Challenges of providing COVID-19 prevention services to homeless people who use drugs in Iran

Deilamizade, Abbas; Moghanibashi-Mansourieh, Amir

doi:10.1016/j.drugpo.2020.102806

Cited by 16 publications

(16 citation statements)

References 2 publications

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“…In response to the COVID-19 pandemic, clinical guidance has been issued to support OAT via telemedicine in the United States ( SAMHSA, 2020 ) and Canada ( Bruneau et al, 2020 ). Longer prescription durations and increased allowance for take-home doses for people on OAT have also been announced in nations such as Australia ( DHHS, 2020 ), Ireland ( EMCDDA, 2020 ), and Iran ( Deilamizade & Moghanibashi-Mansourieh, 2020 ). The UK government has called for an increase to harm reduction service provision and reach wherever possible, despite staffing limitations ( PHE, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

A rapid review of the impacts of “Big Events ” on risks, harms, and service delivery among people who use drugs: Implications for responding to COVID-19

Zolopa

Høj

Bruneau

et al. 2021

International Journal of Drug Policy

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Section: Discussionmentioning

confidence: 99%

A rapid review of the impacts of “Big Events ” on risks, harms, and service delivery among people who use drugs: Implications for responding to COVID-19

Zolopa

Høj

Bruneau

et al. 2021

International Journal of Drug Policy

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“…It is also important to trace the direct health impacts of COVID-19 in relation to the health of people who use drugs ( Dietze and Peacock, 2020 , Vasylyeva et al, 2020 ). Difficulties in adhering to quarantine and physical distancing increase transmission risk of COVID-19 for some populations of people who use drugs ( Arcadepani et al, 2020 , Deilamizade and Moghanibashi-Mansourieh, 2020 , Dietze and Peacock, 2020 , Vasylyeva et al, 2020 ). For instance, Arcadepani et al (2020) highlight the challenges of COVID-19 prevention in public and open-air drug scenes, focusing on a case study in São Paulo, Brazil.…”

Section: Introductionmentioning

confidence: 99%

“…A particular challenge is delivering COVID-19 prevention and quarantine services to homeless populations ( Banerjee and Bhattacharya, 2020 , Lenhard, 2020 , Marcus et al, 2020 ), particularly in settings where outbreaks have been observed ( Baggett et al, 2020 , Imbert et al, 2020 , Mosites et al, 2020 , Tobolowsky et al, 2020 ). This special issue highlights some of the specific challenges in providing COVID-19 prevention services among homeless people who use drugs in Iran ( Deilamizade & Moghanibashi-Mansourieh, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and the health of people who use drugs: What is and what could be?

Grebely

Cerdá

Rhodes

2020

International Journal of Drug Policy

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SARS-CoV-2, the virus that causes COVID-19, has changed the world as we know it, and continues to do so. How COVID-19 affects people who use drugs, the environments in which they live, and capacities of response, warrants immediate attention. This special issue begins to map how COVID-19 is altering the health of people who use drugs, including in relation to patterns of drug use, service responses, harms that may relate to drug use, interventions to reduce risk of harms, COVID-19 health, and drug policies. We emphasise the need to envisage COVID-19 and its effects as a matter of intersecting ‘complex adaptive systems’: that is, the impacts of COVID-19 extend beyond the virus and related illness conditions to encompass multiple social, cultural, economic, policy and political effects; and these affect the health of people who use drugs directly as well as indirectly by altering the risk and enabling environments in which they live. We synthesize emergent evidence on the impact of COVID-19 on the health of people who use drugs. A key concern we identify is how to sustain policy and service delivery improvements prompted by COVID-19. We need to maintain an ethos of emergent adaptation and experimentation towards the creation of safer environments in relation to the health of people who use drugs.

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“…Some intervention, harm reduction, and recovery services have faced significant challenges in transitioning from in-person contact to online and phone support ( 9 ). Some have increased the amount of allowable unsupervised take-home opioid replacement therapy to facilitate social distancing measures, whilst others have flooded the market with Take Home Naloxone (THN) ( 7 , 10 , 11 ). Intensive experiences of isolation, known to be detrimental to well-being and recovery, have been exacerbated by the pandemic, with disastrous effects on the mental and physical health of many people who use drugs ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

Isolation, Solitude and Social Distancing for People Who Use Drugs: An Ethnographic Perspective

et al. 2021

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COVID-19 has resulted in deepened states of crisis and vulnerability for people who use drugs throughout Europe and across the world, with social distancing measures having far-reaching implications for everyday life. Prolonged periods of isolation and solitude are acknowledged within much addiction literature as negatively impacting the experiences of those in recovery, while also causing harm to active users – many of whom depend on social contact for the purchasing and taking of substances, as well as myriad forms of support. Solitude, however, is proposed by the authors as inherent within some aspects of substance use, far from particular to the current pandemic. Certain forms of substance use engender solitary experience, even where use is predicated upon the presence of others. Adopting a cross-disciplinary perspective, this paper takes as its focus the urgent changes wrought by the pandemic upon everyday life for people who use drugs, drawing on recent ethnographic fieldwork with substance users in Scotland. Beyond the current crises, the paper proposes solitude, and by extension isolation, as an analytical framework for better apprehending lived experiences of substance use.

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Challenges of providing COVID-19 prevention services to homeless people who use drugs in Iran

Cited by 16 publications

References 2 publications

A rapid review of the impacts of “Big Events ” on risks, harms, and service delivery among people who use drugs: Implications for responding to COVID-19

A rapid review of the impacts of “Big Events ” on risks, harms, and service delivery among people who use drugs: Implications for responding to COVID-19

COVID-19 and the health of people who use drugs: What is and what could be?

Isolation, Solitude and Social Distancing for People Who Use Drugs: An Ethnographic Perspective

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