1.

Topic

2.	Harm reduction

4.	Harm reduction in practical situations

5.	Opinions of the experts

6.	Abstinence approach

"This second essay I want to write about the differences between harm reduction and abstinence approach as two opposite of drug interventions. In the first part I want to use information which I know from lessons in our course. Then I use many information from web pages, unfortunately I did not find any literature in library or some fit book about this problem. But I hope that informations from web pages are also good and I can find there a lot of valuable and right things about this theme.
This topic is very interesting and I wanted to know more about this question. A lot of new information I got up during our course of Drug interventions and much information I got right on web pages. Now I want to write about my topic.
Preliminary I want to use a definition of harm reduction and abstinence by Wikipedia. Harm reduction is a philosophy of public health, intended to be a progressive alternative to the prohibition of certain potentially dangerous lifestyle choices in society. And abstinence - abstinence is a voluntary restraint from indulging a desire or appetite for certain bodily activities that are widely experienced as giving pleasure .
Harm reduction is such intervention, when some social worker must look for the client in his natural environment, contact him and build konfidence with him which is very important and only lead him/her towards abstinence. Harm reduction is a quite new paradigm which is now emerging on the field of drug education.
This strategy recognizes that people always have and always will use drugs and, therefore, attempts to minimize the potential hazards associated with drug use rather than the use itself. This work is very low treshold, it puts only a little barier to people and a great impact on anonymity. Harm reduction falls under terciary services with problematic users. It includes social work, methadon centre with substitution programme, drop-in centre and psychiatric outpatient clinic . Generally it can be said that it doesn´t push a client to stop using drugs. On the contrary is abstinence approach, when men or women is totally free of drugs and addictive substance and people must pass many detox treatment and programms to get rid dependence. Clients must stop use all drugs and addictive substance.
In practical situations, we can see a lot of differences on the world, between states and nationals, for example I write about situation in Great Britain and United states of America, we talk about it in our course. In Great Britain social services are oriented primarily on harm reduction. Prescribing drugs as part of treatment is considered legal. In USA services are primaraly oriented on abstinence. Needle exchange isn´t on official agenda, as well prescribing drugs as part of treatment is an ,,undesirable development“. Drug using is a crime. On the contrary in UK it is such as illness."