'Standing Outside the Junkie Door'-service users' experiences of using community pharmacies to access treatment for opioid dependency

Andrew Radley (Lead / Corresponding author), Karen Melville, Phyllis Easton, Brian Williams, John F. Dillon

    Research output: Contribution to journalArticlepeer-review

    25 Citations (Scopus)
    330 Downloads (Pure)

    Abstract

    Aim: To explore experiences of service users attending a community pharmacy to receive opiate replacement therapy (ORT).

    Method: Qualitative study involving seven focus groups undertaken within care centres and prison educational centre in Tayside, Scotland using 41 participants. Thematic analysis undertaken of experiences of different groups of service users and carers.

    Results: Participants described the social context surrounding attendance at community pharmacies. Their voices suggested that people prescribed ORT may be treated differently from others accessing care through pharmacies. Participants felt they experienced stigma and discriminatory practices in pharmacies, elsewhere within the healthcare environment, and more generally in society. Participants explained that the way services were organized in pharmacies often denied them the right to confidentiality. However, there were positive experiences of care. The discriminating factor between good and bad experiences was being treated with dignity and respect.

    Conclusion: Participants readily identified examples of poor experiences and of stigma and discrimination, yet valued positive relationships with their pharmacy. Constructive attitudes of pharmacy staff and the ability to form positive relationships improved their experience. The social exclusion delivered through stigmatization mitigates against delivery of a recovery agenda and contributes to health inequalities experienced by this marginalized group.

    Original languageEnglish
    Pages (from-to)846-855
    Number of pages10
    JournalJournal of Public Health
    Volume39
    Issue number4
    Early online date3 Dec 2016
    DOIs
    Publication statusPublished - Dec 2016

    Keywords

    • opioid analgesics
    • attitude
    • community pharmacy services
    • confidentiality
    • personhood
    • pharmacies
    • scotland
    • social environment
    • voice
    • knowledge acquisition
    • opiates
    • opioids
    • social stigma
    • health disparity
    • qualitative research
    • correctional facilities
    • community pharmacies
    • agenda

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