Zoned Out: "NIMBYism", addiction services and municipal governance in British Columbia.
Zoned Out: "NIMBYism", addiction services and municipal governance in British Columbia.
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DOI：
10.1016/j.drugpo.2013.04.001
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发表时间：
2013-11-01
期刊：
影响因子：
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通讯作者：
Bennett, Darcie
中科院分区：
文献类型：
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作者：
Bernstein, Scott E;Bennett, Darcie
在加拿大，省政府对医疗保健的提供有管辖权，包括减少伤害服务和美沙酮维持治疗。虽然政策指令和资金来自省会，但个人获得这些服务的机会是在全省各地的社区和城市。在某些情况下，针对成瘾者的公共卫生目标和公平获得医疗保健的权利与居民、商业协会和其他利益集团对其社区或城市的愿景不一致。本文着眼于四个不列颠哥伦比亚省市，使命，萨里，高贵林和Abbotsford，地方政府使用分区规定，以限制获得减少伤害的服务和药物替代疗法，包括MMT的情况。本文将这些案例研究的背景下，在分区和附例规定有关的危害减少和MMT整个不列颠哥伦比亚省的调查，并检查市政行动和公众话语之间的相互作用，影响人们获得医疗保健成瘾。最后，本文将探讨可能的法律的影响，市政当局使用他们的分区和许可权，以限制获得医疗保健的人与成瘾，以及公众参与战略的医疗保健倡导者，有可能减少阻力的人生活在全省各地的社区与成瘾的医疗服务。
In Canada, Provincial Governments have jurisdiction over delivery of healthcare including harm reduction services and Methadone Maintenance Therapy (MMT). While policy directives and funding come from the provincial capital, individuals' access to these services happens in neighbourhoods and municipalities spread out across the province. In some cases, public health objectives targeted at people living with addictions and the rights to equitable access to healthcare are at odds with the vision that residents, business associations and other interest groups have for their neighbourhood or city. This paper looks at the cases of four British Columbia municipalities, Mission, Surrey, Coquitlam and Abbotsford, where local governments have used zoning provisions to restrict access to harm reduction services and drug substitution therapies including MMT. This paper will contextualize these case studies in a survey of zoning and bylaw provisions related to harm reduction and MMT across British Columbia, and examine the interplay between municipal actions and public discourses that affect access to healthcare for people living with addictions. Finally, this paper will explore possible legal implications for municipalities that use their zoning and permitting powers to restrict access to health care for people with addictions, as well as public engagement strategies for healthcare advocates that have the potential to reduce resistance to health services for people living with addictions in communities across the province.