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1 results

  • 12 - Harm-Reduction, Legal Issues, Drug Court and Other Alternatives to Discipline

  • from Part III - The Treatment Plan
  • Ethan O. Bryson, Icahn School of Medicine at Mount Sinai, New York, Christine E. Boxhorn, Medical College of Wisconsin, Milwaukee
  • Book:
    The Opioid Epidemic
    Published online:
    07 October 2023
    Print publication:
    12 October 2023, pp 144-162

  • Summary

    Harm reduction refers to a set of strategies aimed to limit the negative consequences associated with drug use, but without requiring complete abstinence. Some harm-reduction strategies aim to reduce the risk of overdose, such as the use of naloxone rescue kits, fentanyl testing strips, and implementation of Good Samaritan laws. Other strategies lower the risk of overdose but also the likelihood of contracting infectious diseases such as HIV and hepatitis. Syringe services programs, also referred to as needle exchange programs, and supervised consumption facilities all fall under this category. Medications for opioid use disorder (MOUD), which include methadone, buprenorphine, and naltrexone, have been proven to lower the risk of overdose, improve the likelihood of maintaining sobriety, and therefore lower rates of disease transmission. Finally, harm reduction is utilized in criminal justice system through the use of drug decriminalization, police diversion programs, and drug treatment courts.