Read the items below, which are available via the links provided.

Chapter 8:  Ethical Issues found in Center for Substance Abuse Treatment (CSAT). (2000). Substance abuse treatment for persons with HIV/AIDS. Treatment Improvement Protocol (TIP) Series, No. 37. HHS Publication No. (SMA) 00-3410. Rockville, MD:  Substance Abuse and Mental Health Services Administration. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64923/ (Links to an external site.)
Chapter 4:  Helping Clients Make Medical Decisions About Hepatitis Treatment and Chapter 6:  Counseling Approaches for People Who Have Viral Hepatitis found in Center for Substance Abuse Treatment (CSAT). (2011). Addressing viral hepatitis in people with substance use disorders. Treatment Improvement Protocol (TIP) Series, No. 53. HHS Publication No. (SMA) 11-4656. Rockville, MD:  Substance Abuse and Mental Health Services Administration. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK92036/pdf/Bookshelf_NBK92036.pdf (Links to an external site.)
Centers for Disease Control and Prevention. Hepatitis A:  General information. Retrieved from http://www.cdc.gov/hepatitis/hav/pdfs/hepageneralfactsheet.pdf (Links to an external site.)
Centers for Disease Control and Prevention. Hepatitis B:  General information. Retrieved from http://www.cdc.gov/hepatitis/hbv/pdfs/hepbgeneralfactsheet.pdf (Links to an external site.)
Centers for Disease Control and Prevention. Hepatitis C & injection drug use. Retrieved from https://www.cdc.gov/hepatitis/hcv/pdfs/factsheet-pwid.pdf (Links to an external site.)
Centers for Disease Control and Prevention. Hepatitis C:  General information. Retrieved from http://www.cdc.gov/hepatitis/HCV/PDFs/HepCGeneralFactSheet.pdf (Links to an external site.)
Centers for Disease Control and Prevention. Patient information sheet:  Acute HIV infection. Retrieved from https://www.cdc.gov/hiv/pdf/prep_gl_patient_factsheet_acute_hiv_infection_english.pdf

You have just been introduced to your new patient, Mr. Smith, who is seeing you for alcohol and heroin use disorders. Answer the following:

Name the ways in which Mr. Smith’s substance use puts him at risk for adverse physical consequences.

What are some risk reduction practices you could counsel him on?

How can a substance use professional’s knowledge about risk and risk reduction affect his or her relationship with patients?