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Before During After (BDA) You are here:HomeOur ServicesDepartments and ServicesNNexus What is the Before, During After (BDA) Tool? Many people use drugs (alcohol, cannabis, caffeine, heroin etc) for various reasons but may not be ready, willing or able to stop their use so planning ways to reduce harm from drug use is important. The Before During After Harm Reduction Treatment Planning Tool, or BDA, is a practical, structured approach to discussing harm reduction with consumers. The BDA assists staff and consumers to explore ways of reducing harm and improving quality of life. The BDA has been endorsed by the St Vincent’s Integrated Care Committee for use across the mental health department. Resources BDA Articles Kroes, S., McKim, H. & Petrakis, M. (2024, January) Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting (2024) Morrison, B., Kroes, S., Owens, C., Fairclough, F., Myers, K. and Petrakis, M. (2017). Before During After: A Harm Reduction Tool. 27th TheMHS Conference, 'Embracing Change: Through Innovation and Lived Experience' 29 August-1 September (2017), Sydney, Australia. Harm Reduction Webinar An empowering, person centred approach to Substance Use and Mental Health. This webinar explores the implementation of the BDA Harm Reduction tool in various services. View the Harm Reduction Webinar BDA Flyer Download the BDA flyer. BDA Enquiries Contact Simon Kroes at Nexus Integrated Care for further information or email nexus@svha.org.au BDA Animation This animation explores the lived experience of a person in recovery from mental health and substance issues who engaged in the BDA Harm Reduction Tool with their worker.