October 2017 PMID 29065896

Harm reduction principles for healthcare settings.

Mary Hawk, Robert W S Coulter, James E Egan, Stuart Fisk, M Reuel Friedman, Monique Tula, Suzanne Kinsky

Mentions

122
Peak: 100 in Nov 2025
across 3 sources since May 2019

Extended reach

128,092
potential audience

Total likes

3,869

Video views

101,984

Mentions per month

May 2019 – Nov 2025

Where it's discussed

  • Bluesky100 posts
  • X / Twitter19 posts
  • YouTube3 videos

AI synopsis

What people are saying

Discussions reveal broad agreement on the value and efficacy of harm reduction in healthcare, with multiple comments referencing the six principles like 'humanism' and 'autonomy' and emphasizing its potential as a universal approach—words like 'effective,' 'transformative,' and 'must consider' reflect both enthusiasm and seriousness about impact.

AgreementStrong agreement

Most discussions strongly support the implementation of harm reduction principles, emphasizing their effectiveness and importance in healthcare, as seen in posts like 'Harm reduction is so effective it will become universal practice.'

InterestHigh interest

Social discussions demonstrate high curiosity and engagement with the topic, with users sharing resources, referencing principles, and debating its applications, indicating deep interest.

EngagementHigh engagement

Many participants reference specific principles, share articles, and discuss policy implications, showing a thoughtful and involved level of engagement.

ImpactHigh impact

The discussions highlight a significant influence on healthcare practices and policy debates, with multiple posts calling for adoption and emphasizing harm reduction’s transformative potential.

Abstract in brief

  • Harm reduction is an approach focused on minimizing the negative effects of health behaviors without necessarily stopping those behaviors entirely, with applications beyond drug use, such as sex work, eating disorders, and tobacco use.
  • The authors identified six principles—humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without termination—and adapted them for healthcare settings to guide interventions that respect patients’ needs and autonomy.
  • Implementing harm reduction principles in healthcare may improve patient outcomes and the provider-patient relationship, serving as a universal approach to care regardless of the patient's specific behaviors or risks.

Top posts

Most liked on X and Bluesky
Smiddy
@Narcan_Nate · X

@JConrBOrtega @Aur0rab0realis9 @RyanMarino Harm reduction is so effective it will become a universal practice in healthcare settings. Still haven’t seen any of your data…. https://t.co/mmJErn2bV9

Apr 1, 2024 · 12 likes · 4 shares · 1,314 followers View post →
SIUMAN ♿
@KamiSIUMAN · X

"The principles include humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without termination." https://t.co/UP3k0wImpN.

Jan 15, 2022 · 6 likes · 3 shares · 4,033 followers View post →
CCPH
@CCPH_News · X

Please read this resource from @losanjalis work: https://t.co/jatCOL9Ifv #equityinCOVID @uncHER @CSPfellows @gcsmd

Dec 15, 2020 · 3 likes · 3,891 followers View post →
CIRick (arregló un perforado)
@DrMIRick · X

@MIRicina_ @Riky60996274 Creo que te estás columpiando mucho… las políticas de control de daños son más viejas ya que tú y yo. El primero es del 94… Te dejo también guías nacionales sobre uso de drogas en contexto chemsex bajo… https://t.co/nEx6j77pKW https://t.co/1U4ysxVDzN https://t.co/itDN0fvue6

Jun 22, 2023 · 3 likes · 1 share · 1,258 followers View post →
C̶͚̃a̵̯͠s̸͌͜s̷̜̎ả̵̻n̵̥͑d̸̓ͅr̶̦̽a̵̛̠ Complex̸̗́
@amorvincitomnia · X

@rowanlou1312 This might be more in line with what you're looking for: https://t.co/2UZavcdfv7 From the article: "Harm reduction principles for healthcare settings" https://t.co/dd0BnXPOej

Jul 7, 2023 · 2 likes · 2,105 followers View post →
Nattha Saravutanukul
@n3nnnnn · X

Another thing I got from @swcareer is worth to study. It is a #HarmReduction I did some research and I feel thankful. I found this - Harm reduction principles for healthcare settings https://t.co/2F7LUV0TVS (Full Text https://t.co/2bWKF7Uaty) from @biomedcentral

Jul 28, 2020 · 2 likes · 367 followers View post →

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skatie
@pikaawho · X

RT @Narcan_Nate: @JConrBOrtega @Aur0rab0realis9 @RyanMarino Harm reduction is so effective it will become a universal practice in healthcar…

Apr 1, 2024 · 4 shares · 158 followers View post →
Aaron Gremory
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RT @Narcan_Nate: @JConrBOrtega @Aur0rab0realis9 @RyanMarino Harm reduction is so effective it will become a universal practice in healthcar…

Apr 1, 2024 · 4 shares · 267 followers View post →
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RT @Narcan_Nate: @JConrBOrtega @Aur0rab0realis9 @RyanMarino Harm reduction is so effective it will become a universal practice in healthcar…

