This paper is forthcoming and will be posted here upon publication.
Background
Substance use disorders (SUDs) are chronic disorders characterized by continued drug seeking and use despite negative consequences. These consequences include an increased risk of developing various comorbid disease states, poor overall well-being, and deaths related to SUDs, which continue to rise year after year. Compounding these concerns, stigma surrounding SUDs and treatment remain prevalent. To reduce these risks, clinicians and public health officials advocate for the adoption of a harm reduction (HR) approach. Further, Board-Certified Psychiatric Pharmacists (BCPPs) should take an active role in applying HR principles and practices when treating patients with SUDs.
Description of Innovative Service
HR is well-established as an effective approach in reducing consequences associated with drug use. This project addresses the paucity of guidance describing implementation of HR programs. BCPPs are well-positioned to implement and engage in HR programs which include the core elements of: a Harm Reduction Team, Health-System Collaboration, Strategic Program Review, Accountability, Comprehensive Services, Supportive Technology, Tracking, and Education. Using a Plan-Do-Study-Act (PDSA) format based on psychotropic stewardship, a successful HR program can be created and maintained in a variety of practice settings. With increased education, advocacy, and persistence, BCPPs can increase the services available in our communities as trusted harm reductionists.
Impact on Patient Care
HR is a non-judgmental philosophy with various benefits on patients that include reduced overdose and infectious disease risk, reduced use amounts, increased treatment engagement and improved well-being. BCPP involvement may further enhance these positive outcomes and increase access to care for patients with SUDs.
Conclusion
HR embodies compassionate care and includes the goals of saving lives, reducing stigma and mistreatment, and improving outcomes and quality of life for people who use drugs. The PDSA method and core elements of an HR program should serve as an introductory guide and facilitate implementation or improvements to HR services.