nonabstinencebased

Nonabstinence-based refers to approaches to recovery from problematic substance use that do not strictly require complete cessation of all psychoactive substances. These approaches acknowledge that for some individuals, a harm reduction strategy focused on reducing negative consequences associated with substance use may be a more achievable or preferred goal than total abstinence. This can include strategies such as switching to less harmful substances, reducing the frequency or amount of use, or using substances in safer ways.

The philosophy behind nonabstinence-based approaches often emphasizes individual autonomy and the right to self-determination. It recognizes that rigid adherence to abstinence may not be suitable for everyone and can sometimes lead to continued engagement in high-risk behaviors if the abstinence goal is not met. Instead, it prioritizes improving the overall well-being and quality of life for the individual, even if some level of substance use continues.

Examples of nonabstinence-based practices can include supervised consumption sites, needle exchange programs, opioid replacement therapy (such as methadone or buprenorphine), and individual counseling focused on reducing harm. These interventions aim to minimize risks like overdose, infectious disease transmission, and social or legal problems associated with substance use, without necessarily mandating complete abstinence as the sole measure of success. The focus is on gradual progress and meeting the individual where they are in their recovery journey.