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Drug Consumption Rooms and Public Health Policy: Perspectives of Scottish Strategic Decision-Makers

Nicholls, J, Livingston, W, Perkins, A, Cairns, B, Foster, R, Trayner, KMA, Sumnall, HR, Price, T, Cairney, P, Dumbrell, J and Parkes, T (2022) Drug Consumption Rooms and Public Health Policy: Perspectives of Scottish Strategic Decision-Makers. International Journal of Environmental Research and Public Health, 19 (11). ISSN 1661-7827

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Abstract

There is widespread support for the introduction of Drug Consumption Rooms (DCRs) in Scotland as part of a policy response to record levels of drug-related harm. However, existing legal barriers are made more complex by the division of relevant powers between the UK and Scottish Governments. This paper reports on a national, qualitative study of key decision-makers in both local and national roles across Scotland. It explores views on the political barriers and enablers to the adoption of Drug Consumption Rooms and the potential role of these facilities in the wider treatment system. It also considers approaches to evidence, especially the types of evidence that are considered valuable in supporting decision-making in this area. The study found that Scottish decision-makers are strongly supportive of DCR adoption; however, they remain unclear as to the legal and political mechanisms that would make this possible. They view DCRs as part of a complex treatment and support system rather than a uniquely transformative intervention. They see the case for introduction as sufficient, on the basis of need and available evidence, thus adopting a pragmatic and iterative approach to evidence, in contrast to an appeal to traditional evidence hierarchies more commonly adopted by the UK Government.

Item Type: Article
Uncontrolled Keywords: Toxicology
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HN Social history and conditions. Social problems. Social reform
J Political Science > JS Local government Municipal government
K Law > K Law (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA1190 Toxicology. Poisions
Divisions: Public Health Institute
Publisher: MDPI AG
SWORD Depositor: A Symplectic
Date Deposited: 30 May 2022 10:54
Last Modified: 30 May 2022 11:00
DOI or Identification number: 10.3390/ijerph19116575
URI: https://researchonline.ljmu.ac.uk/id/eprint/16967

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