Marlatt himself wrote all three chapters in part 1, which provide an excellent overview of harm reduction. Included is a review of some of the innovative drug treatment programs in Australia, Canada, and parts of Europe. Particularly convincing is the Dutch model of harm reduction, exemplified by Amsterdam's Jellinekcentre. It offers a range of services from low-threshold programs involving a mobile "methadone bus" to high-threshold, abstinence-based inpatient programs. Needle exchange is commonplace in the pragmatic Dutch model, and the overarching treatment philosophy is one of meeting the client where he or she is and working from there. Let the client set the treatment goal whether it be abstinence or continued, but safer, use.