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Windows of opportunity: Adapting services to the needs of people who inject drugs

机译:机会之窗:使服务适应注射毒品者的需求

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摘要

One way to look at the issues raised by Islam, Topp, Day, Dawson, and Conigrave (2012) is to look at health care needs and services through the lens of people who inject drugs. If you are down to the level of basic needs and lacking minimum standard of safety and security - as many people who inject drugs are - the Maslow hierarchy of needs starts from food, clothing and shelter. If energy and body reserves are left, and depending on the availability of support services and on the knowledge and motivation of individuals, people who inject might seek HIV rapid testing or an emergency room visit for an infected injection site. Service seeking will be strongly guided by short-term need and immediate satisfaction, especially when there is no regular way of life requiring a strategic plan and goal oriented thinking. Injectors who are homeless have more constraints on their life as they lack one of the most important basic survival needs, making them prone to other problems. A history of traumatic life experiences is one of the frequent findings in routine screening. The issue of concurrent disorder is another confounding problem that makes service provision more complicated.
机译:研究伊斯兰教,托普,戴,道森和康尼格雷夫(2012)提出的问题的一种方法是通过注射毒品者的眼光看卫生需求和服务。如果您无法满足基本需求的水平,并且缺乏最低限度的安全和保障标准-就像注射毒品的许多人一样-马斯洛的需求层次从食物,衣服和住所开始。如果仅保留能量和身体储备,并且取决于支持服务的可用性以及个人的知识和动力,则注射者可能会寻求HIV快速检测或对感染部位进行急诊。寻求服务将受到短期需求和即时满足的强烈指导,尤其是当没有固定的生活方式需要战略计划和面向目标的思维时。由于无家可归的喷油器缺乏最重要的基本生存需求之一,因此他们的生活受到更多限制,从而容易出现其他问题。创伤性生活经历的历史是常规筛查的常见发现之一。并发混乱的问题是使服务提供更加复杂的另一个令人困惑的问题。

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