Rozprawy doktorskie: „Harm reduction”

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Brooks, Billy. "Harm Reduction Panel". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/3182.

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Ponton, Rhys. "Evidence based harm reduction". Thesis, University of Bath, 2006. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438656.

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Review of the literature demonstrated that knowledge surrounding the process of illicit drug injection preparation is limited. A better understanding of the details of injection preparation methods could inform study of the risks and complications, as well as the development of harm reduction advice. This project had two main objectives: To characterise the injection preparation process in detail, then to attempt to quantify the risks posed by these injections through laboratory investigations. The project had specific focus on the use of the acids by injectors to increase the solubility of insoluble illicit drugs. To study injection preparation, a novel interview was designed to record the methods that a cohort of injectors used to prepare their injections of heroin and 'crack' cocaine. The interview incorporated two separate sections: firstly a semi-structured questionnaire, then observation of participants preparing an inert 'fake drug' for injection using their usual preparation procedure for real drug. The injector interviews documented the use of acids by injectors in detail. The injection preparation demonstration enabled a complete characterisation of the preparation procedures for heroin, crack and speedball injections and enabled the development of a standardised method by which injections using real drug samples could be reproduced in the laboratory. Prepared injections were subjected to a number of assays to evaluate their properties. These assays allowed a comparison with pharmaceutically prepared injections (pharmacopoeia standards) to provide some quantification of risk. Investigations were conducted into the drug content, the microflora, the particulate content and the physical characteristics of the injections. Electrospray mass spectrometry was used to identify the components within illicit heroin samples. This methodology has never before been used to examine illicit drug samples. The project developed microbiological investigation techniques that enabled the isolation and identification of micro-organisms within drug injection solutions. Particulate content of injection solutions was found to be high, and the use of rudimentary illicit filters was shown to add to this. The use of filters made specifically for illicit drug users could significantly reduce this content. Overall, no significant risks were identified and this supports current harm reduction advice which was not based on any published research.

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Chen, Jia-shin. "Assembling harm reduction policy in Taiwan". Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3390036.

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Beem, Amanda. "Governing cannabis highs and harms: Australia's neoliberal harm minimisation illicit drugs framework". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/203745/1/Amanda_Beem_Thesis.pdf.

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This thesis applies Bacchi's (2009; 2016) policy analysis framework, to Australian illicit drug policy texts (1985–2017) to interrogate exercises of power in illicit drug policy. Findings reveal the dominance of legal and health/well-being discourses which produce the body as a site of self-governance ('responsibilisation'), while epidemiological narratives narrow the cannabis 'problem' and omit why cannabis is used for recreation. Failure to resolve the historical influence of morality associated with public health rationalities and their intersection with law and order has meant that harm minimisation, which empowers citizens through the governance of self, is constrained by sovereign power.

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Phillips, Kristina T. "Applying the Relapse Model to Harm Reduction: The Development and Evaluation of the Harm Reduction Self-Efficacy Questionnaire". Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1131342662.

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Pack, Robert P. "Empowering Appalachia: Preventing HIV through Harm Reduction". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1334.

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Hathaway, Andrew D. "Harm reduction, human rights, and Canada's cannabis controversy". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ66270.pdf.

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Lee, Heather Sophia. "Participant generated outcomes of two harm reduction programs". online access from Digital Dissertation Consortium, 2006. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3223642.

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Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2006.
Source: Dissertation Abstracts International, Volume: 67-07, Section: B, page: 3737. Adviser: William T. Trent. Includes bibliographical references (leaves 146-152) Available on microfilm from Pro Quest Information and Learning.

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Hagemeier, Nicholas E., i Karilynn Dowling. "Community Pharmacists and Harm Reduction: Evidence and Opportunities". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5421.

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Harm reduction is a concept that has gained momentum as it relates to prevention of negative consequences of drug use. Some harm reduction approaches, such as naloxone provision, have garnered significant support, whereas others, such as providing access to clean syringes, are the exception as opposed the rule. Evidence suggests there is significant variation in harm reduction behaviors among providers, including community pharmacists. Community pharmacies are one of the most accessible points for healthcare; approximately 90% of U.S. residents live within five miles of a pharmacy. Therefore, pharmacies have a great opportunity to promote and engage their communities in harm reduction approaches. This session will examine evidence-based harm reduction approaches that can be employed in community pharmacies. The presenters will use their syringe dispensing research conducted across three states to describe the current harm reduction climate in community pharmacies. During this interactive session, participants will discuss scenarios in which they are encouraged to evaluate their own attitudes and beliefs toward non-Rx syringe sales, naloxone dispensing and other harm reduction strategies while taking a look at the impact of state level policies on these approaches. The session will be targeted to practicing pharmacists, coalition leaders and harm reduction stakeholders.

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Dearing, Julie. "Reducing alcohol-related harm through utilizing a harm prevention curriculum at the University of Central Oklahoma /". Read online, 2008. http://library.uco.edu/UCOthesis/DearingJ2008.pdf.

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Nordström, Maria, i Lång Martina Stenman. "Harm Reduction : - En ny dimension inom den restriktiva narkotikapolitiken?" Thesis, Mid Sweden University, Department of Social Work, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-177.

