Douglass Amber R, Maister Ashley, Moeller Karen E, Salwan Aaron, Vallabh Anuja, Waters Kristin, Payne Gregory H
Clinical Pharmacist Practitioner - Mental Health, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania.
Clinical Professor, University of Kansas, Kansas City, Kansas.
Ment Health Clin. 2024 Aug 2;14(4):253-266. doi: 10.9740/mhc.2024.08.253. eCollection 2024 Aug.
Deaths related to opioid overdoses continue to climb, and there remains a need for innovative strategies to address this ongoing crisis. Harm reduction (HR), a nonjudgmental philosophy aimed at reducing consequences associated with drug use and other potentially unsafe behavior, has emerged as a compassionate and effective approach. Harm reduction further emphasizes overdose prevention and fosters a shift in perspective that recognizes substance use disorder as a disease and not a moral failing. The tenets of HR collectively advocate for the well-being of individuals who use substances and support any positive change as defined by the individual. Given the high rate of morbidity and mortality associated with substance misuse and barriers or ambivalence to receiving treatment, awareness of and advocacy for HR practice is essential. This manuscript aims to describe evidence-based HR interventions, provide a foundation for the implementation of services, and further promote the importance of providing humanistic care without judgment. As valued members of the multidisciplinary treatment team, Board-Certified Psychiatric Pharmacists should implement and engage in HR services in the settings where people with substance use disorders receive care.
与阿片类药物过量相关的死亡人数持续攀升,因此仍需要创新策略来应对这一持续的危机。减少伤害(HR)是一种无歧视理念,旨在减少与药物使用及其他潜在不安全行为相关的后果,已成为一种充满人文关怀且有效的方法。减少伤害进一步强调预防过量用药,并促使观念转变,将物质使用障碍视为一种疾病而非道德缺陷。减少伤害的原则共同倡导使用物质者的福祉,并支持个人所定义的任何积极改变。鉴于物质滥用相关的高发病率和死亡率以及接受治疗的障碍或矛盾心理,了解并倡导减少伤害实践至关重要。本手稿旨在描述基于证据的减少伤害干预措施,为服务实施提供基础,并进一步促进提供无歧视人文关怀的重要性。作为多学科治疗团队的重要成员,具备董事会认证的精神科药剂师应在物质使用障碍患者接受治疗的场所实施并参与减少伤害服务。