Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
There are many misconceptions about harm reduction. In this presentation, we will debunk the myths, explain what harm reduction is and provide examples of harm reduction in action throughout our province and nation. This presentation also includes how individuals can become volunteers with our agency.
There are many misconceptions about harm reduction. In this presentation, we will debunk the myths, explain what harm reduction is and provide examples of harm reduction in action throughout our province and nation. This presentation also includes how individuals can become volunteers with our agency.
Human rights watch scpg presentation 11.10.11mellarocomolter
This is a presentation I made to the NC Statewide Community Planning Group, HIV Group. The Human Rights Watch performed a study entitled "We Know What to Do: Harm Reduction and Human Rights in North Carolina."
A B S T R A C T
Purpose: Hispanic/Latino adolescents and young adults are disproportionately impacted by the
HIV/AIDS epidemic; yet little is known about the best strategies to increase HIV testing in this
group. Network-based approaches are feasible and acceptable means for screening at-risk adults
for HIV infection, but it is unknown whether these approaches are appropriate for at-risk young
Hispanics/Latinos. Thus, we compared an alternative venue-based testing (AVT) strategy with a
social and sexual network-based interviewing and HIV testing (SSNIT) strategy.
Methods: All participants were Hispanics/Latinos aged 13e24 years with self-reported HIV risk;
they were recruited from 11 cities in the United States and Puerto Rico and completed an audio
computer-assisted self-interview and underwent HIV screening.
Results: A total of 1,596 participants (94.5% of those approached) were enrolled: 784 (49.1%)
through AVT and 812 (50.9%) through SSNIT. HIV infection was identified in three SSNIT (.37%) and
four AVT (.51%) participants (p ¼ .7213).
Conclusions: Despite high levels of HIV risk, a low prevalence of HIV infectionwas identified with no
differences by recruitment strategy. We found overwhelming support for the acceptability and feasibility
of AVT and SSNIT for engaging and screening at-risk young Hispanics/Latinos. Further research is
needed to better understand howto strategically implement such strategies to improve identification of
undiagnosed HIV infection.
Rudolph Basson: Support or punish – reconsidered approaches to drug related h...SACAP
Harm Reduction acknowledges that drug use occurs and is potentially damaging, and attempts
to reduce and prevent these harms in ways, which are pragmatic and humanistic. Although the
harm reduction approach and specific harm reduction interventions (including needle and
syringe programmed and methadone programmed) have been implemented with resounding
success internationally (including in a number of African countries) for more than 20 years, the
South African approach to substance use and substance-related harms is still largely informed
by the doctrine and strategies of the "War on Drugs", and focuses almost exclusively on
prohibition and punishment. Because of the strong link between drug use and poverty, different
policy approaches to poverty and homelessness must also be considered. My talk will critically
examine these two approaches to drug use, poverty, and displacement (support or punish), as
they are being implemented in Cape Town. Opportunity for discussion will be provided.
This essay is prepared with an aim to investigate into the difficulties arises while dealing
with alcoholic patients in primary care in Europe. In this context, the researcher will evaluate the
issues concerned with doctors in tackling the psychological character of alcoholic patients.
Moreover, the discussion will provide how doctors motivate such patient to recover from their
lethal conditions. In spite of declining in the wine-producing nations, Europe remains the
province on the globe with largest production as well as consumption of alcoholic beverages
along with commensurately more levels of harm related to alcohol. In the survey of North
America it was found that over 4.5% of women and 23% of men are involved in the alcohol use
or dependence throughout their lifetime. The country is about the middle of the worldwide
league of intoxicating consumption. Thus, in all European Union’s member states the alcoholic
harms are considered as a major public health problem. The use of alcohol and its harm are
increasing sharply in the some recently independent regions of Eastern Europe.
Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
Improving quality of care, using existing assets better and reducing medical ...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Human rights watch scpg presentation 11.10.11mellarocomolter
This is a presentation I made to the NC Statewide Community Planning Group, HIV Group. The Human Rights Watch performed a study entitled "We Know What to Do: Harm Reduction and Human Rights in North Carolina."
A B S T R A C T
Purpose: Hispanic/Latino adolescents and young adults are disproportionately impacted by the
HIV/AIDS epidemic; yet little is known about the best strategies to increase HIV testing in this
group. Network-based approaches are feasible and acceptable means for screening at-risk adults
for HIV infection, but it is unknown whether these approaches are appropriate for at-risk young
Hispanics/Latinos. Thus, we compared an alternative venue-based testing (AVT) strategy with a
social and sexual network-based interviewing and HIV testing (SSNIT) strategy.