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Harm reduction som insats, har för avsikt att minska de negativa konsekvenserna som tenderar att följa missbruket. Konceptet härstammar från 1920-talets England där grunderna för behandlingsformen utvecklades efter att läkarkåren ansåg att underhåll av missbruk i flera fall kan vara nödvändigt. Metadonbehandling och sprututbytesprojekt är två exempel på Harm reduction relaterade insatser. Grunderna för metadonbehandlingen utvecklades i USA av Marie Nyswander och Vincent Dole och lanserades 1966 i Sverige av professor Lars Gunne, aktiv vid Ulleråkers sjukhus i Uppsala. Läkemedelsassisterad behandling är dokumenterat effektiv och visar goda resultat som t.ex. en ökad livskvalitet. Den svenska narkotikapolitiken har genom historiens gång haft inslag av både repressiv, liberal, och restriktiv karaktär, och även kombinationer av dessa. Idag bedriver Sverige en restriktiv narkotikapolitik där inslag av Harm reduciton relaterade insatser accepteras allt mer genom den nya lagstiftningen angående läkemedelsassisterad behandling(2005) och sprututbytesverksamhet(2006). Genom en kvalitativ enkätstudie baserad på sju enkätintervjuer via e-post och en personlig halvstrukturerad intervju är syftet i denna studie att undersöka om ny lagstiftning av Harm reduction karaktär kan ses som ett tecken på förändring inom den svenska narkotikapolitiken. Genom en teoretisk överblick innehållande relevanta teorier önskar studien även att öka förståelsen för missbrukssituationen hos läsaren. Resultatet har inte varit helt entydigt och generalisering av materialet är svårt eftersom studien varit av kvalitativ art. Dock kan en förändring i synen på och inställningen till exempelvis underhållsbehandlingar urskiljas. Det finns även en frustration bland respondenterna över att verksamheter ute i landet inte lever upp till sina åtaganden och att individer med beroende- och missbruksproblematik prioriteras bort. Trots att direktiven är tydliga kan i dagsläget ca hälften av alla landsting inte hålla vårdgarantin för den berörda patientgruppen, detta visar en granskning Socialstyrelsen genomfört. Behandlingen skall vara lättillgänglig, något som uppenbarligen inte efterlevs.

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Clarke, Natasha. "Alcohol harm-reduction interventions in a young adult population". Thesis, University of Liverpool, 2017. http://livrepository.liverpool.ac.uk/3011342/.

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The purpose of this thesis was to assess the effectiveness of a variety of harm-reduction interventions in a young adult, majority student population. Chapter One discussed harm-reduction interventions and labelled them under two broad categories: those that target the reflective system and those that target the impulsive system, based on the reflective/impulsive model of drinking behaviour and Holland et al's (2013) typology of choice architecture interventions. Chapter Two and Three assessed interventions targeting the reflective system: brief personalised interventions (BPIs) and drinking campaigns (fear campaigns and 'responsible drinking' messages). Results indicated that BPIs were effective in reducing drinking over a two week period but offered no additional benefit to that of an active control. Anti-drinking campaign posters were compared to pro-drinking campaign posters and were overall ineffective in reducing motivation to drink. Interventions aiming to target the impulsive system included labelling and glass shape. Chapters Four, Five, Six and Seven investigated unit and nutritional glass labelling and results demonstrated that labels did not reduce ad libitum drinking, although findings in Study Five indicate that exercise labelling warrants further investigation, particularly in a female sample. Chapter Eight investigated the effect of glass shape on drinking speed. In contrast to previous glass shape findings (Attwood et al., 2012), a curved glass did not reduce drinking speed compared to a straight glass. Taken together, the studies in these thesis demonstrated that interventions targeting the reflective system by providing information and encouraging self-monitoring behaviour can reduce drinking if engagement is maximised and interventions targeting the impulsive system were overall ineffective in changing behaviour. These studies highlighted that hypothesised behaviour change mechanisms need to be clearly defined in such interventions. The majority of these studies were carried out in a semi-naturalistic bar-laboratory where alcohol was administered, therefore it is posited that this may have contributed to the ineffectiveness of the interventions. This is supported by the demonstrated influence of the pro-drinking environment on drinking behaviour throughout this thesis, which when paired with the existing habits and student drinking culture decrease the likelihood of intervention benefits. Restricting the pro-drinking nature of the environment, alongside interventions that target both the impulsive and reflective systems may prove most beneficial.

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Hoffmann, Erica A. "University students' attitudes regarding harm reduction for recreational substance users". Bowling Green, Ohio : Bowling Green State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1236543476.

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Donoghue, Kathleen J. "Perceived harms and benefits of parental cannabis use, and parents’ reports regarding harm-reduction strategies". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1592.

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This research focussed on families in which at least one parent was a long-term cannabis user; I explored family members’ perceptions of the benefits and harms of cannabis use and the strategies parents used to minimise cannabis-related harm to themselves and their children. In depth, semi-structured interviews were undertaken with 43 individuals from 13 families, producing a series of family case studies that enabled examination of multiple perspectives within each family. In Study 1, I used an interpretive framework guided by Miles and Huberman’s (1994) thematic content analysis technique to analyse interview data, while study 2 yielded detailed descriptive vignettes that examined how the use of cannabis played out in particular families. Cannabis users have been portrayed as stereotypically lazy, unhealthy, deviant, and criminal. However, this was not the case with the current sample, whose lifestyles revolved around employment and family life. Parents claimed to use cannabis in a responsible way that minimised harm to self and family. Few reported personal experiences of harm and most did not believe that their children had been adversely affected by their use of cannabis. Nonetheless, children’s awareness of parental cannabis use, and access to the parent’s cannabis supply, occurred at a younger age than parents suspected. Parents reported harm reduction strategies that targeted five broad areas: (1) Dosage control; (2) Dependency; (3) Acute risk; (4) Long-term harm; and (5) Harm to children. The current study points to common-sense ways of reducing harm, such as being discreet about cannabis use; using less potent strains; prioritising family and work responsibilities; being careful about where cannabis was obtained; not mixing cannabis with tobacco; and limiting any financial outlay. The harm reduction strategies identified in this research might be helpful in the forensic evaluation, safety planning, and treatment of parental cannabis use. The validity of the current findings was enhanced by having independent data on the same topic from each family member’s point of view, including non-using partners and children, and by including both convergent and divergent data.

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Krantz, Sofia, i Emelie Osswald. "Nolltolerans & harm reduction : En kvantitativ undersökning av socionomstudenters attityder". Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-104764.

