Pub Date : 2023-01-18DOI: 10.1177/00914509221145196
S. Rolando, Giulia Arrighetti, Elisa Fornero, Ombretta Farucci, Franca Beccaria
To date, studies of peer-led online harm reduction communities have focused on web forums, arguing that online spaces are strategic settings for both obtaining up to date information on substances and patterns of drug use and implementing new forms of outreach on the web. The present study analyzes the content and dynamics of a spontaneous users’ group on Telegram, where a team of peer workers was invited to intervene. The study’s aim was to learn more about people who use drugs’ communities on chat apps and provide insights to professionals wishing to implement harm reduction interventions in this type of environment. After obtaining the chat administrator’s permission, all content posted on the chat from March 1 to May 31, 2020, was analyzed adopting an abductive approach. It was found that peer-led communities based on a chat app are not very different from earlier web forum communities. The findings also show that the chat’s activity does not run counter to the public health perspective on drug use, provided that harm reduction is recognized and accepted as an important and effective strategy, and that people who use drugs are quite open to dialog and discussion with professionals who adopt the non-judgmental peer-to-peer approach typical of outreach interventions. Such an approach can be successful in gaining the attention and trust of people who use drugs, thereby boosting their spontaneous harm reduction attitudes.
{"title":"Telegram as a Space for Peer-Led Harm Reduction Communities and Netreach Interventions","authors":"S. Rolando, Giulia Arrighetti, Elisa Fornero, Ombretta Farucci, Franca Beccaria","doi":"10.1177/00914509221145196","DOIUrl":"https://doi.org/10.1177/00914509221145196","url":null,"abstract":"To date, studies of peer-led online harm reduction communities have focused on web forums, arguing that online spaces are strategic settings for both obtaining up to date information on substances and patterns of drug use and implementing new forms of outreach on the web. The present study analyzes the content and dynamics of a spontaneous users’ group on Telegram, where a team of peer workers was invited to intervene. The study’s aim was to learn more about people who use drugs’ communities on chat apps and provide insights to professionals wishing to implement harm reduction interventions in this type of environment. After obtaining the chat administrator’s permission, all content posted on the chat from March 1 to May 31, 2020, was analyzed adopting an abductive approach. It was found that peer-led communities based on a chat app are not very different from earlier web forum communities. The findings also show that the chat’s activity does not run counter to the public health perspective on drug use, provided that harm reduction is recognized and accepted as an important and effective strategy, and that people who use drugs are quite open to dialog and discussion with professionals who adopt the non-judgmental peer-to-peer approach typical of outreach interventions. Such an approach can be successful in gaining the attention and trust of people who use drugs, thereby boosting their spontaneous harm reduction attitudes.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"190 - 201"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43000107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-05DOI: 10.1177/00914509221147739
J. Owczarzak, S. Phillips, A. Allen, Polina Alpatova, T. Zub, Alyona Mazhnaya, Olga Filippova
This article analyzes interviews with women who use drugs in Ukraine to understand the care conundrum they face as members of a stigmatized group. In the interviews, the women sought to position themselves as deserving and needing care as members of a vulnerable category—sometimes as women who use drugs or people living with HIV, but also as mothers—yet also themselves capable of providing care for others. We examine how women who use drugs in Ukraine navigate a moral economy of care involving judgments about deservedness and social worth, the obligatory nature of care, and expectations for reciprocity. For programs for women who use drugs to be successful, they must acknowledge and engage with the moral economies of care in which these women operate. We offer recommendations for how health and social service providers can better meet the unique needs of women who use drugs.
