ABSTRACT

Background

Philadelphia has increasingly adopted Harm Reduction (HR) strategies which, despite reducing morbidity and mortality, remain controversial. This study examines attitudes toward HR among substance use treatment professionals.

Methods

117 treatment professionals completed an anonymous online survey assessing their attitudes about four specific HR interventions: medication assisted treatment (MAT), naloxone, needle and syringe exchange programs (NSPs), and overdose prevention sites (OPSs).

Results

Findings indicate that treatment professionals generally had a positive perception of HR interventions as more than 90% agreed that MAT and naloxone should be discussed with clients and more than 80% agreed that NSPs and OPSs should be discussed. However, treatment professionals also endorsed concern about how certain interventions impact communities as only 28–30% indicated being comfortable if an NSP or OPS were to open on their block. Moreover, only 50% of respondents agreed that NSPs help users to seek treatment while 16% believed that OPSs would lead to increased substance use.

Conclusions

Of note, professionals with more experience and knowledge about HR tended to have more positive attitudes, whereas professionals who supported abstinence and 12-step programs had more negative views of HR. Implications for education to facilitate improved attitudes toward and implementation of HR interventions are discussed.

中文翻译：

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费城物质使用治疗专业人员对减少危害的态度

摘要

背景

费城越来越多地采用减少危害 (HR) 策略，尽管降低了发病率和死亡率，但仍然存在争议。本研究调查了物质使用治疗专业人员对人力资源的态度。

方法

117 名治疗专业人员完成了一项匿名在线调查，评估他们对四种特定人力资源干预措施的态度：药物辅助治疗 (MAT)、纳洛酮、针头和注射器交换计划 (NSP) 和过量预防站点 (OPS)。

结果

调查结果表明，治疗专业人员普遍对人力资源干预持积极态度，因为超过 90% 的人同意应该与客户讨论 MAT 和纳洛酮，超过 80% 的人同意应该讨论 NSP 和 OPS。然而，治疗专业人士也对某些干预措施如何影响社区表示担忧，因为只有 28-30% 的人表示如果 NSP 或 OPS 在他们的街区开放，他们会感到舒服。此外，只有 50% 的受访者同意 NSP 帮助用户寻求治疗，而 16% 的受访者认为 OPS 会导致物质使用增加。

结论

值得注意的是，对人力资源有更多经验和知识的专业人士往往有更积极的态度，而支持禁欲和 12 步计划的专业人士对人力资源有更多的负面看法。讨论了教育对促进改善对人力资源干预的态度和实施的影响。