脱毒减损差距：帮助那些被传统毒品预防和仅提供戒毒治疗忽视的人群

English | 2023 | ISBN: 9781003301745 | 193 pages | True PDF | 2.1 MB

This long-awaited book teaches how harm reduction can be a safety net for people with substance use disorders that our current addiction treatment rejects, abandons, and leaves behind.

Harm reduction is an approach to helping people who engage in high-risk activities to develop the skills and strategies to keep them and their communities safe. This can include the provision of sterile equipment, low-threshold and low-barrier care, and the acceptance of non-abstinence goals in treatment. In this novel guide, Dr. Vakharia discusses the shortcomings of the dominant “Just Say No” drug prevention messages and abstinence-only treatment approaches, introduces harm reduction strategies and technologies borne from people who use drugs themselves, and suggests various policy options available as alternatives to the current policies that criminalize drugs, drug-using equipment, and the settings in which people use drugs. The final chapter calls on the reader to destigmatize drug use and support efforts to reform our drug policies.

By highlighting the large gap in our current approach to substance use – the harm reduction gap – this book is the first step for those interested in learning more about the limitations of our current approach to drug use and how to support local efforts to ensure people who use drugs and their communities can stay safe.

这本备受期待的书教导如何将减少危害作为一种安全网，为那些被我们当前的成瘾治疗抛弃、拒绝和遗弃的物质使用障碍患者提供帮助。 减少危害是一种帮助那些参与高风险活动的人们发展技能和策略以保持自己及其社区安全的方法。这可以包括提供无菌设备、低门槛和低成本的护理以及在治疗中接受非戒断目标的价值。在这本独特的指南中，维哈贾亚博士讨论了占主导地位的“只说不”药物预防信息的局限性以及仅通过戒断治疗的方法，并介绍由吸毒者自身产生的减少危害策略和技术。此外，他还提出了可用作现行政策替代方案的各种政策选项，这些现行政策会将毒品、使用毒品的设备和人们使用毒品的环境定为非法。最后的一章呼吁读者消除对药物使用的污名，并支持改革我们的药物政策的努力。 通过强调我们在处理物质使用问题上目前方法中的巨大差距——减少危害缺口——这本书是那些想了解更多关于我们当前药物使用处理方法局限性以及如何支持当地努力以确保毒品使用者及其社区的安全的人的迈出的第一步。

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