Methods: All participants were Hispanics/Latinos aged 13e24 years with self-reported HIV risk;
they were recruited from 11 cities in the United States and Puerto Rico and completed an audio
computer-assisted self-interview and underwent HIV screening.
Results: A total of 1,596 participants (94.5% of those approached) were enrolled: 784 (49.1%)
through AVT and 812 (50.9%) through SSNIT. HIV infection was identified in three SSNIT (.37%) and
four AVT (.51%) participants (p ¼ .7213).
Conclusions: Despite high levels of HIV risk, a low prevalence of HIV infectionwas identified with no
differences by recruitment strategy. We found overwhelming support for the acceptability and feasibility
of AVT and SSNIT for engaging and screening at-risk young Hispanics/Latinos. Further research is
needed to better understand howto strategically implement such strategies to improve identification of
undiagnosed HIV infection.
Rudolph Basson: Support or punish – reconsidered approaches to drug related h...SACAP
Harm Reduction acknowledges that drug use occurs and is potentially damaging, and attempts
to reduce and prevent these harms in ways, which are pragmatic and humanistic. Although the
harm reduction approach and specific harm reduction interventions (including needle and
syringe programmed and methadone programmed) have been implemented with resounding
success internationally (including in a number of African countries) for more than 20 years, the
South African approach to substance use and substance-related harms is still largely informed
by the doctrine and strategies of the "War on Drugs", and focuses almost exclusively on
prohibition and punishment. Because of the strong link between drug use and poverty, different
policy approaches to poverty and homelessness must also be considered. My talk will critically
examine these two approaches to drug use, poverty, and displacement (support or punish), as
they are being implemented in Cape Town. Opportunity for discussion will be provided.
This essay is prepared with an aim to investigate into the difficulties arises while dealing
with alcoholic patients in primary care in Europe. In this context, the researcher will evaluate the
issues concerned with doctors in tackling the psychological character of alcoholic patients.
Moreover, the discussion will provide how doctors motivate such patient to recover from their
lethal conditions. In spite of declining in the wine-producing nations, Europe remains the
province on the globe with largest production as well as consumption of alcoholic beverages
along with commensurately more levels of harm related to alcohol. In the survey of North
America it was found that over 4.5% of women and 23% of men are involved in the alcohol use
or dependence throughout their lifetime. The country is about the middle of the worldwide
league of intoxicating consumption. Thus, in all European Union’s member states the alcoholic
harms are considered as a major public health problem. The use of alcohol and its harm are
increasing sharply in the some recently independent regions of Eastern Europe.
Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
Improving quality of care, using existing assets better and reducing medical ...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
In Search of What Works: Re-Defining Post Acute Partnerships to Reduce Readmissions, Using the Integrated Chronic Disease Care at Home Model
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Reducing Health Disparities: The Journey of Brightpoint HealthBrightpoint Health
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Presentation by Commissioner Choucair at Northwestern University Feinberg School of Medicine Physician Assistant Program for a Public Health Presentation in Behavioral and Preventive Medicine I Course.
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
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Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
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Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Attending a job Interview for B1 and B2 Englsih learnersErika906060
It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Exploring Patterns of Connection with Social Dreaming
Harm reduction Project 25: Meeting of the Minds
1. Using Harm Reduction Strategies
with Frequent Users of Emergency
Services: Project 25
Marc Stevenson
David Folsom
Kris Kuntz
2. Project 25 Background
3 year pilot funded by the UnitedWay
Unprecedented Collaboration
35 chronically homeless “Frequent Users”
