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Updated: Jul 7, 2026

Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
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Published on: May 31, 2019

Harm reduction through a social justice lens.

Bernadette Pauly1

  • 1School of Nursing, University of Victoria, Box 1700, Victoria, BC V8W 2Y2, Canada. bpauly@uvic.ca

The International Journal on Drug Policy
|January 30, 2008
PubMed
Summary

Harm reduction strategies must address the social determinants of health for street-involved individuals, including homelessness and poverty. A social justice framework offers a more comprehensive approach to reducing drug use-related harms.

Area of Science:

  • Public Health
  • Social Sciences
  • Ethics

Background:

  • Street-involved populations, including those experiencing homelessness and drug use, face significant health inequities and increased morbidity/mortality.
  • Current harm reduction approaches primarily focus on reducing drug use harms, neglecting broader contextual issues like poverty and violence.
  • Existing healthcare models often fail to adequately address the complex needs of this vulnerable population.

Purpose of the Study:

  • To ethically analyze the values underpinning harm reduction and explore conceptions of justice.
  • To propose an alternative ethical framework for addressing a wider spectrum of harms associated with drug use.
  • To inform policies aimed at mitigating the multifaceted harms experienced by street-involved individuals.

Main Methods:

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  • Ethical analysis of harm reduction principles.
  • Examination of various theories of justice, particularly distributive and social justice.
  • Application of Iris Marion Young's critical social justice lens.

Main Results:

  • Traditional distributive justice theories are insufficient for addressing the root causes of drug use-related harms.
  • Reconceptualizing social justice through a critical lens provides a more effective ethical framework.
  • This framework highlights structural inequities contributing to the harms associated with drug use.

Conclusions:

  • A critical social justice approach illuminates structural inequities driving harms for street-involved populations.
  • This perspective offers a promising foundation for developing policies that address homelessness, poverty, and other contextual harms.
  • Integrating social justice principles can enhance healthcare access and outcomes for marginalized individuals.