More than just ‘free heroin’: Caring whilst navigating constraint in the delivery of diamorphine assisted treatment

Original research
by
Poulter, Hannah Louise et al

Release Date

2023

Geography

UK

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

Health care providers navigated multiple layers of constraint during HAT implementation and delivery. We explore this in relation to three themes: 1) Negotiating risk and safety within treatment 2) More than a prescription: care beyond diamorphine 3) Internal and external delivery barriers and impact on treatment acceptability, identity and longevity.

Findings/Key points

Despite some operational complexities, health care providers viewed HAT as an effective method of engaging a high risk population with drug treatment services, with holistic benefits for clients over and above the treatment of opioid dependency.

Design/methods

Qualitative in-depth interviews with patients and health care providers (n =17) involved in the delivery of HAT

Keywords

Safer supply
Barriers and enablers
About prescribers
About PWUD