Harm reduction isn’t a one-size-fits-all solution, but rather a flexible approach that can be tailored to individual circumstances.

In the midst of the challenges posed by the ongoing substance abuse crisis in our beloved state, it’s essential that we explore innovative approaches to help those in need. One such approach that has gained significant traction is “harm reduction.” This proactive and compassionate strategy recognizes that while eliminating substance use might be an ideal outcome, reducing the negative consequences associated with it is a pragmatic and achievable goal. Join us as we delve into the world of harm reduction and its pivotal role in combating California’s substance abuse crisis.

Understanding Harm Reduction

At its core, harm reduction is a philosophy that prioritizes the health and safety of individuals using substances. It acknowledges that substance use is a complex and multifaceted issue, and rather than aiming for immediate abstinence, harm reduction aims to minimize the harms that can arise from drug use. This approach offers a non-judgmental space for individuals to make safer choices while working towards healthier outcomes.

Addressing Stigma and Misconceptions

A common concern among SUD counselors is the perception that harm reduction strategies may inadvertently promote substance use instead of supporting sobriety. It’s crucial to address this stigma head-on. Harm reduction does not encourage or enable substance use; instead, it recognizes the reality that not everyone is prepared to quit immediately. By engaging with individuals where they are in their journey, counselors can build trust and guide clients towards healthier behaviors over time. Remember, harm reduction strategies are stepping stones toward sobriety, not barriers.

The Current Landscape in California

As SUD counselors on the frontlines, you’re all too aware of the challenges California faces with substance abuse. From opioids to methamphetamines, the range of substances and their associated consequences is vast. Harm reduction provides a beacon of hope by offering practical strategies that can make a significant difference in the lives of those struggling.

Key Elements of Harm Reduction

  1. Needle Exchange Programs: These initiatives provide clean needles to individuals who inject drugs, reducing the risk of infections like HIV and Hepatitis C.
  2. Supervised Consumption Sites: These safe spaces allow individuals to use substances under medical supervision, preventing overdose and offering access to resources for safer use.
  3. Naloxone Distribution: Widely known as the “overdose reversal drug,” naloxone can save lives by rapidly reversing opioid overdoses.
  4. Education and Support: Harm reduction emphasizes education about safer drug use practices and promotes open dialogues to foster understanding and positive change.

Breaking Down Stigma

One of the remarkable aspects of harm reduction is its ability to break down the stigma often associated with substance use. By treating individuals with dignity and respect, regardless of their circumstances, we create an environment where seeking help becomes less intimidating.

Your Role as SUD Counselors

Embracing harm reduction as a fundamental aspect of your counseling approach can yield remarkable results. As you build trust and rapport with your clients, you can work together to develop realistic goals that focus on minimizing harm and improving overall well-being. Your expertise in empathetic communication and support is crucial in guiding clients towards healthier choices.

Moving Forward Together

California’s substance abuse crisis requires a collective effort, and harm reduction offers a path forward that is both practical and compassionate. As SUD counselors, you have the unique opportunity to be agents of change, helping to shape a future where individuals can access the resources they need to lead healthier lives.

Remember, harm reduction isn’t a one-size-fits-all solution, but rather a flexible approach that can be tailored to individual circumstances. By incorporating harm reduction strategies into your practice, you contribute to a brighter future for California.

Thank you for your unwavering dedication to your clients and to creating positive change in our communities. Let’s continue to work together to make a difference.

Resources on Harm Reduction

California Harm Reduction Initiative (CHRI)

Harm Reduction Resources and Toolkits

California Department of Public Health: Harm Reduction Resources

Dr. Jessica Rodriguez
LAADC-S, ICAADC, MAC, SUDCCIV-CS, BSP, CTRTC, CIP, CTP, CTS, FSS

Dr. Rodriguez was named the Executive Director of Gateway Corp in 2012.  Gateway Corp was developed as a non-profit, public charity and founded October 27, 2011. November 2014, she developed a clinical hub for Gateway Corp called OnSite Strategies. OnSite is also a United States Trademark.

She has held the position of CEO, Clinical Director, Lead Educator and Clinical Trainer as well as the Clinical Business Developer. She has fulfilled the roles of a clinical consultant, professional development consultant and has clinically supervised many SUD/addiction counselors, mental health professionals and addiction and family interventionists for over 12 years.

She has been active in the mental health field since 1995. She has also clinically trained throughout the US and provides clinical oversight for several organizations in California.

Dr. Rodriguez released her first book, “When the Rainbow Ends a Shadow from Heaven Appears" in 2017.” Her newest book, "The Cart, From Adversity to Collateral Beauty" is scheduled to be released in the Fall of 2022.

Dr. Rodriguez is currently a writer for Rapporteur Magazine. Her focus is about Mental Wellness also covered topics to include ACE's, trauma, anxiety, and Systemic Racism.

