Defining Harm Reduction as Part of a Public Health Approach Towards Gambling

2019 ◽  
pp. 71-77
Author(s):  
Olivier Simon ◽  
Jean-Félix Savary ◽  
Gabriel Guarrasi ◽  
Cheryl Dickson
Keyword(s):  
Public Health ◽  
Harm Reduction ◽  
Public Health Approach

At the Intersection of Harm Reduction and COVID-19: The Role of Anthropologists during and Post-Pandemic

2021 ◽  
Vol 80 (4) ◽  
pp. 272-281
Author(s):  
Shana Harris ◽  
Allison Schlosser
Keyword(s):  
Public Health ◽  
United States ◽  
Harm Reduction ◽  
United States Public Health ◽  
The United States ◽  
Opioid Use Disorder ◽  
Public Health Approach ◽  
People Who Use Drugs ◽  
Opioid Use ◽  
Policy Changes

Harm reduction is a public health approach that emphasizes reducing the negative effects of drug use rather than eliminating it. It has been practiced for decades; however, the COVID-19 pandemic poses new challenges for people who use drugs (PWUD) and harm reduction providers. In the United States, public health recommendations to curb the pandemic are complicating harm reduction efforts. Harm reduction programs are rethinking how they engage with PWUD to comply with these recommendations while also providing essential services. In this article, we draw on academic literature, news articles, and information distributed by harm reduction programs to discuss issues currently faced by PWUD and harm reduction providers across the country. This discussion focuses on policy changes and programming adaptations related to three harm reduction interventions—syringe services programs, overdose prevention, and medications for opioid use disorder—that have emerged or gained traction during the pandemic. We argue that anthropologists should play a key role in addressing the obstacles and opportunities for harm reduction in the United States during and post-pandemic. Ethnographic research can generate important knowledge of how pandemic-related service and policy changes are localized by providers and experienced by PWUD and uncover how race, class, and gender may shape access to and experiences with modified harm reduction services. Applied anthropologists also have an important role in collaborating with harm reduction programs to ensure that the voices of marginalized individuals are not ignored as policy and programming changes take place during and after the pandemic.

Harm reduction: a public health approach to prison drug use

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Linsey Ann Belisle ◽  
Elia Del Carmen Solano-Patricio
Keyword(s):  
Public Health ◽  
Drug Use ◽  
Harm Reduction ◽  
Public Health Approach ◽  
High Risk Population ◽  
Opioid Agonist ◽  
Content Type ◽  
Exchange Programs ◽  
Opioid Agonist Therapy ◽  
Life Saving

Purpose As prison drug use continues to be a concern worldwide, harm reduction practices serve as an alternative approach to traditional abstinence-only or punishment-oriented methods to address substance use behind bars. The purpose of this study is to present a summary of research surrounding prison-based harm reduction programs. Design/methodology/approach This narrative review of the international literature summarizes the harms associated with prison drug use followed by an overview of the literature surrounding three prison-based harm reduction practices: opioid agonist therapy, syringe exchange programs and naloxone distribution. Findings A collection of international research has found that these three harm reduction programs are safe and feasible to implement in carceral settings. Additionally, these services can effectively reduce some of the harms associated with prison drug use (e.g. risky injection practices, needle sharing, fatal overdoses, etc.). However, these practices are underused in correctional settings in comparison to their use in the community. Originality/value Various policy recommendations are made based on the available literature, including addressing ethical concerns surrounding prison populations’ rights to the same standard of health care and services available in the community. By taking a public health approach to prison drug use, harm reduction practices can provide a marginalized, high-risk population of incarcerated individuals with life-saving services rather than punitive, punishment-oriented measures.

The Public Health Approach to the Worsening Opioid Crisis in the United States Calls for Harm Reduction Strategies to Mitigate the Harm From Opioid Addiction and Overdose Deaths

2021 ◽  
Author(s):  
Yvon Yeo ◽  
Rosemary Johnson ◽  
Christine Heng
Keyword(s):  
Public Health ◽  
Harm Reduction ◽  
The United States ◽  
Public Health Approach ◽  
Opioid Crisis ◽  
Long Run ◽  
Reduction Strategies ◽  
Public Health Strategies ◽  
Overdose Deaths ◽  
The U.S