Outreach with partner agencies
Housing First Model
Intensive case management
Emphasis on data collection
3. Goals
Decrease use and cost of emergency
services
Housing stability and sustainability
Improved quality of life
Preventative care through medical home
Obtain income
4. Housing
Housing First Model
25 Sponsor Based HousingVouchers
10 Housing subsidies through MHSA funds
Scattered site model
33 permanently housed
5. Who are the “Frequent Users”?
Chronically homeless
13 men and 3 women
Avg. age of 50 with range of 41 to 61
>90% have severe alcohol dependence
>90%have co-occurring disorder
>80% have complex medical problems
Failed multiple treatment programs
6. Intensive Case Management Services
Outreach/relationship/basic needs
Jail/hospital visits and D/C planning
Prescription P/U & delivery
Life Skills Coach home visits
Weekly/daily med management
Identification & education about trauma
Landlord mediation/education/relationship
Quick response to crisis in housing
Go-Phones/landlines/24 hour emergency number
Payee services
Harm reduction with tobacco/alcohol
7. What is Harm Reduction?
A range of public health policies and
interventions designed to reduce harmful
consequences of human behavior- even if this
behavior is illegal (Wikipedia)
Starts where the client is
Moves towards better health and responsibility
Goal is improved quality of life
Achievable without demand for abstinence as a
condition for assistance
http://gilgerald.com/storage/research-papers/09%20report%20harm.pdf
9. Key Features (Drug Use)
Focus on reducing harm rather than use
Drugs are a reality of society
Harm reduction should provide a
comprehensive public health framework;
Priority on immediate (and achievable) goals
Harm reduction values pragmatism and
humanism
(Ritter and Cameron 2006)
10. Needle Exchange
Most studied harm reduction intervention
Became more prominent with HIV
Reduce risk/incident of HIV and Hep C
Enhancements can include case
management, primary care, and referrals
In San Diego, needle exchange programs
allowed in City, but not in County
11. Harm Reduction:Alcohol
Meets people where they are at with
drinking
Does not label people as “diseased” or
“alcoholic”
Empowers people to choose own goal:
safer drinking, reduced drinking, or
quitting
Realistic goals that they can accomplish
Anderson, Kenneth. (2010) How to ChangeYour Drinking:A Harm Reduction Guide to
Alcohol.The HAMS Harm Reduction Network
12. Managed Alcohol Programs
Originated in Canadian homeless shelters
In winter, many homeless alcoholics froze
to death rather than enter shelters that
required sobriety
Provide alcohol to shelter residents-
quantity varies
Goals are typically pragmatic (reduce ER
use) and humanitarian (prevent people
from freezing to death on the streets)
13. Past Research
Shelter Based Managed Alcohol Program,
Ottawa, Canada
Podymow et al (2006). Shelter-based managed alcohol administration to chronically
homeless people addicted to alcohol. Canadian Medical Association Journal, 174(1), 45-49.
1811 Eastlake, Seattle,Washington
Larimer et al. (2009). Health Care and Public Service Use and Costs Before and After
Provision of Housing for Chronically Homeless Persons with Severe Alcohol Problems.
Journal of American Medical Association, vol. 301, n13.
Glenwood Residence and Wakigun
Residence, Hennepin County, Minnesota
Thornquist et al. (2002). Health Care Utilization of Chronic Inebriates. Academic
Emergency Medicine, vol 9, n4.
15. P-25: Harm Reduction Alcohol
Abstinence is our main goal
For some HR is not an option…
Some are going to drink with or without us
◦ Reduced drinking
◦ Safer drinking
◦ Encourage abstinence
Reduce harm in other areas such as health,
mental health, and trauma
16. Reduced Drinking
Drinking later in the day
Switching to lower alcohol beverages
Establishing reduced drinking goals
Planned drinking with monitoring
Assistance with alcohol purchase to
support reduced drinking plan
Daily/weekly drinking allowance
17. Safer Drinking
Drinking in home
◦ TV, DVD’s, and radio
Make it back to apartment
◦ Decrease interaction with Police and Ambulance
Eating before drinking
Vitamins
Cell phones/House phones
◦ 24 Emergency On-Call Phone
18. Encouraging Abstinence
Setting goals for abstinence days
◦ Setting goals for abstinence hours
Participation in home detox
Agreeing to an in-patient detox program
Agreeing to residential S/A treatment
Encouraging 12-step meeting attendance
Developing a HR Group
19. Harm Reduction Psychotherapy
All problems including trauma
No punitive sanctions for substance use
or for refusing medications
Encourages open and honest talk
Encourages plans and decisions about life,
health and substance use
Not an all-or-nothing process
20. HR and Trauma Informed Care
Recognition of trauma
Focuses on improving functioning over
“fixing” something “broken.”
