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Lessons From the Absence of Harm Reduction in American Drug Policy

NCJ Number
165916
Author(s)
P Reuter; R J MacCoun
Date Published
1995
Length
6 pages
Annotation
Despite many indications that drug use has declined in the United States over the past decade, the severity of the drug problem has remained fairly constant and current drug policies are expensive and intrusive and may actually contribute to drug- related harm.
Abstract
Alternative drug policies are needed in which harm reduction is integrated as the underlying logic, particularly since the drug problem involves various harms. These harms include crime and violence, the development of a large criminal economy, school dropouts, mortality, and strains on U.S. foreign policy. Drugs also have many adverse effects on health, and intravenous drug use promotes the spread of AIDS. Harm reduction approaches have been implemented in Europe but have not been rigorously evaluated, with the exception of needle exchange programs. These approaches encompass methadone maintenance, decriminalization, and legalization. The United States, however, has resisted harm reduction strategies due in part to bureaucratic and political factors. An integrated approach to harm reduction is recommended, and the harm reduction concept is applied to smoking. 25 references and 1 figure

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