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The theme of this approach, from the treatment perspective, is to "meet clients where they are " and help them protect themselves from harm. According to Denning , "The primary principle is to accept the fact that people do engage in high-risk behaviors and to commit to helping those people reduce the harm associated with their behavior" p. The harm reduction approach is relevant for gay and lesbian youth, who are the same as all young people when it comes to many of the risks related to early and secretive sexual activity, accompanied, as it so often is, by alcohol and other drug use. Here, however, problems are compounded by the absence of social support, adult role models, and relevant sex education within a heterosexist school environment.

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