A qualitative analysis of case managers' use of harm reduction in practice

Emmy Tiderington, Victoria Stanhope, Benjamin F. Henwood

    Research output: Contribution to journalArticle

    Abstract

    The harm reduction approach has become a viable framework within the field of addictions, yet there is limited understanding about how this approach is implemented in practice. For people who are homeless and have co-occurring psychiatric and substance use disorders, the Housing First model has shown promising results in employing such an approach. This qualitative study utilizes ethnographic methods to explore case managers' use of harm reduction within Housing First with a specific focus on the consumer-provider relationship. Analysis of observational data and in-depth interviews with providers and consumers revealed how communication between the two regarding the consumer's substance use interacted with the consumer-provider relationship. From these findings emerged a heuristic model of harm reduction practice that highlighted the profound influence of relationship quality on the paths of communication regarding substance use. This study provides valuable insight into how harm reduction is implemented in clinical practice that ultimately has public health implications in terms of more effectively addressing high rates of addiction that contribute to homelessness and health disparities.

    Original languageEnglish (US)
    Pages (from-to)71-77
    Number of pages7
    JournalJournal of Substance Abuse Treatment
    Volume44
    Issue number1
    DOIs
    StatePublished - Jan 1 2013

    Fingerprint

    Harm Reduction
    Communication
    Homeless Persons
    Substance-Related Disorders
    Psychiatry
    Public Health
    Interviews
    Case Managers
    Health

    Keywords

    • Case management
    • Co-occurring disorders
    • Harm reduction
    • Homelessness
    • Service engagement

    ASJC Scopus subject areas

    • Phychiatric Mental Health
    • Medicine (miscellaneous)
    • Clinical Psychology
    • Psychiatry and Mental health

    Cite this

    A qualitative analysis of case managers' use of harm reduction in practice. / Tiderington, Emmy; Stanhope, Victoria; Henwood, Benjamin F.

    In: Journal of Substance Abuse Treatment, Vol. 44, No. 1, 01.01.2013, p. 71-77.

    Research output: Contribution to journalArticle

    Tiderington, Emmy ; Stanhope, Victoria ; Henwood, Benjamin F. / A qualitative analysis of case managers' use of harm reduction in practice. In: Journal of Substance Abuse Treatment. 2013 ; Vol. 44, No. 1. pp. 71-77.
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