Offering More Patients a Path Forward with Harm Reduction

For people struggling with substance use, a harm reduction approach has similar goals. Achieving and maintaining abstinence is one path under this umbrella, but it’s not the only option. In fact, a harm reduction approach – embraced by Penn Medicine Princeton House Behavioral Health – means that patients and providers have access to a spectrum of treatment options that focus on common goals: prioritizing safety, reducing the negative consequences of substance use, and improving quality of life.

“Harm reduction is evidence-based and very patient-centered,” explains Sarah Carstens, LCSW, LCADC, who was recently appointed Addictions Clinical Director at Princeton House, a new and transformative role in outpatient clinical services for patients struggling with substance use. “We work collaboratively with patients to help them minimize risks and the negative impacts they’ve experienced, while identifying and focusing on personal goals.”

This looks different for every individual, especially for those not ready for abstinence. For some, it may mean working toward limiting substance use and planning for safety measures when using, rather than an all-or-nothing approach. For others, it may mean eliminating drug or prescription use, but not alcohol. In every case, the integration of DBT skills is key.

The benefits are broad. According to Carstens, harm reduction:

• Opens the doors to a greater number of people who need help. More individuals are likely to seek treatment if they know they have a voice in their care.
• Helps patients be more forthcoming about their substance use and struggles. With harm reduction, they can let go of the expectation to be perfect.
• Lessens the stigma and shame that may be associated with treatment or continued use, since it meets people where they are and supports all steps in the right direction.

“With harm reduction, the options for creating a better life are endless,” adds Carstens. “This approach is the wave of the future, and Princeton House will help lead the way.”