Aim: This paper reports on the treatment and care experiences for heroin dependency in a Northern Ireland Healthcare Trust.

Background: There is a dearth of multi-dimensional heroin dependency treatment perspectives in background qualitative peer-reviewed literature. This is surprising given the influence of 'consumer evaluation' in service development. Method: Focus groups were undertaken with separate purposive samples of ex//current heroin users ( n == 7), carers of ex//current heroin users ( n == 4) and professionals involved in heroin dependency service provision ( n == 4). Non-directive question schedules elicited collective phenomenological experiences. Focus groups were transcribed verbatim and content analyzed.

Findings: Study participants shared mainly dehumanizing experiences of treatment and care provision often characterized by non-communicative and judgemental health professional conduct. Unpredictable prescribing protocol and limited treatment resources have overshadowed any beneficial experiences of substitute prescribing in our pilot study. Findings also showed that participants requested treatment choice and holistic care provision. Conclusions: Incoherent drug treatment policy and communication breakdown between treatment stakeholders has influenced a cyclical blame culture in this study.