“That original tension”

Koutroulis, Glenda

doi:10.1016/s0740-5472(99)00087-2

Cited by 15 publications

(3 citation statements)

References 24 publications

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“…Clinical supervision can help address this ambiguity, yet there are no clear guidelines of best practices within a harm reduction approach. 2534 Similarly, little attention is given to the exercise of discretionary power by TF providers expected to adhere to abstinence-only policies. 835 …”

Section: Discussionmentioning

confidence: 99%

Provider Views of Harm Reduction Versus Abstinence Policies Within Homeless Services for Dually Diagnosed Adults

Henwood

Padgett

Tiderington

2013

J Behav Health Serv Res

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Harm reduction is considered by many to be a legitimate alternative to abstinence-based services for dually diagnosed individuals, yet there is limited understanding of how varying approaches affect front-line practice within supportive housing services for homeless adults. This paper examines how front-line providers working with individuals who have experienced homelessness, serious mental illness, and addiction view policies of harm reduction versus abstinence within two distinctly different approaches to homeless services: the traditional or ‘treatment first’ (TF) approach that requires abstinence and the more recent Housing First (HF) approach that incorporates harm reduction. As part of a federally-funded qualitative study, 129 in-depth interviews conducted with 41 providers were thematically analyzed to understand how providers view a harm reduction versus abstinence approach. Themes included: (a) harm reduction as a welcomed alternative; (b) working with ambiguity; and (c) accommodating abstinence. Drawing on recovery principles, we consider the broader implications of the findings for behavioral health care with this population.

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Section: Discussionmentioning

confidence: 99%

Provider Views of Harm Reduction Versus Abstinence Policies Within Homeless Services for Dually Diagnosed Adults

Henwood

Padgett

Tiderington

2013

J Behav Health Serv Res

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“…First, ambiguities in its conceptualisation play an influential role; for example, some practitioners perceive HR as sending the wrong message, that is, one of tolerating or even encouraging substance use 27 28 30 44. Some do not perceive total cessation of substance use as a legitimate goal that could be achieved through HR 45. Also, there is often confusion between reducing use (frequency, quantity, etc) and reducing harm (modifying consumption practices, such as contexts and mixtures, to reduce consequences) 30.…”

Section: Introductionmentioning

confidence: 99%

“…27 28 30 44 Some do not perceive total cessation of substance use as a legitimate goal that could be achieved through HR. 45 Also, there is often confusion between reducing use (frequency, quantity, etc) and reducing harm (modifying consumption practices, such as contexts and mixtures, to reduce consequences). 30 These misconceptions point to the need for awareness-raising, training and supervision of practitioners interested in this approach.…”

Section: Introductionmentioning

confidence: 99%

Facilitators of and barriers to healthcare providers’ adoption of harm reduction in cannabis use: a scoping review protocol

Haddad,

Dagenais,

Huynh

et al. 2024

BMJ Open

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IntroductionThe high prevalence of cannabis use and the potential for negative effects indicate the need for effective prevention strategies and treatment of people who use cannabis. Studies show that harm reduction (HR) in cannabis use is effective in minimising the harmful consequences of the substance. However, health professionals often misunderstand it and resist its adoption due to various obstacles. To our knowledge, there has been no review of the scientific literature on the factors that facilitate or hinder practitioners’ adoption of HR in cannabis use. To fill this gap, we aim to identify, through a scoping review, facilitators and barriers to healthcare providers’ adoption of HR in cannabis use in Organisation for Economic Cooperation and Development (OECD) countries.Methods and analysisOur methodology will be guided by the six-step model initially proposed by Arksey and O’Malley (2005). The search strategy will be executed on different databases (Medline, PsycINFO, CINAHL, Web of Science, Embase, Sociological Abstracts, Érudit, BASE, Google Web and Google Scholar) and will cover articles published between 1990 and October 2022. Empirical studies published in French or English in an OECD country and identifying factors that facilitate or hinder healthcare providers’ adoption of HR in cannabis use, will be included. Reference lists of the selected articles as well as relevant systematic reviews will be scanned to identify any missed publications by the electronic searches.Ethics and disseminationEthics approval is not required. The results will be disseminated through various activities (eg, publication in peer-reviewed journals, conferences, webinars and knowledge translation activities). The results will also allow us to conduct a future study aiming to develop and implement a knowledge translation process among healthcare practitioners working with youth in Quebec in order to enhance their adoption of HR in cannabis use.

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High and low threshold service provision in drug-free settings: Practitioner views

Eversman

2010

International Journal of Drug Policy

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“That original tension”

Cited by 15 publications

References 24 publications

Provider Views of Harm Reduction Versus Abstinence Policies Within Homeless Services for Dually Diagnosed Adults

Provider Views of Harm Reduction Versus Abstinence Policies Within Homeless Services for Dually Diagnosed Adults

Facilitators of and barriers to healthcare providers’ adoption of harm reduction in cannabis use: a scoping review protocol

High and low threshold service provision in drug-free settings: Practitioner views

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