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The purpose of this study is to investigate university students, studying social work, attitudes against the drug policies, zero tolerance and harm reduction. This was done by quantitative survey utilizing questioners targeting students in semester one to four at Stockholm University, Department of Social Work. The study included 295 students responding to the questioners. The results have been analyzed utilizing theories regarding attitudes and their influence of different social aspects; social influences, social norms and conformity. The result of this study shows that the students prefer the drug policy of harm reduction over zero tolerance. Our interpretation is that the student’s attitudes regarding these drug polices depends on finished semesters and their political opinion. Previous research shows that harm reduction provides better outcome in a long term perspective of drug abuse for the society. The drug policy which has been carried by the Swedish government since the 1980’s has been focusing on zero tolerance. The outcome has not become as positive as the government predicted. Harm reduction is a drug policy that is internationally recognized and established with positive outcome in several other countries. In conclusion, this study supports further investigation of harm reduction in the Swedish drug policy.

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Quigley, P. "Health inequality, multisubstance misuse and harm reduction : a case study". Thesis, Queen's University Belfast, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432509.

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Cacciapaglia, Holly M. "A STEPPED-CARE APPROACH to SMOKING CESSATION and HARM REDUCTION". Bowling Green State University / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1151035089.

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Flick, Amy I. "ReDefining Risk: An Examination of Harm Reduction Discourse and Language". Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1605895036516775.

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Pretorius, Estelle. "Cannabis and driving: Background to inform a harm reduction approach". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/203586/1/Estelle_Pretorius_Thesis.pdf.

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The thesis provides insights into cannabis and driving in Australia from the viewpoint of both users and health professionals. In particular, findings informed the feasibility of a Harm Reduction approach for cannabis and driving. Globally, attitudes towards recreational and medicinal use of cannabis are becoming increasingly tolerant. It is expected that the prevalence of cannabis use will rise, along with the associated harms such as drug driving. Harm Reduction is a policy which offers a non-judgemental approach to the issue. Key aspects of this approach include offering education and other resources to limit the resultant harm without aiming for eradication.

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Stengel, Camille May. "'Chicks on the corner' in Budapest : visualising harm and harm reduction at a women-only syringe exchange programme". Thesis, University of Kent, 2015. https://kar.kent.ac.uk/54858/.

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Harm reduction is an approach that aims to reduce harms related to using drugs. Harm reduction services often fail to consider the needs of women who inject drugs or minimise responses to women’s needs in service design and implementation (Bennett et al., 2000; Brown et al., 2005; EMCDDA, 2006; Levy, 2014a; Pinkham, Stoicesu and Myers, 2012; UNODC et al., 2014). It is therefore crucial to understand the experiences of women who inject drugs from their own perspectives, as well as those of harm reduction workers, in order to develop and implement effective responses to injecting drug use. This thesis explores how ‘harm’ and ‘harm reduction’ are conceptualised by workers and clients at a women-only day syringe exchange programme. It answers the following questions: In what ways do participants’ broader understandings of ‘harm’ and ‘harm reduction’ go beyond the traditional public health model of harm reduction in response to illicit injectable drug use? How are clients and workers’ understandings gendered? These questions were explored empirically through fieldwork in 2013 and 2014 at a harm reduction centre which featured a women-only day syringe exchange programme in Budapest, Hungary. This women-only day was the only gender sensitive harm reduction programme in the country, and the first study undertaken with Roma women who inject drugs in Hungary and female harm reduction workers. In addition, this first research project to use photovoice within a harm reduction context in Hungary. Data were co-produced with respondents according to the principles of Feminist- informed Participatory Action Research, using the method of ‘photovoice’. This method involved providing cameras for clients and employees of the women-only day to photograph their experiences and understandings of harm, harm production, and harm reduction. A significant portion of the data collected for this study was created by female harm reduction workers who worked at the women-only syringe exchange programme. Employees and clients’ images guided the research observations, interviews, and analysis. This meant collaboration between the participants and the researcher through the fieldwork, including the development and implementation of a research output in the form of a public photo exhibition and fundraiser event. The event was called ‘Chicks on the Corner’, and is the source of the thesis title as well as the title of the research project. The theoretical frameworks of zemiology (the study of harm) and black and multiracial feminist thought informed the ontological and epistemological grounding of the Chicks on the Corner project. These frameworks, coupled with the empirical data, produced an argument for the development of a feminist zemiology. The analytical themes that emerged from the Chicks on the Corner project were produced and categorised primarily using participant generated photographs. These images depict the multiple intersecting, overlapping, and mutually reinforcing sources of harm production and attempts at harm reduction in participants’ lives. Analysis of the photographs affirm that women who inject drugs experience an array of harms in addition to physical harms related to their drug use. Harms identified by research participants were categorised using Hillyard and Tombs (2004; 2005) zemiological typology. This typology consists of: physical harms, emotional harms, economic harms, and cultural harms (also known as lack of cultural safety). In addition, a new fifth category of harm was created based on participants’ responses, and is called institutional and political harms. The data from the Chicks on the Corner project show how institutional and political harms contributed to the production of the other four categories of harm. Furthermore, the analysis outlines the numerous challenges workers faced in attempting to provide adequate harm reduction responses while experiencing multiple social harms as well. These novel findings suggest the need for expanded definitions of ‘harm’ in harm reduction theory and practices. The findings from the Chicks on the Corner project complement existing literature on harm reduction theory and practice while also adding to the limited body of research on gender- sensitive approaches to harm reduction. This thesis contributes to an expansion of theoretical understandings of harm and harm reduction in relation to women who inject drugs and harm reduction workers, as well as discussing implications for gender sensitive harm reduction practices. Based on this analysis, I propose the development of feminist zemiology as a way to better understanding harm.

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Zettel, Patti. "Meeting people where they are at : how nurses, using the framework of harm reduction, make sense of nursing practice with people who use drugs". Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2651.

