Harm Reduction

A New Direction for Drug Policies and Programs

By: Patricia Erickson (Editor), Diane Riley (Editor), Yuet Cheung (Editor), Pat O'Hare (Editor)

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Paperback | 26 July 1997

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Since the First International Conference on the Reduction of Drug-Related Harm, held in 1990, the term 'harm reduction' has gained wide currency in the areas of public health and drug policy. Previously the field was characterized by heated struggle between prohibition and legalization of addictive substances, and this debate tended to obscure practical, collective approaches. Harm reduction, an approach which encompasses various policy directives and program initiatives 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 programs designed to limit alcohol consumption.

The essays in this book illustrate the scope and vigour of the emerging harm reduction model. The essays, drawn from seven international conferences on harm reduction, cover a wide variety of topics, including public policy, women and reproductive issues, the experiences of special populations, human rights; defining and measuring harm, and intervention.

Researchers and practitioners will benefit from the varied papers in the volume, which combine insights into policy-making and front-line 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 the development of effective policies and programs.

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

Harm Reduction

A New Direction for Drug Policies and Programs

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Paperback

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