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So glad you came! Harm reduction therapy in community settings
Jeannie Little1, Perri Franskoviak
1Harm Reduction Therapy Center, 423 Gough Street, San Francisco, CA 94102, USA. jeanglittle@gmail.com
Harm reduction therapy offers a nonabstinence approach for substance use disorders in community settings. This flexible, low-threshold model achieves positive outcomes like reduced drug use and improved housing stability.
Area of Science:
- Addiction Medicine
- Community Psychology
- Public Health
Background:
- Harm reduction therapy was developed as a nonabstinence-based treatment for substance use disorders.
- Traditional treatment models often require abstinence, which can be a barrier for many individuals.
Purpose of the Study:
- To describe and apply the principles and practices of harm reduction therapy in community settings.
- To highlight the effectiveness of a low-threshold, flexible approach in diverse non-therapeutic environments.
Main Methods:
- Implementation of harm reduction therapy principles in community settings such as drop-in centers, needle exchanges, and primary care clinics.
- Offering flexible services including drop-in sessions, support groups, therapy appointments, and psychiatric medication management.
- Engaging over 1,000 clients annually with varying levels of intervention intensity.
Main Results:
- Demonstrated reduction in harmful drug use among clients.
- Observed stabilization of psychiatric problems in the target population.
- Facilitated achievement of permanent housing for numerous clients.
Conclusions:
- Community-based harm reduction therapy is an effective model for addressing substance use and co-occurring mental health issues.
- Low-threshold and flexible service delivery models enhance accessibility and engagement in non-traditional settings.
- This approach yields significant positive outcomes, including improved health and social stability for clients.
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