When Did Harm Reduction Services Start?


Harm reduction services, designed to minimize the negative health and social impacts associated with drug use, have evolved over several decades. One of the first harm reduction models was the "Mersey Harm Reduction Model" in the 1980s in Liverpool, and it succeeded in utilizing outreach workers, distributing education, and providing clean equipment to drug users.

Acceptance of Drug Use as a Reality. The model acknowledged that drug use was an ongoing issue and focused on reducing its harmful consequences rather than aiming for total eradication.


Needle Exchange Programs (NEPs). One of the first large-scale syringe exchange programs in the UK was implemented to prevent the spread of HIV and hepatitis among people who inject drugs (PWID).


Prescription of Injectable Drugs. In certain cases, doctors prescribed heroin and methadone to individuals with substance use disorders, providing safer alternatives and preventing illegal drug-related harm.


Multidisciplinary Support Services. The model combined medical, psychological, and social services, ensuring that drug users had access to healthcare, housing, and rehabilitation resources.


Engagement with Law Enforcement. Instead of emphasizing arrests, police worked alongside healthcare professionals to reduce drug-related harm and promote safer communities.


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