Library : Resiliency: Substance Use and Harm Reduction: Additional Materials

Treatment Approaches for Substance Use Disorder
Handout about different types of treatment approaches by SUD by Carebridge Corporation.

Carebridge Corporation. (2021). Treatment approaches for substance use disorder. https://library.uncsa.edu/ld.php?content_id=76280045
Harm Reduction: Undoing Stigma
This flyer from the National Harm Reduction Coalition reviews the definition of stigma and how stigma effects substance use.

National Harm Reduction Coalition. (2020). Respect to connect: Undoing stigma. https://harmreduction.org/issues/harm-reduction-basics/undoing-stigma-facts/
Harm Reduction & Place: The Social & Physical Environment
This flyer by the National Harm Reduction Coalition reviews types of trauma, strategies to manage trauma, and how physical spaces can affect harm reduction.

National Harm Reduction Coalition. (2020). Harm reduction & place: The social & physical environment. https://harmreduction.org/issues/harm-reduction-basics/harm-reduction-place-facts/
Harm Reduction Framework
This document by SAMHSA provides an in-depth overview of harm reduction, including its history, definition, and practices.

Substance Abuse and Mental Health Services Administration. (2023). Harm reduction framework. https://www.samhsa.gov/sites/default/files/harm-reduction-framework.pdf

Campus Drug Prevention
The Drug Enforcement Administration is pleased to provide institutions of higher education and their surrounding communities with these resources to prevent drug misuse among college students. We are committed to promoting the importance of prevention and its role in helping ensure the health and safety of our nation’s college students.
National Alliance on Mental Illness
NAMI is the National Alliance on Mental Illness, the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.
The National Harm Reduction Coalition
Three decades later, National Harm Reduction Coalition is a nationwide advocate and ally for people who use drugs. We are a catalyst and incubator, repository and hub, storyteller and disseminator for the collective wisdom of the harm reduction community.
National Institute of Mental Health
The National Institute of Mental Health (NIMH) is the lead federal agency for research on mental disorders.
SBIRT - Appalachian State University
Appalachian State University provides resources and materials about the integration of Screening, Brief Intervention, and Referral to Treatment (SBIRT).
Substance Abuse and Mental Health Services Administration (SAMSHA)
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.

Substance Use Among College Students
Substance use among college students is associated with negative outcomes, and several risk factors, such as academic and peer pressure, are specific to this population. This article describes specific challenges and approaches to treatment for this population, including screening tests and interventions for specific substances and evidence-based programming.
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Welsh, J. W., Shentu, Y., & Sarvey, D. B. (2019). Substance Use Among College Students. Focus (American Psychiatric Publishing), 17(2), 117–127. https://doi.org/10.1176/appi.focus.20180037

Cognitive-Behavioral Therapy for Substance Use Disorders
Cognitive behavioral therapy (CBT) for substance use disorders has demonstrated efficacy as both a monotherapy and as part of combination treatment strategies. This article provides a review of the evidence supporting the use of CBT, clinical elements of its application, novel treatment strategies for improving treatment response, and dissemination efforts. Although CBT for substance abuse is characterized by heterogeneous treatment elements—such as operant learning strategies, cognitive and motivational elements, and skills building interventions—across protocols several core elements emerge that focus on overcoming the powerfully reinforcing effects of psychoactive substances. These elements, and support for their efficacy, are discussed.

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511–525. https://doi.org/10.1016/j.psc.2010.04.012
Impact of COVID-19 among people who use drugs: A qualitative study with harm reduction workers and people who use drugs
Fatal drug overdoses in the USA hit historical records during the COVID-19 pandemic. Throughout the pandemic, people who used drugs had greater odds of contracting COVID-19, increased drug use due to COVID-related stress, and heightened levels of anxiety and depression. This qualitative study examined the specific ways the pandemic negatively impacted people who use drugs.

