Home > Users, carers and professionals experiences of treatment and care for heroin dependency: implications for practice. A preliminary study.

Braden, Marina and McGowan, Iain W and McLaughlin, Derek Francis and McKenna, Hugh and Keeney, Sinead and Quinn, Breige (2011) Users, carers and professionals experiences of treatment and care for heroin dependency: implications for practice. A preliminary study. Journal of Substance Use , 16 , (6) , pp. 452-463.

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.


Item Type:Article
Date:2011
Page Range:pp. 452-463
Publisher:Informa healthcare
Volume:16
Number:6
EndNote:View
Accession Number:HRB (Not in collection)
Related URLs:
Subjects:VA Geographic area > Europe > Northern Ireland
HJ Treatment method > Substance disorder treatment method
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
B Substances > Opioids (opiates) > Heroin
J Health care, prevention and rehabilitation > Treatment and maintenance > Provider / worker / staff attitude toward treatment
T Demographic characteristics > Intravenous / injecting drug user
J Health care, prevention and rehabilitation > Health care programme or facility > Substance disorder treatment unit
T Demographic characteristics > Substance user

Click here to request a copy of this literature (must be logged in)

Repository Staff Only: item control page