Harm and risk reduction: history, theories, issues, and implications.

Abstract:

:Harm reduction is explored, historically, in terms of ideologies, concepts, processes, types, stakeholders, legal, policy, service delivery, and ethical considerations and their micro and macro consequences. Necessary critical conditions underpinning ideologies and programs throughout their life cycle are examined, as are selected unresolved issues and paradoxes. Importantly, harm reduction can inadvertently result in distancing drug users (DUs) from mainstream ("normed") care by institutionalizing specialized care for DUs who remain "marginalized" from the community at large. Also, harm reduction can become harm production when program staff, who should be foster autonomy and self-care in partnership with DUs, are co-opted into becoming social control agents acting on compliant, passive, pathologized, and dehumanized stereotypes - Them.

journal_name

Subst Use Misuse

journal_title

Substance use & misuse

authors

Einstein S

doi

10.1080/10826080601141990

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

257-65

issue

2-3

eissn

1082-6084

issn

1532-2491

pii

779367176

journal_volume

42

pub_type

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