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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Updated: Oct 4, 2025

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Decolonizing harm reduction.

Gideon Lasco1

  • 1University of the Philippines Diliman, Rm. 1317 3/F Palma Hall, Diliman, 1101, Quezon City, Philippines. pdlasco@up.edu.ph.

Harm Reduction Journal
|February 4, 2022
PubMed
Summary
This summary is machine-generated.

Punitive drug policies are seen as local responses, while harm reduction is viewed as a Western imposition. Decolonizing drug policies requires decolonizing harm reduction by centering Global South voices and local scholarship.

Keywords:
DecolonizationDrug policyHarm reductionWar on drugs

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Area of Science:

  • Social Sciences
  • Public Health
  • Criminology

Background:

  • Punitive drug policies, despite colonial origins, are often framed as nationalist responses in postcolonial states.
  • Harm reduction initiatives are frequently perceived as Western or colonial impositions, hindering their adoption.

Discussion:

  • This paper argues for a dual approach: decolonizing both drug policies and harm reduction strategies.
  • Reclaiming harm reduction requires challenging the perception of it as an external imposition.

Key Insights:

  • Drug policies and harm reduction efforts are entangled with national identity and postcolonial contexts.
  • Shifting the narrative requires acknowledging and addressing the colonial legacy in drug policy discourse.
  • Centering Global South perspectives is crucial for decolonizing harm reduction.

Outlook:

  • Involving Global South actors in leadership roles within the harm reduction movement is essential.
  • Supporting pilot harm reduction programs in postcolonial states can demonstrate local relevance and effectiveness.
  • Highlighting and integrating local scholarship can foster culturally appropriate and sustainable harm reduction practices.