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Sheila P.Vakharia

The Harm Reduction Gap: Helping Individuals Left Behind by Conventional Drug Prevention and Abstinence-only Addiction Treatment

The Harm Reduction Gap: Helping Individuals Left Behind by Conventional Drug Prevention and Abstinence-only Addiction Treatment

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  • More about The Harm Reduction Gap: Helping Individuals Left Behind by Conventional Drug Prevention and Abstinence-only Addiction Treatment


This long-awaited book teaches how harm reduction can be a safety net for people with substance use disorders, offering strategies and policy options to address the shortcomings of current addiction treatment approaches. It highlights the harm reduction gap and calls for destigmatizing drug use and reforming drug policies.

Format: Hardback
Length: 185 pages
Publication date: 09 February 2024
Publisher: Taylor & Francis Ltd


This eagerly anticipated book offers invaluable insights into the potential of harm reduction as a protective measure for individuals grappling with substance use disorders, which our current addiction treatment approaches often neglect, abandon, and leave behind. Harm reduction is a proactive approach aimed at equipping individuals involved in high-risk activities with the necessary skills and strategies to safeguard themselves and their communities. This encompasses the provision of sterile equipment, accessible and low-threshold care, as well as the acceptance of non-abstinence goals in treatment. In this groundbreaking guide, Dr. Vakharia critically examines the shortcomings of the prevailing "Just Say No" drug prevention messages and abstinence-only treatment approaches. He introduces harm reduction strategies and technologies developed firsthand by individuals who use drugs, offering a fresh perspective on drug use and its impact. Furthermore, he explores a range of policy options available as alternatives to the current policies that criminalize drugs, drug-using equipment, and the settings in which people use drugs. The concluding chapter of the book urges the reader to destigmatize drug use and actively support efforts to reform our drug policies.

By illuminating the significant discrepancy in our current approach to substance use – the harm reduction gap – this book serves as a vital primer for those seeking to delve deeper into the limitations of our current methods and advocate for local initiatives to ensure the safety of individuals who use drugs and their communities.

Weight: 520g
Dimension: 229 x 152 (mm)
ISBN-13: 9781032294742

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