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Trust and people who inject drugs: The perspectives of clients and staff of Needle Syringe Programs

Treloar, Carla, Rance, Jake, Yates, Kenneth, Mao, Limin·2016·International Journal of Drug Policy
DOI 10.1016/j.drugpo.2015.08.018
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Abstract

Aims Interest in health-care related trust is growing with the recognition that trust is essential for effective therapeutic encounters. While most trust-related research has been conducted with general patient groups, the experiences of people who inject drugs cannot be understood without acknowledging the critical role social stigma plays in shaping (mis)trust, both generally and in regards to health services specifically. This study examined the experiences of trust among clients and staff of Needle and Syringe Programs (NSPs) in one area of Sydney, Australia. Method In-depth interviews with 12 NSP staff and 31 NSP clients were conducted. Analysis was informed by a five component model of trust, with particular emphasis on the notion of "global trust" as encompassing experiences of stigma and other negative social processes related to injecting drug use. Participant experiences of trust in NSPs were compared with those within other drug-related health services. Particular attention was paid to understanding the relationship between 'identity' (as a drug user) and 'legitimacy' (as a service user) and the centrality of this relationship to the experience of global trust for PWID. Results Notions of identity and legitimacy were inextricably bound up with the stigmatisation of drug use, shaping participants' experiences and accounts of trust in NSPs and drug treatment services. Client participants reported high levels of trust in NSPs, especially when compared with drug treatm…

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Metadata

Authors
Treloar, C., Rance, J., Yates, K., & Mao, L.
Venue
International Journal of Drug Policy
Publisher
Elsevier BV
Published
2016-01
Volume
27
Pages
138-145
ISSN
0955-3959
DOI
10.1016/j.drugpo.2015.08.018
Cited by
108
References
1
Language
en
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Funders
Australian Government Department of Health

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