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. 2024 Feb 17;78(2):e12-e26.
doi: 10.1093/cid/ciad664.

Frame Shift: Focusing on Harm Reduction and Shared Decision Making for People Who Use Drugs Hospitalized With Infections

Kinna Thakarar  1   2   3 , Ayesha Appa  4 , Jacinda C Abdul Mutakabbir  5   6 , Amelia Goff  7 , Jessica Brown 3rd  8 , Chasity Tuell  9 , Kathleen Fairfield  1   2   3 , Alysse Wurcel  1   10
Affiliations

Frame Shift: Focusing on Harm Reduction and Shared Decision Making for People Who Use Drugs Hospitalized With Infections

Kinna Thakarar et al. Clin Infect Dis. .
No abstract available

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Conflict of interest statement

Potential conflicts of interest. Coauthor J. A. M. reports serving on advisory boards and receiving an honorarium for Shionogi, Entasis Therapeutics, CSL Sequiris, Innoviva Specialty Therapeutics, and AbbVie; grants or contracts from CSL Sequiris; and consulting fees from Shionogi. C. T. reports grants or contracts from SAMHSA and MaineHealth; payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events from States Recovery in Maine; and a role as Maine Recovery Council member. K. T. reports grants or contracts from SAMHSA and the National Institutes of Health and unpaid roles for the Maine Medical Center Board of Directors, AMERSA Advocacy Task Force, Infectious Diseases Society of America advocacy liaison, and Maine Recovery Council. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Figures

Figure 1.
Figure 1.
Key tenets of improving infectious diseases care of PWUD include reframing our clinical decisions around principles of shared decision making, health equity, and harm reduction and ensuring that all doors remain open to engagement in infection and/or substance use disorder treatment. Abbreviation: PWUD, people who use drugs.
Figure 2.
Figure 2.
SDM steps [25] and conversation guide [6, 40] example questions/statements. Abbreviation: SDM, shared decision making.
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