Harm Reduction in Substance Use and High-Risk Behaviour

Harm Reduction is a philosophy of public health intended as a progressive alternative to the prohibition of certain potentially dangerous lifestyle choices. Recognising that certain people always have and always will engage in behaviours which carry risks, the aim of harm reduction is to mitigate the potential dangers and health risks associated with those behaviours. Harm Reduction in Substance Use and High-Risk Behaviour offers a comprehensive exploration of the policy, practice and evidence base of harm reduction. Starting with a history of harm reduction, the book addresses key ethical and legal issues central to the debates and developments in the field. It discusses the full range of psychoactive substances, behaviours and communities with chapters on injecting, dance drugs, stimulant use, tobacco harm reduction, alcohol use and sex work. Written by an international team of contributors, this text provides an essential panorama of harm reduction in the 21st century for educators and researchers in addiction and public health, postgraduate students and policy makers.

Harm Reduction is a philosophy of public health intended as aprogressive alternative to the prohibition of certain potentiallydangerous lifestyle choices. Recognising that certain people alwayshave and always will engage in behaviours which carry risks, theaim of harm reduction is to mitigate the potential dangers andhealth risks associated with those behaviours.Harm Reduction in Substance Use and High-Risk Behaviour offers acomprehensive exploration of the policy, practice and evidence baseof harm reduction. Starting with a history of harm reduction, thebook addresses key ethical and legal issues central to the debatesand developments in the field. It discusses the full range ofpsychoactive substances, behaviours and communities with chapterson injecting, dance drugs, stimulant use, tobacco harm reductionalcohol use and sex work.Written by an international team of contributors, this textprovides an essential panorama of harm reduction in the 21stcentury for educators and researchers in addiction and publichealth, postgraduate students and policy makers.

Foreword ixList of Figures and Tables xiList of Contributors xiiSection I: Background 11 Introduction 3Diane Riley and Richard Pates2 A Brief History of Harm Reduction 5Diane Riley, Richard Pates, Geoffrey Monaghan and Patrick O'Hare3 Drug Education or Drug Propaganda? 17Julian CohenSection II: Policy 314 Harm Reduction and International Law: Drug Control vs. Human Rights 33Richard Elliott5 A Brief, Personal History of Harm Reduction Advocacy 49Dave Burrows6 Harm Reduction and the Role of Police Services 59Geoffrey Monaghan7 Harm Reduction in Prisons and Other Places of Detention 77Ralf Jurgens8 International Security and the Global War on Drugs: The Tragic Irony of Drug Securitisation 101Danny Kushlick9 The Ethics of Harm Reduction 111Adrian Carter, Peter G. Miller and Wayne Hall10 Harm Reduction: Contribution to a Critical Appraisal from the Perspective of People Who Use Drugs 124Eliot Ross AlbertSection III: Specific Interventions 13311 Injecting 135Richard Pates, Robert Heimer and Danny Morris12 Recovery and Harm Reduction: Time for a Shared, Development-Oriented, Programmatic Approach? 155Neil Hunt13 Harm Reduction for Stimulants 171Diane Riley and Richard Pates14 Ecstasy and Related Drugs (ERDs) and Harm Reduction 184Paul Dillon, Professor Jan Copeland and Edmund Silins15 Alcohol: Harm Reduction 196Tina Alwyn and Bev John16 Tobacco Harm Reduction 213Jonathan Foulds and Steven Branstetter17 Drugs and Harm Reduction: Cannabis and the Cannabinoids 229Stefan Brugger, Laurence J. Reed, James Stone and David J. Nutt18 The Resurrection of Psychedelic Research 246Amanda Fielding19 Harm Reduction and Sex Workers: A New Zealand Response: Taking the Harm Out of the Law 252Catherine Healy, Calum Bennachie and Raewyn Marshall20 Harm Minimisation: Gambling 263Sally Gainsbury and Alex Blaszczynski21 Young People and Harm Reduction in the UK: A Community Perspective 279Mags Maher22 Making Tools for Harm Reduction: The Story of Exchange Supplies 289Jon DerricottSection IV: Regions 29923 Harm Reduction in Central and Eastern Europe 301Tomas Zabransky, Jean Paul Grund, Alisher Latypov, David Otiashvili, Raminta Stuikyte, Otilia Scutelniciuc and Pavlo Smyrnov24 Harm Reduction in Western Europe 322Richard Pates25 Harm Reduction in Russia, South West and Central Asia 335Tomas Zabransky, Alisher Latypov, Ivan Varentsov, David Otiashvili and Jean Paul Grund26 Harm Reduction in South, South East and East Asia 354Jimmy Dorabjee27 History and Context of Harm Reduction in the United States 370Lisa Moore and Allan Clear28 Harm Reduction in Canada: The Many Faces of Regression 382Walter Cavalierri and Diane Riley29 Harm Reduction in Latin America and the Caribbean 395Diana Rossi30 Policy and Practice in Harm Reduction in Australasia 405Alex Wodak, John Ryan, Patrick Griffiths, Ingrid van Beek, Monica J. Barratt, Simon Lenton, Kate Dolan, Ana Rodas, Geoffrey Noller and Michael Farrell31 Harm Reduction in Sub-Saharan Africa 425Bruce Trathen, Charles D.H. Parry and Neo K. Morojele32 Overview of the Harm Reduction Situation in the Middle East and North Africa 444Jallal ToufiqSection V: Conclusions 45533 Conclusions 457Richard Pates and Diane RileyIndex 461