Date of Award
2025
Document Type
Scholarly Project
Degree Name
Doctor of Occupational Therapy (OTD)
Department
Occupational Therapy
First Advisor
Nicole Harris
Abstract
Purpose: Individuals who have experienced homelessness face higher risks of physical disabilities, mental illnesses, and substance use disorders (SUD), which often co-occur, compared to the general population (Mosel, 2024; Parker & Scaffa, 2020; SAMHSA, 2023a). Due to past experiences and unmanaged chronic conditions, substance use, and negative health behaviors are common. The high prevalence of SUD, mental illness, and chronic health conditions in this group severely affects their ability to engage in daily activities, influencing overall health and well-being (Marshall et al., 2020a). While complete abstinence is often deemed ideal, it can be unrealistic for this population. Harm reduction seeks to mitigate the negative consequences of substance use and adverse health behaviors. The occupational therapy profession is uniquely positioned to demonstrate effective harm-reduction strategies and approaches across various occupations. This project aimed to educate professionals on effective harm-reduction methods in practice across diverse settings, broadening its application to more populations.
Method: A needs assessment was conducted that included a literature review, skilled observation, and collaboration with a local community agency. Current practices were analyzed, and the Ecology Model of Human Performance (EHP) was utilized to identify barriers to implementing harm reduction approaches (Dunn et al., 1994). Non-traditional harm reduction approaches were reviewed, trialed in a permanent supportive housing setting, and organized for dissemination.
Results: To assist various professionals in implementing harm reduction strategies, a toolkit was developed that includes introductory knowledge, facilitator considerations, and harm reduction approaches throughout the occupational therapy (OT) process.
Conclusions: The toolkit developed provides a valuable resource for members of interdisciplinary teams to better understand harm reduction approaches and their practical application when working with clients. Ongoing discussions and resources focused on harm reduction approaches related to other health risk behaviors are necessary to expand its use among different populations.
Recommended Citation
Reiffenberger, Allie, "OCCUPATIONAL PARTICIPATION THROUGH HARM REDUCTION" (2025). Occupational Therapy Capstones. 661.
https://commons.und.edu/ot-grad/661