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University Textbooks      Medicine & Health Sciences

The Harm Reduction Gap: Helping Individuals Left Behind by Conventional Drug Prevention and Abstinence-only Addiction Treatment

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Book Details
Language
English
Publishers
Routledge; 1st edition (9 Feb. 2024)
Weight
0.27 KG
Publication Date
09/02/2024
ISBN-10
1032294736
Pages
192 pages
ISBN-13
9781032294735
Dimensions
15.2 x 1.12 x 22.9 cm
SKU
9781032294735
Author Name
Sheila P. Vakharia (Author)
Sheila P. Vakharia, PhD MSW, is a nationally and internationally recognized harm reduction expert with over 15 years of combined experience in addiction treatment, harm reduction, higher education, research, and drug policy reform.She currently works at the Drug Policy Alliance, a policy advocacy organization that advocates to end the war on drugs in the United States. In her role, Dr. Vakharia helps staff and others understand a range of drug policy-relevant research issues. Dr. Vakharia builds relationships with drug researchers and helps to advance policy-relevant research. She also mobilizes researchers in support of DPA policy campaigns and organizes conferences on key issues in drug policy.Dr. Vakharia received her Master’s in Social Work from Binghamton University. Upon graduation, she worked as a social worker in a traditional 12-step abstinence-only outpatient setting with clients who were primarily mandated to treatment. While there, she conducted intake assessments, facilitated aftercare groups for people with co-occurring mental health and substance use disorders, and was a representative to the local drug court. She soon grew disenchanted with providing a one-size-fits-all approach to treatment to clients who were facing severe negative consequences for not maintaining abstinence while in treatment. She eventually went on to work at a syringe service program where she provided counseling using a harm reduction approach, and completed a Post-Master’s Certificate in Addictions from New York University.Dr. Vakharia received her PhD in Social Welfare at Florida International University and was an Assistant Professor of Social Work at Long Island University where she coordinated the Substance Use Treatment concentration before coming to the Drug Policy Alliance. Read more about this authorRead less about this author
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This long-awaited book teaches how harm reduction can be a safety net for people with substance use disorders that our current addiction treatment rejects, abandons, and leaves behind. Harm reduction is an approach to helping people who engage in high-risk activities to develop the skills and strategies to keep them and their communities safe.

This can include the provision of sterile equipment, low-threshold and low-barrier care, and the acceptance of non-abstinence goals in treatment. In this novel guide, Dr.

Vakharia discusses the shortcomings of the dominant “Just Say No” drug prevention messages and abstinence-only treatment approaches, introduces harm reduction strategies and technologies borne from people who use drugs themselves, and suggests various policy options available as alternatives to the current policies that criminalize drugs, drug-using equipment, and the settings in which people use drugs. The final chapter calls on the reader to destigmatize drug use and support efforts to reform our drug policies.

By highlighting the large gap in our current approach to substance use – the harm reduction gap – this book is the first step for those interested in learning more about the limitations of our current approach to drug use and how to support local efforts to ensure people who use drugs and their communities can stay safe. .

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