Drug Consumption Rooms and Public Health Policy: Perspectives of Scottish Strategic Decision-Makers

被引:5
|
作者
Nicholls, James [1 ]
Livingston, Wulf [2 ]
Perkins, Andy [3 ]
Cairns, Beth [3 ]
Foster, Rebecca [4 ]
Trayner, Kirsten M. A. [5 ]
Sumnall, Harry R. [6 ]
Price, Tracey [4 ]
Cairney, Paul [7 ]
Dumbrell, Josh [4 ]
Parkes, Tessa [4 ]
机构
[1] Univ Stirling, Fac Hlth Sci & Sport, Stirling FK9 4LA, Scotland
[2] Glyndwr Univ, Fac Social & Life Sci, Wrexham LL11 2AW, Wales
[3] Figure 8 Consultancy, Dundee DD4 0HU, Scotland
[4] Univ Stirling, Fac Social Sci, Stirling FK9 4LA, Scotland
[5] Glasgow Caledonian Univ, Sch Hlth & Life Sci, Glasgow G4 0BA, Lanark, Scotland
[6] Liverpool John Moores Univ, Fac Hlth, Liverpool L2 2QB, Merseyside, England
[7] Univ Stirling, Fac Arts & Humanities, Stirling FK9 4LA, Scotland
关键词
drug consumption rooms; safer injecting facilities; overdose prevention centres; drugs; policy; harm reduction; interventions; problem drug use; public health; Scotland; REPRESENTATIONS; ALCOHOL; UK;
D O I
10.3390/ijerph19116575
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
There is widespread support for the introduction of Drug Consumption Rooms (DCRs) in Scotland as part of a policy response to record levels of drug-related harm. However, existing legal barriers are made more complex by the division of relevant powers between the UK and Scottish Governments. This paper reports on a national, qualitative study of key decision-makers in both local and national roles across Scotland. It explores views on the political barriers and enablers to the adoption of Drug Consumption Rooms and the potential role of these facilities in the wider treatment system. It also considers approaches to evidence, especially the types of evidence that are considered valuable in supporting decision-making in this area. The study found that Scottish decision-makers are strongly supportive of DCR adoption; however, they remain unclear as to the legal and political mechanisms that would make this possible. They view DCRs as part of a complex treatment and support system rather than a uniquely transformative intervention. They see the case for introduction as sufficient, on the basis of need and available evidence, thus adopting a pragmatic and iterative approach to evidence, in contrast to an appeal to traditional evidence hierarchies more commonly adopted by the UK Government.
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页数:13
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