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Nurses who work with people who use drugs in the Downtown Eastside of Vancouver (DTES), British Columbia are on the forefront in advancing a harm reduction framework in very controversial, cutting-edge practice environments. The purpose of this study was to explore how these nurses, using the framework of harm reduction, make sense of their nursing practice. It is hoped that the results of this study may advance adopting a harm reduction framework in nursing practice, education and policy development and serve as the foundation for further nursing research. This study utilized a qualitative interpretive descriptive methodology to gather data from eight nurses who work with people who use drugs in harm reduction practice environments. The nurses were divided into two focus groups and data was collected through a semi-structured focus group interview. Following initial data analysis, each focus group was reconvened and a second semi-structured group interview was held to clarify and to further discuss the emerging themes. The data analysis proceeded simultaneously with the interviews utilizing a process of constant comparative analysis. I completed the thematic analysis as I moved between the transcripts and identified commonalties and variations within the emerging themes. Ultimately, I described one overarching theme, which encapsulated the range of experiences described by the nurses. The theme that I identified was: meeting people where they are at. The importance to the nurses of both the therapeutic nurse-client relationship and a commitment to praxis were apparent. In conclusion, the value the nurses placed on "meeting people where they are at" was integral in gaining an understanding of how they make sense of their nursing work.

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Robbins, Stephen Delbert. "Situating "evidence" and constructing users : communicative authority and the production of knowledge in harm reduction evaluation". Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/5115.

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Despite thirty published evaluation reports citing the effectiveness of Vancouver’s safe injection site (Small 2008), the Canadian federal government refuses to endorse safe injection sites as a health service option available to injection drug users (IDUs). Insite’ s evaluation results are undergoing debate, because two communicative spheres of knowledge, each with a unique authoritative language, are conflicting as each is attempting to gain moral authority over the right to recontextualize drug users. Drawing on a literature review of two harm reduction programs in Vancouver, Insite and Sheway, and expert interviews with evaluators, I show that what constitutes “evidence” is in fact subjective, determined by spheres of communicability that are built upon social, professional and political contexts. To confront the problematic nature of this issue, I suggest that evaluators and overseers need to treat program evaluation as a process of negotiation, best approached in a fluid manner. By obscuring multiple user experiences in the evaluation of harm reduction programs, evaluators and overseers risk imposing their communicative ideologies on what it means to be a drug user.

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Gunnarsson, Frida. "Svensk narkotikapolitik i förändring? : En jämförande studie av svensk narkotikapolitik i nu- och dåtid". Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-274165.

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Montes, Larry Ramon Jr. "Alcohol harm reduction program for high school students| A grant proposal". Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1522588.

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The purpose of this project was to design a school-based program, identify potential funding sources, and write a grant that would fund an alcohol harm reduction program for high school students. An extensive literature review indicated the need for a new innovative school based alcohol program, and provided information about evidence-based alcohol harm reduction programs that the grant writer then used to design a best-practices program. A search for potential funding sources via the Internet and a grant database resulted in the selection of the Robert Wood Johnson Foundation as the best funding source for this project. A grant was then written to support a school-based alcohol harm reduction program at Long Beach Polytechnic High School. The actual submission and/or funding of this grant was not a requirement for the successful completion of this project.

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Scott, Jennifer. "Development, implementation and evaluation of harm reduction techniques for drug users". Thesis, Robert Gordon University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.340071.

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Beard, E. V. "Smokers' attempts at 'harm reduction' : their effectiveness and associations with cessation". Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1338130/.

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Interest has grown in the concept of using Nicotine Replacement Therapy (NRT) during attempts at smoking reduction (SR) and temporary abstinence (TA). This is partially due to data from clinical trials showing that the concurrent use of NRT and cigarettes can result in significant reductions in cigarette consumption, and increases the propensity of smokers to quit. However, it is not clear whether similar findings will emerge outside of that structured setting. Data are also limited on the acceptability among smokers of using NRT in these ways, and whether healthcare professionals will be opposed to offering such a strategy. This thesis aimed to address these issues using three methodologies: population-based surveys of English smokers; in-depth telephone interviews with smokers; and surveys of stop smoking practitioners and managers. More than 1/10th of smokers in England were found to be using NRT for SR and/or TA. Prevalence did not appear to have changed since 2007. The use of NRT for SR and/or TA was associated with greater probability of reporting a quit attempt and of subsequently stopping smoking, but any reduction in concurrent cigarette consumption was very small. Nicotine intake was similar whether smokers were or were not using NRT whilst smoking. This suggests that smokers may have instead been compensating for the additional nicotine attained from NRT by adapting the way they smoked their cigarettes. The interview study indicated a number of factors which may account for the lack of reductions in cigarette intake, including smokers’ failure to set specific goals. A significant proportion of those working in stop smoking services did not agree with offering NRT for SR. Overall, the research reported in this thesis supports the idea that the use of NRT for SR and/or TA may promote cessation in the general population, but in itself is currently conferring little health benefit. Future research should examine the range of methods smokers use to reduce smoke exposure, and whether interventions which promote clear goal setting and monitoring of intake, such as through the use of expired carbon monoxide readings, can lead to effective SR.

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Hoffmann, Erica. "Predicting Use of Alcohol Harm Reduction Strategies by College Student Drinkers". Bowling Green State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1337023022.

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Waeladee, Sritakool. "Drug control policy in Thailand : the shift more towards harm reduction". Thesis, University of Bristol, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.685147.

