Chapters 17 & Chapters 17 & 1818

Preventing & Treating Substance Use Disorders: Additional Considerations

DSM-5: Brief OverviewDSM-5: Brief Overview

DSM-5 released in 2013 Overhaul for substance use disorders (substance-related

and addictive disorders) “Chemical” and “behavioral/process” addictions Criteria: impaired control, social impairment, risky use &

pharmacological criteria Mild, moderate & severe substance use disorder (SUD) Reaction to revisions

Harm ReductionHarm Reduction

Harm reduction: A set of practical strategies that reduce negative consequences of drug use Incorporates a spectrum of strategies from safer use to

abstinence Goals: Harm reduction strategies meet drug users "where

they're at," addressing conditions of use along with the use itself

Not about “permitting use” Societal benefits: public health, reducing deaths and crime