Healing occurs in context of relationship
Promotes safety
Objective, neutral language
Goal of practicing healthier adaptive
behaviors
SAMHSA National Center forTrauma Informed Care http://www.samhsa.gov/nctic/
www.traumainformedcare.com
National Alliance to End Homelessness,“Addressing PostTraumatic Stress Disorder Caused by
Homelessness.” 2012
21. Medical Home
Using St.Vincent de PaulVillage Family Health
Center on site at SVdPV
Federally Qualified Health Center
Serves homeless and tenants in FJV PH
UCSD Dual Residency Program- “One white
coat”
Limited dental services
22. Accessing Medical Home
Home visits/street visits
Incentives to make appointment
Created “Urgent Care” for Project 25
patients
High frequency of appointments
Strong communication between case
manager and doctors
Case manager transports to and from and
sit in appt.
23. Medications
Use of medications that would not
normally be prescribed to these patients
Tied to the plan and treatment goals
CM delivers meds to participant daily
Does not deliver if intoxicated
Constantly assessing and reassessing
Close communication with doctor
25. Data Partners
Hospitals
◦ Alvarado Hospital
◦ Alvarado Pkwy Inst
◦ Kaiser Foundation
◦ Palomar Pomerado Health
◦ ParadiseValley/Bayview
◦ Promise Hospital
◦ SD Sheriff Psych Unit
◦ SD County Psych Hospital
◦ Scripps Health
◦ SHARP HealthCare
◦ Tri-City Medical Center
◦ UCSD Medical Center
◦ VA Medical Center
Ambulance
◦ EMS Rural/Metro
◦ American Medical Response
Other Partners
◦ County of SD HHSA
◦ SD Sheriff’s Dept
◦ SD County Public Defender
Shelters
◦ Catholic Charities
◦ Salvation Army
◦ SD Rescue Mission
◦ St.Vincent de PaulVillage
◦ Veteran’sVillage of San
Diego
26. Change in Service Use
0
100
200
300
400
500
600
Baseline 2010 Last 12 months
Ambulance
ER Visits
Hosp Admis
Hosp Days
Arrests
Jail Days
Perm Housing Days
27. Client 1 Example: 1Year Prior to P25
Homeless 57 year old male
Each month spent entire check on alcohol in a
few days
Soiled clothing
Amassed $131,404 in emergency services
costs
28. Services Participating In
Agreed to P-25 as payee
Assisted with alcohol purchase and delivery
Progressed to daily alcohol allowance
P25 Life Skills Coach assists with grocery
shopping
Now has IHSS worker weekly
Improved self-care and hygiene
Sees his SVdPV Clinic Doctor twice a month
Participates in med-management
29. Results
Maintains daily drinking plan
Some abstinence days with home detox
Later start time for daily drinking
Maintained housing18 months
Pays his rent portion
Pays for his entertainment (cable)
Supplements with available food resources
30. 2010 Pre Cost: $131,404
56 ERVisits ,
$29,010 34
Ambulance
Rides ,
$10,966
53 Hospital
Days,
$82,961
2 Arrests, 41
Jail Days ,
$6,317
48 Shelter
Days ,
$2,112
32. Client 2 Example: 1Year Prior to P25
Homeless on streets since 1986
Ostomy patient (alcohol related condition)
Covered in feces in a blanket
Severe and persistent mental illness
Vodka on daily basis
Failed out of an ACT Model
33. Services Participating In
Obtained SSI through HOPE SD
Agreed to P25 as his payee
Weekly clinic visits with doctor
Grocery shopping trips
Calls P25 staff on daily basis
Planned monitored drinking episodes
34. Results
Maintained housing for18 months
Long periods of abstinence
On moderated drinking plan
Faced lease violations for behavioral
issues due to alcohol
Substitution to low alcohol content
beverage
39. Not for Everyone
Is HR possible in your program?
Is HR a fit for your population?
Is there a sub-set of your population that
have poor outcomes?
What is your agency’s view on HR?
Are there options other than abstinence?
Are you equipped for the these labor
intensive services?
40. Advocacy
Discussing the “why” with participants
Explaining Harm Reduction Model to
landlords
◦ “Aren’t they in a program?”
Discussing model with judge and legal
system
Discussing the model with funders
Budgeting for Harm Reduction
41. Lessons Learned
Extremely labor intensive
Getting staff on board
Needs constant attention and assessment
Understand cycles of progress
Apply strategy to stage of progress
42. Questions?
Contact Info:
Marc Stevenson 619-233-8500 x 1070
Marc.stevenson@neighbor.org
Dave Folsom dfolsom@ucsd.edu
Kris Kuntz 619-233-8500 x 1033
Kris.kuntz@neighbor.org
