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Purpose of Review <p>Alcohol harm reduction entails pragmatic, compassionate strategies to reduce alcohol-related harm and improve quality of life, without requiring abstinence. Since the landmark reviews from Marlatt and Witkiewitz in 2002 and 2006, harm-reduction approaches for alcohol have expanded considerably. This narrative review synthesizes more recent evidence across policy-, population-, community-, and individual-level interventions.</p> Recent Findings <p>Policy interventions, including taxation, minimum unit pricing, and outlet density restrictions, consistently reduce alcohol consumption and associated harm. Population-level campaigns improve knowledge and attitudes; however, effects on drinking behaviors are mixed. At the community and individual levels, Housing First programs and harm-reduction treatment for alcohol have garnered empirical support. Managed alcohol programs and meaningful activity interventions show promise in nonrandomized studies.</p> Summary <p>Building on grassroots, user-led efforts in the larger harm-reduction movement, the alcohol harm-reduction field has a growing empirical foundation. Future research should engage communities, expand RCTs, refine outcome measures, and explore technology-driven solutions to expanding the reach of harm reduction.</p>

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Harm-reduction Approaches for Alcohol Use: An Update to the Landmark Marlatt & Witkiewitz (2002) and Witkiewitz & Marlatt (2006) Narrative Reviews

  • 期刊论文

  • 发表日期：

    2026年5月8日

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  • Susan E. Collins,
  • Seema L. Clifasefi

摘要

Purpose of Review

Alcohol harm reduction entails pragmatic, compassionate strategies to reduce alcohol-related harm and improve quality of life, without requiring abstinence. Since the landmark reviews from Marlatt and Witkiewitz in 2002 and 2006, harm-reduction approaches for alcohol have expanded considerably. This narrative review synthesizes more recent evidence across policy-, population-, community-, and individual-level interventions.

Recent Findings

Policy interventions, including taxation, minimum unit pricing, and outlet density restrictions, consistently reduce alcohol consumption and associated harm. Population-level campaigns improve knowledge and attitudes; however, effects on drinking behaviors are mixed. At the community and individual levels, Housing First programs and harm-reduction treatment for alcohol have garnered empirical support. Managed alcohol programs and meaningful activity interventions show promise in nonrandomized studies.

Summary

Building on grassroots, user-led efforts in the larger harm-reduction movement, the alcohol harm-reduction field has a growing empirical foundation. Future research should engage communities, expand RCTs, refine outcome measures, and explore technology-driven solutions to expanding the reach of harm reduction.