Harm Reduction Therapy is a Proven Approach for Developing a Productive Therapeutic Alliance
Counseling individuals who have co-occurring substance use disorders is often challenging and marked by apparent resistance, denial, and drop-out. Clients are often ready to address problems such as depression and anxiety, while reluctant to change their substance use. Well-intended clinicians may find themselves creating a confrontational atmosphere, rather than one that is collaborative.

This webinar will introduce harm reduction therapy (HRT) as a proven approach for developing a more stable and productive therapeutic alliance with clients who have co-occurring substance use disorders. Participants will delve into the philosophy, techniques, and ethical considerations associated with HRT. Dr. Rotgers will conclude by using current research findings to make the case that HRT is an effective model for increasing client engagement and achieving better treatment outcomes.

Course Content

A. Defining Harm Reduction and Harm Reduction Therapy (HRT)
  1. Basic principles of harm reduction
    a. Pragmatic
    b. Client-focused and centered
    c. Collaborative
    d. Any positive change
  2. Three versions of harm reduction
    a. Policy
    b. Public health
    c. Clinical
  3. HRT as the clinical aspect
B. Basic Philosophy of HRT
  1. Therapist does not have agenda or goals to impose
  2. Fully collaborate, respectful, and client-centered
  3. Nonconfrontational
  4. Allows for recommendations
  5. Heavy emphasis on therapeutic alliance
C. Basic Techniques of HRT
  1. Motivational interviewing, especially reflective listening
  2. Collaborative problem-solving
  3. Therapeutic humility
D. Research Supporting HRT
  1. Effect of imposing substance use goals on client retention and outcomes
  2. Effect of confrontation on outcomes
  3. Motivational interviewing research
E. But is it Ethical? Ethical Considerations in HRT
  1. Four basic principles of bioethics
    a. Beneficence
    b. Nonmaleficence
    c. Respect for personal autonomy
    d. Justice
  2. HRT’s position within these four principles
  3. Working with mandated clients where abstinence is mandated