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Substance Use Policy and Practice in the Covid-19 Pandemic: Learning From Early Pandemic Responses Through Internationally Comparative Field Data Publisher Pubmed



Aronowitz SV1 ; Carroll JJ2 ; Hansen H3 ; Jauffretroustide M4, 5 ; Parker CM6 ; Suhailsindhu S7 ; Albizugarcia C8 ; Alegria M9 ; Arrendondo J10 ; Baldacchino A11 ; Bluthenthal R12 ; Bourgois P13 ; Burraway J14 ; Chen JS15 Show All Authors
Authors
  1. Aronowitz SV1
  2. Carroll JJ2
  3. Hansen H3
  4. Jauffretroustide M4, 5
  5. Parker CM6
  6. Suhailsindhu S7
  7. Albizugarcia C8
  8. Alegria M9
  9. Arrendondo J10
  10. Baldacchino A11
  11. Bluthenthal R12
  12. Bourgois P13
  13. Burraway J14
  14. Chen JS15
  15. Ekhtiari H16
  16. Elkhoy H17
  17. Farhoudian A18
  18. Friedman J19
  19. Jordan A20
  20. Kato L21
  21. Knight K22
  22. Martinez C23
  23. Mcneil R24
  24. Murray H25
  25. Namirembe S26
  26. Radfar R27
  27. Roe L28
  28. Sarang A29
  29. Scherz C30
  30. Tay Wee Teck J31
  31. Textor L19
  32. Thi Hai Oanh K32

Source: Global Public Health Published:2022


Abstract

The COVID-19 pandemic has created an unprecedented natural experiment in drug policy, treatment delivery, and harm reduction strategies by exposing wide variation in public health infrastructures and social safety nets around the world. Using qualitative data including ethnographic methods, questionnaires, and semi-structured interviews with people who use drugs (PWUD) and Delphi-method with experts from field sites spanning 13 different countries, this paper compares national responses to substance use during the first wave of the COVID-19 pandemic. Field data was collected by the Substance Use x COVID-19 (SU x COVID) Data Collaborative, an international network of social scientists, public health scientists, and community health practitioners convened to identify and contextualise health service delivery models and social protections that influence the health and wellbeing of PWUD during COVID-19. Findings suggest that countries with stronger social welfare systems pre-COVID introduced durable interventions targeting structural drivers of health. Countries with fragmented social service infrastructures implemented temporary initiatives for PWUD led by non-governmental organisations. The paper summarises the most successful early pandemic responses seen across countries and ends by calling for greater systemic investments in social protections for PWUD, diversion away from criminal-legal systems toward health interventions, and integrated harm reduction, treatment and recovery supports for PWUD. © 2023 Informa UK Limited, trading as Taylor & Francis Group.