基于街道的同行外展工作者在实践中对减少危害的定性探索
Jill Owczarzak1, Emily Martin2, Noelle Weicker3
1Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway Ave, Room 739, Baltimore, MD, 21205, USA. jillowczarzak@jhu.edu.
Harm reduction journal
|August 29, 2024
概括
同行外展工作者认为减少危害是拯救生命和恢复的途径,即使非线性. 整合降低伤害和恢复模式最好服务于吸毒者和计划实施者.
科学领域:
- 公共卫生 公共卫生
- 健康和疾病的社会学
- 药物使用障碍 药物使用障碍
背景情况:
- 减少危害的原则被广泛使用,但缺乏普遍的实际定义.
- 减少危害的策略已经从针交换演变为包括治疗阿片类药物使用障碍的药物,监督消费,纳洛和药物检查.
- 减少危害和基于禁欲的恢复模式之间存在紧张关系,吸毒者之间有不同的观点.
研究的目的:
- 探索同行外展工作者如何定义和实践减少伤害.
- 了解前线提供者在减少伤害计划中的生活经验.
主要方法:
- 定性研究涉及采访15名同行外展工作者 (
主要成果:
- 同行外展工作者将减少伤害的概念化为"拯救生命"和支持使用毒品的人.
- 减少危害被视为"通向恢复的道路",承认其复杂和非线性性质.
- 一个共同的目标,即一个没有吸毒及其后果的生活,是这个框架的核心.
结论:
- 减少危害的计划应该整合减少危害和恢复原则.
- 这种综合方法可以更好地满足吸毒者的需求.
- 将程序与前线实施者的价值体系保持一致,对于有效的服务提供至关重要.
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