Mechanisms for Expanding Harm Reduction for Opioid Use in Suburban and Rural U.S. Settings

Helena D.G. Montaque*, Erika Christenson, Antoinette Spector, Jenifer Wogen, Madelyn McDonald, Margaret R. Weeks, Jianghong Li, Julia Dickson-Gomez

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The availability and adoption of Syringe Services Programs (SSPs) depends heavily on the towns and counties charged with implementing and sustaining these programs. Suburban and rural areas especially lack the community and political support for SSPs. We examined key informant in-depth interview data among professionals providing harm reduction services as well as some health department directors, doctors, and law enforcement officers from a three-state (Connecticut, Kentucky, and Wisconsin) study. Results revealed the challenges and emerging solutions for expanding harm reduction services in suburban and rural areas. Additional comparisons of experiences of those working in urban areas were highlighted. Overall, there were widespread similarities in challenges across the three states for providing harm reduction services in rural and suburban settings. Findings revealed potential directions to address the identified barriers and community-supported ideas to improve harm reduction efforts.

Original languageEnglish (US)
Pages (from-to)196-212
Number of pages17
JournalJournal of Drug Issues
Volume53
Issue number2
DOIs
StatePublished - Apr 2023

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute on Drug Abuse grant number R01 DA044971.

Keywords

  • harm reduction
  • rural
  • suburban
  • syringe service programs

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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