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Title: Toward reducing total harm : analyzing drug policies in Baltimore and New York
Author: Sabet-Sharghi, S.
ISNI:       0000 0000 4655 2856
Awarding Body: Oxford University
Current Institution: University of Oxford
Date of Award: 2007
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Governments spend billions of dollars trying to reduce drug use and minimize its harms. Methods to control drug use and judge policy effectiveness, however, remain highly polarized. Some analysts adhere to a strict 'usereduction' paradigm where drug policy interventions are meant to reduce society-level drug prevalence. Others analyze policy in a 'harm reduction' ) context where priorities remain in reducing individual-level harms resulting / from using drugs, including the harms ofcurrent policies themselves. A 'third way,' total harm reduction, attempts to take into account all ofthese goals: The reduction in population-level drug prevalence, individual-level intensity, and the harmfulness of drug use is its aim. This thesis explores the utility of analyzing drug policy interventions within this total harm multidimensional conceptual framework and argues that this guiding heuristic of drug policy analysis can be effective for understanding the intended and unintended consequences ofa given policy. By examining these issues in the context of two drug policy interventions grounded in divergent goals and historical contexts - needle-exchange programs (NEPs) in Baltimore, Maryland and punitive arrest policies (PAPs) in New York City, New York - the framework of total harm reduction is critically analyzed. It is concluded that interventions
Supervisor: Not available Sponsor: Not available
Qualification Name: Oxford University, 2007 Qualification Level: Doctoral
EThOS ID:  DOI: Not available