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Introducing the Harm Reduction Collaboration Framework for Policy, Systems, and Environmental Change.

Devin Miller1, Dayna DeHerrera-Smith2, Teresa A Sharp3

  • 1Colorado School of Public Health, Aurora, CO, USA.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|May 2, 2023
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Summary

A new framework empowers people who inject drugs (PWID) and community organizations to collaborate on harm reduction strategies. This partnership influences policy and environmental changes to reduce the negative impacts of injection drug use (IDU).

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addictionalcohol & substance usecommunity healthhealth promotionsocial ecological model

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Area of Science:

  • Public Health
  • Social Sciences
  • Community Health

Background:

  • Injection drug use (IDU) presents complex challenges with limited guidance for multi-sectoral harm reduction strategies.
  • Existing frameworks often overlook the crucial role of individuals who inject drugs (PWID) in driving systemic change.
  • Addressing the external determinants of IDU requires a nuanced understanding of the relationship between PWID and their environment.

Purpose of the Study:

  • To introduce a novel framework for designing and implementing multi-sectoral harm reduction efforts.
  • To integrate PWID as central stakeholders in addressing the multifaceted nature of injection drug use.
  • To bridge the gap between theoretical models and practical community-based harm reduction initiatives.

Main Methods:

  • Development of the Harm Reduction Collaboration Framework (HRCF) through a community-academic partnership.
  • HRCF emphasizes collaborative decision-making between PWID and community organizations.
  • Case examples illustrating the application of HRCF in community settings.

Main Results:

  • The HRCF establishes PWID as key partners in influencing policy, systems, and environmental change.
  • Two organizations successfully utilized the HRCF to implement significant harm reduction strategies.
  • Demonstrated the framework's effectiveness in driving substantive community-level changes.

Conclusions:

  • The HRCF offers a practical model for inclusive and effective harm reduction interventions.
  • Empowering PWID as stakeholders is vital for successful policy, systems, and environmental change.
  • Community-academic partnerships are essential for developing and implementing innovative harm reduction approaches.