drug users and their sexual partners, people in drug houses, and individuals in city and county jails, state correctional facilities, domestic violence centers, and half-way houses (What is harm reduction?, 1999).
Probably the most relevant external factor is the political climate which has created an overcrowded prison system and has focused on spending as little money as possible on providing services, including health services, for residents. The focus of the County, and the largest community, is illustrated by a small blurb about an award won by the House of Corrections. Instead of an award for rehabilitating prisoners, it is an award for recycling the wastes of what represents a small village of people in terms of population. The blurb notes that the prisoners are paid $1.50 per day to sort recyclables which allows the House of Corrections to decrease waste disposal costs and further reduce costs by marketing the recyclables, saving another
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