{"title":"Moral Economies of Care and Women Who Use Drugs in Ukraine","authors":"J. Owczarzak, S. Phillips, A. Allen, Polina Alpatova, T. Zub, Alyona Mazhnaya, Olga Filippova","doi":"10.1177/00914509221147739","DOIUrl":"https://doi.org/10.1177/00914509221147739","url":null,"abstract":"This article analyzes interviews with women who use drugs in Ukraine to understand the care conundrum they face as members of a stigmatized group. In the interviews, the women sought to position themselves as deserving and needing care as members of a vulnerable category—sometimes as women who use drugs or people living with HIV, but also as mothers—yet also themselves capable of providing care for others. We examine how women who use drugs in Ukraine navigate a moral economy of care involving judgments about deservedness and social worth, the obligatory nature of care, and expectations for reciprocity. For programs for women who use drugs to be successful, they must acknowledge and engage with the moral economies of care in which these women operate. We offer recommendations for how health and social service providers can better meet the unique needs of women who use drugs.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"155 - 175"},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47436362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-03DOI: 10.1177/00914509221146794
Marie Højlund Bræmer, T. F. Søgaard
Social supply plays a key role in bottom level cannabis markets. In outlining how social supply of cannabis differs from commercial market exchange, existing studies have argued that social supply is typically driven by two cultural logics: reciprocal gift-giving and sharing. Importantly, researchers have depicted sharing as a sub-version of a more generalized pattern of reciprocation and/or described sharing as a type of transfer that is motivated by altruism on the part of the giver. However, in this article, we argue that if we are to develop a more nuanced understanding of the sharing aspects of social supply, we need a more refined understanding of sharing. Based on interviews with 38 young cannabis users from Denmark, this article draws on recent anthropological theories of sharing and the concept of “demand sharing” in demonstrating how social cannabis supply is driven both by reciprocal logics, but also by hitherto overlooked sharing logics that cannot easily be captured by the categories reciprocity or altruism. More specifically, we analyze the important role played by receivers in facilitating sharing processes. We outline how diverse “receiver demands” are often the precondition for creating the social pressure that leads those who have, to allow others to take. In this way, this article contributes to a more detailed understanding of the complex transfer processes fueling social supply of illicit drugs.
{"title":"“Do You Need Someone to Share With?”: Exchange and Demand Sharing in Social Cannabis Supply","authors":"Marie Højlund Bræmer, T. F. Søgaard","doi":"10.1177/00914509221146794","DOIUrl":"https://doi.org/10.1177/00914509221146794","url":null,"abstract":"Social supply plays a key role in bottom level cannabis markets. In outlining how social supply of cannabis differs from commercial market exchange, existing studies have argued that social supply is typically driven by two cultural logics: reciprocal gift-giving and sharing. Importantly, researchers have depicted sharing as a sub-version of a more generalized pattern of reciprocation and/or described sharing as a type of transfer that is motivated by altruism on the part of the giver. However, in this article, we argue that if we are to develop a more nuanced understanding of the sharing aspects of social supply, we need a more refined understanding of sharing. Based on interviews with 38 young cannabis users from Denmark, this article draws on recent anthropological theories of sharing and the concept of “demand sharing” in demonstrating how social cannabis supply is driven both by reciprocal logics, but also by hitherto overlooked sharing logics that cannot easily be captured by the categories reciprocity or altruism. More specifically, we analyze the important role played by receivers in facilitating sharing processes. We outline how diverse “receiver demands” are often the precondition for creating the social pressure that leads those who have, to allow others to take. In this way, this article contributes to a more detailed understanding of the complex transfer processes fueling social supply of illicit drugs.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"46 - 62"},"PeriodicalIF":0.0,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42184167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-25DOI: 10.1177/00914509221147047
M. Cook, G. Caluzzi, A. Pennay
Traditional news media can both reflect and shape public perceptions, including expectations relating to alcohol and parenting. This paper examines representations of parents in Australian news media reporting on youth drinking to understand how parental standards related to alcohol are constructed and articulated. 150 news articles were sampled from a larger study of youth drinking, in which we identified four representations of parents—parents as to blame, good parents, parents as lost and parents as victims. These four representations of parents reflect dominant neoliberal ways of governing, which promote parental education, best practice standards and responsibility as solutions to concerns around youth drinking. We examine the way politicians, research findings and legal directives (most commonly secondary supply laws) were deployed to attribute parental responsibility and standards of care. While parents as “to blame” or as irresponsible was concretely established in the articles, good parents were far more elusive and strategically individualized in ways that abdicated responsibility from the state, industry and structural burdens. As such, while media representations were able to define and moralize bad parents and parenting practices when it came to youth drinking, what it meant to be a “good parent” was often an ambiguous ideal. We suggest these media representations contribute to intensive parenting standards by providing another platform in which parental behaviors can be publicly scrutinized and moralized.
