Limits of Harm Reduction

We either do what works, as challenging as that may be, or we accept the consequences of failure.

From our friends in Canada:

Harm reduction not enough to support those struggling with addictions, say front-line workers

No, I don't imagine it is. It’s part of a strategy, not complete in itself.

As a colleague of mine would put it, harm reduction is about making people less sick, which includes preventing premature death. That’s justification enough.

Harm reduction measures alone won’t get someone all the way to "well", in the sense of stable recovery. That requires a great deal more effort.

Frequently said during the opioid epidemic: "No one can get clean and sober if they already died of a drug overdose." Can't argue with that. But what’s to prevent that same individual from returning to the behavior that nearly killed them in the first place? That goes beyond basic harm reduction.

So a naloxone distribution program or a needle exchange needs to promote other services, such as treatment and continuing support, to truly be effective.

I remember the...

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