Historique
Article de Périodique
Challenges to implementing the harm reduction approach (2008)
(Les défis à la mise en place d'une approche de réduction des risques)
Auteur(s) :
MANCINI, M. A. ;
LINHORST D. M. ;
BRODERICK, F. ;
BAYLIFF, S.
Année
2008
Page(s) :
380-408
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
PSYCHOPATHOLOGIE
;
SANS ABRI
;
EVALUATION
;
PROGRAMME
;
COMORBIDITE
;
TRAITEMENT RESIDENTIEL
;
PERSONNEL MEDICAL
;
ATTITUDE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Social Work Practice in the Addictions, 2008, 8(3), 380-408
Résumé :
The social work literature recently has supported greater use of the harm reduction approach in professional practice. Implementing this approach, however, presents its challenges. We explore how practitioners in a housing program for people with histories of psychiatric disabilities, substance use disorders, and homelessness perceived the harm reduction approach. Prior to the opening of this new program, agency staff completed a questionnaire and participated in focus groups designed to explore their perceptions and level of support of the harm reduction approach used in the program. The goal of this evaluation was to understand the challenges of implementing a harm reduction approach in programs serving people with dual diagnosis and the implications this has for program administrators, staff, and clients. We found that practitioners, overall, favored the approach's pragmatism and its focus on client engagement, but many were frustrated by its perceived ambiguity regarding long-term outcomes and client expectations. We conclude with recommendations for how program administrators can facilitate the effective implementation of the harm reduction approach.
Affiliation :
St. Louis University School of Social Work, St. Louis, MO, USA