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Knowing or not knowing: Living as Harm Reductionists in Twelve Step Recovery


Highlights of this article:

  • Many, like the authors, have benefitted considerably from Twelve Step recovery.
  • However, others have suffered and died from stigma and policies within Twelve Step communities.
  • Twelve Step programs must further accept harm reduction as well as medication and other pathways to recovery.
  • While providers and Twelve Step members can make incremental change, large-scale cultural and structural change is necessary.

We hosted the authors of this article on our podcast! Check out the episode on our Recovery Talk Podcast page.


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Funding for this initiative was made possible by grant no. 1H79TI083022 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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