Promoting family-focused approaches within adult drug services: The potential of the ‘Senses Framework’ |
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| Institution: | 1. School of Nursing and Midwifery, University of Dundee, UK;2. School of Nursing, Midwifery and Social Care, Edinburgh Napier University, UK;3. Faculty of Health and Social Care, Open University, UK;1. Centre for Infectious Disease Surveillance and Control, Public Health England, London, UK;2. Centre for Research on Drugs & Health Behaviour, London School of Hygiene & Tropical Medicine, London, UK;3. Microbiology Services, Public Health England, London, UK;1. Centre for Population Health, Burnet Institute, Melbourne, Australia;2. Department of Medicine, University of Melbourne, Australia;3. School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia;4. Department of Infectious Diseases, The Alfred Hospital, Melbourne, Australia;5. Health Protection Scotland, Glasgow, UK;6. Glasgow Caledonian University, Glasgow, UK;7. World Hepatitis Alliance, Geneva, Switzerland;8. Department of HIV/AIDS, World Health Organisation, Geneva, Switzerland;1. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK;2. Blood-borne Viruses and Sexually Transmitted Infections Section, Health Protection Scotland, Glasgow, UK;3. Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK;4. Crosshouse Hospital, Kilmarnock, UK;5. Glasgow Royal Infirmary, Glasgow, UK;6. Stirling Community Hospital, Stirling, UK;7. Ninewells Hospital and Medical School, Dundee, UK;8. Gartnavel General Hospital, Glasgow, UK;9. Aberdeen Royal Infirmary, Aberdeen, UK;10. Royal Infirmary Edinburgh, Edinburgh, UK;11. Monklands Hospital, Lanarkshire, UK;1. Institute on Disability, University of New Hampshire, 10 West Edge Drive Suite 101, Durham, NH 03824, USA;2. Department of Health Management and Policy, Hewitt Hall, University of New Hampshire, 4 Library Way, Durham, NH 03824, USA;3. Department of Economics, Peter T. Paul College of Business and Economics, University of New Hampshire, 10 Garrison Avenue, Durham, NH 03824, USA |
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| Abstract: | BackgroundPolicies across countries promote family-focused engagement with adult drugs services however this is rarely offered routinely and relationships with carers are often poor. Research in mental health and older people's services suggests that improving the relationships between carers and service providers is fundamental to enhancing the quality of services. One example is the Senses Framework which assesses the extent to which services are relationship-centred and provides deeper insight into the areas that require further improvement. The aim of this paper is to establish the extent to which relationship-centred care, as defined by the Senses Framework, is expressed in the interactions between carers, services providers and policy makers in adult drug service settings.MethodsA qualitative study, involving 8 focus groups and 32 individual interviews, was undertaken to explore carers’, service providers’ and policy makers’ experiences and understandings of family and carer involvement with drug services in Scotland, United Kingdom.ResultsTensions exist between carers, service providers and policy makers however there are also areas of commonality in which participants shared experiences and understandings of family and carer involvement with services. Our findings go beyond existing research which focuses largely on describing of the poor quality of relationships between carers, service providers and policy makers by providing a deeper theoretical insight into the nature of these relationships. In so doing, by focusing on the senses of belonging, continuity, security, achievement, purpose and significance, we present the possibility of resolving such tensions.ConclusionsWe think that implementing relationship-centred approaches to care, such as that in the Senses Framework, would provide a greater sense of therapeutic and strategic direction for those delivering and commissioning adult drug services in many countries. |
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| Keywords: | Family-focused approaches Problem drug use Qualitative research Senses Framework |
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