Stevens, Alex, Keemink, Jolie R., Shirley-Beavan, Sam, Khadjesari, Zarnie, Artenie, Adelina, Vickerman, Peter, Southwell, Mat, Shorter, Gillian W. (2024) Overdose prevention centres as spaces of safety, trust and inclusion: a causal pathway based on a realist review. Drug and Alcohol Review, . ISSN 1465-3362. (doi:10.1111/dar.13908) (KAR id:106473)
PDF
Publisher pdf
Language: English
This work is licensed under a Creative Commons Attribution 4.0 International License.
|
|
Download this file (PDF/2MB) |
Preview |
Request a format suitable for use with assistive technology e.g. a screenreader | |
PDF
Author's Accepted Manuscript
Language: English Restricted to Repository staff only
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
|
|
Contact us about this Publication
|
|
Official URL: https://doi.org/10.1111/dar.13908 |
Abstract
Background: Overdose prevention centres (OPCs) are non-residential spaces where people can use illicit drugs (that they have obtained elsewhere) in the presence of staff who can intervene to prevent and manage any overdoses that occur. Many reviews of OPCs exist, but they do not explain how OPCs work.
Methods: We carried out a realist review, using the RAMESES reporting standards. We systematically searched for and then thematically analysed 391 documents that provide information on the contexts, mechanisms, and outcomes of OPCs.
Findings: Our retroductive analysis identified a causal pathway that highlights the feeling of safety – and the immediate outcome of not dying - as conditions of possibility for the people who use OPCs to build trust and experience social inclusion. The combination of safety, trust, and social inclusion that is triggered by OPCs can – depending on the contexts in which they operate - generate other positive outcomes, which may include less risky drug use practices, reductions in blood borne viruses and injection-related infections and wounds, and access to housing. These outcomes are contingent on relevant contexts, including political and legal environments, and differ for women and people from racialised minorities.
Interpretation: OPCs can enable people who live with structural violence and vulnerability to develop feelings of safety and trust that help them stay alive and to build longer term trajectories of social inclusion, with potential to improve other aspects of their health and living conditions.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1111/dar.13908 |
Projects: | OPCPrep |
Uncontrolled keywords: | overdose prevention centres, drug consumption rooms, realist review, harm reduction |
Subjects: |
R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research |
Funders: | National Institute for Health Research (https://ror.org/0187kwz08) |
Depositing User: | Alex Stevens |
Date Deposited: | 02 Jul 2024 12:20 UTC |
Last Modified: | 06 Aug 2024 09:34 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/106473 (The current URI for this page, for reference purposes) |
- Link to SensusAccess
- Export to:
- RefWorks
- EPrints3 XML
- BibTeX
- CSV
- Depositors only (login required):