Learn the Most Effective Approach to Substance Use Treatment

Professional training in Integrative Harm Reduction Psychotherapy from the model’s developer and leading international expert. Transform your practice. Transform your clients’ outcomes.

The Challenge Facing Substance Use Clinicians

Most addiction treatment models follow a familiar structure: admit powerlessness, adopt a fixed identity, commit to lifelong abstinence, and follow a prescribed path. For many clients, this works well. For others, engagement quickly breaks down.

Some clients struggle with the spiritual framing. Others resist rigid goals or feel labeled when expressing ambivalence. What is often interpreted as denial may instead reflect mismatch.

The clinical challenge is clear: not all clients relate to substances in the same way, and one pathway does not fit all. When treatment assumes uniformity or relies on shame and confrontation, it risks losing the very people who need care most.

What Happens When We Don't Have Better Tools

Consequence 1: Client Drop-Out
When clients do not connect with traditional models, many disengage from treatment entirely. The result is not resistance, but loss of care. As clinicians, we may watch clients walk away knowing the fit, not the need, was the problem.

Consequence 2: Clinician Frustration
Clinicians can feel caught between rigid training frameworks and the nuanced realities clients bring into the room. The desire to help remains strong, but the available tools may feel limited.

Consequence 3: Missed Opportunities for Change
Engagement is strongest when clients feel heard, respected, and met where they are. When treatment relies on predetermined goals or confrontation, resistance increases. Without flexible approaches, opportunities for meaningful and sustained change are often missed.

Integrative Harm Reduction Psychotherapy: A Comprehensive Clinical Approach

Learn from the clinician who developed the model.

Integrative Harm Reduction Psychotherapy is not simply a philosophy. It is a structured clinical approach grounded in a coherent theoretical framework, with specific therapeutic techniques and intervention strategies.

Through IHRP training, clinicians learn to work effectively with clients across the full spectrum of goals, from safer use and moderation to abstinence. The training clarifies how this model differs from motivational interviewing while integrating relational depth and practical behavior change strategies.

Most importantly, it equips clinicians to engage and support clients who have not responded to traditional approaches.

Training and Supervision Available

IHRP Essentials Training

Format: 3-day intensive certificate program

What You’ll Learn: Complete introduction to IHRP theory and practice, how to assess clients and develop harm reduction treatment plans, specific therapeutic techniques for working across the spectrum of goals, integration of multiple modalities, case consultation and application to your practice.



Who It’s For: Therapists, counselors, social workers, psychologists, addiction counselors, any clinician working with substance use issues, certified peer specialists.



CEU Credits: Available



Next Training: Check upcoming events or join waitlist

Professional Consultation Groups

Format: Monthly virtual meetings for ongoing learning and case consultation



What You Get: Expert guidance on complex cases, peer support from other harm reduction practitioners, continued skill development, community of like-minded clinicians.



Who It’s For: Clinicians with some knowledge of harm reduction, not just those already trained in IHRP or with harm reduction experience seeking ongoing supervision and support.

Workshops and Keynote Presentations

Format: Customized presentations for conferences, agencies, organizations



Topics Available: Introduction to harm reduction and IHRP, working with ambivalent or treatment-resistant clients, alternatives to abstinence-only models, trauma-informed harm reduction, centering dignity, creating safety and alliance, managing countertransference, integrating IHRP into existing therapy practices, develop expertise and confidence addressing substance use issues.



Who It’s For: Conferences, treatment centers, agencies, professional organizations, training programs.

LGBTQ+ Individuals Needing Affirming Care

Format: One-on-one supervision and consultation



What You Get: Personalized guidance for integrating IHRP into your practice, case-specific supervision, support for licensure candidates, specialized mentorship in harm reduction approaches.



Who It’s For: Individual clinicians seeking intensive supervision, pre-licensed clinicians, practitioners developing harm reduction programs.

What Trainees Say?

Is IHRP Training Right for You?

People do not need to have all the answers. Curiosity and openness to expanding their clinical approach is enough.

Clinical Backgrounds
Licensed therapists, psychologists, addiction counselors, social workers, psychiatric professionals, and certified peer specialists.

Practice Settings
Private practice, agencies and treatment centers, hospitals and medical systems, college counseling centers, and community mental health settings.

Experience Levels
Experienced clinicians seeking to deepen their work, newer clinicians wanting comprehensive harm reduction training, and supervisors or program directors developing harm reduction programs.

Motivations
Clinicians who feel constrained by abstinence-only models, professionals seeking evidence-based alternatives, therapists working with ambivalent or resistant clients, and practitioners committed to autonomy, dignity, and collaborative care.

Transform Your Practice with IHRP Training

People who need harm reduction therapy are waiting in your office right now. Give yourself the tools to truly help them.

Integrative Harm Reduction Psychotherapy Meets Motivational Interviewing

A 3 day, 15-hour in-person clinical training

Participants will engage in a comprehensive overview of Integrative Harm Reduction Psychotherapy (IHRP), including its nine therapeutic tasks, and explore its relationship to Motivational Interviewing. Through lectures, role-plays, case examples, and discussion, participants will gain clinical grounding in IHRP, practical strategies for application, and a flexible framework for meeting clients wherever they are in their change process.

Featured Speaker

ANDREW TATARSKY, PH.D

Developer, Integrative Harm Reduction Psychotherapy, Psychoanalyst

DEE-DEE STOUT, MA

Member of MINT, Director, Dee-Dee Stout Consulting, Adjunct Professor, The Wright Institute and University of San Francisco

Training includes:

  • An interactive, experiential guide through the skills and strategies of Motivational Interviewing (MI) and Integrative Harm Reduction Psychotherapy (IHRP)
  • Learning activities and exercises designed to explore, re-think, and formulate counseling/conversational skills

  • Exercises that include real-time demonstrations by trainers, “real-plays” with participants, video clips, small group exercises, with lots of opportunities for participants to practice and receive supportive feedback

  • A focus on clarifying the personal, relational, and social meanings of problematic substance use

  • A skills-building, cognitive-behavioral focus on positive behavior change that integrates relational, psychodynamic, cognitive-behavioral, and mindfulness strategies within a harm reduction frame

Friday June 5 - Sunday June 7, 2026

New Center For Psychoanalysis
2014 Sawtelle Blvd, Los Angeles, CA

Registration Fee: $1,200

Hosted by Ellenhorn

ROSS ELLENHORN, PH.D

Founder and CEO, Ellenhorn

For over 20 years, Ellenhorn has delivered intensive, community-based psychiatric care for individuals navigating complex mental health and substance use challenges. At Ellenhorn, we believe effective care is built through collaboration, strengthened through empowerment, and sustained through the steady work of restoring dignity. We are not alone in the movement to rehumanize therapy, and we are honored to be presenting a training on care for individuals experiencing problematic habits that shares our ethos.

Monthly Consultation Group

This consultation group is designed for licensed therapists and mental health professionals who work with clients around substance use and behavioral change.