Harm reduction refers to policies, programs and practices that aim to reduce harms associated with drugs using. Harm reduction activities are focusing on the prevention of harm, rather than on the prevention of drug use itself. It is an approach that falls under the field of public health, professionals working in this field in Slovakia, however, are mainly students or graduates of social work. Social workers work with the clients in their natural environment-on the street. Street workers work with drug users and often with people working in the sex business, so with clients who are marginalized. It is a difficult job, which in the general population often has a negative connotation. The aim of the study was to explore how social workers perceive themselves as harm reduction workers. We particularly focused on whether their professional identity is formed by the profession of social work or rather by the harm reduction philosophy. Another part of our interest was social workers' motivation to work in this field of social work. Qualitative research strategy was used. Semi-structured interviews with harm reduction workers were conducted. The participants were working with drug users and sexworkers. All of the participants were graduated in social work, with at least a bachelor degree. Most of the Slovak street social workers from this field took part in this research. The data were analysed using the program Atlas.Ti. Findings describe how street social workers identify themselves, what they consider the core of their profession and how this differs from other social work fields.
This paper focuses on marginalized clients who are often condemned for their lifestyle. Because of their way of life and community approach, they need help from several experts to solve their living or social situation. Interdisciplinary cooperation is therefore highly beneficial for the clients. However, it is more effective if integrated care exists in the community where these clients live. The aim of this paper is to find out the situation with the integrated care for homeless people in communities. We used semi-structured interviews. We interviewed 7 social workers who work with homeless people directly in the community where these clients live. We also discuss what experts are needed in this field, and we justify their necessity. Research results show that social workers' opinion is that integrated care directly in the community, where homeless people are, would be very helpful since homeless people are afraid to ask for services. Social workers would welcome if experts were willing to work with them directly with clients in the community. They also consider that their clients need hygiene centres and leisure activities. Conclusions – integrated care for homeless people is needed in communities. The results can serve as a description of integrated care in community to provide the best care for people who need their help.
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