Getting clean and harm reduction: adversarial or complementary issues for injection drug users

Cadernos de Saúde Pública

James Peterson²  Shannon Gwin Mitchell²  Yan Hong²  Michael Agar¹  Carl Latkin² 

[1] ,Johns Hopkins University Bloomberg School of Public Health

关键词: Street Drugs;    Drug Abuse;    Harm Reduction;    Drogas Ilícitas;    Abuso de Drogas;    Redução de Danos;   

DOI  :  10.1590/S0102-311X2006000400012

来源: SciELO

【 摘 要 】

Many contemporary HIV prevention interventions targeting injection drug users (IDUs) have been implemented using Harm Reduction as a theoretical framework. Among drug-using individuals, however, the abstinence-based "getting clean" models espoused by Narcotics Anonymous and other widely adopted approaches to drug treatment are often more readily accepted. This paper describes an ethnographic examination of the ideological dichotomy between Harm Reduction and abstinence-based "getting clean" treatment model which emerged during the piloting phase of an HIV prevention intervention in Baltimore City, Maryland, USA. This paper describes how the conflict was identified and what changes were made to the intervention to help resolve the participants' dichotomous thinking concerning their substance abuse issues.

【 授权许可】

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