Harm Reduction International. (2021) Integrated and person-centred harm reduction services. London: Harm Reduction International.
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External website: https://www.hri.global/contents/2170
We define an integrated harm reduction service as a site or organisation that provides one or more ‘traditional’ harm reduction services (such as opioid agonist therapy or a needle and syringe programme) alongside other health and social services. In doing so, they ensure that a wide range of services are available and accessible to their clients.
Integrated services are better placed to treat people as people
- Treating clients as rounded individuals, rather than reducing them to ‘symptoms’ or ‘challenges’ encourages self-care and solidarity, and empowers them to demand their rights.
- Collaboration in multidisciplinary teams can ensure that integrated services are complementary.
Providing a space where people can simply exist in comfort and safety is just as important as formal health and social services. - Holistic care and support can build self-worth, pride and solidarity, and combat the effects of stigma and discrimination.
Community leadership and involvement is transformational
- The leadership of peers eases the building of trusting relationships, and ensures that people are treated as human beings not just patients.
- Peer-leaders in integrated services have a unique insight into the lives and experiences of their clients, and can use that to provide compassionate and non-judgemental services.
- Working closely with clients and community improves the range and quality of services you can offer.
Ensuring a culturally safe environment for Indigenous communities makes services more accessible and acceptable to people who may otherwise be marginalised.
Integrating services makes them more accessible
- Service integration is about making services accessible and empowering people to use them, without pressure or obligation.
- Integrating services makes them easier for clients to navigate, and can support them to engage more effectively.
- Integrated services understand the barriers their clients face when accessing external services, and can ensure that clients are referred to the most appropriate options.
- Even complex services, like blood tests and consultations, can be delivered in a way that places minimal burdens on clients’ time and resources.
Integrated services can adapt to their environment
- Enabling political and legal environments support greater integration and accessibility.
- Integrated services know their context and clients, and can make sure they have access to the most relevant and safest commodities.
- Sometimes it is necessary to recognise the limits of integration under one roof: some services might be better delivered separately.
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Patient / client attitude toward treatment (experience)
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Provider / worker / staff attitude toward treatment
J Health care, prevention, harm reduction and treatment > Health care delivery
J Health care, prevention, harm reduction and treatment > Health care programme, service or facility
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Peer relations / social networks
VA Geographic area > International
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