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Discussion Space 7E: Ethics, harm reduction, and children under 12: rethinking models of care for early substance use

Tracks
Track 5
Friday, October 9, 2026
2:00 PM - 3:30 PM
Discussion Space/Exhibition Room (Meridian)

Details

Children under the age of 16 who use substances remain largely absent from substance use research, policy discussions, and service responses. Most existing models of care are designed for adolescents and adults, leaving practitioners with limited guidance when early substance use occurs among younger children. Responses are often shaped by competing imperatives of child protection, risk management, punishment, prevention, and care, particularly in low- and middle-income country contexts where systems are fragmented. This discussion space will explore how harm reduction principles might be ethically interpreted when substance use occurs among children under 12. Participants will reflect on ethical dilemmas encountered in practice and consider how relational, child-centred approaches could inform more responsive models of care.


Speaker

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Ms Rebecca Coetzee
Lecturer
University Of Witwatersrand

Ethics, harm reduction, and children under 16: rethinking models of care for early substance use

Abstract (.pdf)

Biography

Rebecca Coetzee is a nurse educator and PhD candidate at the University of the Witwatersrand, South Africa. Her doctoral research explores ethical and harm-reduction-informed responses to early substance use among children under 12 in low- and middle-income contexts, contributing to relational and child-centred models of care.
Agenda Item Image
Ms Rebecca Coetzee
Lecturer
University Of Witwatersrand

Welcome and framing of the session

2:00 PM - 2:05 PM

Biography

Agenda Item Image
Ms Rebecca Coetzee
Lecturer
University Of Witwatersrand

Facilitated introduction to ethical tensions in early substance use responses

2:05 PM - 2:20 PM

Biography

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Miss Daniela Goeieman
Researcher
PSI

Facilitated introduction to ethical tensions in early substance use responses

2:05 PM - 2:20 PM

Biography

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Ms Rebecca Coetzee
Lecturer
University Of Witwatersrand

Interactive participant discussion in small and whole-group dialogue

2:20 PM - 2:50 PM

Biography

Agenda Item Image
Miss Daniela Goeieman
Researcher
PSI

Interactive participant discussion in small and whole-group dialogue

2:20 PM - 2:50 PM

Biography

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INHSU 2026

Synthesis of key insights and closing reflections

2:50 PM - 3:00 PM

Biography

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