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Prioriteiten voor het lokale ‘harm reduction’-beleid

Drugsgebruikers als sleutelfiguren

Setting priorities for local harm reduction policy

Drug users as key informants

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‘Harm reduction’-strategieën blijken effectief, zo leert internationaal onderzoek. Essentieel is dat een lokaal drugsbeleid, waar harm reduction een pijler van uitmaakt, is afgestemd op de lokale setting en de lokale behoeften. Bij de uitbouw van een drugsbeleid is het dan ook noodzakelijk om alle betrokken actoren een stem te geven. Deze insteek was het startpunt van deze studie, waarbij de lokale behoeften van zowel professionals als drugsgebruikers in kaart werden gebracht wat betreft harm reduction. De resultaten tonen aan dat de prioriteiten van beide groepen respondenten gelijkenissen vertonen, maar ook aanzienlijke verschillen. Dit bevestigt het belang om, binnen een ‘bottom-up’-aanpak, ook drugsgebruikers als sleutelfiguren te includeren in beleids- en praktijkgericht onderzoek.

Abstract

Internationally, harm reduction programmes are widely considered effective tools for addressing drug-related harms. Essentially, a local drug policy, of which harm reduction constitutes one pillar, is adequately tailored to the needs of the community. In developing such a drug policy, involvement of all relevant stakeholders is imperative. This constituted the starting point of this study, in which professionals’ and drug users’ local harm reduction needs were identified. Results indicate some consensus between priorities between both groups of respondents, but also important discrepancies. This confirms the importance to include drug users’ views in policy and practice research, as a necessary complement to professionals’ perspectives.

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Notes

  1. Het Drugbeleidsplan Stad Gent (2013–2018) heeft ‘gezondheidsbevordering van drugsgebruikers - harm reduction’ als een van de zeven speerpunten opgenomen. De overige speerpunten zijn: a sociale activering en arbeidsactivering drugsgebruikers, b bestrijding drugsoverlast, c aandacht voor dubbele diagnose, d alcoholbeleid, e veilig en gezond uitgaan, en f gerichte preventie/vroeginterventie/opvoedingsondersteuning bij minder bereikte groepen.

  2. Treatment Assisted by DiAcetylMorphine (TADAM) was een pilotproject voor medisch gecontroleerde heroïneverstrekking dat tussen januari 2011 en september 2013 plaatsvond in Luik (Demaret et al. 2011, 2013).

  3. Gebruiksruimtes kunnen we globaal onderverdelen in twee types. Specifieke gebruiksruimtes functioneren volledig op zichzelf en autonoom. Geïntegreerde gebruiksruimtes maken deel uit van een breder netwerk van voorzieningen; ze zijn vaak op dezelfde locatie als andere laagdrempelige drugshulpverleningscentra gevestigd (Havinga et al. 2012).

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  1. Gent, België

    Freya Vander Laenen,  Louis Favril &  Tom Decorte

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  1. Freya Vander Laenen
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Correspondence to Freya Vander Laenen.

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Vander Laenen, F., Favril, L. & Decorte, T. Prioriteiten voor het lokale ‘harm reduction’-beleid. Verslaving 12, 106–120 (2016). https://doi.org/10.1007/s12501-015-0047-5

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