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Book SynopsisHarm Reduction is a philosophy of public health intended as a progressive alternative to the prohibition of certain potentially dangerous lifestyle choices. Recognising that certain people always have and always will engage in behaviours which carry risks, the aim of harm reduction is to mitigate the potential dangers and health risks associated with those behaviours. Harm Reduction in Substance Use and High-Risk Behaviour offers a comprehensive exploration of the policy, practice and evidence base of harm reduction. Starting with a history of harm reduction, the book addresses key ethical and legal issues central to the debates and developments in the field. It discusses the full range of psychoactive substances, behaviours and communities with chapters on injecting, dance drugs, stimulant use, tobacco harm reduction, alcohol use and sex work. Written by an international team of contributors, this text provides an essential panorama of harm reduction in the 21Trade Review“Overall this book is a very good read for those interested in addiction issues and could be used as an excellent reference book for future policy making in harm reduction.” (Irish Journal of Psychological Medicine, 1 October 2013) Taken overall in the context of its strengths and shortcomings, and as one of the few textbooks of its kind, it is a welcome resource for the field of harm reduction. We would recommend this book to those unfamiliar with the discipline, particularly individuals entering academia and those interested in advocacy and policy. Many sections can be read as stand-alone pieces, to help the reader develop an understanding of fundamental concepts before delving further into research. It is especially valuable if one is interested in harm reduction with respect to the UK contex.” (Drug & Alcohol Review, 15 September 2013) Table of ContentsForeword ix List of Figures and Tables xi List of Contributors xii Section I: Background 1 1 Introduction 3Diane Riley and Richard Pates 2 A Brief History of Harm Reduction 5Diane Riley, Richard Pates, Geoffrey Monaghan and Patrick O’Hare 3 Drug Education or Drug Propaganda? 17Julian Cohen Section II: Policy 31 4 Harm Reduction and International Law: Drug Control vs. Human Rights 33Richard Elliott 5 A Brief, Personal History of Harm Reduction Advocacy 49Dave Burrows 6 Harm Reduction and the Role of Police Services 59Geoffrey Monaghan 7 Harm Reduction in Prisons and Other Places of Detention 77Ralf Jurgens 8 International Security and the Global War on Drugs: The Tragic Irony of Drug Securitisation 101Danny Kushlick 9 The Ethics of Harm Reduction 111Adrian Carter, Peter G. Miller and Wayne Hall 10 Harm Reduction: Contribution to a Critical Appraisal from the Perspective of People Who Use Drugs 124Eliot Ross Albert Section III: Specific Interventions 133 11 Injecting 135Richard Pates, Robert Heimer and Danny Morris 12 Recovery and Harm Reduction: Time for a Shared, Development-Oriented, Programmatic Approach? 155Neil Hunt 13 Harm Reduction for Stimulants 171Diane Riley and Richard Pates 14 Ecstasy and Related Drugs (ERDs) and Harm Reduction 184Paul Dillon, Professor Jan Copeland and Edmund Silins 15 Alcohol: Harm Reduction 196Tina Alwyn and Bev John 16 Tobacco Harm Reduction 213Jonathan Foulds and Steven Branstetter 17 Drugs and Harm Reduction: Cannabis and the Cannabinoids 229Stefan Brugger, Laurence J. Reed, James Stone and David J. Nutt 18 The Resurrection of Psychedelic Research 246Amanda Fielding 19 Harm Reduction and Sex Workers: A New Zealand Response: Taking the Harm Out of the Law 252Catherine Healy, Calum Bennachie and Raewyn Marshall 20 Harm Minimisation: Gambling 263Sally Gainsbury and Alex Blaszczynski 21 Young People and Harm Reduction in the UK: A Community Perspective 279Mags Maher 22 Making Tools for Harm Reduction: The Story of Exchange Supplies 289Jon Derricott Section IV: Regions 299 23 Harm Reduction in Central and Eastern Europe 301Tomas Zabransky, Jean Paul Grund, Alisher Latypov, David Otiashvili, Raminta Stuikyte, Otilia Scutelniciuc and Pavlo Smyrnov 24 Harm Reduction in Western Europe 322Richard Pates 25 Harm Reduction in Russia, South West and Central Asia 335Tomas Zabransky, Alisher Latypov, Ivan Varentsov, David Otiashvili and Jean Paul Grund 26 Harm Reduction in South, South East and East Asia 354Jimmy Dorabjee 27 History and Context of Harm Reduction in the United States 370Lisa Moore and Allan Clear 28 Harm Reduction in Canada: The Many Faces of Regression 382Walter Cavalierri and Diane Riley 29 Harm Reduction in Latin America and the Caribbean 395Diana Rossi 30 Policy and Practice in Harm Reduction in Australasia 405Alex Wodak, John Ryan, Patrick Griffiths, Ingrid van Beek, Monica J. Barratt, Simon Lenton, Kate Dolan, Ana Rodas, Geoffrey Noller and Michael Farrell 31 Harm Reduction in Sub-Saharan Africa 425Bruce Trathen, Charles D.H. Parry and Neo K. Morojele 32 Overview of the Harm Reduction Situation in the Middle East and North Africa 444Jallal Toufiq Section V: Conclusions 455 33 Conclusions 457Richard Pates and Diane Riley Index 461

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