Cover image for Harm reduction : pragmatic strategies for managing high risk behaviors
Harm reduction : pragmatic strategies for managing high risk behaviors
Marlatt, G. Alan.
Publication Information:
New York : Guilford Press, [1998]

Physical Description:
xxiv, 390 pages ; 24 cm
Added Author:
Format :


Call Number
Material Type
Home Location
Item Holds
RC564 .H364 1998 Adult Non-Fiction Central Closed Stacks

On Order



Harm reduction principles and strategies are designed to minimize the destructive consequences of illicit drug use and other behaviors that may pose serious health risks. Rather than insisting on abstinence as a prerequisite to continued treatment, proponents of the harm reduction approach aim to meet drug users "where they're at" with community-based services that empower diverse clients to set and meet their own treatment goals. The first major harm reduction text, this provocative and timely volume examines a wide range of current applications--from needle exchange and methadone maintenance programs, to alternative alcohol interventions and AIDS prevention campaigns. Insight is also offered into the often contentious philosophical and policy-related debates surrounding this growing movement.

Author Notes

G. Alan Marlatt, PhD, is Professor of Psychology and Director of the Addictive Behaviors Research Center at the University of Washington, Seattle, Washington, where he has been on the faculty since 1972. Dr. Marlatt's major focus in both research and clinical work is the field of addictive behaviors. Widely published, he is the coeditor of Assessment of Addictive Behaviors (with Dennis M. Donovan) and Relapse Prevention (with Judith R. Gordon), and the coauthor of Brief Alcohol Screening and Intervention for College Students (with Linda Dimeff, John S. Baer, and Daniel R. Kivalan). In 1996, Dr. Marlatt was appointed as a member of the National Advisory Council on Drug Abuse for the National Institute on Drug Abuse (NIH). His research is supported by a Senior Scientist Award and a MERIT Award from the National Institute on Alcohol Abuse and Alcoholism. In 1990, he received the Jellinek Memorial Award for outstanding contributions to knowledge in the field of alcohol studies.

Reviews 1

Choice Review

Although any alternative to the war on drugs is certain to evoke controversy, this realistic, pragmatic approach to managing high-risk behaviors is solidly based on research evidence and clear logic. Marlatt (Univ. of Washington) has brought together excellent reviews of the literature to dispel common misperceptions, including, for example, the beliefs that alcohol is a "gateway" substance causing illicit drug use and that early substance use causes heavier subsequent substance use. Other sections of the volume review the development of harm reduction in Europe and on other continents, explicate the assumptions and principles of harm reduction, and describe the application of harm-reduction strategies within minority populations. Stimulated by the First National Harm Reduction Conference, held in 1996, this book is directed toward a broad readership, including students, researchers, policy makers, substance-abuse educators, therapists, and voters. It should prove useful to all these and more. Recommended. D. J. Hanson; SUNY College at Potsdam

Table of Contents

ForewordAbrams and Lewis
I Overview of Harm Reduction
1 Highlights of Harm Reduction: A Personal Report from the First National Harm Reduction Conference in the United States, Marlatt
2 Harm Reduction around the World: A Brief History, Marlatt
3 Basic Principles and Strategies of Harm Reduction, Marlatt
II Applications to Addictive Behaviors and High-Risk Sexual Behaviors
4 Harm Reduction for Alcohol Problems: Expanding Access to and Acceptability of Prevention and Treatment Services, Larimer, Marlatt, Baer, Quigley, Blume and Hawkins
5 Harm Reduction, Nicotine, and Smoking, Baer and Murch
6 Harm Reduction Strategies for Illicit Substance Use and Abuse, Tapert, Kilmer, Quigley, Larimer, Roberts, and Miller
7 Harm Reduction and HIV/AIDS Prevention, Peterson, Dimeff, Tapert, Stern, and Gorman
III Matching Strategies to Diverse Ethnic Communities
8 Bringing Harm Reduction to the Black Community: There's a Fire in My House and You're Telling Me to Rearrange My Furniture?, Woods
9 Alcohol Use and Harm Reduction within the Native Community, Daisy, Thomas, and Worley
IV Can Harm Reduction Play a Role in U.S. Drug Policy?
10 Harm Reduction and Public Policy, Weingardt and Marlatt