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一个相遇之地:卫生与社会护理工作者对吸毒者公共聚集空间的看法。

A place of encounter: Health and social care workers' perspectives on public gathering spaces for people using drugs.

作者信息

Bjønness Stig, Lie Amalie Jøntvedt, Grønnestad Trond

机构信息

Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway; SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.

Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.

出版信息

Nordisk Alkohol Nark. 2025 Apr;42(2):134-146. doi: 10.1177/14550725241280759. Epub 2024 Oct 7.

Abstract

The use of drugs is an escalating concern, with significant implications for the health and daily functionality for individuals. It has proven challenging to provide accessible health and social services. In the context of addressing substance use issues in urban areas, public gathering places for individuals who use drugs play a multifaceted role, serving as sites of belonging, support and potential illicit activity. This qualitative study explores the experiences of healthcare and social workers regarding a public gathering place, referred to as "the Bench", in a medium-sized Norwegian city. A qualitative research design consisting of semi-structured focus group interviews and individual interviews with 13 participants representing various support agencies. The analysis resulted in four thematic areas: (1) belonging and a gateway to support and services; (2) balancing user autonomy at the Bench and systems support; (3) the role of a centralised location; and (4) the preventive role of support workers at the Bench. While the Bench fosters a sense of community and provides access to vital services, concerns about illicit activities persist due to its visibility. Nevertheless, its central location facilitates outreach efforts and ensures easy access to support services. The study underscores the preventive role of healthcare and social workers in stabilising the environment and mitigating conflicts. Furthermore, it highlights the importance of central locations for public gathering places, emphasising the proximity to low-threshold services. The Bench represents a crucial venue for establishing relationships and providing assistance to individuals who use drugs, contributing to harm reduction efforts in the community.

摘要

药物使用问题日益令人担忧,对个人的健康和日常功能产生重大影响。事实证明,提供可及的健康和社会服务具有挑战性。在解决城市地区药物使用问题的背景下,吸毒者的公共聚集场所发挥着多方面作用,既是归属感、支持的场所,也可能是非法活动的场所。这项定性研究探讨了挪威一个中等规模城市中医疗保健和社会工作者对一个名为“长椅”的公共聚集场所的体验。研究采用定性研究设计,包括对代表不同支持机构的13名参与者进行半结构化焦点小组访谈和个人访谈。分析得出四个主题领域:(1)归属感以及获得支持和服务的途径;(2)在长椅处平衡使用者自主权与系统支持;(3)集中地点的作用;(4)长椅处支持人员的预防作用。虽然长椅营造了社区感并提供了获得重要服务的途径,但由于其显眼性,对非法活动的担忧依然存在。尽管如此,其中心位置便于开展外展工作并确保能轻松获得支持服务。该研究强调了医疗保健和社会工作者在稳定环境和缓解冲突方面的预防作用。此外,它突出了公共聚集场所中心位置的重要性,强调靠近低门槛服务设施。长椅是与吸毒者建立关系并提供帮助的关键场所,有助于社区的减少伤害工作。

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