期刊论文详细信息
Harm Reduction Journal
Harm reduction social work with people who use drugs: a qualitative interview study with social workers in harm reduction services in Sweden
Research
Johan Nordgren1  Torkel Richert1  Anke Stallwitz2 
[1] Department of Social Work, Malmö University, Nordenskiöldsgatan 1, 211 19, Malmö, Sweden;Department of Social Work, Protestant University of Applied Sciences Freiburg, Bugginger Straße 38, 79114, Freiburg, Germany;
关键词: Drug addiction;    Harm reduction;    Social work;    Harm reduction social work;    People who use drugs;    Rehabilitation;    Recovery;   
DOI  :  10.1186/s12954-023-00884-w
 received in 2023-08-10, accepted in 2023-10-05,  发布年份 2023
来源: Springer
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【 摘 要 】

BackgroundSocial work with people who use drugs (PWUD) has traditionally focused on abstinence and rehabilitation. In recent years, harm reduction has gained an increasingly more important role in social work with PWUD, and social workers are key professionals in many harm reduction services. This study investigates how social workers in harm reduction services for PWUD in Sweden understand the concept of harm reduction and how it relates to goals of rehabilitation, and how they assess and deal with dilemmas and challenges in everyday work.MethodsThe study is based on interviews with 22 social workers in harm reduction services for PWUD in the Scania region of Sweden. A thematic analysis in three steps was used in coding and processing the data.ResultsThe social workers pointed to similar values between social work and harm reduction and argued for combining the two fields to improve services for PWUD. Three overarching principles for Harm Reduction Social Work (HRSW) were developed based on the social workers accounts: (1) Harm reduction is a prerequisite for rather than a counterpoint to rehabilitation and recovery, (2) motivational work must be non-mandatory and based on the client’s goals, (3) a holistic perspective is crucial for Harm Reduction Social Work. Challenges in doing HRSW concerned restrictive laws, policies, and guidelines, resistance from managers, difficulties in setting boundaries between client autonomy and life-saving interventions, and the risk of normalizing high-risk behaviors.ConclusionsWe use the concept of Harm Reduction Social Work to show how social work with PWUD can have a primary focus on reducing harm and risks, while at the same time it involves a holistic perspective that facilitates motivation and change. The suggested principles of HRSW can provide guidance in practical social work with vulnerable PWUD. Social workers can have important roles in most harm reduction settings and may act to enable recovery.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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