{"title":"“Sober Message to Parents”: Representations of Parents in Australian News Media on Youth Drinking","authors":"M. Cook, G. Caluzzi, A. Pennay","doi":"10.1177/00914509221147047","DOIUrl":"https://doi.org/10.1177/00914509221147047","url":null,"abstract":"Traditional news media can both reflect and shape public perceptions, including expectations relating to alcohol and parenting. This paper examines representations of parents in Australian news media reporting on youth drinking to understand how parental standards related to alcohol are constructed and articulated. 150 news articles were sampled from a larger study of youth drinking, in which we identified four representations of parents—parents as to blame, good parents, parents as lost and parents as victims. These four representations of parents reflect dominant neoliberal ways of governing, which promote parental education, best practice standards and responsibility as solutions to concerns around youth drinking. We examine the way politicians, research findings and legal directives (most commonly secondary supply laws) were deployed to attribute parental responsibility and standards of care. While parents as “to blame” or as irresponsible was concretely established in the articles, good parents were far more elusive and strategically individualized in ways that abdicated responsibility from the state, industry and structural burdens. As such, while media representations were able to define and moralize bad parents and parenting practices when it came to youth drinking, what it meant to be a “good parent” was often an ambiguous ideal. We suggest these media representations contribute to intensive parenting standards by providing another platform in which parental behaviors can be publicly scrutinized and moralized.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"254 - 268"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43307684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1177/00914509221100925
S. Aguiar, Clara Musto
Background: Uruguay was the first country in the world to explicitly authorize the personal cultivation of cannabis in 2013 within a comprehensive market regulation model. This policy development provides a unique opportunity to gauge the first impact of cannabis regulation on domestic cannabis growing and to have a more accurate picture of the characteristics of cannabis growers, a topic largely neglected by previous research in the country. Method: The Survey on Regulated Cannabis in Uruguay was conducted between October and December of 2017 to a random sample of the population between 15 and 65 years of age (n = 2,181). Using face-to-face interviews, the survey asked about the use of cannabis (forms, amounts, access, motivations, etc.) and other drugs, included a sociodemographic module, and a specific section on domestic cultivation (n = 213). The questions were formulated to ensure comparability with previous international surveys (ICCQ-GCCRC) conducted in 13 industrialized countries. Results: After regulation, the type of product consumed in Uruguay changed completely, with a significant increase in the preference for domestically grown cannabis. Most growers are experienced and frequent cannabis users. In the comparison with other countries, important similarities appear, as the quantity produced or the ages of growers, as well as relevant differences. While there is a predominance of men, a higher number of women got involved in growing after the law was adopted. Most cannabis is produced outdoors and with low costs per harvest. Conclusions: In a context of scarcity of legally sold cannabis, both registered and unregistered cannabis personal growing increased in Uruguay, though mostly through “experimental” attempts and motivations.
{"title":"The Regulation Backyard: Home Growing Cannabis in Uruguay","authors":"S. Aguiar, Clara Musto","doi":"10.1177/00914509221100925","DOIUrl":"https://doi.org/10.1177/00914509221100925","url":null,"abstract":"Background: Uruguay was the first country in the world to explicitly authorize the personal cultivation of cannabis in 2013 within a comprehensive market regulation model. This policy development provides a unique opportunity to gauge the first impact of cannabis regulation on domestic cannabis growing and to have a more accurate picture of the characteristics of cannabis growers, a topic largely neglected by previous research in the country. Method: The Survey on Regulated Cannabis in Uruguay was conducted between October and December of 2017 to a random sample of the population between 15 and 65 years of age (n = 2,181). Using face-to-face interviews, the survey asked about the use of cannabis (forms, amounts, access, motivations, etc.) and other drugs, included a sociodemographic module, and a specific section on domestic cultivation (n = 213). The questions were formulated to ensure comparability with previous international surveys (ICCQ-GCCRC) conducted in 13 industrialized countries. Results: After regulation, the type of product consumed in Uruguay changed completely, with a significant increase in the preference for domestically grown cannabis. Most growers are experienced and frequent cannabis users. In the comparison with other countries, important similarities appear, as the quantity produced or the ages of growers, as well as relevant differences. While there is a predominance of men, a higher number of women got involved in growing after the law was adopted. Most cannabis is produced outdoors and with low costs per harvest. Conclusions: In a context of scarcity of legally sold cannabis, both registered and unregistered cannabis personal growing increased in Uruguay, though mostly through “experimental” attempts and motivations.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"49 1","pages":"478 - 490"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44763629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1177/00914509221101403
Y. Le Hénaff
Relying on the (classic interactionist) notion of “career,” this paper attempts to explore the alcohol trajectories of a sample of young adults in France. To reconstruct each career, we conducted 30 in-depth interviews with young adults from 19 to 25 years of age. Three distinct stages were identified. The first consists of trying the product; the second involves experimenting with the physical and sensory effects of drinking; the third sets the person on a course toward diversifying consumption patterns.