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Previous research has demonstrated that a long development of Thai drug policy along with crime control and immorality explained the dominance of a prohibition ideology in drug policy in the present day. None of the previous research has yet to address the significant change occurring recently with the adoption of harm reduction ideas to the Thai drug policy, 20 10/20 II. Hence, this research aims to be the first to provide novel insights into such important incident. This research has two key aims. The primary research aim is to gain better understand of the process of 'how' factors, such as, actors, policy ideas, networks, institutions and socio-economic forces interacted and possibly contributed to the recent change and 'why' under which conditions, despite entrenched prohibition ideology, the recent change of the drug policy still occurred. The secondary research aim is to test the applicability of the dominant US-based theories, particularly, the Policy Advocacy Coalition Framework (ACF) and the Punctuated Equilibrium Framework (PEF) to explain the recent change. Aligned with the pragmatists' worldview, this research is designed in a case study tradition using mixed methods by which theories are, possibly, both inductively developed and deductively tested. While qualitative methods are primarily used to achieve the primary aim, the quantitative method of social network analysis is embedded to suppol1 a systematic test of key network relational assumptions. This research provides novel knowledge on the process of the recent change in which institutions played the key roles. Institutions shaped the roles of key actors' behaviour, their networks/collective actions in relation to harm reduction advocacy at subsystems. Conflicting institutional values explained the conditions of the subsystem

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Madden, Tiffany. "Factors Associated With Harm Reduction Model Use Among Substance Abuse Counselors". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2131.

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Drug overdose death rates in the United States have more than tripled since 1990 with more than 36,000 dying in 2008. In 2007 the estimated cost of drug use to U.S. society due to lost productivity, increased health care, and criminal justice costs was over $193 billion. Previous researchers have found that harm reduction is a viable treatment option within the field of addiction. The guiding premise in the harm reduction approach is that all people can achieve improved psychological and physiological health even if they are unable to be substance-free. However, there remains an important gap in the current literature regarding factors that may influence substance abuse counselors' use of the harm reduction model. Specific individual counselor independent variables (recovery status, education level, age, length of time in the field, and understanding of substance abuse conceptualizations) may play a role in counselors' acceptance of the harm reduction approach as a viable treatment for substance abuse. Therefore, the purpose of this quantitative study was to investigate which variables played a role in counselors' acceptance of the harm reduction model. This research sampled 100 professional substance abuse counselors selected from the American Counseling Association (ACA) database. Multiple regression analyses were utilized to examine study research questions. Findings of this study indicated that disease and eclectic orientation conceptualizations were significant predictors of harm reduction acceptance, suggesting training targets for increasing acceptance of the harm reduction model among counselors. This is an important contribution to the existing literature and enhances social change initiatives by expanding the use of effective substance abuse treatment options.

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Lishchynski, Marc A. "Harm reduction from the perspective of the illicit drug user: A study". Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26958.

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The notion of harm reduction has existed in many fields of study for a considerable period of time, but it has recently resurfaced primarily in the field of public health policy since the discovery of HIV and the ensuing AIDS pandemic. Harm reduction has been identified by various authorities in health care as a policy that may help reduce the spread of HIV/AIDS among users of illicit, injectable drugs. This focus on health matters makes the development of a more holistic approach towards harm reduction for users of injectable drugs difficult. This study seeks the perspective of users of illicit, injectable drugs in the greater Ottawa-Carleton region on existing harm reduction policies and practices, using a qualitative research design, and employing a literature review and interviews with users to gather the required data. The goal is to determine how they perceive the actual implementation of these policies and practices, what they would like to see implemented, and to see if there is a gap between the user's needs and what is currently being offered.

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Weaver, Sydney Michelle. ""Left him in the dust:" father exclusion from maternal harm reduction services". Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44704.

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This study was conducted in Vancouver, B.C., Canada, with former patients of a harm reduction maternity ward serving pregnant women who use illicit drugs in Vancouver’s downtown eastside. This district is one of Canada’s poorest urban neighbourhoods. The purpose of this study was to build theory, based on how fathers and mothers were affected by father exclusion, to inform development of more effective services for substance-using parents. The study demonstrates how father exclusion from services offered at a harm reduction hospital maternity unit affects fathers and mothers struggling with problematic drug use. A qualitative approach, constructivist grounded theory, was used. A purposeful sampling method was employed to recruit 20 parents, 10 mothers and 10 fathers, for individual interviews and a focus group. Grounded theory method highlighted how structural conditions of addictions services recursively interact with experiences of fathers and mothers, amplifying obstacles experienced by parents using illicit drugs, such as poverty, stigma, racism and homelessness. Fathers’ gender-based exclusion compounded feelings of exclusion based on race and class, and negatively affected mothers. The study findings: contest the tenets of ‘difference’ feminist theory that underpin contemporary addictions services for women; demonstrate the importance of including fathers in antenatal, natal and postnatal addictions services; and contribute to theory aimed at disrupting and destabilizing gender norms.

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Hellman, Miranda Renee. "Use of harm reduction strategies in an occupational therapy life skills intervention". Thesis, Boston University, 2013. https://hdl.handle.net/2144/12779.

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Thesis (M.S.)--Boston University
Objectives of Study: Harm reduction intervention strategies have the potential to support positive health outcomes. However, no studies have explored how these strategies can be implemented in an occupational therapy intervention. This study addresses this knowledge gap by examining harm reduction strategies that were discussed during group and individual sessions of an occupational therapist-led life skills intervention for people who have a mental illness and are or were homeless. Methods: This study is a secondary analysis of a larger study that used a longitudinal repeated measures design to implement a life skills intervention. This secondary analysis uses a mixed methods design. Qualitative methods were used for data collection and initial analysis. Quantitative methods were then used to analyze differences between settings. Results: Three major themes emerged from the data: Financial, Physical, and Psychosocial Hann Reduction. The most prevalent theme was Financial Harm Reduction. All three themes were present throughout all of the different life skills intervention modules. There was no significant difference in the themes used between settings. Limitations and Recommendations for Further Research: This study was limited to what was documented in the therapy notes. Although the notes may not include every discussion that occurred, these results suggest that harm-reduction strategies can be utilized in an occupational therapy intervention. Additional research is needed to investigate how harm reduction can be implemented in other areas of occupational therapy practice.

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Enkhbat, Javzmaa, i Patrik Wikström. "Swedish Social Workers’ Perceptions of Harm Reduction Methods in Substance Abuse Treatment". Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och kriminologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-30220.