Conway, F. N., Samora, J., Brinkley, K. Jeong, H., Clinton, N., & Claborn, K. R. (2022). Impact of COVID-19 among people who use drugs: A qualitative study with harm reduction workers and people who use drugs. Harm Reduction Journal, 19(72), 1 - 8. https://doi.org/10.1186/s12954-022-00653-1
A Meta-Analysis of the Efficacy of Case Management for Substance Use Disorders: A Recovery Perspective
Case management is a client-centered approach to improve the coordination and continuity of service delivery, especially for persons with substance use disorders (SUD) and multiple and complex support needs. This intervention supports individuals by helping them identify needed services, facilitate linkage with services, and promote participation and retention in services. However, it is questionable whether case management is equally effective in promoting recovery and aspects of personal functioning. The objective was to conduct an updated meta-analysis and to assess whether case management was more effective than treatment as usual (TAU) among persons with SUD for improving treatment-related (e.g., successful linkage with and retention in treatment) as well as personal functioning outcomes (e.g., substance use).

Vanderplasschen, W., Rapp, R. C., De Maeyer, J., & Noortgate, E. V. D. (2019). A meta-analysis of the efficacy of case management for substance use disorders: A recovery perspective. Frontiers in Psychiatry, 10(186), 1-18. https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2019.00186/full

The harm reduction model of drug addiction treatment | Mark Tyndall

Why do we still think that drug use is a law-enforcement issue? Making drugs illegal does nothing to stop people from using them, says public health expert Mark Tyndall. So, what might work? Tyndall shares community-based research that shows how harm-reduction strategies, like safe-injection sites, are working to address the drug overdose crisis.

Addiction: A Disease of Our Survival System | Malcolm Horn | TEDxBillings

Dr. Horn has a unique way of describing what addiction is and how it impacts the brain. She presents a complex issue in a unique and engaging manner - a mix of entertainment and education. Dr. Horn received her Doctorate in Psychology, with a teaching emphasis, from Walden University and has over a decade of progressive clinical experience working with the complex diagnoses that often accompany addictions and co-occurring disorders.

She is a Licensed Clinical Social Worker (LCSW) and is licensed by the State of Montana as an Addiction Counselor (LAC). She is certified as an SAP (Substance Abuse Professional) to conduct assessments for those with a safety-sensitive position under the Department of Transportation. She also has accreditation from the NAADAC (National Association of Alcohol and Drug Addiction Counselors) as a Master Level Addiction Counselor (MAC).

Malcolm currently works at Rimrock Foundation and is responsible for ongoing training and education for clinical and support staff. She is passionate about our systems of care and how we can change systems to improve our health and outcomes. This talk was given at a TEDx event using the TED conference format but independently organized by a local community.

Substance Use Basics for College and University Students

Substances can have dangerous physical and mental health consequences. As a good rule of thumb, if a drug isn’t prescribed to you, you shouldn’t take it. Pretty quickly what feels like casual or experimental substance use can turn into a substance use problem which has long-lasting and negative consequences. Before you decide to use a substance, know the risks and potential consequences, or reach out to a counselor to talk about it.

Mental Health, Substance Use, and Wellbeing in Higher Education: Supporting the Whole Student

Students share experiences, realties, and coping mechanisms on life as a college student in the era of COVID-19.

Harm Reduction in the Collegiate Setting: Implementing Practical, Evidence-Based Programs & Policies

Presented By: Dr. Nina Christie. This session will focus first on understanding the basic history and fundamentals of Harm Reduction as a movement and philosophy. Then, Dr. Christie will discuss how to implement these principles in the collegiate setting. In her talk, she will focus on specific, evidence-based strategies to reduce substance-related harms among college students. The latter portion of the session will explore what colleges and universities are currently doing to reduce substance-related harms on their own campuses. The goal is for each attendee to leave with an action item of how to implement one program or policy that could benefit their own campus community.

What is Harm Reduction?

This video is part of the NIDA series At the Intersection: Stories of Research, Compassion, and HIV Services for People who Use Drugs. “Harm reduction” is defined as interventions aimed to help people avoid negative effects of drug use, but many understand harm reduction as a way to meet people where they are with kindness and respect. In this video, we hear from people who use drugs, people who are in recovery, and harm reduction professionals on what harm reduction is (and isn’t) in their own words.