{"title":"From Initiation to Apprenticeship in Taste: A Career-Based Approach to Alcohol Consumption in France","authors":"Y. Le Hénaff","doi":"10.1177/00914509221101403","DOIUrl":"https://doi.org/10.1177/00914509221101403","url":null,"abstract":"Relying on the (classic interactionist) notion of “career,” this paper attempts to explore the alcohol trajectories of a sample of young adults in France. To reconstruct each career, we conducted 30 in-depth interviews with young adults from 19 to 25 years of age. Three distinct stages were identified. The first consists of trying the product; the second involves experimenting with the physical and sensory effects of drinking; the third sets the person on a course toward diversifying consumption patterns.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"49 1","pages":"419 - 433"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48710262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01Epub Date: 2022-09-08DOI: 10.1177/00914509221122704
Angus Bancroft, Tessa Parkes, Idil Galip, Catriona Matheson, Emma Crawshaw, Vicki Craik, Joshua Dumbrell, Joe Schofield
The impact of COVID-19 itself and societal responses to it have affected people who use drugs and the illicit drug economy. This paper is part of a project investigating the health impacts of COVID-19 related control measures on people who use drugs in Scotland. It examines their roles and decisions as economically situated actors. It does this within a moral economy perspective that places economic decisions and calculations within a context of the network of social obligations and moral decisions. The paper uses a mixed methods approach, reporting on a drug trend survey and in-depth interviews with people who use drugs. It finds they were affected by restrictions in the drug consumption context and changes in the supply context, both in terms of what was supplied and changes in the relationship between sellers and buyers. Face to face selling became more fraught. Participants in more economically precarious circumstances were faced with dilemmas about whether to move into drug selling. The double impact of loss of income and reduced access to support networks were particularly difficult for them. Despite the perception that the pandemic had increased the power of sellers in relation to their customers, many full-time sellers were reported to be keeping their prices stable in order to maintain their relationships with customers, instead extending credit or adulterating their products. The effect of spatial controls on movement during the pandemic also meant that the digital divide became more apparent. People with good access to digital markets and easy drug delivery through apps were in a better position to manage disruption to drug sales contexts. We make recommendations in relation to how policy can respond to the interests of people who use drugs in a pandemic.
