Redução de danos e saúde pública – abordagem multidisciplinar entre saúde e segurança pública no manejo do consumo de drogas

Abstract

This study analyzes Harm Reduction policy as a public health strategy and its interface with Public Security actions within the context of drug policies in Brazil. Starting from a critique of the historically adopted prohibitionist and repressive model, Law No. 11.343/2006 is examined, with emphasis on its ambiguities in distinguishing between drug users and drug traffickers and on the impacts of this lack of definition on penal selectivity and the incarceration of vulnerable populations. The study addresses the theoretical and normative foundations of Harm Reduction, situating it within the scope of the Unified Health System and the Psychosocial Care Network, as well as the challenges of intersectoral coordination among health, social assistance, and public security. Through a qualitative literature review, the study analyzes the tension between the repressive logic and the logic of care, as well as national experiences that demonstrate the feasibility of multidisciplinary intervention models. It concludes that the integration of public policies is a central element for the effectiveness of State actions, and that interinstitutional cooperation is an indispensable condition for promoting citizen security, collective health, and the protection of fundamental rights.