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Integrating harm reduction into acute care: A single center's experience.

Emily K Hyde1, Thang Nguyen2, Sarah Gilchrist3

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PubMed
Summary

Harm reduction strategies can be integrated into acute care settings to support patients with injection drug use (IDU) and related conditions like infective endocarditis. This approach involves education, explicit support, and providing necessary tools for staff.

Keywords:
harm reductionharm reduction supply distributioninjection drug usesubstance misusesubstance use

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Addiction Medicine

Background:

  • Injection drug use (IDU) is a significant public health issue in North America.
  • IDU is frequently associated with serious health complications, including infective endocarditis.
  • Harm reduction offers a pragmatic strategy to mitigate secondary harms linked to IDU.

Purpose of the Study:

  • To describe the integration of harm-reduction practices into daily patient care within an acute care facility.
  • To provide a case exemplar of implementing harm reduction for patients with IDU-related health issues.

Main Methods:

  • A three-stage approach was employed: education, explicit support, and provision of tangible tools.
  • Stage 1 involved raising staff awareness and knowledge of harm reduction principles.
  • Stages 2 and 3 focused on institutional support and practical implementation, including supply distribution.

Main Results:

  • Over 300 staff participated in educational sessions, reporting enhanced knowledge of substance use and harm reduction engagement.
  • The creation of a harm-reduction philosophy statement and a supply distribution program were key outcomes.
  • The harm-reduction supply distribution program demonstrated success and is being expanded facility-wide.

Conclusions:

  • Integrating harm-reduction practices into acute care is feasible through a structured, multi-stage process.
  • Key elements for successful integration include education, institutional support, and practical resources.
  • Future steps involve wider implementation and collaborative evaluation with patients who use substances.