Harm Reduction in Substance Use and High-risk Behaviour (Addiction Press)

Description: 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. Diane Riley is a policy analyst with the Canadian Foundation for Drug Policy and Assistant Professor of Medicine at the University of Toronto. She is a founding member of the International Harm Reduction Association and a member of the Board of Directors of the Canadian HIV/AIDS Legal Network Richard Pates is a consultant clinical psychologist and clinical director of the Addiction services for Cardiff and vale NHS Trust. He has worked in the field for nearly 20 years and has extensive experience of treating people with amphetamine problems. His research interests include the treatment of amphetamine problems and aspects of injecting. He is also editor of The Journal of Substance Use. Foreword ix List of Figures and Tables xi List of Contributors xii Section I: Background 1 1 Introduction 3 Diane Riley and Richard Pates 2 A Brief History of Harm Reduction 5 Diane Riley, Richard Pates, Geoffrey Monaghan and Patrick O'Hare 3 Drug Education or Drug Propaganda? 17 Julian Cohen Section II: Policy 31 4 Harm Reduction and International Law: Drug Control vs. Human Rights 33 Richard Elliott 5 A Brief, Personal History of Harm Reduction Advocacy 49 Dave Burrows 6 Harm Reduction and the Role of Police Services 59 Geoffrey Monaghan 7 Harm Reduction in Prisons and Other Places of Detention 77 Ralf Jurgens 8 International Security and the Global War on Drugs: The Tragic Irony of Drug Securitisation 101 Danny Kushlick 9 The Ethics of Harm Reduction 111 Adrian Carter, Peter G. Miller and Wayne Hall 10 Harm Reduction: Contribution to a Critical Appraisal from the Perspective of People Who Use Drugs 124 Eliot Ross Albert Section III: Specific Interventions 133 11 Injecting 135 Richard Pates, Robert Heimer and Danny Morris 12 Recovery and Harm Reduction: Time for a Shared, Development-Oriented, Programmatic Approach? 155 Neil Hunt 13 Harm Reduction for Stimulants 171 Diane Riley and Richard Pates 14 Ecstasy and Related Drugs (ERDs) and Harm Reduction 184 Paul Dillon, Professor Jan Copeland and Edmund Silins 15 Alcohol: Harm Reduction 196 Tina Alwyn and Bev John 16 Tobacco Harm Reduction 213 Jonathan Foulds and Steven Branstetter 17 Drugs and Harm Reduction: Cannabis and the Cannabinoids 229 Stefan Brugger, Laurence J. Reed, James Stone and David J. Nutt 18 The Resurrection of Psychedelic Research 246 Amanda Fielding 19 Harm Reduction and Sex Workers: A New Zealand Response: Taking the Harm Out of the Law 252 Catherine Healy, Calum Bennachie and Raewyn Marshall 20 Harm Minimisation: Gambling 263 Sally Gainsbury and Alex Blaszczynski 21 Young People and Harm Reduction in the UK: A Community Perspective 279 Mags Maher 22 Making Tools for Harm Reduction: The Story of Exchange Supplies 289 Jon Derricott Section IV: Regions 299 23 Harm Reduction in Central and Eastern Europe 301 Tomas Zabransky, Jean Paul Grund, Alisher Latypov, David Otiashvili, Raminta Stuikyte, Otilia Scutelniciuc and Pavlo Smyrnov 24 Harm Reduction in Western Europe 322 Richard Pates 25 Harm Reduction in Russia, South West and Central Asia 335 Tomas Zabransky, Alisher Latypov, Ivan Varentsov, David Otiashvili and Jean Paul Grund 26 Harm Reduction in South, South East and East Asia 354 Jimmy Dorabjee 27 History and Context of Harm Reduction in the United States 370 Lisa Moore and Allan Clear 28 Harm Reduction in Canada: The Many Faces of Regression 382 Walter Cavalierri and Diane Riley 29 Harm Reduction in Latin America and the Caribbean 395 Diana Rossi 30 Policy and Practice in Harm Reduction in Australasia 405 Alex Wodak, John Ryan, Patrick Griffiths, Ingrid van Beek, Monica J. Barratt, Simon Lenton, Kate Dolan, Ana Rodas, Geoffrey Noller and Michael Farrell 31 Harm Reduction in Sub-Saharan Africa 425 Bruce Trathen, Charles D.H. Parry and Neo K. Morojele 32 Overview of the Harm Reduction Situation in the Middle East and North Africa 444 Jallal Toufiq Section V: Conclusions 455 33 Conclusions 457 Richard Pates and Diane Riley Index 461

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