From Politics to Practice: Harm Reduction Interventions
Tuesday, February 28, 2023 @ 9:00 a.m. to 4:30 p.m. ET
Harm reduction is increasingly becoming the preferred approach when working with people who use substances given that abstinence is only one possible goal on a larger, more realistic continuum. However, while many of us know “our politics” around harm reduction, it can be useful to collectively reflect on how we define problem substance use (“addiction”) and build a framework to understand the context of drug and alcohol use in our communities. We will discuss the multiple functions of drugs and alcohol lives and consider when use is a problem and when is it not. Many frontline service providers have not had the opportunity to process their own personal values, questions about what constitutes “harm”, their role in supporting clients, and the fears and barriers they may experience in implementing programs and services that are harm reduction-based. This workshop will allow for a values exploration, a space for honest and perhaps difficult conversations, and concrete tools that explore what specific harm reduction strategies can look like before, during, and after use.
Presented by: Rahim Thawer, RSW
Cost:
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Course Outline
9:00 - 11:30:
Lesson 1: Context of drug and alcohol use
o Topic 1: Normalized substances
o Topic 2: Identifying a problem
o Topic 3: The role of connection: rat park experiment, the crystal meth project
Lesson 2: Values and attitudes exercise
o Topic 1: Etiology of substance use problems
o Topic 2: Population-specific experiences and collective trauma
o Topic 3: Human rights, responsibilities, failures, systemic bias
o Topic 4: Decriminalization, legalization, and drug policy issues
11:30 - 12:30:
Lesson 3: Exploring harm reduction in practice
o Topic 1: Substance use continuum
o Topic 2: Drug, set, and setting
o Topic 3: Stages of change model
o Topic 4: Safer drinking guidelines
o Topic 5: Perspectives on crystal meth use
o Topic 6: Substance-induced psychosis
1:00 - 3:15:
Lesson 4, part one: Intervention tools and tensions - therapeutic and practical
o Topic 1: Housing first models
o Topic 2: Needle exchange and safer drug kits
o Topic 3: Overdose prevention sites
o Topic 4: Smoking cessation: quit dates, costs community-specific approaches
o Topic 5: Complexities of cannabis
Lesson 4, part two:
o Topic 6: Readiness Ruler from Structured Relapse Prevention
o Topic 7: Decisional Balance from Structured Relapse Prevention
o Topic 8: Inventory of Drug-Taking Situations from Structured Relapse Prevention
o Topic 9: ABC Behavioural Analysis from Structured Relapse Prevention
3:30 - 4:30:
Lesson 5: Intervention tools and tensions - pharmacological
o Topic 1: Methadone maintenance programs
o Topic 2: Reversing overdose for opiates
o Topic 3: Smoking cessation
o Topic 4: Reducing alcohol cravings
o Topic 5: Unpairing methamphetamines and sex
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