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

from Part III - The Treatment Plan

Published online by Cambridge University Press:  07 October 2023

Ethan O. Bryson  and
Christine E. Boxhorn
Ethan O. Bryson
Affiliation:
Icahn School of Medicine at Mount Sinai, New York
Christine E. Boxhorn
Affiliation:
Medical College of Wisconsin, Milwaukee
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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.

Keywords

harm reductionnaloxonegood samaritanfentanyl testing stripssyringe services programsneedle exchange programsneedle and syringe programshepatitisHIVsupervised injection sitessupervised consumption facilitiesmedications for opioid use disordermedication-assisted treatmentMOUDmethadonebuprenorphinenaltrexoneheroinpregnancyneonatal abstinence syndromeNASdecriminalizationjailprisonpolicedrug courts
Type
Chapter
Information
The Opioid Epidemic
Origins, Current State and Potential Solutions
 , pp. 144 - 162
Publisher: Cambridge University Press
Print publication year: 2023

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References

References and Further Reading

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