{"title":"Negotiating an Illicit Economy in the Time of COVID-19: Selling and Buying Dilemmas in the Lives of People Who Use Drugs in Scotland.","authors":"Angus Bancroft, Tessa Parkes, Idil Galip, Catriona Matheson, Emma Crawshaw, Vicki Craik, Joshua Dumbrell, Joe Schofield","doi":"10.1177/00914509221122704","DOIUrl":"10.1177/00914509221122704","url":null,"abstract":"<p><p>The impact of COVID-19 itself and societal responses to it have affected people who use drugs and the illicit drug economy. This paper is part of a project investigating the health impacts of COVID-19 related control measures on people who use drugs in Scotland. It examines their roles and decisions as economically situated actors. It does this within a moral economy perspective that places economic decisions and calculations within a context of the network of social obligations and moral decisions. The paper uses a mixed methods approach, reporting on a drug trend survey and in-depth interviews with people who use drugs. It finds they were affected by restrictions in the drug consumption context and changes in the supply context, both in terms of what was supplied and changes in the relationship between sellers and buyers. Face to face selling became more fraught. Participants in more economically precarious circumstances were faced with dilemmas about whether to move into drug selling. The double impact of loss of income and reduced access to support networks were particularly difficult for them. Despite the perception that the pandemic had increased the power of sellers in relation to their customers, many full-time sellers were reported to be keeping their prices stable in order to maintain their relationships with customers, instead extending credit or adulterating their products. The effect of spatial controls on movement during the pandemic also meant that the digital divide became more apparent. People with good access to digital markets and easy drug delivery through apps were in a better position to manage disruption to drug sales contexts. We make recommendations in relation to how policy can respond to the interests of people who use drugs in a pandemic.</p>","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"49 4","pages":"369-384"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9179142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-29DOI: 10.1177/00914509221140959
K. Lancaster, Sandra Gendera, C. Treloar, T. Rhodes, Jeyran Shahbazi, M. Byrne, L. Degenhardt, M. Farrell
Aims: This study examined the social, material and temporal effects of extended-release buprenorphine depot treatment (BUP-XR), among a group of participants commencing BUP-XR in Australia, and considered the situated potentials of these new opioid agonist treatment technologies. Methods: Using a longitudinal qualitative design, 36 participants (25 men, 11 women; mean age 44 years) were interviewed, with 32 followed-up, to generate accounts of BUP-XR experiences. Analysis was informed by sociological approaches which attend to the multiple effects of novel health interventions as they are put to use and made to work, with a focus on tracing change over time. Analysis: The shift from daily to monthly dosing altered how opioid agonist treatment was experienced, reconfigured participants’ relationship to treatment, and affected the temporal patterns of participants’ lives. Extending temporal relations released participants from short-term cycles of living and produced different forms of subjectivity, bringing about both transformation and loss. Monthly dosing, and a sense of normalcy characterized by absenting the routines and felt effects of drugs or treatment medications, potentiated a feeling of stability for many participants. For some, disrupting daily routines precipitated disconnection from treatment and social care relations. The transition from daily to monthly dosing required adaptation and new ways of engaging with treatment and care, with medication acting as a bridge to care without necessarily being the focal point. Conclusions: As BUP-XR treatment gains traction internationally, it will be important to attend to the multiple, and sometimes unexpected, effects this intervention makes in the social and material lives of clients. How choice, social connection, and care can be maintained to help secure BUP-XR’s longer-term impact, and how clients can be supported to adjust to what is felt to be a new normal, will be considerations in future treatment delivery.
{"title":"The Social, Material, and Temporal Effects of Monthly Extended-Release Buprenorphine Depot Treatment for Opioid Dependence: An Australian Qualitative Study","authors":"K. Lancaster, Sandra Gendera, C. Treloar, T. Rhodes, Jeyran Shahbazi, M. Byrne, L. Degenhardt, M. Farrell","doi":"10.1177/00914509221140959","DOIUrl":"https://doi.org/10.1177/00914509221140959","url":null,"abstract":"Aims: This study examined the social, material and temporal effects of extended-release buprenorphine depot treatment (BUP-XR), among a group of participants commencing BUP-XR in Australia, and considered the situated potentials of these new opioid agonist treatment technologies. Methods: Using a longitudinal qualitative design, 36 participants (25 men, 11 women; mean age 44 years) were interviewed, with 32 followed-up, to generate accounts of BUP-XR experiences. Analysis was informed by sociological approaches which attend to the multiple effects of novel health interventions as they are put to use and made to work, with a focus on tracing change over time. Analysis: The shift from daily to monthly dosing altered how opioid agonist treatment was experienced, reconfigured participants’ relationship to treatment, and affected the temporal patterns of participants’ lives. Extending temporal relations released participants from short-term cycles of living and produced different forms of subjectivity, bringing about both transformation and loss. Monthly dosing, and a sense of normalcy characterized by absenting the routines and felt effects of drugs or treatment medications, potentiated a feeling of stability for many participants. For some, disrupting daily routines precipitated disconnection from treatment and social care relations. The transition from daily to monthly dosing required adaptation and new ways of engaging with treatment and care, with medication acting as a bridge to care without necessarily being the focal point. Conclusions: As BUP-XR treatment gains traction internationally, it will be important to attend to the multiple, and sometimes unexpected, effects this intervention makes in the social and material lives of clients. How choice, social connection, and care can be maintained to help secure BUP-XR’s longer-term impact, and how clients can be supported to adjust to what is felt to be a new normal, will be considerations in future treatment delivery.