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The aim of this study was to explore how harm reduction methods are perceived by Swedish social workers working with treatment of substance abuse. In doing so, qualitative research method with semi-structured interviews was conducted with five social workers practicing within the social services adult unit from three different municipalities in mid-Sweden. The gathered data was analyzed through the perspective of the two related theoretical frameworks of social constructionism and discourse theory. The result revealed diverse perceptions and perspectives regarding harm reduction methods which both were conflicted between participants and within the participants. Methods practiced in Sweden were to a large degree perceived as positive. Perceptions regarding methods outside of Sweden were to a large degree split between an overall negative perception and a conflicted perception between negative views on the legitimization of drugs and positive perceptions regarding preventive positive outcomes. From the chosen theoretical framework, The participating social workers’ perceptions appeared to be influenced by experience, social context, and a prohibitionist discourse on drug abuse that has since long been predominant in Sweden.

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Yerardi, Ruth Schroeder. "Biobehavioral nicotine dependence in persons with schizophrenia". Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1172512647.

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Staros, James. "The Making of Public Morality: Politics, Social Engineering and the Development of a Safer Cigarette". OpenSIUC, 2008. https://opensiuc.lib.siu.edu/dissertations/264.

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There has been a well-documented and causal relationship between cigarette smoking and disease for over forty years, and at least an implicit concern over tobacco and health for decades, if not centuries prior; however, government policy on how to address tobacco as a public health issue has been erratic. At the turn of the twentieth century, when cigarettes first became a national phenomenon, the federal government imposed few if any regulations, and even encouraged the use of cigarettes. By the 1960s, government, public health entities and the tobacco industry were cooperating to try to fix the problem. Although there was great success in this early, if uneasy alliance, by the 1980s this coalition was fragmented and the search for a pragmatic solution to the tobacco problem came to an abrupt end. This dissertation is an investigation into how policy-makers, tobacco industry executives and public health officials each ignored opportunities to come to a practical solution to the problem which confronted them. The 1960s saw these groups work together to formulate a harm reduction policy approach which would lessen, if not eliminate, the concerns from each constituent group. Despite some significant early successes, this effort was derailed due to partisan positioning, misguided self-interest, and certain individual personalities. This analysis of the safer-cigarette campaign sheds light on a little explored avenue in the tobacco debate, as well as highlights the challenges of policy making in Washington.

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Resiak, Danielle. "Advancing PTSD Diagnosis, Treatment, and Dissemination of Trauma Care in Humanitarian Emergencies – A Proof-of-Concept Clinical Trial". Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29678.

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Decentralised health systems in low- and middle-income countries impacted by humanitarian crises lack resources and a qualified workforce to attend to the overwhelming demand for mental health care in emergencies. Cross-cultural screening and diagnostic tools, alongside innovative treatment approaches that are safe, cost-effective, and scalable are needed. The primary aims of this study included (1) examining the clinical validity of a new screener, the Global Psychotrauma Screen (GPS), among refugees; (2) identifying candidate cognitive and electrophysiological diagnostic markers of combined clinical and subclinical PTSD; and (3) investigating the preliminary efficacy of a novel trauma-focused mobile App intervention via changes in clinical symptomatology, cognitive performance and electrophysiological brain activity. A non-randomised clinical trial was conducted with 70 African refugees in Australia. Participants completed clinical interviews, neuropsychological tests, quantitative electrophysiology (qEEG) recordings, and the seven-day App intervention from home. On the eighth day, participants returned to the lab to repeat all baseline assessments, followed by 1-, 3-, 6-, and 12-month interviews. The GPS demonstrated high sensitivity and specificity in detecting a probable diagnosis of PTSD, depression, and dissociative subtype. Baseline analyses indicated that the PTSD group had increased qEEG power across multiple brain regions, and faster rapid visual information processing. The intervention was associated with significant reductions in PTSD severity and related comorbidities, and changes in qEEG and cognitive performance. In conclusion, this study (1) indicated that the GPS may be a useful screening tool for refugees; (2) identified novel diagnostic and prognostic markers for clinical and subclinical PTSD, and (3) provided preliminary evidence for the efficacy of the proposed App in reducing PTSD severity and comorbid symptomatology. Randomised trials are recommended to further develop mobile-based screening, diagnostic and prognostic features, and determine the App’s cross-cultural efficacy in emergency settings.

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Lauritsen, Kirstin J. "Do psychological characteristics of addiction treatment professionals predict acceptance of harm reduction interventions?" Bowling Green State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1497572679919639.

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Locklear, Amber. "A harm reduction practice model for individuals experiencing homelessness| A grant proposal project". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105255.

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In fulfillment of the requirements for a Master’s of Social Work degree, a project was developed to increase the services being offered for those experiencing homelessness, substance use, severe mental illness, and co-occurring disorders. The harm reduction model was utilized as a means to assists those in reducing harms associated with substance use. This grant proposal identified homeless individuals in the Service Planning Area (SPA) 6 of South Los Angeles, more specifically the Courtyard of the Midnight Mission as the target group for the harm reduction services. Prevalence rates of harms associated with substance users were noted, as well as the increasing growth of the homeless population in California, specifically the influx of unsheltered individuals in SPA 6. Through participation in weekly group and individual therapy sessions, the group members are expected to benefit from motivation and brief interventions to deter from harms associated with substance use. This strengths-based program embraces the harm reduction principles as a means to educate, motivate, and empower group members to begin the practice of reducing harms associated with substance use. The actual submission or funding of this grant was not a requirement for the successful completion of the project.

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Peters, Gjalt-Jorn. "Determinants of ecstasy use and harm reduction strategies informing evidence-based intervention development /". [Maastricht] : Maastricht : [Maastricht University] ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=13774.

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Kindberg, jenny. "Förändrar sprututbytesverksamhet livskvalitet och riskbeteende hos de som deltar och vilka insatser erbjuds?" Thesis, Högskolan Väst, Avd för socialpedagogik och sociologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5519.

