Harm reduction is an element that comes first.
Certainly we need treatment when it's needed. You need a child who is willing to do treatment, who is in a state of change where treatment will be fruitful. Of course, when things are in crisis, we need acute access to treatment and withdrawal management, and those types of things as well.
Harm reduction is an overall philosophy that starts even at the family kitchen table and works all the way through to the hospital environment. Harm reduction is the model that can apply at any stage—even early.