Before During After (BDA)

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.

BDA Article (2024): Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting.

Before During After (BDA) Poster. Contact Simon Kroes at Nexus for further information.

BDA A New Harm Reduction Tool - TheMHS Article 2017

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.

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.