Abstract
The present study was designed to assess the acceptability and availability of harm-reduction interventions, including needle exchange, education regarding safer drug-ingestion methods, complementary/alternative therapies, and safe places where problem drinkers and drug takers may stay after consumption or may consume substances on the premises. We surveyed a nationwide sample of agencies listed in directories of substance-abuse services in England, Wales, and Scotland. Seventy percent (436 of 623 eligible agencies) returned questionnaires. Except for the provision of a safe place where clients could consume their own alcohol and drugs, large majorities of responding agencies rated these harm-reduction options as somewhat or completely acceptable, but only harm-reduction education and alternative therapies were available from a majority of responding agencies.
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