chapter  4
17 Pages

Outreach, Community Change and Community Empowerment: Contradictions for Public Health and Health Promotion

In Britain, the HIV epidemic has encouraged a rapid revision in policy approaches to drug treatment and prevention, characterized by the emergence of pragmatism (Stimson, 1990; Stimson and Lart, 1991). This has encompassed increased recognition of the importance of community-based responses to HIV-related prevention, treatment and care (Advisory Council on the Mis­ use of Drugs (ACMD) 1988; 1989; 1993) and of the impracticality of an absolutist reliance on abstentionist oriented medical and legal interventions in reducing the health-related harms associated with illicit drug use (O’Hare et al., 1992).