1. NINE ASPECTS OFTHENINE ASPECTS OFTHE
AWESOME SELFAWESOME SELF
HARM REDUCTION RECOVERYHARM REDUCTION RECOVERY
MODEL AND PATIENTMODEL AND PATIENT
ENGAGEMENTTOOL.ENGAGEMENTTOOL.
A Walter John Smith II Presentation

2. Welcome Members Of PathfindersWelcome Members Of Pathfinders
and Other Consumer Of Rox Comp’sand Other Consumer Of Rox Comp’s
Harm/Risk Reduction ServicesHarm/Risk Reduction Services
We are always looking at ways to better serve
you. We have been studying and learning about
various harm reduction model and we like the
“Stages of Change Model”. We would like to
teach you about this model and get your thoughts
and feelings about it.

3. A Comprehensive Perspective OfA Comprehensive Perspective Of
Self And RecoverySelf And Recovery
With the new perspective come a new language that supports the perspective.
It’s not about a bad person being good it’s about a sick person getting better.
Its refutes powerlessness and validates powerfulness beyond measure.
Know blame, guilt, judgment or fault it’s about choice.
It’s objective and respectful.
Knowledge is power the problem has history, sociology, science, mathematics’,
English and biology.
The truth about getting high, and how it relates to what we call a drug problem
more important how it relates to the solution.
What are the core elements and the key components?
Using harm reduction because it’s the right concept for the model.
When the solution becomes the problem and you didn’t know it happened.
Promoting growth and development for self and others
The practicality of the model allows others to understand an support those
engaged for healing and development.
Disease of the mind body.

4. HARM REDUCTIONHARM REDUCTION
Harm Reduction refers to measures aimed at
reducing the harm associated with drug use, without
requiring a reduction in consumption. A service
delivery model and a model for behavior change.The
goals of harm reduction are to help service
consumers to be happy, healthy, and contented
with their lives as possible, as defined by them.
This model can be used with any population, any
issue or problem.

5. The following are three keyThe following are three key
aspects of harm reduction.aspects of harm reduction.
A. The user’s decision to use drugs is
accepted as a fact.
B. The user is treated with dignity as a
normal human being.
C. Harm reduction is neutral regarding the
long-term goals of intervention.

6. Focusing on drug users, harmFocusing on drug users, harm
reduction has several principles.reduction has several principles.
1. HIV takes priority over drug problems.
2. Abstinence from drugs should not be the only goal of service to client.
3. Drug use is seen on a continuum.
4. Drug use is a fact of life.
5. Harm Reduction offers “safety nets” to drug users to protect them from
serious harm.
6. Harm reduction programs are designed to be user-friendly and inviting
to consumers.
7. Consumers are treated with respect, dignity and acceptance, like
“normal” people.
8. Drug users are competent to evaluate the choices presented to them
and to make the right choices for themselves.
9. Workers are consultants and facilitators in harm reduction.

7. Stage 1: Pre-contemplationStage 1: Pre-contemplation
People in this stage have no desire to change at all.
They may have come to our agency for varying
reasons; usually to get some need of theirs met. The
goal is engagement, the creation of a relationship or a
therapeutic alliance.The first issue to address is
safety. Treating consumers with dignity and respect,
as normal people is essential, as is an egalitarian
relationship.

8. Stage 2: ContemplationStage 2: Contemplation
In contemplation stage, people start to think about
things they have done unconsciously or automatically.
Conversations about drug use, sex, relationships, life,
ECT begin to make and impact. Since people are
ambivalent about most things in life its important to
create situation where people can explore all sides of
their ambivalence

9. Stage 3: PreparationStage 3: Preparation
In this stage the person has decided to make some
change or another and now seeks a plan or strategy
to accomplish that. For some consumer, it will be a
small change such as using clean injection equipment
or using condoms. For some consumers it may be a
big change like giving up drugs. What ever the change
is it’s the worker’s job to support the desired change
and explore all the possible options.

10. Stage 4: ActionStage 4: Action
At this stage the person follows the plan created
with the worker or enters the intervention, activity
or other agency for services. Worker should keep in
touch with consumers during this stage. Some
consumers will become frightened and not show up
for their referral appointment even though they
requested it. Follow up is very important as they may
feel ashamed and avoid you.

11. Stage 5: MaintenanceStage 5: Maintenance
Since psychology indicates that for humans, primacy
(the first thing we learn) is stronger than recency
(the last thing we learn), we revert to old behavior
patterns when stressed or in crisis. Thus, behavior
change must be reinforced in order to be lasting.

12. Are you happy, healthy andAre you happy, healthy and
contented with your life?contented with your life?