Critical Approaches to Harm Reduction: Conflict, Institutionalization, (De-)Politicization, and Direct Action



Series: Public Health in the 21st Century
BISAC: MED078000

This book is divided into three sections. Entitled Critical Harm Reduction Policy: From Oppositional Social Movement to Institutionalized Public Health Policy, Part One encompasses a diverse array of issues relating to the cost/benefit analysis of harm reduction as measured in the terms of institutionalization and (de-)politicization. Part Two, Critical Harm Reduction Practice: Autonomy, Ideology, and Evidence-Based Interventions, consists of several concrete case studies concerning harm reduction practice in an array of (non-)traditional contexts. Comprised of a unique series of chapters that each interrogates a different issue relating to the philosophical underpinnings of harm reduction, Part Three is entitled Critical Harm Reduction Theory/Philosophy: Depoliticization, Direct Action, and Drug/Service Users’ Experiential Knowledge. Although the emphasis of each section and corresponding set of chapters is remarkably diverse, several themes remain prominent throughout this book, including an overtly critical analysis of the multiplicity of contextual deployments of harm reduction, a recurring focus on elevating the value of experiential knowledge and the fundamentally important, central role of people with direct lived experience. Additionally, the centrality of direct action tactics in the innovation of user-based forms of harm reduction in policy, practice, and philosophically-based contexts are discussed. (Imprint: Nova)

Table of Contents

Table of Contents


Part One: Critical Harm Reduction Policy: From Oppositional Social Movement to Institutionalized Public Health Policy

Chapter 1. Who Needs Naloxone?
Nancy D. Campbell (School of Humanities, Arts, and Social Sciences, Rensselaer Polytechnic Institute, New York, USA)

Chapter 2. Low Threshold Methadone Program: 13 Years of Experience in Portugal
Paulo Lopes, Hélder Trigo, Rodrigo Coutinho, Emília Leitão, Nuno Miguel and Jorge Oliveira (Ares do Pinhal – Low threshold methadone program, Lisbon, Portugal, and others)

Chapter 3. Law Enforcement and Public Health: How North Carolina Became a Leader in Harm Reduction Policy Change
Lisa de Saxe Zerden, Corey S. Davis, Tessie Castillo, Robert Childs, and Leilani Attilo (University of North Carolina Chapel Hill School of Social Work, Chapel Hill, North Carolina, USA, and others)

Part Two: Critical Harm Reduction Practice: Autonomy, Ideology, and Evidence-Based Interventions

Chapter 4. Power, Politics and the Production of Harm: A Critical Look at the Intersecting, yet Unequal, Roles of Scientific Evidence, Power, and Politics in the Provision of Harm Reduction Services for People Who Smoke Crack
Lynne Leonard, and Andrée Germain (HIV and HCV Prevention Research Team, School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada)

Chapter 5. Rethinking Harm Reduction and Pregnancy: A Study of Women’s Expectations and Experiences of Specialist Maternity Care and Opiate Substitution Treatment
Fiona S. Martin (Department of Sociology and Social Anthropology, Dalhousie University, Nova Scotia, Canada)

Chapter 6. “And The World’s Alright With Me”: Harm Reduction and Survival at Blockorama
Syrus Marcus Ware, Keisha Williams and Nik Redman (Blackness Yes!/Blockorama, Faculty of Environmental Studies, York University, Toronto, Ontario, Canada, and others)

Chapter 7. What’s Glitter Got to do With It?: Re-Imagining Harm Reduction, Youth Decision-Making, and the Politics of Youth Engagement
Sarah Switzer, Tumaini Lyaruu, Kamilah Apong, Ocean Bell, Lydia Hernandez, Proud Goddess McWhinney, Carver Manual-Smith, Fonna Seidu, Sarah Pariah and Andii Bykes (Faculty of Environmental Studies, York University, Toronto, Ontario, Canada, and others)

Part Three: Critical Harm Reduction Philosophy: Depoliticization, Direct Action, Drug/Service Users’ Experiential Knowledge

Chapter 8. Everything About Them, Without Them: Sex Work and the Harms of Misrecognition
Laura Winters (Department of Sociology, University of New Brunswick, Fredericton, New Brunswick, Canada)

Chapter 9. Expanding the Mission of Harm Reduction: A Public Health Population and its Members’ Perspectives Towards Health
Kelly Szott (Earlham College, Richmond Indiana, USA)

Chapter 10. Recognition, Exploitation, or Both?: Roundtable on Peer Labour and Harm Reduction
Liam Michaud, Robyn Maynard, Zoë Dodd, Nora Butler Burke (CACTUS Montréal, Canada, and others)

Chapter 11. Harm Reduction Hipsters: Socio-Spatial-Political Displacement and the “Gentrification of Public Health”
Christopher B. R. Smith (Assistant Professor, School of Social Work, Memorial University, St. John’s, Newfoundland, Canada)

About the Editors

About the Contributors


This book is written for:
harm reduction practitioners,
health policymakers,
healthcare providers,
community organizers,
union representatives,
social workers,
researchers in the areas of harm reduction, HIV, Hep C, methadone (OST), naloxone distribution, substance use and addictions, and
people who use drugs.

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