{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:37:07Z","timestamp":1777664227044,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>A revised way of thinking is essential for promoting harm reduction strategies and reducing the negative implications of injection drug use (IDU). Despite the growth of harm reduction approaches in the United States, there is limited guidance for designing and implementing multi-sector efforts that address the external determinants that promote and facilitate IDU. Current frameworks fail to acknowledge the individual\u2019s role and influence in multi-sector change. To address the multifaceted nature of IDU, we must address the complex relationship between people who inject drugs (PWID) and their external environment. As part of a community\u2013academic partnership, a framework was developed to address the gaps in current theoretical models and community practice. Our Harm Reduction Collaboration Framework (HRCF) accepts PWID as key stakeholders and presents a practical framework in which PWID and community organizations partner in decision making to influence policy, systems, and environmental change. We provide examples of two organizations that have made substantive changes in implementing harm reduction strategies in their communities by utilizing the HRCF.<\/jats:p>","DOI":"10.1177\/10901981231165338","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T08:15:25Z","timestamp":1683015325000},"page":"408-415","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Introducing the Harm Reduction Collaboration Framework for Policy, Systems, and Environmental Change"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-0384","authenticated-orcid":false,"given":"Devin","family":"Miller","sequence":"first","affiliation":[{"name":"Colorado School of Public Health, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dayna","family":"DeHerrera-Smith","sequence":"additional","affiliation":[{"name":"Front Range Clinic, Greeley, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa A.","family":"Sharp","sequence":"additional","affiliation":[{"name":"University of Northern Colorado, Greeley, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth D.","family":"Gilbert","sequence":"additional","affiliation":[{"name":"University of Northern Colorado, Greeley, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"bibr1-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2006.10.014"},{"key":"bibr2-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00732-8"},{"key":"bibr3-10901981231165338","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.170306"},{"key":"bibr4-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-017-0145-2"},{"key":"bibr5-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.32.7.513"},{"key":"bibr6-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-019-0306-6"},{"key":"bibr7-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1111\/j.0887-378X.2004.00304.x"},{"issue":"5","key":"bibr8-10901981231165338","first-page":"454","volume":"105","author":"Finke J.","year":"2022","journal-title":"American Family Physician"},{"key":"bibr9-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2006.11.006"},{"key":"bibr10-10901981231165338","doi-asserted-by":"publisher","DOI":"10.54656\/TDLM1683"},{"key":"bibr11-10901981231165338","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.102618"},{"key":"bibr12-10901981231165338","unstructured":"Harm Reduction Coalition. 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