scholarly journals Opioid substitution treatment planning in a disaster context: Perspectives from emergency management and health professionals in Aotearoa/New Zealand

2021 ◽  
Author(s):  
Denise Blake ◽  
Antonia Lyons
Keyword(s):  
New Zealand ◽  
Emergency Management ◽  
Health Professionals ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Health And Wellbeing ◽  
Preparedness Planning ◽  
Aotearoa New Zealand ◽  
Emergency Managers ◽  
Opioid Substitution

© 2016 by the authors. Opioid Substitution Treatment (OST) is a harm reduction strategy enabling opiate consumers to avoid withdrawal symptoms and maintain health and wellbeing. Some research shows that within a disaster context service disruptions and infrastructure damage affect OST services, including problems with accessibility, dosing, and scripts. Currently little is known about planning for OST in the reduction and response phases of a disaster. This study aimed to identify the views of three professional groups working in Aotearoa/New Zealand about OST provision following a disaster. In-depth, semi-structured interviews were conducted with 17 service workers, health professionals, and emergency managers in OST and disaster planning fields. Thematic analysis of transcripts identified three key themes, namely “health and wellbeing”, “developing an emergency management plan”, and “stock, dose verification, and scripts” which led to an overarching concept of “service continuity in OST preparedness planning”. Participants viewed service continuity as essential for reducing physical and psychological distress for OST clients, their families, and wider communities. Alcohol and drug and OST health professionals understood the specific needs of clients, while emergency managers discussed the need for sufficient preparedness planning to minimise harm. It is concluded that OST preparedness planning must be multidisciplinary, flexible, and inclusive.

scholarly journals Opioid substitution treatment planning in a disaster context: Perspectives from emergency management and health professionals in Aotearoa/New Zealand

2021 ◽  
Author(s):  
Denise Blake ◽  
Antonia Lyons
Keyword(s):  
New Zealand ◽  
Emergency Management ◽  
Health Professionals ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Health And Wellbeing ◽  
Preparedness Planning ◽  
Aotearoa New Zealand ◽  
Emergency Managers ◽  
Opioid Substitution

© 2016 by the authors. Opioid Substitution Treatment (OST) is a harm reduction strategy enabling opiate consumers to avoid withdrawal symptoms and maintain health and wellbeing. Some research shows that within a disaster context service disruptions and infrastructure damage affect OST services, including problems with accessibility, dosing, and scripts. Currently little is known about planning for OST in the reduction and response phases of a disaster. This study aimed to identify the views of three professional groups working in Aotearoa/New Zealand about OST provision following a disaster. In-depth, semi-structured interviews were conducted with 17 service workers, health professionals, and emergency managers in OST and disaster planning fields. Thematic analysis of transcripts identified three key themes, namely “health and wellbeing”, “developing an emergency management plan”, and “stock, dose verification, and scripts” which led to an overarching concept of “service continuity in OST preparedness planning”. Participants viewed service continuity as essential for reducing physical and psychological distress for OST clients, their families, and wider communities. Alcohol and drug and OST health professionals understood the specific needs of clients, while emergency managers discussed the need for sufficient preparedness planning to minimise harm. It is concluded that OST preparedness planning must be multidisciplinary, flexible, and inclusive.

scholarly journals Opioid substitution treatment and disasters: perspectives from Aotearoa New Zealand

2021 ◽  
Author(s):  
Denise Blake
Keyword(s):  
Risk Management ◽  
New Zealand ◽  
Disaster Risk ◽  
Disaster Risk Management ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Aotearoa New Zealand ◽  
The People ◽  
Actual Harm ◽  
Opioid Substitution

In Aotearoa New Zealand, disaster risk management (DRM) aspires to protect the lives and livelihoods of people and places. It does this by encouraging people and communities to be disaster ready, while ensuring reduction of potential and actual harm from a disaster, responding immediately and directly following a disaster, and recovering so that there is ongoing regeneration and resiliency for the people and communities impacted by a disaster.

scholarly journals Opioid substitution treatment and disasters: perspectives from Aotearoa New Zealand

2021 ◽  
Author(s):  
Denise Blake
Keyword(s):  
Risk Management ◽  
New Zealand ◽  
Disaster Risk ◽  
Disaster Risk Management ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Aotearoa New Zealand ◽  
The People ◽  
Actual Harm ◽  
Opioid Substitution

