Articulating Connections between the Harm-Reduction Paradigm and the Marginalisation of People Who Use Illicit Drugs
نویسندگان
چکیده
In this paper, we argue for the importance of unsettling dominant narratives in the current terrain of harm-reduction policy, practice and research. To accomplish this, we trace the historical developments regarding the Human Immunodeficiency Virus (HIV), the Hepatitis C Virus (HCV) and harm-reduction policies and practice. We argue that multiple historical junctures rather than single causes of social exclusion engender the processes of marginalisation, propelled by social movements, institutional interests, state legislation, community practices, neo-liberalism and governmentality techniques. We analyse interests (activist, lay expert, institutional and state) in the harm-reduction field, and consider conceptualisations of risk, pleasure, stigma, social control and exclusionary moral identities. Based on our review of the literature, this paper provides recommendations for social workers and others delivering health and social care interested in the fields of substance use, HIV prevention and harm reduction.
منابع مشابه
Results of a participatory needs assessment demonstrate an opportunity to involve people who use alcohol in drug user activism and harm reduction
BACKGROUND Drug users' organizations have made progress in recent years in advocating for the health and human rights of people who use illicit drugs but have historically not emphasized the needs of people who drink alcohol. METHODS This paper reports on a qualitative participatory needs assessment with people who use illicit substances in British Columbia, Canada. We held workshops in 17 co...
متن کاملاقدامات کاهش زیان(متادون درمانی )در زندان و اثر آن بر بهبود کیفیت زندگی
Preface:Most of the people, who are incarcerated, are considered as competent labor force and in the most of the times they are young people of the society and they would return to the community after serving a period of conviction. Promoting health condition in prison population and effective use of imprisonment period is a safe way to rehabilitate the prisoners. Harm reduction programs begin ...
متن کاملDenial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
BACKGROUND Undertreated pain is common among people who use illicit drugs (PWUD), and can often reflect the reluctance of health care providers to provide pain medication to individuals with substance use disorders. OBJECTIVE To investigate the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital. MET...
متن کاملPsychological and social sequelae of cannabis and other illicit drug use by young people: a systematic review of longitudinal, general population studies.
BACKGROUND Use of illicit drugs, particularly cannabis, by young people is widespread and is associated with several types of psychological and social harm. These relations might not be causal. Causal relations would suggest that recreational drug use is a substantial public health problem. Non-causal relations would suggest that harm-reduction policy based on prevention of drug use is unlikely...
متن کامل