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Service User Perspectives

Service User Perspectives. The New Abstentionists,Drug Treatment – The Great Debate Thursday 3 rd April 2008 The Scottish Parliament Katrina Dornan,Jason Wallace and Gordon Wilson. SDF User Involvement (UI). National UI Research

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Service User Perspectives

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  1. Service User Perspectives • The New Abstentionists,Drug Treatment – The Great Debate • Thursday 3rd April 2008 • The Scottish Parliament • Katrina Dornan,Jason Wallace and Gordon Wilson

  2. SDF User Involvement (UI) • National UI Research • Review of the role of methadone in the treatment of drug problems (2006) • Aftercare Research (2008) • Glasgow UI Research • Poverty Study (2006) • Hepatitis C Managed Care Network Patient Pathway Evaluation (2008)

  3. Abstinence is good? • Gain stability • Lead to improved relationships including improved ability to care for dependent children • Improve financial position • Move on to training,education and employment • Gain/regain self-respect

  4. Drug- Free treatment completion equals success? • “ You need to feel like it’s you making the choices rather than (feeling) it is being made for you? You do need to feel….part of the choices made throughout your life”

  5. Even methadone patients want to be abstinent? • “ You are kind of in the middle still and it is hard,it is like being the new boy at school…..” • “It is finding the wee niche you belong in now because you are not a user so you are not part of their group but you are not clean yet so you are not kind of part of their group…”

  6. 3% drug –free in Scotland,25% in England? • When does recovery end ? • Misleading figures

  7. Divert to residential rehabilitation? • Help with housing benefit and council tax arrears • Money/finance advice and information • Accessing volunteer work • Accessing education/training • Accessing furniture projects

  8. Maintenance is incompatible with a truly productive life? • Choice • Flexibility • Stigma • “Parked on Methadone”

  9. At least society benefits from reduced crime? • Communities blighted by drug use • Residents living in no-go areas • People committing crime to receive treatment

  10. Surely things are better now? • More needle exchanges • Naloxone Pilots • More services • UI groups • Wider choice of treatment options • DTTOs

  11. Can we change? • Stop stigmatising drug users • Individual needs • Person centred

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