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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