Pular para o conteúdo principal

ETHNOS_APP

Início • Busca • Periódicos • Lista 0

Challenges to Implementing the Harm Reduction Approach

Dados Bibliográficos

ID15414263
AutoresMichael A Mancini (0000-0003-3741-9465, Saint Louis University, autor correspondente), Donald M Linhorst (0000-0001-5406-7364, Saint Louis University), Francie Broderick (Places for People), Scott Bayliff (Places for People)
Ano2008
Volume8
Fascículo3
Páginas380-408
Data de publicação2008-07-23
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Social Work Practice in the Addictions (JOURNAL)
Identificadores do periódicoISSN: 1533-256X • E-ISSN: 1533-2578
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332560802224576
OpenAlexW1983354325
IdiomaEN
Citações recebidas11
Referências citadas43

The social work literature recently has supported greater use of the harm reduction approach in professional practice. Implementing this approach, however, presents its challenges. We explore how practitioners in a housing program for people with histories of psychiatric disabilities, substance use disorders, and homelessness perceived the harm reduction approach. Prior to the opening of this new program, agency staff completed a questionnaire and participated in focus groups designed to explore their perceptions and level of support of the harm reduction approach used in the program. The goal of this evaluation was to understand the challenges of implementing a harm reduction approach in programs serving people with dual diagnosis and the implications this has for program administrators, staff, and clients. We found that practitioners, overall, favored the approach's pragmatism and its focus on client engagement, but many were frustrated by its perceived ambiguity regarding long-term outcomes and client expectations. We conclude with recommendations for how program administrators can facilitate the effective implementation of the harm reduction approach. KEYWORDS: Harm reductionmental illnesssubstance use disordersMICA clientsco-occurring disordersdual disordershomelessness The authors wish to thank the Emmett J. and Mary Martha Doerr Center for Social Justice, Education, and Research at St. Louis University School of Social Work for their support

Harm reduction · Public health · Reduction (mathematics · Risk analysis (engineering · Child Abuse and Trauma · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Mathematics · Medicine · Nursing · Psychology

  • Challenges Faced by Social Workers in Rendering Services to Nyaope Substance Users

    Open Access•Vusi Khanyi, Kgashane Johannes Malesa•Social Work/Maatskaplike Werk•2022

  • A qualitative exploration of the relevance of training provision in planning for implementation of managed alcohol programs within a third sector setting

    Open Access•Wendy Masterton, Hannah Carver et al.•Drugs Education Prevention and…•2025

  • Harm reduction as an approach to ethical nursing care of people who use illicit substances

    Cassandra Iammarino, Bernie Pauly•Drugs Education Prevention and…•2021

  • Correlates of Recovery from Substance Use Disorders

    William C Gilbert, Brenda Kurz•Journal of Social Work Practice…•2018

  • Defiant hospitality

    René C Milet, Teresa López-Castro et al.•Addiction Research & Theory•2021

  • Non-Abstinence-Based Supportive Housing for Persons with Co-Occurring Disorders

    Rupert Van Wormer, Katherine Van Wormer•Journal of Progressive Human…•2009

  • Between a rock and a hard place

    Open Access•Tessa Cheng, Kora Debeck•Canadian Journal of Public Health•2017

  • The Relationship Between Methadone and Buprenorphine Enrollment and Overdose Prevention and Treatment Behaviors Among a Community Sample of People Who Use Opioids in Baltimore, Maryland

    Open Access•Carl Latkin, Lauren Dayton et al.•International Journal of…•2025

  • Mechanisms of Adherence in a Harm Reduction Housing Program

    Dana Davis, Mary Hawk et al.•Journal of Social Work Practice…•2014

  • Abolition and harm reduction in the struggle for “Care, Not Cages”

    Open Access•Jeremy Levenson, Lauren Textor et al.•International Journal of Drug…•2023

  • Consumer and Practitioner Perceptions of the Harm Reduction Approach in a Community Mental Health Setting

    Open Access•Michael A Mancini, Wynter Wyrick-Waugh•Community Mental Health Journal•2011

  • Violence and Severe Mental Illness

    Marvin S Swartz, Jane Swanson et al.•American Journal of Psychiatry•1998

  • Comorbidity of Mental Disorders With Alcohol and Other Drug Abuse

    Darrel A Regier•JAMA•1990

  • The Self-Medication Hypothesis of Substance Use Disorders

    Edward J Khantzian•Harvard Review of Psychiatry•1997

  • Harm reduction

    Open Access•G Alan Marlatt•Addictive Behaviors•1996

  • Qualitative Data Analysis in Health Psychology

    Toby Ro Newton-John, Toby Newton‐john•Qualitative Data Analysis in…•2018

  • Emotional Labor and Burnout

    Open Access•Céleste M Brotheridge, Alicia A Grandey•Journal of Vocational Behavior•2002

  • Toward a psychology of harm reduction

    Robert J Maccoun•American Psychologist•1998

  • Toward a psychology of harm reduction

    Robert J Maccoun•American Psychologist•1998

  • Severely and Persistently Mentally Ill Substance Abusers

    Joan E Zweben•Journal of Psychoactive Drugs•2000

  • Strategies for Implementation of Harm Reduction in Treatment Settings

    Patt Denning•Journal of Psychoactive Drugs•2001

  • Consumer Preference Programs for Individuals Who Are Homeless and Have Psychiatric Disabilities

    Open Access•Sam Tsemberis, Sam J Tsemberis et al.•American Journal of Community…•2003

  • Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis

    Sam Tsemberis, Leyla Gülçür et al.•American Journal of Public Health•2004

  • Risk factors for homelessness among schizophrenic men

    Carol L M Caton, C L Caton et al.•American Journal of Public Health•1994

  • Harm Reduction

    Sam MacMaster, S A MacMaster•Social Work•2004

  • Substance use reduction among patients with severe mental illness

    Open Access•Robert E Drake•Community Mental Health Journal•1996

  • Substance use reduction in the context of outpatient psychiatric treatment

    Open Access•Kate B Carey•Community Mental Health Journal•1996

  • Discussion of “substance use reduction in the context of outpatient psychiatric treatment”

    Open Access•Kenneth Minkoff•Community Mental Health Journal•1996

  • In search of how people change

    James O Prochaska, Janice Prochaska et al.•American Psychologist•1992

  • Co-occurring disorders among mentally ill jail detainees

    Karen M Abram, Linda A Teplin•American Psychologist•1991

Obras citantes distintas11
Citações por ano0,65
Intervalo de citações2009 - 2025 (17)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 11
Ethnos_APP • Projeto Open Source • Licença MIT • Frontend v2.0.0 • Privacidade e Cookies • Documentação da API: api.ethnos.app/docs • Código da API: GitHub • DOI: 10.5281/zenodo.17049435 • Código do Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae