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“这关乎真正的幸福安康”:加拿大关于减少伤害作为心理健康与成瘾康复之间桥梁的调查。

'It's Really About Wellbeing': a Canadian Investigation of Harm Reduction as a Bridge Between Mental Health and Addiction Recovery.

作者信息

Bartram Mary

机构信息

Faculty of Law and the Institute for Health and Social Policy, McGill University, Charles Meredith House, 1130 Pine Avenue West, Montreal, Quebec H3A 1A3 Canada.

出版信息

Int J Ment Health Addict. 2021;19(5):1497-1510. doi: 10.1007/s11469-020-00239-7. Epub 2020 Feb 20.

Abstract

Recovery is a key concept driving system transformation in both the addiction and mental health sectors, with shared roots in advocacy and a shared focus on hope in the face of stigma, self-determination and meaningful lives. Nevertheless, while mental health recovery is possible even with on-going symptoms, addiction recovery generally starts with or leads to abstinence. This disconnection undermines coherence at the policy level and exacerbates fragmentation between services and supports in the mental health and addiction sectors in Canada and internationally. At the same time, harm reduction, which does not require abstinence, has been gaining ground in the Canadian addiction sector. This qualitative policy study explores the potential for harm reduction to bridge the gap between mental health recovery and addiction recovery in the Canadian context, drawing on diverse experiences from the mental health and addiction sectors. The findings could be adapted  internationally to address similar policy challenges.

摘要

康复是推动成瘾和心理健康领域系统变革的关键概念,在倡导方面有着共同的根源,并且共同关注面对耻辱感时的希望、自决权和有意义的生活。然而,尽管心理健康康复即使在症状持续存在的情况下也是可能的,但成瘾康复通常始于戒断或导致戒断。这种脱节破坏了政策层面的连贯性,并加剧了加拿大乃至国际上心理健康和成瘾领域服务与支持之间的碎片化。与此同时,不需要戒断的减少伤害理念在加拿大成瘾领域正逐渐得到认可。这项定性政策研究借鉴了心理健康和成瘾领域的不同经验,探讨了在加拿大背景下减少伤害以弥合心理健康康复和成瘾康复之间差距的潜力。研究结果可在国际上进行调整,以应对类似的政策挑战。

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