Harm Reduction Flashcards
what is harm reduction?
interventions aimed at reducing the negative effects without extinguishing the problematic health behaviors completely
OR
any positive change as a person defines it for him or herself
accepts drug use is a part of our world and works to minimize effects rather than ignore or condemn them
harm principle 1
understands drug use is a complex phenomenon that encompasses behaviors from severe use to total abstinence and acknowledges that some ways of using drugs are safer than others
harm principle 2
establishes quality of individual and community life/well being as criteria for successful interventions and policies (not just cutting out all drug use)
harm principle 3
calls for non judgemental provision of services and resources to people who use drugs and the communities where they live in order to assist them in reducing harm
harm principle 4
ensures that people who use drugs or have a history routinely have a real voice in creation of programs and policies designed to serve them
harm principle 5
affirms people who use drugs as primary agents of reducing the harms of their drug use and seeks to empower them to share info and support eachother
harm principle 6
recognizes that the realities of poverty, class, racism, inequities affect both people’s vulnerability to and capacity for effectively dealing with drug-related harm
harm principle 7
does not attempt to minimize or ignore the real and tragic harm and danger that can be associated with illicit drug use
harm principle 8
medications for opioid use disorder
methadone, buprenorphine, naltrexone
methadone
agonist
buprenorphine
partial agonist
naltrexone
antagonist
what do medications for OUD do to cravings and withdrawal
reduce cravings/block euphoric effect, agonist medications reduce withdrawal
how do OUD meds reduce harm
increase patient survival
decrease infection
decrease drug triggers
what act removed the federal requirement for practitioners to submit a notice of intent to prescribe OUD meds?
waiver elimination (MAT act)
what is naloxone
opiod antagonist that binds to receptors and kicks off other opiods
what medication causes opiod withdrawal?
naloxone
how many naloxone rxs dispensed for every opioid rx
1 for every 70
how do syringe service programs reduce harm
decrease needle sharing
increase connections to primary care
evidence base of syringe programs
50% reduction in HIV
3x likely to reduce drug use
no evidence of increased illicit drug use
healthcare cost savings
how many syringe programs in indiana
12
what county had a massive HIV outbreak and reduction in use after implementing a program
Scott County
do we need a prescription to dispense syringes?
no but write it in logbook
what does not need to be documented with a syringe purchase?
reason for purchase
what are supervised consumption sites?
where people can use drugs under supervision where trained people can perform life saving measures if necessary, also provide sterile equipment, education
evidence base of supervised consumption sites
35% reduction in overdose mortality
reduced injection risk behaviors
no evidence of increased crime
healthcare cost savings
other harm reduction practices
seatbelts, sex education programs, medications for alcohol use disorder, designated driver programs
what does SBIRT stand for?
screening, brief intervention, referral to treatment
what do we do in screening?
ask and assess substance use
what do we do in brief intervention?
understand point of view, give info and feedback, enhance motivation to change, help set goal and provide support
what do we do in referral to treatment?
direct to syringe programs, providers, resources
