Harm Reduction Flashcards

1
Q

what is harm reduction?

A

interventions aimed at reducing the negative effects without extinguishing the problematic health behaviors completely
OR
any positive change as a person defines it for him or herself

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2
Q

accepts drug use is a part of our world and works to minimize effects rather than ignore or condemn them

A

harm principle 1

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3
Q

understands drug use is a complex phenomenon that encompasses behaviors from severe use to total abstinence and acknowledges that some ways of using drugs are safer than others

A

harm principle 2

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4
Q

establishes quality of individual and community life/well being as criteria for successful interventions and policies (not just cutting out all drug use)

A

harm principle 3

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5
Q

calls for non judgemental provision of services and resources to people who use drugs and the communities where they live in order to assist them in reducing harm

A

harm principle 4

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6
Q

ensures that people who use drugs or have a history routinely have a real voice in creation of programs and policies designed to serve them

A

harm principle 5

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7
Q

affirms people who use drugs as primary agents of reducing the harms of their drug use and seeks to empower them to share info and support eachother

A

harm principle 6

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8
Q

recognizes that the realities of poverty, class, racism, inequities affect both people’s vulnerability to and capacity for effectively dealing with drug-related harm

A

harm principle 7

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9
Q

does not attempt to minimize or ignore the real and tragic harm and danger that can be associated with illicit drug use

A

harm principle 8

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10
Q

medications for opioid use disorder

A

methadone, buprenorphine, naltrexone

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11
Q

methadone

A

agonist

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12
Q

buprenorphine

A

partial agonist

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13
Q

naltrexone

A

antagonist

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14
Q

what do medications for OUD do to cravings and withdrawal

A

reduce cravings/block euphoric effect, agonist medications reduce withdrawal

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15
Q

how do OUD meds reduce harm

A

increase patient survival
decrease infection
decrease drug triggers

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16
Q

what act removed the federal requirement for practitioners to submit a notice of intent to prescribe OUD meds?

A

waiver elimination (MAT act)

17
Q

what is naloxone

A

opiod antagonist that binds to receptors and kicks off other opiods

18
Q

what medication causes opiod withdrawal?

A

naloxone

19
Q

how many naloxone rxs dispensed for every opioid rx

A

1 for every 70

20
Q

how do syringe service programs reduce harm

A

decrease needle sharing
increase connections to primary care

21
Q

evidence base of syringe programs

A

50% reduction in HIV
3x likely to reduce drug use
no evidence of increased illicit drug use
healthcare cost savings

22
Q

how many syringe programs in indiana

A

12

23
Q

what county had a massive HIV outbreak and reduction in use after implementing a program

A

Scott County

24
Q

do we need a prescription to dispense syringes?

A

no but write it in logbook

25
Q

what does not need to be documented with a syringe purchase?

A

reason for purchase

26
Q

what are supervised consumption sites?

A

where people can use drugs under supervision where trained people can perform life saving measures if necessary, also provide sterile equipment, education

27
Q

evidence base of supervised consumption sites

A

35% reduction in overdose mortality
reduced injection risk behaviors
no evidence of increased crime
healthcare cost savings

28
Q

other harm reduction practices

A

seatbelts, sex education programs, medications for alcohol use disorder, designated driver programs

29
Q

what does SBIRT stand for?

A

screening, brief intervention, referral to treatment

30
Q

what do we do in screening?

A

ask and assess substance use

31
Q

what do we do in brief intervention?

A

understand point of view, give info and feedback, enhance motivation to change, help set goal and provide support

32
Q

what do we do in referral to treatment?

A

direct to syringe programs, providers, resources

33
Q
A