Adriana Popescu, Ph.D.

Dr. Adriana Popescu is a licensed clinical psychologist and empowerment coach with over 25 years of experience in the mental health field. She specializes in treating addictions and trauma, and has directed a number of treatment programs in the San Francisco Bay Area. She is the Founder and CEO of Firebird Healing, a trauma healing program, and the Clinical Director at Avery Lane, an innovative and holistic treatment program for women with co-occurring addiction and mental health disorders and trauma.

Adriana has contributed to a number of books, including TJ Woodward's Conscious Being Workbook, the Conscious Recovery for Addiction and Conscious Recovery for Mental Health Workbooks, and the Conscious Creation Workbook, all of which she co-authored with him.

She has a private practice in San Francisco and travels around the world speaking, coaching, and facilitating transformational and empowering workshops. She also hosts a fascinating podcast called Kaleidoscope of Possibilities – Alternative Perspectives on Mental Health.

Adriana loves to bring the most innovative and effective tools to her work, empowering people to overcome their imagined limitations, release their self-judgments, and discover the brilliance within – creating a life of infinite possibilities.

Her first book, “What If You’re Not as F*cked Up As You Think”, was released in October.

Aven Armstrong-Sutton, Ph.D(c), RSW

Clinical Services Manager at Kinark Child and Family Services

Aven L. Armstrong-Sutton has been a practicing licensed social worker for over a decade. With diverse experience in settings such as health promotion, foster care, youth homelessness, outpatient mental health & addictions, and student support services, Aven currently serves as a Clinical Services Manager at Kinark Child and Family Services, managing a Live-In-Treatment Program and three outpatient treatment programs. Maintaining a part-time private practice, Aven’s multidisciplinary and integrative approach focuses on trauma and resilience among under-served communities.

June Price Tangney, Ph.D

Dr. Tangney received her Ph.D. in clinical psychology from UCLA. She is currently University Professor and Professor of Psychology at George Mason. She is a Recipient of International Society for Self and Identity’s Distinguished Lifetime Career Award and Fellow of the Association of Psychological Science and of APA’s Division of Personality and Social Psychology.

Dr. Tangney is coauthor (with Ronda Dearing) of Shame and Guilt, coeditor (with Ronda Dearing) of Shame in the Therapy Hour, coeditor (with Jess Tracy and Richard Robins) of The self-conscious emotions: Theory and research, and coeditor (with Mark Leary) of the Handbook of Self and Identity. She has served as Associate Editor for Self and Identity, Consulting Editor for Journal of Personality and Social Psychology, Personality and Social Psychology Bulletin, Psychological Assessment, Journal of Social and Clinical Psychology, and Journal of Personality, and is currently Associate Editor of American Psychologist.

Her research on the development and implications of moral emotions has been funded by NIDA, NICHD, NSF, and the John Templeton Foundation. Currently, her work focuses on moral emotions among incarcerated offenders. She draws on theory and research in psychology and criminology to develop novel interventions that leverage inmates’ moral emotions and prosocial values. A recipient of GMU’s Teaching Excellence Award, Dr. Tangney strives to integrate service, teaching and clinically-relevant research in both the classroom and her lab.

Christina Veselak, MS, LMFT, CN

Founder and Director of the Academy for Addiction and Mental Health Nutrition

Christina T. Veselak, MS, LMFT, CN, is the founder and director of the Academy for Addiction and Mental Health Nutrition, which teaches practitioners around the world how to use diet, along with amino acid and nutrient therapy, to help prevent cravings and recurrent drug use. She has been a licensed psychotherapist working in the SUD treatment field since 1985 and a certified nutritionist specializing in mental health and addiction recovery since 1993.

Sean Bezdek, LMFT, MBA

Sean is a licensed Marriage and Family Therapist with over 25 years of experience working in mental health and substance abuse settings, in inpatient, PHP, and private practice. He holds b a master’s degree in Marital and Family Therapy from Philips Institute and an MBA from Baker College.

Sean’s clinical practice has specialized in working with Personality Disorders, Couples, Adolescents, and individual suffering from chronic mental illness. As a clinician Sean enjoys working with clients who can be resistant to traditional treatment and believes in the philosophy of “You can lead a horse to water, but you can't make them drink. BUT you can feed them saltines to make them thirsty!”

Sean is the Program Director for Akua Mind Body’s Sacramento inpatient mental health program. His prior leadership experience includes oversight of acute inpatient, utilization management, hospice/palliative care, home health and skilled nursing. Sean’s approach to management is to ensure the work that needs to get done gets done. “Our job is patient care. This include everything from making coffee to running groups. There is not one person who is more important that the other when it comes to providing exceptional care to the clients we serve.”