Since the 1990 First International Conference on the reduction of
Drug-Related Harm, the term 'harm reduction' has gained wide
currency in public health and drug policy. Hitherto, a heated
struggle between prohibition and legalization of addictive
substances occupied the field, and this debate tended to obscure
practical, collective approaches. Harm reduction, an emerging blend
of policy directives and program initiatives, is of growing
interest to scholars in several disciplines. This new approach was
inspired by the positive outcomes of such public measures as needle
exchange programs for reduction of HIV risk, methadone maintenance
programs, education on the risks of tobacco use, and server
intervention programs for the alcohol industry.
The sustained intellectual effort to conceptualize and evaluate
this method of treating substance use problems is proving fruitful,
but as yet, only a few papers on the subject have emerged. Ranging
from history and social theory to human rights considerations, this
book is illustrative of the scope and vigour of the emerging harm
reduction model. The essays, appearing for the first time in this
collection, cover a wide variety of topics which include policy;
women and reproductive issues; the experiences of special
populations; concepts, discourse, and human rights; defining and
measuring harm; and interventions.
Researchers and practitioners will benefit greatly from the
varied papers in the volume which combine insights into
policy-making and frontline outreach efforts with comprehensive
conceptual and empirical approaches. Harm Reduction represents an
important initiative in making academic work accessible and useful
to a larger community, and provides guidance for policy evolution
and programs.
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