Harm reduction and abstinence-based substance abuse treatment can not only be integrated, but their integration is more powerful than either separately. This integration has more positive effects than either model separately on the large problem of patient retention in substance abuse treatment. This integration is particularly relevant for its utility and acceptance in the public sector. Examples from a clinic currently utilizing this model in a public hospital are presented.
MarlattG A. 1998. Harm Reduction: Pragmatic Strategies for Managing High-Risk Behaviors, New York: Guilford Press.
2.
MarlattG A and GordonJ R. 1985. Relapse Prevention, New York: Guilford Press.
3.
MillerW R and RollnickS. 2002. Motivational Interviewing, 2nd ed, New York, NY: Guilford Press.
4.
DenningP. 2000. Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions, New York, NY: Guilford Press.
5.
BiggD. 2001. Substance use management: A harm reduction-principled approach to assisting the relief of drug-related problems. Journal of Psychoactive Drugs, 33(1): 33–38.
6.
FuttermanR, LorenteM and SilvermanS. in press. Beyond harm reduction: A new model of substance abuse treat-ment further integrating psychological techniques. Journal of Psychotherapy Integration,
7.
FuttermanR and BartzA. 2003. Vocational is clinical: Full integration of vocational rehabilitation into substance abuse programsManuscript submitted for publication;
8.
NoordsyD L, SchwabB, FoxL and DrakeR E. 1996. The role of self-help programs in the rehabilitation of persons with severe mental illness and substance use disorders. Community Mental Health Journal, 32(1): 71–81.
9.
MarlattG A, BlumeA W and ParksG A. 2001. Integrating harm reduction therapy and traditional substance abuse treatment. Journal of Psychoactive Drugs, 33(1): 13–21.
10.
LichtmanR M. 2002. Harm reduction in the public sector: An idea whose time has come?. Paper presented at New York State Psychological Association Division of Addictions meeting. 2002, New York, NY.
11.
WeissR H. 1995. “Countertransference issues in treating the alcoholic patient: Institutional and clinician reactions”. In The Dynamics and Treatment of Alcoholism: The Essential Papers, Edited by: LevinJ D and WeissR H. Northvale, NJ: Jason Aronson.
12.
De LeonG. 1999. “Therapeutic communities: Research and applications”. In Drug Abuse: Origins and Interventions, Edited by: GlantzM D and HartelC R. 395–430. Washington, DC: American Psychological Association.
13.
De LeonG. 1995. Therapeutic communities for addictions: A theoretical framework. The International Journal of the Addictions, 30(12): 1603–1645.
14.
KrystalH. 1982. Alexithymia and the effectiveness of psychoanalytic treatment. International Journal of Psychoanalytical Psychotherapy, 9: 353–378. 1982
15.
LinehanM. 1993. Cognitive-behavioral therapy of borderline personality disorder, New York, NY: Guilford Press.
