Salvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of Stirling, Stirling, FK9 4LA, UK.
Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, V8P 5C2, Canada.
Harm Reduct J. 2023 Jul 27;20(1):94. doi: 10.1186/s12954-023-00830-w.
Scotland currently has the highest rates of drug-related deaths in Europe, so drug checking services are being explored due to their potential role in reducing these deaths and related harms. Drug checking services allow individuals to submit presumed psychoactive drug samples for analysis, and then receive individualised feedback and counselling. This paper explores participants' views on the advantages and challenges of three hypothetical service models, to inform future service delivery in Scotland.
Semi-structured interviews were conducted with 43 people: 27 professional stakeholders, 11 people with experience of drug use, and five family members across three cities. Vignettes were used to provide short descriptions of three hypothetical service models during the interviews. Interviews were audio-recorded, transcribed and analysed using thematic analysis.
Participants identified advantages and challenges for each of the three potential service models. The third sector (not-for-profit) model was favoured overall by participants, and the NHS substance use treatment service was the least popular. Participants also noted that multiple drug checking sites within one city, along with outreach models would be advantageous, to meet the diverse needs of different groups of people who use drugs.
Drug checking services need to be tailored to local context and needs, with a range of service models being possible, in order to meet the needs of a heterogeneous group of people who use drugs. Addressing issues around stigma, accessibility, and concerns about the potential impact of accessing drug checking on access to and outcomes of drug treatment, are essential for successful service delivery.
苏格兰目前拥有欧洲最高的药物相关死亡率，因此正在探索药物检测服务，因为它们有可能减少这些死亡和相关伤害。药物检测服务允许个人提交疑似精神药物样本进行分析，然后接受个性化的反馈和咨询。本文探讨了参与者对三种假设服务模式的优势和挑战的看法，以为苏格兰未来的服务提供信息。
在三个城市对 43 人进行了半结构式访谈：27 名专业利益相关者、11 名有药物使用经验的人和 5 名家庭成员。在访谈中使用小插曲来提供三种假设服务模式的简短描述。访谈进行了录音、转录，并使用主题分析进行了分析。
参与者确定了三种潜在服务模式中的每一种的优势和挑战。第三方（非营利）模式总体上受到参与者的青睐，而国民保健制度（NHS）药物使用治疗服务则最不受欢迎。参与者还指出，一个城市内的多个药物检测点以及外展模式将是有利的，以满足不同群体的不同需求。
药物检测服务需要根据当地情况和需求进行定制，提供多种服务模式，以满足使用药物的异质人群的需求。解决污名化、可及性以及对获取药物检测可能对药物治疗的可及性和结果产生影响的担忧等问题，对于成功提供服务至关重要。
