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Published on: January 5, 2018
Harm reduction therapy: a practice-friendly review of research
Diane E Logan1, G Alan Marlatt
1Department of Psychology, University of Washington, Box 351629, Seattle, WA 98195, USA. logande@uw.edu
Harm reduction strategies effectively minimize risks associated with various behaviors, including substance use. These evidence-based interventions offer valuable alternatives for individuals not pursuing complete abstinence.
Area of Science:
- Behavioral Science
- Public Health
- Addiction Medicine
Background:
- Harm reduction, initially focused on substance use, now addresses diverse behavioral disorders.
- It offers practical strategies for managing problematic behaviors beyond complete abstinence.
Purpose of the Study:
- To review empirical research on harm reduction practices across various populations and behaviors.
- To evaluate the effectiveness and safety of harm reduction interventions.
Main Methods:
- Systematic review of peer-reviewed controlled trials.
- Analysis of interventions for alcohol use, nicotine dependence, opioid use disorder, and other behavioral issues.
Main Results:
- Dozens of studies support the efficacy of harm reduction interventions.
- No significant iatrogenic effects were observed across reviewed studies.
- Harm reduction is effective for diverse clients and disorders.
Conclusions:
- Harm reduction provides essential tools for clinicians when abstinence is not feasible.
- These interventions successfully reduce negative consequences of behaviors.
- Empirical evidence supports the broad application of harm reduction principles.
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