Exploring the harm reduction paradigm: the role of Board-Certified Psychiatric Pharmacists

Author:

Douglass Amber R.ORCID,Maister Ashley1ORCID,Moeller Karen E.2ORCID,Salwan Aaron3ORCID,Vallabh Anuja4ORCID,Waters Kristin5ORCID,Payne Gregory H.6ORCID

Affiliation:

1. 2  Clinical Pharmacist Practitioner - Mental Health, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania

2. 3  Clinical Professor, University of Kansas, Kansas City, Kansas

3. 4  Clinical Pharmacy Specialist, Behavioral Health, Montefiore Nyack Hospital, Nyack, New York

4. 5  SUD/MH Clinical Pharmacist Practitioner, VISN 12 Clinical Resource Hub - Jesse Brown VA Medical Center, Chicago, Illinois

5. 6  Assistant Clinical Professor, University of Connecticut, Storrs, Connecticut

6. 7  Director of Strategic Initiatives, American Association of Psychiatric Pharmacists, Lincoln, Nebraska

Abstract

Abstract 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.

Publisher

American Association of Psychiatric Pharmacists (AAPP)

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