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Syftet med studien var att undersöka hur personer med ett injektionsmissbruk, som medverkade i sprututbytesverksamhet i Sverige, upplevde att deras livskvalitet blivit annorlunda. Vidare undersöktes också vilka insatser de blivit erbjudna och om de upplevde att de hade ett minskat riskbeteende. Frågeställningarna som användes i studien för att undersöka detta var:  Vilka insatser inom sprututbytesverksamheten erbjuds personer med injektionsmissbruk att ta del av?  Hur använder sig personer som medverkar i sprututbytesverksamhet av den kunskap de erhåller om hur de ska minska sitt riskbeteende?  Hur upplever personerna som deltar i sprututbytesverksamheten att deras livskvalitet blivit annorlunda? För att kunna svara på frågeställningarna användes en enkät som skickades till sprututbytesverksamheter i Sverige. De centrala begrepp som går att återfinna i studien är harm reduction och livskvalitet och dessa begrepp är väsentliga när det gäller konstruktionen av enkäten i relation till syfte och frågeställningar. Slutligen inkom 15 stycken enkäter av de 60 stycken som hade skickats ut, vilket gjorde att resultatet som kom fram inte gick att generalisera. Enkäterna behandlades i datorprogrammet SPSS för att kunna ge en tydlig bild av hur respondenterna svarat. Det som framkom i resultatet var att respondenterna främst använde sig av insatser som byte av sprutor, vaccinationer och att testa sig för sjukdomar. Smittskydd och smittspridning var de områden där respondenterna uppgav att de erbjöds mest information, vilket också var de områden de ansåg sig ha bäst kunskap om. Det framkom även att respondenterna ansåg att deras livskvalitet hade blivit bättre sedan de började i sprututbytesverksamheten. Insatser som syftade till att personerna som deltog skulle avsluta sitt narkotikamissbruk var inte något som det angavs att det erbjöds speciellt mycket av. Slutsatsen som drogs av studien var att de insatser som erbjöds på sprututbytesverksamheten i första hand syftade till att minska riskbeteende och smittspridning av HIV

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Bonar, Erin Elizabeth. "Using the Health Belief Model to Predict Injecting Drug Users' Use of Harm Reduction". Bowling Green State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1282833406.

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Bonar, Erin E. "Effect of injecting drug users' HIV status on treatment providers' acceptance of harm reduction interventions". Bowling Green, Ohio : Bowling Green State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1182541350.

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Pereira, Margaret A. "Governing drug use among young people : crime, harm and contemporary drug use practices". Thesis, Queensland University of Technology, 2013. https://eprints.qut.edu.au/63631/1/Margaret_Pereira_Thesis.pdf.

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Taking an empirical, critical approach to the problem of drugs, this thesis explores the interaction of drug policies and young people's drug use in Brisbane. The research argues that criminalising drug users does not usually prevent harmful drug use, but it can exacerbate harm and change how young people use drugs. Contemporary understandings of drug use as either recreational or addictive can create a false binary, and influence how illicit drugs are used. These understandings interact with policy responses to the drug problem, with some very real implications for the lived experiences of drug users. This research opens up possibilities for new directions in drug research and allows for a redefinition of drug related harm.

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Vilhelmsson, Malin, i Emma Jacobsson. "”Man kan inte vårda en död narkoman” : En studie om harm reduction som förebyggande insats mot narkotikarelaterad dödlighet". Thesis, Linnéuniversitetet, Institutionen för pedagogik (PED), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-52283.

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Syftet med studien var att belysa hur professionella inom beroendevården resonerade kring harm reduction insatser och nolltolerans. Vi ville även undersöka möjligheter till förändringsprocesser hos de personer som använder narkotika med hjälp av harm reduction insatser. Den metodologiska utgångspunkten bestod i hermeneutiken och det empiriska materialet samlades in genom en kvalitativ ansats med semistrukturerade intervjuer. Intervjuerna bestod av sex professionella från tre olika kommuner. Resultatet är analyserat utifrån teorier från Moira von Wright och Michel Foucault. Studien visar att professionellas upplevelse av harm reduction i stora drag är positiva trots att mer problematisering behövs. Några av slutsatserna är att harm reduction möjliggör förändringsprocesser hos personer som använder narkotika där man kan nå och motivera personer till vidare behandling. Skadereducerande insatser försvåras dock av narkotikapolitiken som stämplar både de som använder narkotika och de professionella. En annan slutsats är att harm reduction inte kan jämföras med legalisering.

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Yockey, Robert A. B. S. "School Factors and Psychosocial Correlates to Gambling among Adolescents". University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin162323967054435.

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Pettyjohn, Samuel, Manul Awasthi, Kelly Foster i Joseph Baker. "Generational Differences in Support for Syringe Service Programs in Tennessee". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/24.

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People who inject drugs (PWIDs) are the most stigmatized and marginalized people in the general population (Ahern, Stuber, & Galea, 2007; Birtel, Wood, & Kempa, 2017). This group is not easily accessed by typical means of patient outreach and is one of the most underserved populations for primary care, mental health services, and care for chronic infectious diseases associated with injection drug use including HIV and HCV (Ahern et al., 2007; Dean et al., 2000; Livingston, Milne, Fang, & Amari, 2012; Zeremski et al., 2013). Syringe Service Programs (SSPs) can give public health and social support organizations and agencies access to an otherwise underserved population and give PWID potential access to a constellation of care to address multiple comorbidities associated with injection drug use (Barocas et al., 2014; Pollack, Khoshnood, Blankenship, & Altice, 2002; Zeremski et al., 2013). Additionally, the potential access to primary and secondary care that SSPs may connect PWID to, perceived social support is one of the strongest predictors of well-being and mental health among people with stigmatized conditions including HIV/AIDS, HCV, and PWID (Birtel et al., 2017). Wider adoption of SSPs and bridging of SSP clients to Medication Assisted Treatment providers is a potential tool in combating the current opioid epidemic in Tennessee. The Tennessee Poll by ETSU was conducted between March and April of 2017. The Tennessee Poll is an annual statewide public opinion poll conducted by the Applied Social Research Lab (ASRL). In the Tennessee Poll, questions were asked about attitudes and beliefs associated with SSPs and PWID in Tennessee. In a previous project, the research team, using generational demographic categories used in Pew surveys, looked at attitudes about both illicit and medical use of marijuana. In comparison of generations, Millennials were 15.62 times (95% CI 5.6, 43.56, p < .001) more likely to support recreational marijuana legalization versus the reference category (The Silent Generation or the generation before Baby boomers and sometimes called “The Greatest Generation”) and 3.7 times (95% CI 1.47, 9.3, p

