Responses to this will be interesting to watch. I’m certain that people who object will be accused of moral panic or something like it.
I’ve been thinking about a model of recovery-oriented harm reductionthat would address the historic failings of abstinence-oriented and harm reduction services. The idea is that it would provide recovery (for addicts only) as an organizing and unifying construct for treatment and harm reduction services. Admittedly, these judgments of the historic failings are my own and represent the perspective of a Midwestern U.S. recovery-oriented provider:
- an emphasis on client choice–no coercion
- all drug use is not addiction
- addiction is an illness characterized by loss of control
- for those with addiction, full recovery is the ideal outcome
- the concept of recovery is inclusive — can include partial, serial, etc.
- recovery is possible for any addict
- all services should communicate hope for recovery–recognizing that hope-based interventions are essential for enhancing motivation to recover
- incremental and radical change should be supported and affirmed
- while incremental changes are validated and supported, they are not to be treated as an end-point
- such a system would aggressively deal with countertransference–some people may impose their own recovery path on clients, others might enjoy vicarious nonconformity through clients