Description
Book SynopsisPractical, evidence-based guidance on harm reduction approaches in the treatment of substance use. A compact and authoritative book for professionals in their daily practice.
Table of ContentsAcknowledgments Preface 1 Description 1.1 Terminology and Definitions 1.1.1 Harm Reduction Heartset as Foundation 1.1.2 Harm Reduction Mindset as Pragmatic 1.1.3 Harm Reduction Applied at Various Systems Levels 1.2 Applying Harm Reduction in Clinical Work 1.2.1 Accepting Substance Use Is Here to Stay 1.2.2 Important Reasons for Acknowledging Clients Use 1.2.3 Recognizing Substance-Related Harm Is Shaped by Systems 1.2.4 Supporting Clients' Own Steps Toward Harm Reduction 1.2.5 Working Toward Social Justice and Racial Equity 1.3 Clinicians' Rationale for Harm Reduction . 1.3.1 Abstinence-Only Approaches Are Disempowering 1.3.2 Abstinence-Based Approaches Do Not Optimize Engagement 1.3.3 Harm Reduction Approaches Are Effective 1.4 The Harm Reduction Treatment Model 1.5 Related and Foundational Treatment Models 1.5.1 "Controlled Drinking" 1.5.2 Brief Interventions in Health Care Settings 1.5.3 Personalized Normative Feedback Interventions 1.5.4 Motivational Interviewing 1.5.5 Guided Self-Change 1.5.6 Harm Reduction Psychotherapy 1.6 Conclusions 2 Theories and Models Informing HaRT 2.1 Pharmacological Treatment for HaRT 2.2 Behavioral Harm Reduction Treatment Theory 2.2.1 HaRT Mindset 2.2.2 HaRT Heartset 2.2.3 HaRT Components 2.3 What HaRT Is Not 3 Assessment and Treatment Indications 3.1 Treatment Indication 3.2 Indication and Preparation for HaRT 3.2.1 Reflecting On and Preparing Your Practice Setting 3.2.2 Preparing to Navigate Systems For and With Clients 3.3 Assessment of HaRT Efficacy on Key Outcomes 3.3.1 Assessment of Safer-Use Strategies and Harm Reduction Goal Setting 3.3.2 Assessment of Substance Use Outcomes 3.3.3 Lab Testing and Biomarkers 3.3.4 Measures of QoL Outcomes 3.3.5 Measures for Utilization and Cost Analysis 3.3.6 Treatment Integrity Materials and Measures 4 HaRT Implementation 4.1 Method of Approach 4.1.1 HaRT Mindset 4.1.2 HaRT Heartset 4.1.3 HaRT Components and Their Integration in Initial and Follow-Up Sessions 4.2 HaRT Efficacy and Prognosis 4.2.1 Behavioral Harm Reduction Treatment for AUD 4.2.2 Combined Pharmacotherapy and Behavioral Treatment 4.3 Variations and Combined Treatments 4.3.1 Auxiliary HaRT Components 4.4 Problems in Carrying Out the Approaches 4.5 Diversity Issues 5 Case Vignettes 6 Further Reading 7 References 8 Appendix: Tools and Resources
