From addictions treatment pioneer G. Alan Marlatt and associates, this is the authoritative work on harm reduction: its principles, strategies, and practical applications. Contributors review programs that have been developed and tested for a range of high-risk behaviors, including problem drinking, tobacco use, illicit drug use, and risky sexual behavior. Flexible, tailored, culturally competent treatment approaches are described for marginalized and underserved communities. The volume also explores philosophical and policy-related debates surrounding this growing movement. New to this edition: reflects significant advances in research and clinical practice, as well as increasing professional acceptance of the harm reduction model chapters on the current status of the field, harm reduction psychotherapy, and treatment of dual disorders chapters on additional populations (adolescent drinkers and Hispanic/Latino and Asian American substance users) and an additional substance (cannabis).

G. Alan Marlatt, PhD, until his death in 2011, was Director of the Addictive Behaviors Research Center and Professor of Psychology at the University of Washington. For over 30 years, Dr. Marlatt conducted pioneering work on understanding and preventing relapse in substance abuse treatment and was a leading proponent of the harm reduction approach to treating addictive behaviors. Mary E. Larimer, PhD, is Professor of Psychiatry and Behavioral Sciences and Adjunct Professor of Psychology at the University of Washington, where she is also Associate Director of the Addictive Behaviors Research Center and Director of the Center for the Study of Health and Risk Behaviors. Katie Witkiewitz, PhD, is Assistant Professor of Psychology at Washington State University Vancouver. In August 2012 she will be joining the faculty of the Department of Psychology at the University of New Mexico, with a joint appointment at the Center on Alcoholism, Substance Abuse, and Addictions.

I. Overview of Harm Reduction 1. Current Status, Historical Highlights, and Basic Principles of Harm Reduction, Susan E. Collins, Seema L. Clifasefi, Diane E. Logan, Laura S. Samples, Julian M. Somers, and G. Alan Marlatt 2. Harm Reduction Psychotherapy, Andrew Tatarsky and Scott Kellogg II. Areas of Concentration in Harm Reduction 3. Harm Reduction for Alcohol Problems, Mary E. Larimer, Tiara M. Dillworth, Clayton Neighbors, Melissa A. Lewis, Heidi D. Montoya, and Diane E. Logan 4. Tobacco: Untapped Potential for Harm Reduction, Carl V. Phillips, Karyn K. Heavner, Paul L. Bergen, and Catherine M. Nissen 5. Harm Reduction and Cannabis, Roger A. Roffman and Robert S. Stephens 6. Reducing Harm Associated with Illicit Drug Use: Opiates, Amphetamines, Cocaine, Steroids, and Other Substances, Jason R. Kilmer, Jessica M. Cronce, Scott B. Hunt, and Christine M. Lee 7. Harm Reduction for High-Risk Sexual Behavior and HIV, Michele Peake Andrasik and Ty W. Lostutter 8. Redefining the Treatment of Dual Disorders, Patt Denning III. Harm Reduction and Special Populations 9. The Need for Culturally Competent Harm Reduction and Relapse Prevention Interventions for African Americans, Michele Peake Andrasik, Briana Woods, and William H. George 10. Harm Reduction among Hispanic and Latino Populations, Arthur W. Blume and Michelle R. Resor 11. Harm Reduction for Asian American and Pacific Islander Populations, Karen Chan Osilla, Eunice C. Wong, and Nolan Zane 12. Adolescent Alcohol-Related Harm Reduction: Realities, Innovations, and Challenges, Adrian Kelly IV. The Role of Harm Reduction in U.S. Drug Control Policy 13. Harm Reduction and Public Policy, Justin Walthers, Kenneth R. Weingardt, Katie Witkiewitz, and G. Alan Marlatt