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Challenges, relationship and outcomes in low-threshold drug services

Sarah Morton (Department of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland)
Laura O’Reilly (Ballymun Youth Action Project, Dublin, Ireland)

Drugs and Alcohol Today

ISSN: 1745-9265

Article publication date: 28 December 2018

Issue publication date: 5 April 2019

219

Abstract

Purpose

This paper reports on the findings of an action research study that sought to explore the development and provision of community-based low-threshold services within a socially disadvantaged area. In the context of debates, in regard to both the nature and efficacy of low-threshold drugs services and increasingly neo-liberal policy approaches to drug service provision that prioritise outcomes and drug treatment interventions, the purpose of this paper is to report on practitioners’ understandings of challenges, relationship building and outcomes within community-based low-threshold service provision in Dublin, Ireland.

Design/methodology/approach

An action research method of co-operative inquiry groups was utilised, with nine practitioners from one community-based drug agency participating in a series of four sessions over a three-month period.

Findings

Three key themes emerged in relation to building and sustaining client–practitioner relationships: the mechanisms by which the practitioners engaged with their clients and sought to develop relationships; how safe spaces were created and maintained in order to address client needs; and practitioners’ understanding of challenges and outcomes in low-threshold intervention work.

Originality/value

Drawing on a co-operative inquiry method, this paper concludes that practitioner attention to relational distance evidenced in community-based low-threshold service provision, may provide an alternative to episodic, outcome driven drug treatment and intervention.

Keywords

Citation

Morton, S. and O’Reilly, L. (2019), "Challenges, relationship and outcomes in low-threshold drug services", Drugs and Alcohol Today, Vol. 19 No. 2, pp. 113-122. https://doi.org/10.1108/DAT-05-2018-0028

Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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