ABSTRACT The opioid crisis has devastated the U.S. more than any other country, and the epidemic is getting worse. While opioid prescriptions have decreased by more than 40% from its peak in 2010, unfortunately, opioid-related overdose deaths have not declined but continued to increase. With greater scrutiny on prescription opioids, many users switched to the cheaper and more readily available heroin that drove up heroin-related overdose deaths from 2010 to peak in 2016, being overtaken by the spike in synthetic opioid (mostly fentanyl)-related overdose deaths. The surge in fentanyl-related overdose deaths since 2013 is alarming as fentanyl is more potent and deadly. One thing is certain the opioid crisis is not improving but has become dire with the surge in fentanyl-related overdose deaths. Evidence-based strategies have to be implemented in the U.S. to control this epidemic before it destroys more lives. Other countries, including European countries and Canada, have invested more in harm reduction strategies than the U.S. even though they (especially Europe) do not face anywhere near the level of crisis as the U.S. In the long-run, upstream measures (tackling the social determinants of health) are more effective public health strategies to control the epidemic. In the meantime, however, harm reduction strategies have to be employed to mitigate the harm from addiction and overdose deaths.

The neoliberal governance of heroin and opioid users in Philadelphia city

2021 ◽  
pp. 174165902199119
Author(s):  
Philip R Kavanaugh ◽  
Jennifer L Schally
Keyword(s):  
Public Health ◽  
Harm Reduction ◽  
Drug Users ◽  
Policy Documents ◽  
Media Portrayals ◽  
Neoliberal Governance ◽  
Public Nuisance ◽  
Fiscal Austerity ◽  
Opioid Users ◽  
Governmental Response

Drawing on 147 news accounts and five policy documents on the heroin and opioid crisis in Philadelphia, Pennsylvania published between 2016 and 2018, our analysis highlights how media portrayals of opioid users as both tragic victims and public nuisance prompted a schizoid governmental response that draws on rhetorics of treatment and harm reduction to legitimate more punitive interventions. By describing how the state’s quasi-medical responsibilization strategy devolved to fold criminalization into its broader response, we argue the effort to wage a kinder/gentler war on overdose invests in familiar tropes of a recalcitrant drug user class that is a threat to public health. In doing so we provide a basis to critique how drug users are governed in this time of fiscal austerity, resource hoarding, and perpetual, continually evolving drug crises.

Transformation of HIV from pandemic to low-endemic levels: a public health approach to combination prevention

The Lancet ◽  
2014 ◽  
Vol 384 (9939) ◽  
pp. 272-279 ◽  
Author(s):  
Alexandra Jones ◽  
Ide Cremin ◽  
Fareed Abdullah ◽  
John Idoko ◽  
Peter Cherutich ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Approach ◽  
Combination Prevention

scholarly journals Examining public knowledge, attitudes and perceptions towards palliative care: a mixed method sequential study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja McIlfatrick ◽  
Paul Slater ◽  
Esther Beck ◽  
Olufikayo Bamidele ◽  
Sharon McCloskey ◽  
...  
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
End Of Life ◽  
Current Knowledge ◽  
Care Delivery ◽  
Public Awareness ◽  
Public Understanding ◽  
Public Health Issue ◽  
Public Health Approach ◽  
Cross Sectional Survey

Abstract Background Palliative care is recognised as a public health issue with the need for earlier integration in the wider healthcare system. However, research indicates that it continues to be accessed late in the course of an illness, public understanding of palliative care is limited, and common misconceptions prevail. Strategies to address this are needed in order to reduce barriers to palliative care delivery and improve access. Methods An explanatory sequential mixed methods study, comprising a cross-sectional survey and interviews was undertaken. Sociodemographic characteristics, public awareness, knowledge and perceptions of palliative care were examined and strategies to raise awareness and overcome barriers within a public health framework were identified. Survey data were analysed using SPSS v25 with factor analysis and non-parametric statistics and qualitative data were analysed using thematic analysis. Results A total of 1201 participants completed the survey (58.3% female, mean age 61 years) and 25 took part in interviews. A fifth of participants (20.1%) had previously heard about palliative care and had an accurate understanding of the term. Being female, higher educated, married, and older, increased respondents’ levels of awareness. The three most commonly held misconceptions included: Palliative care is exclusively for people who are in the last 6 months of life (55.4% answered incorrectly); A goal of palliative care is to address any psychological issues brought up by serious illness (42.2% answered incorrectly); and a goal of palliative care is to improve a person’s ability to participate in daily activities (39.6% answered incorrectly). Talking about palliative and end of life care was advocated but societal taboos restricted this occurring with exposure limited to personal experience. Conclusions Current knowledge gaps and misconceptions derived from limited ad hoc personal experiences and fear of engaging in taboo conversations may deter people from accessing integrated palliative care services early in a disease trajectory. The results indicate the need for public education programmes that move beyond merely raising awareness but provide key messages within a public health approach, which may change attitudes to palliative care thus ultimately improving end of life outcomes.

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