Apr 1, 2024 · 4 shares · 1,095 followers View post →
Smiddy
@Narcan_Nate · X

@JConrBOrtega @Aur0rab0realis9 @RyanMarino Harm reduction is so effective it will become a universal practice in healthcare settings. Still haven’t seen any of your data…. https://t.co/mmJErn2bV9

Apr 1, 2024 · 12 likes · 4 shares · 1,314 followers View post →
Jared Rhoads
@jaredrhoads · X

Good thread on behavior modification 101. See also the "six principles of harm reduction" paper by Hawk, et al. https://t.co/bVq1ms3QbR https://t.co/WNe7PpWijt

Jul 23, 2023 · 1 like · 1,199 followers View post →
Smiddy
@Narcan_Nate · X

@jim_desmond Harm reduction is so effective it will become universal practice and not just for folks who use substances. https://t.co/mmJErn2bV9

Jul 20, 2023 · 1,314 followers View post →
C̶͚̃a̵̯͠s̸͌͜s̷̜̎ả̵̻n̵̥͑d̸̓ͅr̶̦̽a̵̛̠ Complex̸̗́
@amorvincitomnia · X

@rowanlou1312 This might be more in line with what you're looking for: https://t.co/2UZavcdfv7 From the article: "Harm reduction principles for healthcare settings" https://t.co/dd0BnXPOej

Jul 7, 2023 · 2 likes · 2,105 followers View post →
CIRick (arregló un perforado)
@DrMIRick · X

@MIRicina_ @Riky60996274 Creo que te estás columpiando mucho… las políticas de control de daños son más viejas ya que tú y yo. El primero es del 94… Te dejo también guías nacionales sobre uso de drogas en contexto chemsex bajo… https://t.co/nEx6j77pKW https://t.co/1U4ysxVDzN https://t.co/itDN0fvue6

Jun 22, 2023 · 3 likes · 1 share · 1,258 followers View post →
Manuel Lopez
@ManuelLopezMe · X

@JohnHirschauer I'll provide you some helpful resources since you didnt bother to use any research for your article https://t.co/6oapiXGvfz https://t.co/nyLspI00NJ

Dec 22, 2022 · 74 followers View post →
Jarryd Bartle
@JarrydBartle · X

@Jacob__Siegel It's a huge field, I don't believe you've just overlooked that the core principles of this approach are the opposite of what your article argues. This is deliberate. https://t.co/K2etLSlUch https://t.co/hsIXQR0ZmK

Jun 28, 2022 · 1 like · 3,138 followers View post →
❀Oliver❀Nice❀Paws❀
@paws_nice · X

RT @KamiSIUMAN: "The principles include humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without terminati…

Jan 15, 2022 · 3 shares · 269 followers View post →
˗ˏˋ El ⁷ ˎˊ AROOMYS ⟭⟬
@eddinask · X

RT @KamiSIUMAN: "The principles include humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without terminati…

Jan 15, 2022 · 3 shares · 143 followers View post →
fizah penat hidup.
@fizah_alias · X

RT @KamiSIUMAN: "The principles include humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without terminati…

Jan 15, 2022 · 3 shares · 998 followers View post →
SIUMAN ♿
@KamiSIUMAN · X

"The principles include humanism, pragmatism, individualism, autonomy, incrementalism, and accountability without termination." https://t.co/UP3k0wImpN.

Jan 15, 2022 · 6 likes · 3 shares · 4,033 followers View post →
SIUMAN ♿
@KamiSIUMAN · X

Also.. "Harm reduction refers to interventions aimed at reducing the negative effects of health behaviors without necessarily extinguishing the problematic health behaviors completely." https://t.co/WUsxoAyJej

Dec 17, 2021 · 4,033 followers View post →
CCPH
@CCPH_News · X

Please read this resource from @losanjalis work: https://t.co/jatCOL9Ifv #equityinCOVID @uncHER @CSPfellows @gcsmd

Dec 15, 2020 · 3 likes · 3,891 followers View post →
Nattha Saravutanukul
@n3nnnnn · X

Another thing I got from @swcareer is worth to study. It is a #HarmReduction I did some research and I feel thankful. I found this - Harm reduction principles for healthcare settings https://t.co/2F7LUV0TVS (Full Text https://t.co/2bWKF7Uaty) from @biomedcentral

Jul 28, 2020 · 2 likes · 367 followers View post →
the_greengrace
@TGreengrace · X

@tmc_RN Here's an article (based on a small qual study) that kind of translates harm reduction to a practice theory. I will probably have to write this same paper in the next year and be pondering the same question (again). https://t.co/t28z2T06X8

Sep 28, 2019 · 228 followers View post →
Martin Krsak
@MightKnot · X

@TMcCarty2010 @SandySpringerMD @IDDoc1978 @DrEllenEaton @LauraMarks5 @id_seval @LauraFanucchi @jabarocas @DoctorRachael @asherjs @DrBenBearnot AMA is a direct description of events, no stigma in it (unless one’s mind makes that leap). Patients are free to leave AMA and I’ll be happy to continue treating them as long as we can still make or expect some progress. Accountability, no judgment. https://t.co/OTmOPUctpy

May 30, 2019 · 166 followers View post →