Getting clean and harm reduction: adversarial or complementary issues for injection drug users

Cadernos de saúde pública
James PetersonC Latkin

Abstract

Many contemporary HIV prevention interventions targeting injection drug users (IDUs) have been implemented using Harm Reduction as a theoretical framework. Among drug-using individuals, however, the abstinence-based "getting clean" models espoused by Narcotics Anonymous and other widely adopted approaches to drug treatment are often more readily accepted. This paper describes an ethnographic examination of the ideological dichotomy between Harm Reduction and abstinence-based "getting clean" treatment model which emerged during the piloting phase of an HIV prevention intervention in Baltimore City, Maryland, USA. This paper describes how the conflict was identified and what changes were made to the intervention to help resolve the participants' dichotomous thinking concerning their substance abuse issues.

References

Aug 28, 2003·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Carl A LatkinAmy Knowlton
Oct 31, 2003·AIDS and Behavior·Julia Dickson-GómezCarl Latkin

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Citations

Jul 30, 2009·Harm Reduction Journal·Beth S RachlisEvan Wood
Mar 9, 2017·Substance Abuse Treatment, Prevention, and Policy·Rozilaine Redi LagoCláudia Maria Bógus
Dec 23, 2009·Substance Use & Misuse·Julia Dickson-Gomez
Apr 14, 2007·Proceedings·J Christian Cather, Jennifer Clay Cather

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