A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone.
A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone.
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DOI：
10.1186/s12954-021-00530-3
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发表时间：
2021-08-05
影响因子：
4.4
通讯作者：
Strike C
中科院分区：
文献类型：
--
作者：
Perri M;Kaminski N;Bonn M;Kolla G;Guta A;Bayoumi AM;Challacombe L;Gagnon M;Touesnard N;McDougall P;Strike C
检举是吸毒者（PWUD）的一种非正式做法，他们目睹其他人使用毒品，并在发生过量时作出反应。在COVID-19限制期间，远程发现（例如，使用电话、视频通话和/或社交媒体应用程序），以解决物理距离要求和减少获得减少伤害和/或性传播血液传播感染（STBBI）预防服务的机会。我们从观察者和被观察者的角度探讨了观察实施问题。研究助理与毒品使用的生活/生活的专业知识使用个人网络和口碑招募PWUD从安大略和新斯科舍省谁提供或使用非正式的检举。所有参与者都完成了一个半结构化的，录音电话采访有关检举服务的设计，好处，挑战和建议。记录被转录和专题分析。我们在2020年8月至2020年11月期间采访了20名参与非正式检举的个人。在各种平台（例如，电话、视频通话和通过短信）和地点（例如，家、汽车），提供连接和社区支持，并解决使用监督消费网站的障碍（例如，位置、耻辱、保密性、安全性、可用性、COVID-19相关关闭）。发现电话通常始于制定过量反应计划（即，什么时候打电话给谁（When and Who to Call）许多与会者指出，由于将吸毒定为刑事犯罪和害怕被捕，他们宁愿在发生吸毒过量的情况下给室友/朋友/家人打电话，而不是叫急救服务。检举人和被检举人都对过量反应的及时性表示关切，特别是在偏远和农村地区。发现是对现有减少危害服务的一种新的补充，但不能取代现有的减少危害服务。为了优化过量/COVID-19/STBBI的预防服务，额外的支持（例如，好撒玛利亚人法（Good Samaritan Laws）将吸毒定为刑事犯罪可能会限制对正规的验伤服务的利用。
Spotting is an informal practice among people who use drugs (PWUD) where they witness other people using drugs and respond if an overdose occurs. During COVID-19 restrictions, remote spotting (e.g., using a telephone, video call, and/or a social media app) emerged to address physical distancing requirements and reduced access to harm reduction and/or sexually transmitted blood borne infection (STBBI’s) prevention services. We explored spotting implementation issues from the perspectives of spotters and spottees. Research assistants with lived/living expertise of drug use used personal networks and word of mouth to recruit PWUD from Ontario and Nova Scotia who provided or used informal spotting. All participants completed a semi-structured, audio-recorded telephone interview about spotting service design, benefits, challenges, and recommendations. Recordings were transcribed and thematic analysis was used. We interviewed 20 individuals between 08/2020–11/2020 who were involved in informal spotting. Spotting was provided on various platforms (e.g., telephone, video calls, and through texts) and locations (e.g. home, car), offered connection and community support, and addressed barriers to the use of supervised consumption sites (e.g., location, stigma, confidentiality, safety, availability, COVID-19 related closures). Spotting calls often began with setting an overdose response plan (i.e., when and who to call). Many participants noted that, due to the criminalization of drug use and fear of arrest, they preferred that roommates/friends/family members be called instead of emergency services in case of an overdose. Both spotters and spottees raised concerns about the timeliness of overdose response, particularly in remote and rural settings. Spotting is a novel addition to, but not replacement for, existing harm reduction services. To optimize overdose/COVID-19/STBBI’s prevention services, additional supports (e.g., changes to Good Samaritan Laws) are needed. The criminalization of drug use may limit uptake of formal spotting services.
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影响因子：
5.4
作者：
McNeil, Ryan;Small, Will
通讯作者：
Small, Will
DOI：
10.1016/j.socscimed.2017.01.027
发表时间：
2017-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Damon W;Callon C;Wiebe L;Small W;Kerr T;McNeil R
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影响因子：
4.4
作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
4.4
作者：
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通讯作者：
Bergstein, Rachel S.