Problematising ‘Recovery’ in Drug Policy within Great Britain: A Comparative Policy Analysis Between England, Wales and Scotland

Q3 Social Sciences Journal of Drug Policy Analysis Pub Date : 2020-06-01 DOI:10.1515/jdpa-2020-0001
Maike Klein, J. Dixon
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Abstract

Abstract Drug strategies in Great Britain emphasize the notion of recovery, with the concept being central in England, Wales and Scotland. There are however tensions, with recovery being defined differently across jurisdictions. In this study we address this dilemma by critically interrogating how the term recovery is represented, how these presentations are shaped and what effects are subsequently had. We applied an adapted version of Bacchi's What's the Problem Represented to Be? (WPR) policy analysis approach to the 2017 UK Drug Strategy, the 2008–2018 Welsh Drug Strategy and the 2008 Scottish Drug Strategy notions of service user responsibility; (b) recovery as ‘a problem of product quality’, shaped by the implicit notion of service provider responsibility and the disease model of addiction; (c) recovery as ‘a problem of service collaboration and teamwork’, underpinned by the bio-psycho-social model of addiction. We conclude that the problematisations found in GB’s current drug policies have the ability to shape the drug policy-making process which may limit mainstream knowledge of recovery, and thereby unintentionally contribute to a narrow understanding of how to effectively support the service user community in their recovery from problematic drug use.
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英国毒品政策中的“恢复”问题:英格兰、威尔士和苏格兰的比较政策分析
摘要英国的药物策略强调康复的概念,这一概念在英格兰、威尔士和苏格兰处于核心地位。然而,由于不同司法管辖区对复苏的定义不同,因此也存在紧张关系。在这项研究中,我们通过批判性地询问“恢复”一词是如何表述的,这些表述是如何形成的,以及随后会产生什么影响来解决这一困境。我们应用了巴奇的《表现的问题是什么?(WPR)2017年英国药品战略、2008-2018年威尔士药品战略和2008年苏格兰药品战略服务使用者责任概念的政策分析方法;(b) 康复是一个“产品质量问题”,由服务提供者责任的隐含概念和成瘾的疾病模型塑造;(c) 康复是一个“服务协作和团队合作的问题”,以成瘾的生物-心理-社会模型为基础。我们得出的结论是,英国现行药物政策中发现的问题有能力影响药物政策制定过程,这可能会限制康复的主流知识,从而无意中导致对如何有效支持服务使用者群体从有问题的药物使用中康复的狭隘理解。
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来源期刊
Journal of Drug Policy Analysis
Journal of Drug Policy Analysis Social Sciences-Health (social science)
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Frontmatter Don’t Let the COVID-19 Crisis Go to Waste: Breaking Through the Status Quo & Flattening the Opioid Epidemic Curve An Examination of Racial Disparities in Misdemeanor Marijuana Possession Arrests Following Reforms in Four U.S. Jurisdictions Did the 2018 Farm Bill’s Hemp Provisions Decriminalize Marijuana? Problematising ‘Recovery’ in Drug Policy within Great Britain: A Comparative Policy Analysis Between England, Wales and Scotland
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