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Metcalfe, Dawnna Elisabeth, KariLynn Dowling-McClay i Nicholas E. Hagemeier. "Engagement in Hepatitis C and HIV Prevention: Community Pharmacists’ Knowledge and Attitudes Regarding Non-Prescription Syringe Dispensing Legislation". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/36.

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Since 2010, the incidence of acute Hepatitis C Virus (HCV) infections in the U.S. has nearly quadrupled. Re-use and sharing of syringes among people who inject drugs (PWID) is a significant contributor to increased rates of HCV transmission and a risk factor for HIV infection. Community pharmacists are uniquely positioned to offer harm reduction services that lower the transmission of HCV/HIV by providing sterile syringes to PWID. However, legislation on non-prescription syringe dispensing varies by state and differences in individual pharmacists’ interpretation and attitudes regarding these laws may impact their willingness to participate in harm reduction services. Little is known about the impact of these factors on pharmacist engagement with harm reduction services in central Appalachia, a region particularly hard-hit by the opioid epidemic. The objective of this project is to qualitatively evaluate open-ended responses collected as part of a survey administered to community pharmacists in three central Appalachian states in order to determine: 1) pharmacists’ knowledge and attitudes regarding their state’s non-prescription syringe dispensing laws; and 2) the correlation of attitudes about state legislation to pharmacists’ intent to sell syringes to PWID. A telephonic community pharmacist survey on non-prescription syringe attitudes and behaviors was conducted between April and June 2018 in Northeast Tennessee, Western North Carolina, and Southwest Virginia. Survey responses were obtained from pharmacists practicing in 391 community pharmacies (51% response rate) in the study region. Transcribed responses to open-ended survey questions were extracted from the dataset and a qualitative analysis was completed using a generalized inductive approach. A single investigator coded all qualitative data and a second investigator coded data from a random selection of 10% of the respondents in order to develop themes through consensus. Descriptive analysis was conducted using SPSS version 25 to compare syringe law attitude thematic categories to respondents’ intent to sell syringes to PWID. Preliminary analysis identified discrepancies in pharmacists’ non-prescription syringe law knowledge, state-specific differences in pharmacists’ non-prescription syringe law attitudes, and underlying differences in willingness to sell syringes to PWID based on attitudes. The findings may encourage pharmacists to reflect on personal attitudes and interpretation of state-specific legislation as factors that may influence participation in an evidence-based harm reduction strategy for prevention of HCV/HIV transmission. This study offers preliminary results that will serve as a basis for larger studies and interventions aimed at reducing ambiguity in pharmacists’ interpretation of non-prescription syringe dispensing laws and encouraging pharmacists to counter the spread of HCV/HIV in an evidence-based manner.

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Davis, Alan Kooi. "Using the Theory of Planned Behavior to Predict Employing Harm Reduction Strategies Among Ecstasy Users". Bowling Green State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1431595589.

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Debenham, Jennifer. "Harm reduction for alcohol and other drug use in young people: The seductive allure of neuroscience". Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/26407.

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A predominance of mental disorders, including substance use disorders, arise during adolescence and track into adulthood. Protracted neurodevelopment may promote the onset and escalation of substance use and increase the vulnerability to harm, however to date there has been no comprehensive review of neurobiological and cognitive risk factors and consequences of illicit substance use. Effective public health efforts to reduce the harms of substance use among young people are critically important. Senior secondary school represents an optimal developmental period to effect change, however age-appropriate interventions targeting this older age group are extremely limited. Moreover, neuroscience-based preventive interventions are virtually non-existent. This thesis aims to first, investigate the impact of substance use on neurodevelopment and second, to develop and evaluate neuroscience-based resources that reduce substance-use related harms in late adolescents. Study 1 is a comprehensive, quantitative systematic review of the neurobiological and cognitive precursory risks and consequential harms of illicit substance use in young people. The review reports few neurodevelopmental risk factors and many structural, functional and cognitive consequences following frequent illicit substance use, which demonstrate some degree of recovery following abstinence. Study 2 evaluates neuroscience-based animations and neuroscience-literacy levels among young people. The findings support the use of neuroscience in substance use education, however, indicates the belief in neuromyths continue to persist. Studies 3-5 outline the development and evaluation of a neuroscience-based, harm reduction program known as The Illicit Project, in secondary schools across New South Wales, Australia. The results from a cluster randomised controlled trial indicate the intervention is feasible and effective in reducing the likelihood of risky alcohol, cannabis, MDMA and tobacco use, as well as reducing alcohol-related harms, and improving drug literacy levels among late adolescents. Overall, this body of studies makes a substantial contribution to the fields of substance use and prevention science through the development and translation of new knowledge into effective resources for young people.

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Hudspeth, Edward F. "Relationships between substance abuse related factors, counseling, and harm reduction in emerging adult college students /". Full text available from ProQuest UM Digital Dissertations, 2009. http://0-proquest.umi.com.umiss.lib.olemiss.edu/pqdweb?index=0&did=1938559941&SrchMode=1&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1278532837&clientId=22256.

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Thesis (Ph.D.)--University of Mississippi, 2009.
Typescript. Vita. "August 2009." Dissertation chair: Marilyn S. Snow Includes bibliographical references (leaves 141-166). Also available online via ProQuest to authorized users.

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