. and Voth, E. (1995) Drug legalization, harm reduction and drug policy. Annals of Internal Medicine, 123, 461-465. Esteban, J., Gineno, C., Barril, J., Aragones, A., Climent, J.M., de la Cruz and Pellin, M. (2003) Survival study of opioid addicts in relation to its adherence to methadone maintenance treatment. Drug and Alcohol Dependency, 70, 193-200. Griffin, S. (1998) Do No Harm. Retrieved on December 2, 2008, from: http://www.real-solutions.org/donoharm.htm. Hagan, H., McGough, J.P., Thiede, H., Weiss, N.S., Hopkins, S. and Alexander, E.R. (1999) Syringe exchange and risk of infection with hepatitis B and C viruses. American Journal of Epidemiology, 149, 203-213. Hamers, F.F. and Downs, A.M. (2004) The changing face of the HIV epidemic in western Europe: What are the implications for public health policies? Lancet, 364, 83-94. Hilton, B.A., Thompson, R., Moore-Dempsey, L. and Janzen, R.G. (2001) Harm reduction theories and strategies for control of human immunodeficiency virus: A review of the literature. Journal of Advanced Nursing, 33, 357-370. Johnson, R.E., Chutuape, M.A., Strain, E.C., Walsh, S.L., Stitzer, M.L. and Bigelow, G.E. (2000) A comparison of leveomethadyl acetate, buprenorphine and methadone for opioid dependence. New England Journal of Medicine, 343, 1290-1297. Marlatt, G.A. (1998) Highlights of Harm Reduction. In Harm Reduction: Pragmatic Strategies for Managing High-Risk Behaviors. New York: Guilford Press. Marlatt, G.A. (1999) From hindsight to foresight: A commentary on project MATCH. In Changing Addictive Behavior: Bridging Clinical and Public Health Strategies (Tucker, J.A., Donovan, D.M. and Marlatt, G.A. eds). New York: The Guildford Press, pp. 45-66. Riley, D., Sawka, E., Conley, P., Hewitt, D., Mitic, W., Poulin, C., Room, R., Single, E. and Topp, J. (1999) Harm reduction: Concepts and practice. A policy discussion paper. Substance Use and Misuse, 34, 9-24. Schumacher, J.E., Fischer, G. and Qian, H-Z. (2007) Policy drives harm reduction for drug abuse and HIV/AIDS prevention in some developing countries. Drug and Alcohol Dependence, 91, 300-305. Strathdee, S.A., Patrick, D.M., Currie, S.L., Cornelisse, P.G., Rekart, M.L., Montaner, J.S., Schechter, M.T. and O’Shaughnessy, M.V. (1997) Needle exchange is not enough: Lessons from the Vancouver injecting drug use study. AIDS, 11, F59-F65. United Nations Office on Drugs and Crime (2006) World Drug Report. Retrieved on December 2, 2008, from: http://www.unodc.org. Witkiewitz, K. and Marlatt, G.A. (2006) Overview of harm reduction treatments for alcohol problems. The International Journal of Drug Policy, 17, 285-294.

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