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Open Access
Article
Publication date: 18 September 2019

Farrukh Alam, Nat Wright, Paul Roberts, Sunny Dhadley, Joanne Townley and Russell Webster

The purpose of this paper is to examine the current provision of opioid substitution therapy (OST) during and immediately following release from detention in prisons in England…

2346

Abstract

Purpose

The purpose of this paper is to examine the current provision of opioid substitution therapy (OST) during and immediately following release from detention in prisons in England and Wales.

Design/methodology/approach

A group of experts was convened to comment on current practices and to make recommendations for improving OST management in prison. Current practices were previously assessed using an online survey and a focus group with experience of OST in prison (Webster, 2017).

Findings

Disruption to the management of addiction and reduced treatment choice for OST adversely influences adequate provision of OST in prison. A key concern was the routine diversion of opiate substitutes to other prisoners. The new controlled drug formulations were considered a positive development to ensure streamlined and efficient OST administration. The following patient populations were identified as having concerns beyond their opioid use, and therefore require additional considerations in prison: older people with comorbidities and complex treatment needs; women who have experienced trauma and have childcare issues; and those with existing mental health needs requiring effective understanding and treatment in prison.

Originality/value

Integration of clinical and psychosocial services would enable a joint care plan to be tailored for each individual with opioid dependence and include options for detoxification or maintenance treatment. This would better enable those struggling with opioid use to make informed choices concerning their care during incarceration and for the period immediately following their release. Improvements in coordination of OST would facilitate inclusion of strategies to further streamline this process for the benefit of prisoners and prison staff.

Details

International Journal of Prisoner Health, vol. 15 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Content available
Article
Publication date: 12 September 2016

Ruth Chandler and Thurstine Basset

440

Abstract

Details

The Journal of Mental Health Training, Education and Practice, vol. 11 no. 4
Type: Research Article
ISSN: 1755-6228

Open Access
Article
Publication date: 2 February 2021

Caroline Cupit, Janet Rankin and Natalie Armstrong

The main purpose of this paper is to document the first author's experience of using institutional ethnography (IE) to “take sides” in healthcare research. The authors illustrate…

1827

Abstract

Purpose

The main purpose of this paper is to document the first author's experience of using institutional ethnography (IE) to “take sides” in healthcare research. The authors illustrate the points with data and key findings from a study of cardiovascular disease prevention.

Design/methodology/approach

The authors use Dorothy E Smith's IE approach, and particularly the theoretical tool of “standpoint”.

Findings

Starting with the development of the study, the authors trouble the researcher's positionality, highlighting tensions between institutional knowledge of “prevention” and other locations where knowledge about patients' health needs materialises. The authors outline how IE's theoretically and methodologically integrated toolkit became a framework for “taking sides” with patients. They describe how the researcher used IE to take a standpoint and map institutional relations from that standpoint. They argue that IE enabled an innovative analysis but also reflect on the challenges of conducting an IE – the conceptual unpicking and (re)thinking, and demarcating boundaries of investigation within an expansive dataset.

Originality/value

This paper illustrates IE's relevance for organisational ethnographers wishing to find a theoretically robust approach to taking sides, and suggests ways in which the IE approach might contribute to improving services, particularly healthcare. It provides an illustration of how taking a patient standpoint was accomplished in practice, and reflects on the challenges involved.

Details

Journal of Organizational Ethnography, vol. 10 no. 1
Type: Research Article
ISSN: 2046-6749

Keywords

Content available
Article
Publication date: 12 October 2012

184

Abstract

Details

Clinical Governance: An International Journal, vol. 17 no. 4
Type: Research Article
ISSN: 1477-7274

Content available
Article
Publication date: 9 March 2015

Keith Hurst

305

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 28 no. 2
Type: Research Article
ISSN: 0952-6862

Content available
Article
Publication date: 7 September 2012

Chris Abbott

237

Abstract

Details

Journal of Assistive Technologies, vol. 6 no. 3
Type: Research Article
ISSN: 1754-9450

Abstract

Details

Mental Health Review Journal, vol. 22 no. 3
Type: Research Article
ISSN: 1361-9322

Content available
2184

Abstract

Details

Drugs and Alcohol Today, vol. 16 no. 1
Type: Research Article
ISSN: 1745-9265

Content available
Article
Publication date: 14 December 2015

Deborah Klee

149

Abstract

Details

Working with Older People, vol. 19 no. 4
Type: Research Article
ISSN: 1366-3666

Content available
Book part
Publication date: 20 September 2021

Abstract

Details

Research in Times of Crisis
Type: Book
ISBN: 978-1-80071-797-8

1 – 10 of over 5000