Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Does harm reduction programming make a difference in the lives of highly marginalized, at-risk drug users? | Harm Reduction Journal BioMed Central Research Open Access Does harm reduction programming make a difference in the lives of highly marginalized at-risk drug users Susan J Rogers 1 and Terry Ruefli2 Address 1Academy for Educational Development AED 100 Fifth Ave. New York New York 10011 USA and 2903 Dawson St. Bronx New York 10459 USA Email Susan J Rogers - srogers@ Terry Ruefli - truefli@ Corresponding author Published 01 June 2004 Received 22 February 2004 Accepted 01 June 2004 Harm Reduction Journal 2004 1 7 This article is available from http content l l 7 2004 Rogers and Ruefli licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Harm reduction is a controversial model for treating drug users with little formal research available on its operation and effectiveness. In order to advance the field we first conducted participatory research of harm reduction with l20 clients using nominal-group technique to develop culturally relevant outcomes to measure progress. Second we conducted focus group interviews with a different group of clients to help validate the outcomes. Third we used the outcomes in an evaluation of the largest harm reduction program in New York City which involved a representative sample of 261 and entailed baseline post and six follow-up assessments. The participatory research resulted in outcomes of l0 life areas important to drug users. Evaluation results showed that program participants made positive improvements across most outcomes with the most substantial progress made in how clients dealt with drug-use problems. Along with their participation in the program progress in some outcomes was also associated with clients type of drug use . stable vs. chaotic where more stable drug use was associated with better
