This implementation effort was facilitated by the organization’s shared culture of harm reduction-which fostered shared implementation goals and beliefs about the intervention among staff persons-its horizontal organizational structure, strong identification with the organization among staff, and strong relationships with external funders. We used the consolidated framework for implementation research to identify implementation barriers and facilitators. In-vivo observations and semi-structured interviews with harm reduction staff and participants were conducted between March 2019 and December 2020. This study aimed to identify barriers and facilitators of implementing drug checking services with spectrometry devices in an urban harm reduction organization and syringe service program serving economically marginalized people who use drugs in Boston, Massachusetts (USA).
#Breaking down the barriers rubinstein pdf portable#
The use of portable spectrometry devices to provide point-of-service analysis of the contents of illicit drugs been adopted by harm reduction organizations internationally but is only emerging in the United States. Drug checking, or the use of technology to provide insight into the contents of illicit drug products, is an overdose prevention strategy with an emerging evidence base. Unpredictable fluctuations in the illicit drug market increase overdose risk.
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