‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland
Abstract Background People who use drugs in Scotland are currently experiencing disproportionately high rates of drug-related deaths. Drug consumption rooms (DCRs) are harm reduction services that offer a safe, hygienic environment where pre-obtained drugs can be consumed under supervision. The aim...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Harm Reduction Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12954-022-00679-5 |
| _version_ | 1798004450309177344 |
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| author | Tessa Parkes Tracey Price Rebecca Foster Kirsten M. A. Trayner Harry R. Sumnall Wulf Livingston Andy Perkins Beth Cairns Josh Dumbrell James Nicholls |
| author_facet | Tessa Parkes Tracey Price Rebecca Foster Kirsten M. A. Trayner Harry R. Sumnall Wulf Livingston Andy Perkins Beth Cairns Josh Dumbrell James Nicholls |
| author_sort | Tessa Parkes |
| collection | DOAJ |
| description | Abstract Background People who use drugs in Scotland are currently experiencing disproportionately high rates of drug-related deaths. Drug consumption rooms (DCRs) are harm reduction services that offer a safe, hygienic environment where pre-obtained drugs can be consumed under supervision. The aim of this research was to explore family member perspectives on DCR implementation in Scotland in order to inform national policy. Methods Scotland-based family members of people who were currently or formerly using drugs were invited to take part in semi-structured interviews to share views on DCRs. An inclusive approach to ‘family’ was taken, and family members were recruited via local and national networks. A convenience sample of 13 family members were recruited and interviews conducted, audio-recorded, transcribed, and analysed thematically using the Structured Framework Technique. Results Family members demonstrated varying levels of understanding regarding the existence, role, and function of DCRs. While some expressed concern that DCRs would not prevent continued drug use, all participants were in favour of DCR implementation due to a belief that DCRs could reduce harm, including saving lives, and facilitate future recovery from drug use. Participants highlighted challenges faced by people who use drugs in accessing treatment/services that could meet their needs. They identified that accessible and welcoming DCRs led by trusting and non-judgemental staff could help to meet unmet needs, including signposting to other services. Family members viewed DCRs as safe environments and highlighted how the existence of DCRs could reduce the constant worry that they had of risk of harm to their loved ones. Finally, family members emphasised the challenge of stigma associated with drug use. They believed that introduction of DCRs would help to reduce stigma and provide a signal that people who use drugs deserve safety and care. Conclusions Reporting the experience and views of family members makes a novel and valuable contribution to ongoing public debates surrounding DCRs. Their views can be used to inform the implementation of DCRs in Scotland but also relate well to the development of wider responses to drug-related harm and reduction of stigma experienced by people who use drugs in Scotland and beyond. |
| first_indexed | 2024-04-11T12:23:57Z |
| format | Article |
| id | doaj.art-ab517cd7b1814db993500220fe47d8dd |
| institution | Directory Open Access Journal |
| issn | 1477-7517 |
| language | English |
| last_indexed | 2024-04-11T12:23:57Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Harm Reduction Journal |
| spelling | doaj.art-ab517cd7b1814db993500220fe47d8dd2022-12-22T04:24:01ZengBMCHarm Reduction Journal1477-75172022-08-0119111410.1186/s12954-022-00679-5‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in ScotlandTessa Parkes0Tracey Price1Rebecca Foster2Kirsten M. A. Trayner3Harry R. Sumnall4Wulf Livingston5Andy Perkins6Beth Cairns7Josh Dumbrell8James Nicholls9Salvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of StirlingSalvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of StirlingSalvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of StirlingSchool of Health and Life Sciences, Glasgow Caledonian UniversityLiverpool John Moores University, Public Health InstituteFaculty of Social Sciences, Glyndwr UniversityFigure 8 Consultancy LtdFigure 8 Consultancy LtdSalvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of StirlingFaculty of Health Sciences and Sport, University of StirlingAbstract Background People who use drugs in Scotland are currently experiencing disproportionately high rates of drug-related deaths. Drug consumption rooms (DCRs) are harm reduction services that offer a safe, hygienic environment where pre-obtained drugs can be consumed under supervision. The aim of this research was to explore family member perspectives on DCR implementation in Scotland in order to inform national policy. Methods Scotland-based family members of people who were currently or formerly using drugs were invited to take part in semi-structured interviews to share views on DCRs. An inclusive approach to ‘family’ was taken, and family members were recruited via local and national networks. A convenience sample of 13 family members were recruited and interviews conducted, audio-recorded, transcribed, and analysed thematically using the Structured Framework Technique. Results Family members demonstrated varying levels of understanding regarding the existence, role, and function of DCRs. While some expressed concern that DCRs would not prevent continued drug use, all participants were in favour of DCR implementation due to a belief that DCRs could reduce harm, including saving lives, and facilitate future recovery from drug use. Participants highlighted challenges faced by people who use drugs in accessing treatment/services that could meet their needs. They identified that accessible and welcoming DCRs led by trusting and non-judgemental staff could help to meet unmet needs, including signposting to other services. Family members viewed DCRs as safe environments and highlighted how the existence of DCRs could reduce the constant worry that they had of risk of harm to their loved ones. Finally, family members emphasised the challenge of stigma associated with drug use. They believed that introduction of DCRs would help to reduce stigma and provide a signal that people who use drugs deserve safety and care. Conclusions Reporting the experience and views of family members makes a novel and valuable contribution to ongoing public debates surrounding DCRs. Their views can be used to inform the implementation of DCRs in Scotland but also relate well to the development of wider responses to drug-related harm and reduction of stigma experienced by people who use drugs in Scotland and beyond.https://doi.org/10.1186/s12954-022-00679-5Drug consumption roomsSafer injection sitesSupervised injection facilitiesHarm reductionOverdose preventionLived experience |
| spellingShingle | Tessa Parkes Tracey Price Rebecca Foster Kirsten M. A. Trayner Harry R. Sumnall Wulf Livingston Andy Perkins Beth Cairns Josh Dumbrell James Nicholls ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland Harm Reduction Journal Drug consumption rooms Safer injection sites Supervised injection facilities Harm reduction Overdose prevention Lived experience |
| title | ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland |
| title_full | ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland |
| title_fullStr | ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland |
| title_full_unstemmed | ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland |
| title_short | ‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland |
| title_sort | why would we not want to keep everybody safe the views of family members of people who use drugs on the implementation of drug consumption rooms in scotland |
| topic | Drug consumption rooms Safer injection sites Supervised injection facilities Harm reduction Overdose prevention Lived experience |
| url | https://doi.org/10.1186/s12954-022-00679-5 |
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