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Record W4410221264 · doi:10.25071/2817-5344/94

From Harm Reduction to Forced Treatment

2025· article· en· W4410221264 on OpenAlexaffabout
Aressana Challand

Bibliographic record

VenueCanadian Journal for the Academic Mind · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealth and Conflict Studies
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsReduction (mathematics)Harm reductionHarmPolitical scienceMedicineLawMathematicsVirology

Abstract

fetched live from OpenAlex

Canada’s implementation of Supervised Consumption Sites remains controversial, despite a growing opioid overdose mortality crisis. In 2019, the Alberta United Conservative Government published in affiliation with Alberta Health, ‘Impact: A Socio-Economic Review of Supervised Consumption Sites in Alberta’. Following publication, the review became an important referent document used by governments to prevent supervised consumption sites from operating; as Alberta’s overdose deaths increased, the provincial government froze supervised consumption site funding, shutting down North America’s busiest sites. These events indicate the need to analyze how supervised consumption sites and harm reduction is now communicated by the Alberta Government, with Alberta Health. This cross-sectional case study asks: what discourse is produced in Alberta Health’s ‘Socio-Economic Review of Supervised Consumption Sites in Alberta?’ The methodology is informed by Van Dijk’s Critical Discourse Analysis and Michel Foucault’s concepts of knowledge and power. The two major themes identified, site inefficiency and risk to society, evidence a neoliberal governmental discourse on health services. Findings indicate that neoliberalism silences the voices of site users and social issues to emphasize the negative community impact of supervised consumption sites. Consequently, the review’s neoliberal governmental discourse repositions the fundamental problem underlying drug addiction away from the silenced, systemic, socio-economic marginality site users face to the salient, socio-economic challenges that harm reduction sites impart on the community. This discourse erodes health and social services like harm reduction to rationalize the Alberta Government's newest addiction treatment proposal, the forced treatment model, increasing disciplinary measures against society’s most vulnerable.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.410
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0030.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.154
GPT teacher head0.489
Teacher spread0.335 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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