ORBi: Demaret Isabelle - Staff concerns in heroin-assisted treatment centres

Reference : Staff concerns in heroin-assisted treatment centres


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Public health, health care sciences & services
	To cite this reference:	http://hdl.handle.net/2268/99076

Title :	Staff concerns in heroin-assisted treatment centres
Language :	English
Author, co-author :	Demaret, Isabelle [Université de Liège - ULg > Département des sciences cliniques > Psychiatrie et psychologie médicale >]
	Lemaître, André [Université de Liège - ULg > Institut des sciences humaines et sociales > Criminologie >]
	ANSSEAU, Marc [Centre Hospitalier Universitaire de Liège - CHU > > Psychiatrie et psychologie médicale >]
Publication date :	2011
Journal title :	Journal of Psychiatric & Mental Health Nursing
Publisher :	Blackwell Publishing
Peer reviewed :	Yes (verified by ORBi)
Audience :	International
ISSN :	1351-0126
e-ISSN :	1365-2850
Keywords :	[en] Addiction ; Mental health settings ; nursing role ; safety ; security
Abstract :	[en] Heroin-assisted treatment (HAT) is a solution for improving the condition of treatmentresistant heroin addicts. Since 1994, six randomized controlled trials have concluded that HAT is more efficacious than oral methadone for severe heroin addicts.We visited seven HAT treatment centres in four countries in order to observe diacetylmorphine (DAM) administration and to study the main concerns of the staff. Nurses were concerned by the risk taken if a previously intoxicated patient received his dose of DAM. Another concern was the smuggling of DAM doses. The HAT centres face a dilemma: treating patients while at the same time allowing their risky street habits in the centre.
Funders :	Service public fédéral Santé publique, Sécurité de la Chaîne alimentaire et Environnement
Name of the research project :	Suivi et évaluation scientifique du projet TADAM (un traitement assisté par diacétylmorphine)
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/99076
DOI :	10.1111/j.1365-2850.2011.01810.x
Commentary :	Accessible summary • For some heron addicts, heroin-assisted treatment is more efficacious than methadone treatment. • Seven European countries have implemented outpatient centres where patients self-administer pharmaceutical heroin under close supervision. • Nurses deliver pharmaceutical heroin and supervise administration. The two main concerns are overdosing and smuggling. • Nurses are convinced of the utility of this treatment for severe heroin addicts.

File(s) associated to this reference

Fulltext file(s):

	File	Commentary	Version	Size	Access
Restricted access	DEMARET.2011.StaffConcernsHATCentres.JnlPsyMenHNurs.pdf		Author preprint	71.34 kB	Request copy

All documents in ORBi are protected by a user license.

Dspace v1.5