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Table 6 General harm reduction questions (n = 67)

From: Barriers to the dissemination of four harm reduction strategies: a survey of addiction treatment providers in Ontario

Item

N

%

Definitions of harm reduction

  

   reducing harm from substance use I incurred by the individual by reducing or eliminating the use of that substance

3

4.5

   reducing the harm from substance use incurred by the individual and reducing their use of that substance

6

9.0

   reducing the harm from substance use incurred by the individual without necessarily reducing their use of that substance

16

23.9

   reducing the harm associated with substance use to the community or society as a whole

8

11.9

   don't know

3

4.5

   Other

36

53.7

   reducing the harm associated with substance use

7

10.4

Most important elements of harm reduction

  

   disease reduction

4

6.0

   empowering the client

7

10.4

   improving the quality of life of client

4

6.0

   reducing negative consequences associated with drug/alcohol use

1

1.5

   flexibility/options

7

10.4

   education/awareness on the part of the client

13

19.4

   education/awareness on the part of the community

8

11.9

   client choice

11

16.4

   empathy

5

7.5

   accurate assessment

2

3.0

   don't know

3

4.5

   Other

40

59.7

Most appealing aspects of harm reduction

  

   disease reduction

6

9.0

   reduced health costs

2

3.0

   May provide a gateway/bridge into treatment

6

9.0

   it's more palatable to clients than abstinence

6

9.0

   client choice

16

23.9

   it's nonjudgmental

13

19.4

   it's client centered

14

20.9

   it's appropriate for some clients

3

4.5

   it's pragmatic/practical

9

13.4

   it provides flexibility/options

7

10.4

   it empowers the client

8

11.9

   don't know

1

1.5

   Other

24

35.8

Most troubling aspects of harm reduction

  

   it's not appropriate for or in the best interest of all clients

14

20.9

   it's often misunderstood and misapplied

14

20.9

   it creates moral and ethical dilemmas for the community

2

3.0

   it creates moral and ethical dilemmas for the therapist

8

11.9

   negative public attitudes

4

6.0

   it's difficult to use illicit drugs safely

2

3.0

   abstinence is better

7

10.4

   harm reduction should be accompanied by counseling

2

3.0

   don't know

2

3.0

   Other

38

56.7

 

Mean

 

On a scale from 0 to 10 with 0 = "not at all favorable" and 10 = "extremely favorable," how would you feel about helping some alcohol/drug abusers use substances more safely without necessarily trying to reduce their use of these substances?

6.51