Header Logo
My Story Free Course Meth-Free Blueprint EBook The Aftermeth Podcast Blog
← Back to all posts

Contingency Management

May 01, 2025
Connect

The first time I heard the term "Harm Reduction" was from a straight male meth dealer.

I was later in my active use when my mom brought me to West Virginia to get my life together.

This guy needed someone who could 'hit a vein,' and I needed free drugs. So, our relationship was transactional and chaotic.

(You'll have to wait for my book to hear more about that shit show.)

The first time we used together, I saw him lay out a case holding fresh needles, cotton swabs, and alcohol wipes. 

I watched in confusion as he prepared a needle for me. 

"What is this?" I asked him.

He went on to show me packets of fresh sterile water, how to prepare the site for injection, and then he ran the meth mixture through cotton.

I was confused. Is this how the straights do it? 

After years of intravenous meth use with hordes of gay men, I had never once seen any safety precautions used. 

He even introduced me to the local needle exchange, something I had never heard of. 

Perhaps this is only my experience?

But, why did it take a straight man to show me how to safely inject? Why were none of the gay guys doing this? 

I don't have an answer for this. But, for me, this experience was one of many showing me the stark differences in meth use characteristics between men who have sex with men and straight-identifying men.

This also showed me that we must provide harm reduction education and services to our LGBTQIA+ community. And today you'll hear about one of those services.

I'm happy to use this podcast as a platform to advance the cause. 

Enjoy today's episode with Tyrone Clifford! 


Listen to the podcast HERE

Watch the podcast HERE


Understanding Harm Reduction

Harm reduction isn't a separate approach to recovery—it's an umbrella that encompasses all approaches. Whether you're practicing abstinence or managing your use, you're engaging in harm reduction.

"Abstinence is harm reduction. What better way to reduce the harm than to abstain completely." - Tyrone Clifford, Program Manager of PROP at San Francisco AIDS Foundation

Key principles of harm reduction include:

Subscribe to keep reading this post

Subscribe

Already have an account? Log in

Loading...
Artificial Intelligence and Chemsex Recovery
Recovery is a journey that doesn't follow a 9-to-5 schedule. Cravings hit at 2 AM, triggers surface during mundane moments, and sometimes we need support when our usual resources aren't available. This is where ChatGPT and other AI tools can serve as accessible, non-judgmental companions in your healing process. Like any tool in recovery, ChatGPT isn't a replacement for professional help, spon...
Understanding Shame and Chemsex Misuse
Hey y'all, The term "shame" gets thrown around so often within the addiction recovery space. Especially when it comes to Chemsex (men who have sex with men engaged in sexualized drug use). Shame is also the most misunderstood concept within the addiction recovery space.Ā  Today, we take a deep dive, so bookmark this email if you don't finish it all right now, or grab a cup of coffee and settle ...
Listener Letters with Dallas and Bobby
Thank YOU for sending in your questions. These inquiries will help many men around the world. Enjoy this episode and reply to this email if you have additional questions! Listen to the Episode HEREĀ  Watch the Episode HEREĀ  Sexual Recovery & Libido Question: "My sex drive is almost non-existent now. How long will it take to get my libido back? I was meth-free for two years, then relapsed and ...

Blog

© 2025 Coaching with Dr. Dallas Bragg | Website by LlanoMedia.com

Join The FREE Challenge

Enter your details below to join the challenge.