CRA Harm Reduction Protocol

This protocol is informed by the practice of Harm Reduction Outreach, as operated by the Chicago Recovery Alliance since January 1992. The refinement of this protocol will facilitate any person interested in practicing Harm Reduction in applying it their population in a manner most consistent with the principles of Harm Reduction. As with all Harm Reduction efforts, this Manual is a work in progress, always looking to make additional positive changes.

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Josh Bamberger’s Abscess Identification and Treatment

This manuscript is intended to be a primer on the care and treatment of skin and soft tissue infection (SSTI) among injection drug users. It is intended for primary care providers, nurses and lay practitioners who care for people who inject drugs in community settings. While incision and drainage is a simple procedure, we recommend that all SSTI be treated by a licensed provider in a controlled environment. However, if a licensed provider is not available, we hope that this manuscript will assist all people working with drug users to treat people living with SSTI in a manner that reduces suffering to the greatest extent possible.

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Treatment and Other Referral Expediting Service (TORES)

CRA’s Treatment and Other Referral Expediting Service (TORES) which assist people access the risk reduction service of their choosing. CRA recognizes that risk reduction is a process that involves many different areas and an effective referral system is crucial for any one component in order to be an effective service provider.

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Volunteer Management Guide

CRA operates a volunteer-based program of Harm Reduction Outreach with syringe exchange. Accordingly, the utmost attention is paid to the volunteer base of CRA. While CRA’s Guidelines and Operating Procedures spells out the specifics of on-site work for volunteers, this Volunteer Orientation Guide describes the specific plans CRA has for recruiting, training, supporting and assisting the growth of CRA volunteers.

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Substance use management: a harm reduction-principled approach to assisting the relief of drug-related problems

Abstract: Disease (particularly HIV) has increased our motivation to reconsider how the current help system deals with drug-related problems. A more concrete focus on disease prevention as an additional goal has, for many, lead to a reevaluation of the goals of drug help work. Such a critical examination shows how much there is to improve within the system even in the absence of blood borne disease. Integrating the heart of harm reduction–respecting work on any positive change as a person defines it for his/herself–into treatment fashions a health sensitive alternative to the predominant practice of abstinence-only assistance for the relief of drug problems.

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Overdose Prevention and Response

This book, created by experienced overdose trainers and reviewed by peers and medical professionals, is intended as a resource for the development and implementation of overdose prevention and response programs by drug user activist groups and harm reduction organizations in Eastern Europe and Central Asia.

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Where are we today?

Van and outreach locations for  
CRA Newsletter
Chicago Recovery Alliance
3110 West Taylor Street
Chicago IL 60612
© 1992, Chicago Recovery Alliance
Any Positive Change