Harm Reduction
What is Harm Reduction?
Harm Reduction aims at reducing the harm associated with using drugs through a variety of public health interventions.
It begins at its most fundamental level with recognizing that all people deserve safety and dignity and does not treat drug use as a moral failing, but as a chronic, treatable disease that people can recover from.
It acknowledges that traditional approaches from the medical, law enforcement, and behavioral health communities have not been successful in reducing the demand for or use of substances, nor have they adequately addressed the negative consequences associated with drug use.
In short, Harm Reduction “meets people where they’re at.”
Focuses of Harm Reduction
Acceptance – Harm Reduction recognizes that both licit and illicit drug use is a reality in our society, it’s important to focus on reducing the negative impacts rather than overlooking or denouncing them. Harm reduction strategies are essential in this effort, providing practical and compassionate solutions to improve health and safety.
Social Equality – Harm Reduction acknowledges that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination, and other forms of social inequality impact individuals’ susceptibility to and ability to cope with drug-related harm. We also recognize that we must confront our internalized oppression or race-based privilege and that this is a sensitive endeavor that demands our attention, reflection, consideration, perseverance, and a readiness for self-reflection.
Safety – Harm Reduction understands that drug use is a complex, multifaceted phenomenon that spans a range of behaviors from severe use to complete abstinence is crucial. It is acknowledged that certain methods of drug use are significantly safer than others.
Quality of Life – Harm Reduction bases its success of interventions and policies by the quality of individual and community life and well-being, not necessarily by the cessation of all drug use.
Non-judgment – Harm Reduction advocates for offering services and resources without judgment or coercion to individuals who use drugs and the communities they reside in, aiming to help them minimize associated harm.
Autonomy – Harm Reduction affirms that people who use drugs (PWUD) are the primary agents in reducing the harms of drug use, this approach seeks to empower PWUD to exchange information and support one another with strategies tailored to their real-life usage conditions.
Compassion – Harm Reduction does not try to downplay or disregard the genuine and serious harm and risk associated with the use of illicit drugs.
Goals of Harm Reduction
Enhancing education on safer substance use is crucial to reduce fatal overdoses and the spread of bloodborne infections associated with shared needles or equipment. This encompasses the implementation of safe injection sites, needle exchange programs, safe smoking kits, drug testing kits, and the availability of overdose reversal agents like naloxone.
Reducing the stigma linked to drug use is crucial to motivate individuals who use drugs to pursue treatment, by linking them with health and social services, peer support services and or support groups. Harm Reduction also works on informing the public about the significance of these services.
Promoting safer sex practices to reduce the spread of sexually transmitted diseases and infections, by educating on the importance of and offering condoms, lubricants, and easy access to treatment and testing for sexually transmitted diseases, Hepatitis C, and HIV/AIDS.
Opioid Epidemic
The United States is currently grappling with an opioid and fentanyl crisis, marked by a sharp rise in overdose fatalities among drug users. This epidemic is particularly prevalent in suburban and rural areas that lack harm reduction services.
The current challenges for harm reduction involves the expansion of services to these heavily affected and underserved areas. Most importantly, continued education is needed to reduce the stigma of people who use drugs (PWUD).
Language Matters
Labels like “addict,” “manipulative,” “mentally ill,” etc., are extremely stigmatizing and have been proven to be barriers to treatment. Person-centered language uses terms like “person with substance use disorder” instead of “addict,” “testing positive/negative” instead of “clean” or “dirty” for drug screening, and “recurrence of use” instead of “relapse.” Instead of “maintenance therapy”, saying someone is “replacing one drug for another,” person-centered language uses “medications for opioid use disorder (MOUD)” or “opioid agonist therapy.” “Substance use disorder” can cover a wide variety of substances (including alcohol) as well as the severity of use.
Person-centered language puts people first, meaning it recognizes that before someone is a label, they are an individual worthy of dignity and respect. They are defined by more than their substance use, mental illness, or physical disability. They are an individual who possesses unique abilities and strengths.
The MSBH Harm Reduction program focuses on reducing the harmful outcomes that can affect People Who Use Drugs (PWUD). Harm Reduction is an evidence-based approach that is crucial to involving people who use drugs and their families. We focus on empowering people by allowing them to make informed and educated decisions about their lives and drug use while providing life saving resources to people who use drugs.
These life saving resources include, Naloxone, Fentanyl and Xylazine test strips to prevent fatal overdoses. Safe Sex kits protect and prevent sexually transmitted diseases and infections such as HIV, Hep C, and Herpes. Wound care kits are also available and help prevent life threatening infections that may affect those who inject drugs. By offering these services and more we are also able to connect one on one with the individual and provide them with other resources they might not otherwise have access to. When we offer Harm Reduction choices, we’re offering individuals the chance to take their life back from drug use one choice at a time.
Resources
Mid Shore Behavioral Health, Inc.
Contact: Jackie Salb, Harm Reduction Coordinator – 410-770-4801 x326
Offerings: Peer Support, Wound Care Kits, Fentanyl/Xylazine Test Strips, Safe Sex Kits, Hygiene Kits, Naloxone, Good Samaritan Training.
Caroline County Health Department
Contact: 410-479-4918
Offerings: Peer Support, Medication Assisted Treatment, Safe Syringe Program, Naloxone Training, Mobile Treatment Unit, and more.
Dorchester County Health Department
Contact: 410-228-7714
Offerings: Peer Support, Naloxone Training, Safe Syringe Program, Outpatient Treatment, Dri-Dock Wellness and Recovery Center.
Contact: 410-778-1350
Offerings: Peer Support, Naloxone Training, Wound Care Kits, Fentanyl/Xylazine Test Strips, Safe Sex Kits, Hygiene Kits, No Harm in Helping Van.
Recovery-In-Motion (RIM) Center: Peer support, support groups, teen space, yoga, movies, job search, recovery housing. For more info: 410-778-5895.
Queen Anne’s County Health Department
Contact: 410-758-0720
Offerings: Peer Support, Medication Assisted Treatment, Wound Care Kits, Fentanyl Test Strips, Safe Sex Kits, Naloxone Training, Naloxone OneBoxes.
Peer Support: 410-778-1350
Talbot County Health Department
Offerings: Peer Support, Naloxone Training, Outpatient Treatment, and more.
Peer Support: 410-819-5602