Sheila P. Vakharia

• PhD LMSW
• Deputy Director at Drug Policy Alliance

Introduction Despite the recognized value of experiential knowledge, drug use and disclosure of drug use within the drug research community is rarely discussed or studied. Methods We distributed a cross-sectional online survey using targeted recruitment. Researchers provided information on drug use, disclosure of use (or abstinence) professionally...

In November 2020, Oregon voters approved Measure 110, a ballot initiative that decriminalized possession of small quantities of all drugs and allocated hundreds of millions of dollars annually to health services for people who use drugs. Implementation of Measure 110 is ongoing, but several effects are noticeable in the first two years since the me...

Despite large investments in and policy support for harm reduction including naloxone, syringes, and medications for opioid use disorder, people who use drugs continue to experience unprecedented rates of mortality from overdose and morbidity from infectious diseases. The criminalization of drug use has disproportionately exacerbated these drug-rel...

There is a growing recognition that our society must address systemic racism, mass criminalization and violent policing with alternative responses to crises in communities. Reform advocates have increasingly proposed that social workers, equipped with the skills and training to de-escalate tensions and respond to mental health and substance use cri...

There is a growing recognition in the fields of public health and medicine that social determinants of health (SDOH) play a key role in driving health inequities and disparities among various groups, such that a focus upon individual-level medical interventions will have limited effects without the consideration of the macro-level factors that dict...

Background The dominant focus of North America's current overdose crisis has been opioids, resulting in considerable research and harm reduction efforts to address opioid-related overdose risks. Less attention has been paid to people who use stimulants (PWUS) despite recent increases in stimulant use and stimulant-involved overdoses (i.e., “overamp...

Social workers are uniquely qualified to be effective drug policy advocates for effective and equitable policies through their commitment to advancing social welfare and promoting social justice. The prohibitionist antidrug policies that began at the turn of the 20th century have been a key driver for the criminalization of millions of Americans ov...

Harm reduction psychotherapy (HRP)is an approach to providing psychotherapy to people who use substances in which abstinence is considered neither a prerequisite to treatment nor its predominant mark of success. There is to date scant empirical research on this clinical approach despite its decades-long practice. Ourstudy aims to spur further inves...

Background Occurring against the backdrop of an overdose crisis, stimulant use and stimulant-involved deaths in North America are increasing at an alarming rate. Many of these deaths are being attributed to fentanyl and related analogs, which have been increasingly found within street-level stimulant supplies. Within this, people experiencing socio...

Harm reduction has gradually entered social work discourse and is now seen as a promising approach for treating individuals with drug and alcohol problems. However, beyond statements and data supporting the utility of a harm reduction approach, few guidelines for clinical practice have been detailed in the social work literature. This lack of concr...

Drug and alcohol use have been associated with increased risk for sexual violence, but there is little research on sexual violence within the context of drug use among young adult opioid users. The current mixed-methods study explores young adult opioid users’ sexual experiences in the context of their drug use. Forty-six New York City young adults...

This study assisted clients in a locked facility for persons with mental disorders and substance abuse problems to explore the communities into which they were to be discharged using the Internet. Four patients with either the diagnosis of bipolar disorder or schizophrenia were provided Internet access with instructions to search for any of 6 categ...

Problematic substance use has tremendous implications for the health and wellbeing of communities around the world. Social workers at the frontlines are likely to encounter clients with substance use disorders in the wide array of settings where they are employed. However, few undergraduate and graduate social work programs internationally require...

Background and Purpose: Most individuals do not perceive a need for substance use treatment despite encountering problems due to their substance use and meeting diagnostic criteria for substance use disorders. This is a challenge at the local, national, and global level because these individuals are least likely to pursue treatment and their ongoin...

Objective: The authors examined outcomes of a graduate course on evaluating social work practice that required students to use published research, quantitative measures, and single-system designs in a simulated practice evaluation project. Method: Practice evaluation projects from a typical class were analyzed for the number of research references...

Objectives: Accreditation standards and challenges in group work education require competency-based approaches in teaching social work with groups. The Association for the Advancement of Social Work with Groups developed Standards for Social Work Practice with Groups, which serve as foundation competencies for professional practice. However, there...