In Aotearoa New Zealand, disaster risk management (DRM) aspires to protect the lives and livelihoods of people and places. It does this by encouraging people and communities to be disaster ready, while ensuring reduction of potential and actual harm from a disaster, responding immediately and directly following a disaster, and recovering so that there is ongoing regeneration and resiliency for the people and communities impacted by a disaster.

scholarly journals Health emergency management in Aotearoa New Zealand: Making sense of professional development

2019 ◽  
Vol 17 (5) ◽  
pp. 359-369
Author(s):  
Denise Blake, PhD ◽  
Patricia Niland, PhD ◽  
David M. Johnston, PhD
Keyword(s):  
Professional Development ◽  
New Zealand ◽  
Emergency Management ◽  
Skill Sets ◽  
Roles And Responsibilities ◽  
Aotearoa New Zealand ◽  
Emergency Managers ◽  
Complex Emergency ◽  
Data Driven Approach ◽  
And Training

Objective: To explore how health emergency management (HEM) personnel make sense of professional development, such as education and training, in their everyday roles and responsibilities within an increasingly complex emergency management and disaster field.Design: This in-depth qualitative study comprised of semistructured interviews with 10 Aotearoa New Zealand HEM personnel from a range of healthcare professions, including emergency managers, nurses, clinical support, and paramedics. The thematic, data-driven approach was exploratory. The research identified inductively significant thematic concepts relating to professional development from the health emergency personnel’s talk about their roles and responsibilities.Results: The authors identified four themes relating to professional development in the participants’ talk: test yourself under pressure; selling what we do; under the pump; and real stuff that actually makes a difference. These themes represent shared sense-making about how the participants negotiated their professional development needs and the needs of others while performing their everyday roles and responsibilities. Conclusions: Our findings support the production of local and contextually driven knowledge that highlights how HEM personnel discuss professional development as strengths, tensions, challenges, and knowledge gaps. These insights contribute to a broader understanding of what needs to be taken into account when developing competencies, skill sets, and training programs to promote professional development in an increasingly complex emergency management and disaster field.

scholarly journals Stigma and disaster risk reduction among vulnerable groups: Considering people receiving opioid substitution treatment

2021 ◽  
Author(s):  
Denise Blake ◽  
S Pooley ◽  
Antonia Lyons
Keyword(s):  
Drug Use ◽  
Emergency Management ◽  
Risk Reduction ◽  
Disaster Risk Reduction ◽  
Disaster Risk ◽  
Vulnerable Groups ◽  
Substitution Treatment ◽  
Access To Treatment ◽  
Opioid Substitution Treatment ◽  
Opioid Substitution

© 2020 This work explores the ways in which stigma influences how people engage with disaster risk reduction. It specifically addresses the experiences and perceptions of stigma for people who receive Opioid Substitution Treatment (OST), a successful harm reduction strategy that reduces illicit drug use, risk of overdose and criminal activity. Unfortunately, while receiving OST people endure stigma because of their perceived or assumed history of drug use, which positions them as socially deviant and unacceptable. During a disaster or emergency, forms of social stigma from health and emergency management personnel have implications for access to treatment such as OST. Drawing on semi-structured interviews with 21 people receiving OST from services in four major cities in Aotearoa New Zealand, an interpretive analysis was applied to better understand how stigma matters to their lived experience. Four key themes, namely “Experiences of stigma”, “Discrimination from health professionals”, and “Disasters and emergency management” and “Support within disaster contexts” were identified in their talk. We conclude that it is vital that medications and other necessary treatments are made accessible to those who need them to maintain health and wellbeing. It is important to be aware that stigmatising beliefs manifest in disaster-response settings which have consequences for people who are already more vulnerable than others. Therefore we suggest that appropriate education and training be provided.

scholarly journals Health emergency management in Aotearoa New Zealand: Making sense of professional development

2021 ◽  
Author(s):  
Denise Blake ◽  
Patricia Niland ◽  
David M Johnston
Keyword(s):  
Professional Development ◽  
New Zealand ◽  
Emergency Management ◽  
Skill Sets ◽  
Roles And Responsibilities ◽  
Aotearoa New Zealand ◽  
Emergency Managers ◽  
Complex Emergency ◽  
Data Driven Approach ◽  
And Training

