{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:18:35Z","timestamp":1790014715758,"version":"4.0.1"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Alcohol harm reduction (AHR) includes a pragmatic set of strategies to reduce the acute harms of alcohol consumption without necessarily reducing use, such as managed alcohol plans and intoxication management facilities. While well established in illicit drug research, harm reduction's application to alcohol remains less explicitly examined, both conceptually and in terms of policy articulation. In contrast to population\u2010level consumption\u2010reduction strategies \u2013 many of which are effective at preventing harm \u2013 AHR often places greater emphasis on acute and immediate harms and may require consumers to take an active role, a feature that has raised concerns about industry mobilising \u2018responsible drinking\u2019 narratives. AHR also tends to be subsumed within other alcohol policies and has a less consolidated evidence base. However, drawing on international and Australian evidence, this article outlines practical and ethical reasons for a more explicit focus on AHR, including the substantial burden alcohol places on frontline health systems, its disproportionate impacts on socially disadvantaged populations and its frequent involvement in polydrug use and overdose. AHR can also facilitate cross\u2010sectoral collaboration and lateral policymaking, and contribute to the ethical obligation of policymakers to redress the harms of alcohol commercialisation. Beyond formal policy, AHR already occurs in clinical, educational and nightlife settings. Recognising this, future research and policy efforts should focus on clarifying how harm reduction can be more explicitly integrated within alcohol policy frameworks to complement population\u2010level approaches.<\/jats:p>","DOI":"10.1111\/dar.70152","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:36:13Z","timestamp":1774953373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Rethinking Alcohol Harm Reduction"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3203-6123","authenticated-orcid":false,"given":"Gabriel","family":"Caluzzi","sequence":"first","affiliation":[{"name":"Centre for Alcohol Policy Research La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16747"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0038038514557913"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2011.01424.x"},{"key":"e_1_2_9_5_1","volume-title":"Alcohol, Tobacco & Other Drugs in Australia","author":"Australian Institute of Health and Welfare","year":"2024"},{"key":"e_1_2_9_6_1","volume-title":"Burden of Disease and Injuries Related to Alcohol and Other Drugs","author":"Australian Institute of Health and Welfare","year":"2025"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269881119841569"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.121208.131438"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/09687639709035758"},{"key":"e_1_2_9_10_1","volume-title":"National Alcohol Strategy 2019\u20132028","author":"Department of Health","year":"2019"},{"key":"e_1_2_9_11_1","volume-title":"The Australian \u2018Drug Budget\u2019: Government Drug Policy Expenditure 2021\/22","author":"Ritter A.","year":"2024"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13169"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780192844484.001.0001"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001767"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13296"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/19460171.2013.766023"},{"issue":"1","key":"e_1_2_9_17_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0259560","article-title":"Distilling the Curriculum: An Analysis of Alcohol Industry\u2010Funded School\u2010Based Youth Education Programmes","volume":"17","author":"Schalkwyk M. 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