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

2006 ◽  
Vol 22 (4) ◽  
pp. 733-740 ◽  
Author(s):  
James Peterson ◽  
Shannon Gwin Mitchell ◽  
Yan Hong ◽  
Michael Agar ◽  
Carl Latkin

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.

2013 ◽  
Vol 18 (3) ◽  
pp. 464-472 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Lawrence J. Ouellet ◽  
Lorna Finnegan ◽  
Holly Hagan ◽  
Elizabeth Golub ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e43141 ◽  
Author(s):  
Theodore M. Hammett ◽  
Don C. Des Jarlais ◽  
Ryan Kling ◽  
Binh Thanh Kieu ◽  
Janet M. McNicholl ◽  
...  

2005 ◽  
Vol 11 (6) ◽  
pp. 508-515 ◽  
Author(s):  
Karunesh Tuli ◽  
Stephanie Sansom ◽  
David W. Purcell ◽  
Lisa R. Metsch ◽  
Carl A. Latkin ◽  
...  

2011 ◽  
Vol 16 (5) ◽  
pp. 1164-1172 ◽  
Author(s):  
Theodore M. Hammett ◽  
Ryan Kling ◽  
Nghiem Thi Ha Van ◽  
Dang Ha Son ◽  
Kieu Thanh Binh ◽  
...  

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