School of Social Work, Saint Louis University, Saint Louis, MO 63103, USA.
Community Ment Health J. 2013 Feb;49(1):14-24. doi: 10.1007/s10597-011-9451-4. Epub 2011 Oct 19.
Harm reduction in community mental health settings can be effective in engaging persons with co-occurring disorders in services. In this qualitative study, personal interviews and grounded theory methods were used to explore the experiences of 21 mental health practitioners and 15 consumers with co-occurring disorders at a community mental health housing program that uses harm reduction. Results indicate that while harm reduction enhanced therapeutic alliances, ethical and emotional tensions between practitioners and consumers regarding their views on self-determination and tolerance of drug-related behaviors were also evident. These tensions are explored and implications for practice and education are provided.
在社区心理健康环境中实施减少伤害策略，可以有效地促使同时患有精神障碍和物质使用障碍的人接受服务。在这项定性研究中，采用个人访谈和扎根理论方法，对一个使用减少伤害策略的社区心理健康住房项目中的 21 名心理健康从业者和 15 名同时患有精神障碍和物质使用障碍的消费者的经历进行了探讨。研究结果表明，减少伤害策略虽然增强了治疗联盟，但从业者和消费者在自我决定和容忍与药物相关行为方面的观点存在伦理和情感上的紧张关系。本文探讨了这些紧张关系，并就实践和教育提出了相关建议。
