Harm Reduction in Substance Use and High-Risk Behaviour

Diane Riley is a policy analyst with the Canadian Foundation for Drug Policy and Assistant Professor of Medicine at the University of Toronto. She is a founding member of the International Harm Reduction Association and a member of the Board of Directors of the Canadian HIV/AIDS Legal Network Richard Pates is a consultant clinical psychologist and clinical director of the Addiction services for Cardiff and vale NHS Trust. He has worked in the field for nearly 20 years and has extensive experience of treating people with amphetamine problems. His research interests include the treatment of amphetamine problems and aspects of injecting. He is also editor of The Journal of Substance Use.

“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)

• Foreword ixList of Figures and Tables xiList of Contributors xiiSection I: Background 11 Introduction 3Diane Riley and Richard Pates2 A Brief History of Harm Reduction 5Diane Riley, Richard Pates, Geoffrey Monaghan and Patrick O’Hare3 Drug Education or Drug Propaganda? 17Julian CohenSection II: Policy 314 Harm Reduction and International Law: Drug Control vs. Human Rights 33Richard Elliott5 A Brief, Personal History of Harm Reduction Advocacy 49Dave Burrows6 Harm Reduction and the Role of Police Services 59Geoffrey Monaghan7 Harm Reduction in Prisons and Other Places of Detention 77Ralf Jurgens8 International Security and the Global War on Drugs: The Tragic Irony of Drug Securitisation 101Danny Kushlick9 The Ethics of Harm Reduction 111Adrian Carter, Peter G. Miller and Wayne Hall10 Harm Reduction: Contribution to a Critical Appraisal from the Perspective of People Who Use Drugs 124Eliot Ross AlbertSection III: Specific Interventions 13311 Injecting 135Richard Pates, Robert Heimer and Danny Morris12 Recovery and Harm Reduction: Time for a Shared, Development-Oriented, Programmatic Approach? 155Neil Hunt13 Harm Reduction for Stimulants 171Diane Riley and Richard Pates14 Ecstasy and Related Drugs (ERDs) and Harm Reduction 184Paul Dillon, Professor Jan Copeland and Edmund Silins15 Alcohol: Harm Reduction 196Tina Alwyn and Bev John16 Tobacco Harm Reduction 213Jonathan Foulds and Steven Branstetter17 Drugs and Harm Reduction: Cannabis and the Cannabinoids 229Stefan Brugger, Laurence J. Reed, James Stone and David J. Nutt18 The Resurrection of Psychedelic Research 246Amanda Fielding19 Harm Reduction and Sex Workers: A New Zealand Response: Taking the Harm Out of the Law 252Catherine Healy, Calum Bennachie and Raewyn Marshall20 Harm Minimisation: Gambling 263Sally Gainsbury and Alex Blaszczynski21 Young People and Harm Reduction in the UK: A Community Perspective 279Mags Maher22 Making Tools for Harm Reduction: The Story of Exchange Supplies 289Jon DerricottSection IV: Regions 29923 Harm Reduction in Central and Eastern Europe 301Tomas Zabransky, Jean Paul Grund, Alisher Latypov, David Otiashvili, Raminta Stuikyte, Otilia Scutelniciuc and Pavlo Smyrnov24 Harm Reduction in Western Europe 322Richard Pates25 Harm Reduction in Russia, South West and Central Asia 335Tomas Zabransky, Alisher Latypov, Ivan Varentsov, David Otiashvili and Jean Paul Grund26 Harm Reduction in South, South East and East Asia 354Jimmy Dorabjee27 History and Context of Harm Reduction in the United States 370Lisa Moore and Allan Clear28 Harm Reduction in Canada: The Many Faces of Regression 382Walter Cavalierri and Diane Riley29 Harm Reduction in Latin America and the Caribbean 395Diana Rossi30 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 Farrell31 Harm Reduction in Sub-Saharan Africa 425Bruce Trathen, Charles D.H. Parry and Neo K. Morojele32 Overview of the Harm Reduction Situation in the Middle East and North Africa 444Jallal ToufiqSection V: Conclusions 45533 Conclusions 457Richard Pates and Diane RileyIndex 461