Addiction stigma and the production of impediments to take-home naloxone uptake

Health
Renae FomiattiJohn Strang

Abstract

Opioid overdose deaths are a major health issue in Australia and around the world. Programmes to provide opioid consumers with 'take-home' naloxone to reverse overdose exist internationally, but uptake by mainstream health services and consumers remains inconsistent. Researchers have identified a range of important educational, training and logistical impediments to take-home naloxone uptake and distribution, yet they have focused less on the social dynamics that can enhance or limit access, such as stigma. In this article, we also explore impediments to uptake, drawing on qualitative interview data gathered for an Australian research project on take-home naloxone. Mobilising a performative approach to stigma, we argue that overdose and prevention are shaped by the social dynamics of stigma and, as such, responsibility for dealing with overdose, as with take-home naloxone, should also be considered social (i.e. shared among peers, the public, communities and governments). Our interview data illuminate the various ways in which addiction stigma limits the possibilities and capacities of take-home naloxone and overdose prevention. First, we focus on how stigma may impede professional information provision about take-home naloxone...Continue Reading

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Citations

Apr 14, 2021·The International Journal on Drug Policy·Rebecca McDonaldJohn Strang
Apr 30, 2021·Harm Reduction Journal·Kristin E SchneiderSusan G Sherman
May 1, 2021·Pharmacy : Journal of Pharmacy, Education and Practice·Sara S McMillanLaetitia H Hattingh

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