Governing parental opioid use: a relational ethnography

管理父母阿片类药物的使用：关系民族志

• 批准号: ES/S015809/1
• 负责人: Anne Whittaker
• 金额: $ 226.89万
• 依托单位: University of Stirling
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FS015809%2F1
• 关键词: Governing; parental; opioid; use; relational

WHY DO WE NEED THIS STUDY?Children and families affected by parental drug use include some of the most disadvantaged families in society. For example, parents often have severe health and social problems, live in poverty, and their children frequently end up in the care system. Parents and families are often stigmatised and excluded from mainstream society and do not always receive the right kind of treatment and family support. These problems can be repeated from one generation to the next. Improving their lives is therefore a key goal for health and social care services as well as for government.Many countries (including the UK, Australia, USA and Canada) have established ways of working with families affected by parental drug use. However, there is wide variation in these policies and practices. There is little knowledge of how they operate in practice (within and across different agencies) and how they impact on children and families. There is a need to look at how the whole system works from a family perspective.Our study aims to do this by looking at how parental drug use is managed in practice by interviewing, observing and spending time with parents and families as well as health and social care service providers to understand more about how the system works.WHAT WILL THE STUDY INVOLVE?First, we will set up two groups called Learning Alliances: one in Scotland and one in England. A Learning Alliance is a group of people who have knowledge and experience in a particular topic, such as parental drug use. The Learning Alliances will include service users, policymakers and those in charge of managing public services for parents who use drugs and their families. The Learning Alliance will help the research team in all aspects of the project, including planning the research itself, commenting on our findings, and making suggestions about what can be done, in practice and policy, to respond to the findings.Second, we will employ researchers to spend time with 30 families who have a drug-using mother and/or father, and who agree to take part, 15 in Scotland and 15 in England. The researchers will find out what life is like for them day-to-day over a period of approx. 12-21 months. We will also, with permission, conduct interviews (approx. 90) with family members, children, friends, and other associates of the families to try to get a clearer understanding of their connections with agencies and their wider communities.Third, the researchers will also spend time in 12 services (approx. 3 months each) and interview staff (approx. 100) who provide care to parents who use drugs. Researchers will take notes about what they see and hear in the services about how drug-using parents are treated and dealt with. The services will include NHS, social work and third sector agencies in a range of different areas.Lastly, we will review and examine policies about the treatment and management of parents who use drugs to compare how polices differ in different agencies and countries (Scotland/England) and what effects the different policies have on how parents who use drugs and their families are managed and treated.WHO WILL BENEFIT?Our study findings will help a range of people and agencies in different ways.It will benefit parents who use drugs and their families in the future because it will help to show how practices and policies might better meet their needs. It will benefit society more widely as it will provide a better understanding of the everyday lives of parents and their families.It will also benefit professionals, services and policymakers by offering new understandings about how existing practices and policies may or may not be benefiting the people they seek to help.It will benefit the international community by showing how policies and practices could be improved for families and it could help academics develop new interventions to help parents who use drugs and their families.

我们为什么需要这项研究？受父母吸毒影响的儿童和家庭包括社会上一些处境最不利的家庭。例如，父母往往有严重的健康和社会问题，生活贫困，他们的子女往往最终进入照料系统。父母和家庭往往受到污名化，被主流社会排斥，并不总是得到正确的待遇和家庭支持。这些问题可以一代一代地重复下去。因此，改善他们的生活是卫生和社会保健服务以及政府的一个关键目标。许多国家（包括英国、澳大利亚、美国和加拿大）已经建立了与受父母吸毒影响的家庭合作的方法。然而，这些政策和做法存在很大差异。人们对它们在实践中如何运作（在不同机构内部和之间）以及它们如何影响儿童和家庭知之甚少。有必要从家庭的角度来审视整个系统是如何运作的。我们的研究旨在通过访谈、观察和与父母和家庭以及健康和社会护理服务提供者共度时光来了解父母吸毒在实践中是如何管理的，以更多地了解系统是如何运作的。研究将涉及什么？首先，我们将建立两个小组，称为学习联盟：一个在苏格兰，一个在英格兰。学习联盟是一群在特定主题（如父母吸毒）方面具有知识和经验的人。学习联盟将包括服务使用者、政策制定者和负责管理为吸毒父母及其家庭提供的公共服务的人。学习联盟将在项目的各个方面帮助研究小组，包括规划研究本身，评论我们的发现，并就在实践和政策上可以做些什么提出建议，以回应研究结果。第二，我们将聘请研究人员与30个同意参与的父母吸毒的家庭共度时光，苏格兰15个，英格兰15个。研究人员将在大约一段时间内了解他们的日常生活。12-21个月。我们还将在获得许可的情况下进行采访（约。90)与家庭成员、孩子、朋友和其他家庭成员一起，试图更清楚地了解他们与机构和更广泛的社区的联系。第三，研究人员还将花时间在12个服务机构（约10个）。3个月）和面试人员（约。100)为吸毒的父母提供照顾研究人员将记录他们在服务中看到和听到的关于吸毒父母如何被对待和处理的事情。这些服务将包括NHS，社会工作和第三部门机构在一系列不同的领域。最后，我们将审查和检查政策的治疗和管理的父母谁使用药物比较如何政策不同的机构和国家（苏格兰/英格兰）和不同的政策有什么影响对父母谁使用药物和他们的家庭是如何管理和治疗。谁将受益？我们的研究结果将以不同的方式帮助一系列的人和机构，它将使使用毒品的父母及其家庭在未来受益，因为它将有助于展示实践和政策如何更好地满足他们的需求。它将使社会更广泛地受益，因为它将使人们更好地了解父母及其家庭的日常生活，它也将使专业人士受益，它将使国际社会受益，说明如何改善政策和做法，使家庭受益，学术界开发新的干预措施，以帮助吸毒的父母及其家庭。