1. HR is a public health alternative to the moral/criminal and
medical/pathological models of drug use, reliance, and habit.

2. HR endorses and embraces both abstinent and non-abstinent strategies and treatments in pursuit of positive change.

3. HR has arisen primarily as a “bottom-up” approach driven by consumer advocacy and authorship, rather than “top-down” policy driven by politicians and pundits.

4. HR promotes and provides low-threshold access to supportive services as an alternative to traditional high-threshold criteria.

5. HR is based on the tenets of compassionate pragmatism as opposed to those of moralistic idealism.

6. HR is a process, not an outcome, and therefore recognizes positive change, however gradual or incremental, from a client- centered point-of-view.