Printer friendly version
Type of submission: Workshop
Conference track: Practice
Topics: Harm Reduction Services and Service Provision; Integrated Harm Reduction Services
Presenting author: Andrew Tatarsky
We are in the midst of a global paradigm shift in how we view substance users and the spectrum of problematic substance use. We are moving from moral, criminal and unitary disease models to viewing substance use as a health and human rights issue that varies on multiple psychobiosocial dimensions in ways that are unique to each person. This model shift implies the need for a personalized, collaborative integrative harm reduction approach to address the diverse needs of this large undertreated group of people. Dr. Tatarsky will introduce Integrative Harm Reduction Psychotherapy (IHRP), his integration of harm reduction principles into psychotherapy and substance use treatment. IHRP brings together relational psychoanalytic, active cognitive and behavioral skills building and mindfulness techniques in a harm reduction frame to support positive change in substance use and related issues. He will discuss how IHRP has particular power to attract, engage and facilitate positive change in a group of people that has traditionally been thought to be hard if not impossible to treat in psychotherapy.
Andrew will discuss the clinical challenges of problematic substance use and the limitations of the prevailing disease model-based abstinence-only treatment. He will explore the theoretical basis for IHRP including a psychobiosocial process view of addiction, the multiple meanings model and the Transtheoretical Stages of Change model. Finally, he will present an overview of IHRP’s 7 therapeutic tasks with emphasis on therapeutic process and technique. He will demonstrate specific skills that particiapants can begin using immediately including Engagement Skills, "Urge Surfing", "Unwrapping the Urge", Embracing Ambivalence and the Decisional Balance. Participants will have opportunities to practice skills, discuss difficult cases and discuss application to their settings.