“A spray bottle and a lollipop stick”: An examination of policy prohibiting sterile injecting equipment in prison and effects on young men with injecting drug use histories

Walker, Shelley; Seear, Kate; Higgs, Peter; Stoové, Mark; Wilson, Mandy

doi:10.1016/j.drugpo.2019.07.027

Cited by 8 publications

(4 citation statements)

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“…Conjointly, it is the assumptions, values and presuppositions that also account for discourse and allow for investigation into the ways that meaning is constructed via language used [16]. While Bacchi's [16] WPR framework has been utilised extensively in drug and alcohol policy analysis [48][49][50][51][52][53][54], it has rarely been utilised for media analysis [15,55]. However, Bacchi [44] concedes 'the premise of the approach is that governing involves a wide range of actors and agencies'; therefore, the framework may be employed to investigate the media as a policy 'actor'.…”

Section: Methodsmentioning

confidence: 99%

The print media's construction of the ‘drug problem’ in Victorian newspapers: The case of North Richmond Community Health's medically supervised injecting room

Whiteside

Dunn

2021

Drug and Alcohol Review

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Introduction. The media's influence on policy has been widely documented. This study sought to investigate how Melbourne's medically supervised injecting room (MSIR) was represented in the print media. Methods. A qualitative discourse analysis of Victorian print media (n = 441 items) representation of MSIR was conducted. Constructivist Grounded Theory guided the sampling strategy and coding while the discourse analysis was informed by Bacchi's approach to policy analysis, 'What's the problem represented to be?'. Print news media was gathered from Factiva and Newsbank databases from January 2016 to June 2020. Results. The media's representation of the 'drug problem' of overdose was identified by a range of actors in support and opposition of the facility. In attributing the concept of 'drug use' to the 'drug problem' items most frequently suggest it is the 'choice' of the individual to inject illicit drugs. The voices of people who inject drugs (PWID) were largely silenced in the print news media and to re-conceptualise the 'drug problem' to be a 'health problem' would aid in the support for the harm reduction strategy. The research highlighted 'dividing practices' (residents vs. PWID) and the portrayal of PWID that translate to the lived effects of PWID. Discussion and Conclusions. The print news media did not directly influence the establishment of the Melbourne MSIR. However, the representation of PWID in the print media must be further investigated for the successful establishment of future harm reduction strategies. [Whiteside B, Dunn M. The print media's construction of the 'drug problem' in Victorian newspapers: The case of North Richmond Community Health's medically supervised injecting room.

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Section: Methodsmentioning

confidence: 99%

The print media's construction of the ‘drug problem’ in Victorian newspapers: The case of North Richmond Community Health's medically supervised injecting room

Whiteside

Dunn

2021

Drug and Alcohol Review

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“…In our study, which focused on the prison risk environment, we found that PWID who reported injecting drugs while in prison, were more likely to report co-occurrence of the drug-related harm categories studied than PWID who had never been incarcerated and PWID who had experienced incarceration but did not inject while in prison. Studies have shown high-risk injection practices in prisons due to limited access to harm reduction services (Culbert et al , 2015; Walker et al , 2019). Despite laws stipulating equivalence of care in French prisons, in reality, prevention and harm reduction equivalence with the general community does not exist and access to related services in prison is limited.…”

Section: Discussionmentioning

confidence: 99%

A syndemic examination of injecting drug use, incarceration and multiple drug-related harms in French opioid users

Mezaache

Briand-Madrid

Laporte³

et al. 2021

IJPH

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Purpose People who inject drugs (PWID) face multiple health problems, including infectious diseases and drug overdoses. Applying syndemic and risk environment frameworks, this paper aims to examine the co-occurrence and clustering of drug-related harms and their association with incarceration experience with or without in-prison drug injection. Design/methodology/approach The authors used data from a cross-sectional survey conducted in 2015 among 557 active opioid injectors. Self-reported data were collected through face-to-face or online questionnaires. They distinguished three harm categories, namely, viral infections, bacterial infections and overdoses, and built an index variable by summing the number of harm categories experienced, yielding a score from 0 to 3. Association between incarceration experience and co-occurrence of harms was modelled using a multinomial logistic regression. Findings Of the 557 participants, 30% reported lifetime experience of drug-related viral infection, 46% bacterial infection and 22% drug overdose. Multinomial logistic models showed that those who injected drugs during incarceration were more likely to report two (aOR = 2.35, 95% CI: 1.03–5.36) and three (aOR = 9.72, 95% CI: 3.23–29.22) harm categories than those who had never been incarcerated. They were also more likely to report three harm categories than formerly incarcerated respondents who did not inject drugs in prison (aOR = 5.14, 95% CI: 1.71–15.48). Originality/value This study provides insights of the syndemic nature of drug-related harms and highlights that drug injection during incarceration is associated with co-occurring harms. Public health interventions and policy changes are needed to limit the deleterious impact of prison on PWID.

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“…Interview data are drawn from a doctoral dissertation study about the experiences of drug use, incarceration, and release from adult prison for 28 young men with histories of injecting drug use (Walker, Higgs, et al, 2018, 2019; Walker, Lancaster, et al, 2018; Walker, Seear, et al, 2019). Young men were recruited via the Prison and Transition Health (PATH) longitudinal cohort study, involving 400 male prisoners who reported injecting drugs at least monthly for the 6 months prior to their most recent incarceration.…”

Section: Theoretical Framework and Methodsmentioning

confidence: 99%

“That’s the Lowest Place on Earth!” Experiences of the Carceral Spaces of Australian Police Custody for Marginalized Young Men

et al. 2020

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Young men are overrepresented among people detained in police custody in Victoria, Australia, a closed institution that has mostly escaped public scrutiny. Our study sheds light on this underexamined place from the perspective of 28 marginalized young men (aged 19–24) detained there prior to adult prison. Drawing on Bacchi’s “What’s the problem represented to be?” approach and the subdiscipline of carceral geography, we disrupt the assumed purpose of police custody as a place to simply detain people while awaiting court and/or transfer to prison. We illustrate how police custody, although ostensibly for ensuring the safety and protection of the community, privileges that of some over others, with detrimental effects for marginalized groups. We highlight how harsh, degrading, hostile environments intersected with lived experiences and exacerbated psychological, social, and physical health harms; made possible young men’s constitution as dirty, violent, and subhuman; and worked to legitimize breaches of human rights.

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“A spray bottle and a lollipop stick”: An examination of policy prohibiting sterile injecting equipment in prison and effects on young men with injecting drug use histories

Cited by 8 publications

References 58 publications

The print media's construction of the ‘drug problem’ in Victorian newspapers: The case of North Richmond Community Health's medically supervised injecting room

The print media's construction of the ‘drug problem’ in Victorian newspapers: The case of North Richmond Community Health's medically supervised injecting room

A syndemic examination of injecting drug use, incarceration and multiple drug-related harms in French opioid users

“That’s the Lowest Place on Earth!” Experiences of the Carceral Spaces of Australian Police Custody for Marginalized Young Men

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