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"105 - 120"},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47930163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-18DOI: 10.1177/00914509221136913
K. Footer, Glenna J. Urquhart, B. Silberzahn, Saba Rouhani, N. Weicker, J. Owczarzak, J. Park, Miles Morris, S. Sherman
In this paper we explore people who use drugs (PWUD) perceptions and experiences of drug-related law enforcement in a major U.S. city. Maryland recently implemented several harm reduction policies/interventions aiming to improve PWUD-police relationships, such as the Good Samaritan Law (GSL), intended to avoid criminalizing police encounters with PWUD in cases of overdose. PWUD, though most impacted by these efforts, are seldom included in the decision making process. Data collection occurred in Baltimore City, a majority-Black city with a history of structural racism, where high overdose fatalities necessitate collaborative interventions, but where over-policing and abusive practices have generated widespread community mistrust of police. Between October 2018 and December 2019, we conducted in-depth interviews with 20 PWUD in Baltimore City to understand their perspectives of policing and its impact on harm reduction practices (specifically willingness to seek overdose assistance) in the context of the GSL. PWUD reported ongoing police mistrust, which impacted their harm reduction practices and experiences of laws such as the GSL. Results question whether police, as first responders to overdose, can ever avoid criminalizing the encounter. Findings intend to guide future public health-law enforcement collaboration efforts in the context of the current de-policing debate.
{"title":"PWUD Experiences of Criminal Justice Reform: Enduring Tensions Between Policing and Harm Reduction in Baltimore, MD","authors":"K. Footer, Glenna J. Urquhart, B. Silberzahn, Saba Rouhani, N. Weicker, J. Owczarzak, J. Park, Miles Morris, S. Sherman","doi":"10.1177/00914509221136913","DOIUrl":"https://doi.org/10.1177/00914509221136913","url":null,"abstract":"In this paper we explore people who use drugs (PWUD) perceptions and experiences of drug-related law enforcement in a major U.S. city. Maryland recently implemented several harm reduction policies/interventions aiming to improve PWUD-police relationships, such as the Good Samaritan Law (GSL), intended to avoid criminalizing police encounters with PWUD in cases of overdose. PWUD, though most impacted by these efforts, are seldom included in the decision making process. Data collection occurred in Baltimore City, a majority-Black city with a history of structural racism, where high overdose fatalities necessitate collaborative interventions, but where over-policing and abusive practices have generated widespread community mistrust of police. Between October 2018 and December 2019, we conducted in-depth interviews with 20 PWUD in Baltimore City to understand their perspectives of policing and its impact on harm reduction practices (specifically willingness to seek overdose assistance) in the context of the GSL. PWUD reported ongoing police mistrust, which impacted their harm reduction practices and experiences of laws such as the GSL. Results question whether police, as first responders to overdose, can ever avoid criminalizing the encounter. Findings intend to guide future public health-law enforcement collaboration efforts in the context of the current de-policing debate.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"11 16 1","pages":"176 - 189"},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64956611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-31DOI: 10.1177/00914509221134716
G. Dertadian, Kenneth Yates
Drug consumption room literature often presents overdose as a stable phenomenon, which can be responded to in the same way from one context to the next. The literature is dominated by a clinical paradigm that implies that consumption rooms are effective because they provide sterile spaces and medical supervision, yet this is not the only way in which such services are delivered, nor is it the only component of the care provided at centers with a clinical focus. A growing body of critically oriented social science literature has highlighted the way different socio-material relations of care produce different capacities for service delivery. In order to expand the field’s understanding of care beyond an avowed a-political approach to clinical supervision, we conducted qualitative interviews with staff at Sydney Medically Supervised Injecting Centre (MSIC) about how they respond to overdose. Drawing on feminist notions of the politics of care we argue that overdoses are ontologically multiple phenomena, which are enacted at MSIC in ways that are explicitly differentiated from how they are understood and responded to in more traditional clinical settings. This illustrates how a desirable clinical intervention (saving lives) is made possible at MSIC through a set of constitutive relations (and politics) of care that are aimed at more than simply ensuring the client’s heart keeps beating.
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