PH Harm Reduction Policyolicy Number 101olicy TitleHarm Reduction Policyffective Date June 2003uthorsections Affectedurpose of PolicyefinitionHarm Reduction Policy Committee MembersAll <strong>Department</strong> of Public <strong>Health</strong> providers, including contractors, who deliver substance abuse, mental health, STD, andHIV/AIDS treatment and prevention services, and/or who serve drug and alcohol users in their programs.To promote healthy behavior and decrease the short and long term adverse consequences of risk practices, even for those whocontinue unsafe practices.Harm reduction is a public health philosophy, which promotes methods of reducing the physical, social, emotional, andeconomic harms associated with drug and alcohol use and other harmful behaviors on individuals and their community. Harmreduction methods and treatment goals are free of judgment or blame and directly involve the client in setting their own goals.uiding Principles Clients are responsive to culturally competent, non-judgmental services, delivered in a manner that demonstrates respect for individual dignity, personaltrength, and self-determination. Service providers are responsible to the wider community for delivering interventions which attempt to reduce the economic, social andhysical consequences of drug and alcohol related harm and harms associated with other behaviors or practices that put individuals at risk. Because those engaged innsafe health practices are often difficult to reach through traditional service venues, the service continuum must seek creative opportunities and develop new strategieso engage, motivate, and intervene with potential clients. Comprehensive treatments need to include strategies that reduce harm for those clients who are unable ornwilling to modify their unsafe behavior. Relapse or periods of return to unsafe health practices should not be equated with or conceptualized as “failure of treatment”.ach program within a system of comprehensive services can be strengthened by working collaboratively with other programs in the system. People change incremental ways and must be offered a range of treatment outcomes in a continuum of care from reducing unsafe practices to abstaining from dangerous behavior.01.01 Service Provisionolicyervices shall be consistent with the harm reduction philosophy.ProcedureProvider language shall not reflect bias toward personal behaviors, experiences, ethnicity,sexual orientation, or personal choices. Service goals shall be determined throughcollaboration between the client, the staff, and the program, establishing realisticmeasurements of success. Success shall be measured comprehensively to includeincremental improvement in housing, physical and mental health, finance, employment andfamily and social support system. Providers shall include strategies that reduce the harmfor those clients who are unwilling or unable to stop unsafe health practices.10
01.02 Access to <strong>Services</strong>olicyccess to services shall not be denied to clients who are unable or unwillingo abstain from unsafe practices.rior to discharge, providers shall make a reasonable attempt to finddditional or alternative treatment, recognizing that it is in part theiresponsibility.lients shall not be denied access to, restricted from participation in, orerminated from services on the basis of their use of prescribed medication.ProcedureProviders shall not deny services to individuals for exhibiting behaviors for which they seekhelp, in accordance with the DPH Dual Diagnosis Policy.Providers shall recognize relapse, or a return to unsafe practices as part of the recoveryprocess, not as a “failure of treatment”. Providers shall expand service options withinexisting programs, through collaboration with other service agencies, or by creating newservices to address specific needs. Providers shall make a reasonable attempt, within thecontext of their programs, to follow-up with clients who demonstrate an inability orunwillingness to participate in treatment.Programs shall broaden their treatment philosophies in order to provide quality,comprehensive care. Programs will permit access for clients on prescribed medications andcoordinate care with other health care service providers.11
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City and County of San Fr ancisco
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CBHS 2010-2011 Provider ManualA wel
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Who is Served by the San Francisco
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Children, Youth, & Family (CYF) - M
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CYF Mental Health and School Partne
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Residential, Sub-acute and Communit
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Adult and Older Adult - Mental Heal
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CBHS Pharmacy ServiceAll clients wh
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Supportive Housing and Shelter-Base
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AOA Outpatient ServicesDesigned to
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Substance Abuse Service ProvidersDr
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Substance Abuse Outpatient Treatmen
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Driving Under the Influence (DUI) p
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AARS - Comprehensive Outreach Proje
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Alternatives Program Damon Eaves, L
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Joe Healy Medical Detox Project off
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This program provides mental health
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Languages: SpanishCATS MAP Mobile A
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Children’s System of Care (CSOC)
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Languages: Amharic, Arabic, Cantone
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Provides specialized neurobehaviora
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Languages: SpanishDSAAM Office Base
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Epiphany Center for Families in Rec
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and to develop a community support
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Languages: Basic translation servic
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1440 Chinook Ct. #A San Francisco C
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Evaluation Consultation Unit (DECU)
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2 year transitional house setting f
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1380 Howard Street, 2 nd Floor San
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Languages: Spanish, Russiansome res
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undergraduate students, and teachin
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vocational rehabilitation, housing
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Languages: SpanishProgress Foundati
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