Objective: To explore how health emergency management (HEM) personnel make sense of professional development, such as education and training, in their everyday roles and responsibilities within an increasingly complex emergency management and disaster field.Design: This in-depth qualitative study comprised of semistructured interviews with 10 Aotearoa New Zealand HEM personnel from a range of healthcare professions, including emergency managers, nurses, clinical support, and paramedics. The thematic, data-driven approach was exploratory. The research identified inductively significant thematic concepts relating to professional development from the health emergency personnel’s talk about their roles and responsibilities.Results: The authors identified four themes relating to professional development in the participants’ talk: test yourself under pressure; selling what we do; under the pump; and real stuff that actually makes a difference. These themes represent shared sense-making about how the participants negotiated their professional development needs and the needs of others while performing their everyday roles and responsibilities. Conclusions: Our findings support the production of local and contextually driven knowledge that highlights how HEM personnel discuss professional development as strengths, tensions, challenges, and knowledge gaps. These insights contribute to a broader understanding of what needs to be taken into account when developing competencies, skill sets, and training programs to promote professional development in an increasingly complex emergency management and disaster field.

scholarly journals Health emergency management in Aotearoa New Zealand: Making sense of professional development

2021 ◽  
Author(s):  
Denise Blake ◽  
Patricia Niland ◽  
David M Johnston
Keyword(s):  
Professional Development ◽  
New Zealand ◽  
Emergency Management ◽  
Skill Sets ◽  
Roles And Responsibilities ◽  
Aotearoa New Zealand ◽  
Emergency Managers ◽  
Complex Emergency ◽  
Data Driven Approach ◽  
And Training

Objective: To explore how health emergency management (HEM) personnel make sense of professional development, such as education and training, in their everyday roles and responsibilities within an increasingly complex emergency management and disaster field.Design: This in-depth qualitative study comprised of semistructured interviews with 10 Aotearoa New Zealand HEM personnel from a range of healthcare professions, including emergency managers, nurses, clinical support, and paramedics. The thematic, data-driven approach was exploratory. The research identified inductively significant thematic concepts relating to professional development from the health emergency personnel’s talk about their roles and responsibilities.Results: The authors identified four themes relating to professional development in the participants’ talk: test yourself under pressure; selling what we do; under the pump; and real stuff that actually makes a difference. These themes represent shared sense-making about how the participants negotiated their professional development needs and the needs of others while performing their everyday roles and responsibilities. Conclusions: Our findings support the production of local and contextually driven knowledge that highlights how HEM personnel discuss professional development as strengths, tensions, challenges, and knowledge gaps. These insights contribute to a broader understanding of what needs to be taken into account when developing competencies, skill sets, and training programs to promote professional development in an increasingly complex emergency management and disaster field.

scholarly journals Stigma and disaster risk reduction among vulnerable groups: Considering people receiving opioid substitution treatment

2021 ◽  
Author(s):  
Denise Blake ◽  
S Pooley ◽  
Antonia Lyons
Keyword(s):  
Drug Use ◽  
Emergency Management ◽  
Risk Reduction ◽  
Disaster Risk Reduction ◽  
Disaster Risk ◽  
Vulnerable Groups ◽  
Substitution Treatment ◽  
Access To Treatment ◽  
Opioid Substitution Treatment ◽  
Opioid Substitution

© 2020 This work explores the ways in which stigma influences how people engage with disaster risk reduction. It specifically addresses the experiences and perceptions of stigma for people who receive Opioid Substitution Treatment (OST), a successful harm reduction strategy that reduces illicit drug use, risk of overdose and criminal activity. Unfortunately, while receiving OST people endure stigma because of their perceived or assumed history of drug use, which positions them as socially deviant and unacceptable. During a disaster or emergency, forms of social stigma from health and emergency management personnel have implications for access to treatment such as OST. Drawing on semi-structured interviews with 21 people receiving OST from services in four major cities in Aotearoa New Zealand, an interpretive analysis was applied to better understand how stigma matters to their lived experience. Four key themes, namely “Experiences of stigma”, “Discrimination from health professionals”, and “Disasters and emergency management” and “Support within disaster contexts” were identified in their talk. We conclude that it is vital that medications and other necessary treatments are made accessible to those who need them to maintain health and wellbeing. It is important to be aware that stigmatising beliefs manifest in disaster-response settings which have consequences for people who are already more vulnerable than others. Therefore we suggest that appropriate education and training be provided.

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