密歇根州注射器服务项目经营者的观点与他们与物质使用治疗的关系:一种定性研究
Molly C Reid1, Samantha J Harris2, Suzanne M Grieb3,4
1Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, 21205, USA. mreid35@jh.edu.
药物使用治疗 (SUT) 和降低伤害服务面临合作挑战. SUT提供者往往缺乏意识,并污名化毒品使用,阻碍了整合和客户恢复.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社会工作 社会工作 社会工作
背景情况:
- 尽管客户需求重叠,但物质使用治疗 (SUT) 和危害减少服务往往是孤立的.
- SUT和降低伤害提供商之间的合作至关重要,但未被充分探索.
- 本研究从注射器服务计划 (SSP) 的角度检查了SUT提供商对扩展危害减少计划的反应.
研究的目的:
- 探索物质使用治疗提供者如何应对减少伤害服务的扩大.
- 确定SUT提供商和注射器服务计划 (SSP) 之间的协作障碍和促进者.
- 了解这些互动对寻求服务的个人的影响.
主要方法:
- 与密歇根州的19名注射器服务计划 (SSP) 运营商进行了深入的半结构化采访.
- 采访发生在2021年10月至11月期间.
- 数据被分析使用主题常数比较,由接地理论告知.
主要成果:
- SSP运营商报告了SUT提供商的各种反应,包括由于缺乏意识和耻辱感而不愿接受减少危害的供应.
- 在将客户连接到基于证据的SUT提供商方面发现了困难.
- 有效的合作需要逐步建立关系,并对减少伤害在恢复中的作用进行教育.
结论:
- 在SUT和减少危害提供者之间存在的紧张关系可能会阻碍吸毒者康复.
- 对互补角色的相互理解对于促进吸毒者的健康至关重要.
- 整合SUT和减少危害服务可以改善健康结果.
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