

{"id":2242,"date":"2022-05-28T15:38:43","date_gmt":"2022-05-28T19:38:43","guid":{"rendered":"https:\/\/sites.temple.edu\/turiskcommlab\/?p=2242"},"modified":"2022-08-30T15:31:52","modified_gmt":"2022-08-30T19:31:52","slug":"we-figured-it-out-as-we-went-along-staff-perspectives-of-covid-19-response-efforts-at-a-large-north-american-syringe-services-programme","status":"publish","type":"post","link":"https:\/\/sites.temple.edu\/turiskcommlab\/2022\/05\/28\/we-figured-it-out-as-we-went-along-staff-perspectives-of-covid-19-response-efforts-at-a-large-north-american-syringe-services-programme\/","title":{"rendered":"&#8220;We figured it out as we went along&#8221;: Staff perspectives of COVID-19 response efforts at a large North American syringe services programme"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2242\" class=\"elementor elementor-2242\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8861350 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8861350\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-421c6aae\" data-id=\"421c6aae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32067289 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"32067289\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/doi.org\/10.1111\/hsc.13864\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-external-link-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">View the Article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-67cbe5af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67cbe5af\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6714388e\" data-id=\"6714388e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-746ba8fb elementor-widget elementor-widget-heading\" data-id=\"746ba8fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Abstract:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1808c662 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1808c662\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5ff6ee46\" data-id=\"5ff6ee46\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1965648b elementor-widget elementor-widget-text-editor\" data-id=\"1965648b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">Syringe services programmes face operational challenges to provide life-sustaining services to people who use substances and those who have substance use disorders. COVID-19 has disrupted operations at these programmes and is a threat to people with substance use disorder because of severe poverty, de-prioritisation of COVID-19 safety and high prevalence of comorbidities. This phenomenological qualitative study describes 16 in-depth interviews with staff of one of the largest syringe services programme in North America\u2014Prevention Point Philadelphia, located in the Kensington neighbourhood of Philadelphia, Pennsylvania. Interviews were conducted from December 2020 to February 2021, audio-recorded, transcribed and coded to develop a thematic framework. Participants were mostly white (71.4%) and female (68.8%) with a median age of 31.5. Three main and four sub-themes related to the impact of COVID-19 on the syringe services programme were identified: (1) COVID-19 altered services provision (sub-theme:select service changes should be retained); (2) unclear or absent COVID-19 response guidance which compromised mitigation (sub-themes:COVID-19 messaging was difficult to translate to practice, learn-as-we-go); and (3) staff and clients experienced elevated mental anguish during the pandemic (sub-theme: already limited resources were further strained). COVID-19 presented complex challenges to an organisation normally strained in pre-pandemic times. A staff culture of resourcefulness and resiliency aided the syringe services programme to balance client needs and staff safety. However, staff experienced a serious psychological impact, largely attributable to being unable to find reprieve from the stressors of COVID-19 and the difficulties associated with navigating and acting-on contradictory public health messaging. Staff also shared a belief that the relaxing of some pre-pandemic barriers allowed staff to link clients more readily with services. Syringe services programmes should embrace the potential for lasting changes to health services delivery brought about by wide-scale changes in service provisions because of COVID-19.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6002658 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6002658\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b1bf8f2\" data-id=\"3b1bf8f2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79073a7e elementor-widget elementor-widget-text-editor\" data-id=\"79073a7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Kelly PJA, Pilla J, Otor A, Hoadley A, Bauerle Bass S. \u201cWe figured it out as we went along\u201d: Staff perspectives of COVID\u201019 response efforts at a large North American syringe services programme.\u00a0<i>Health &amp; Social Care in the Community<\/i>. June 2022; 00, 1\u201312. doi:10.1111\/hsc.13864<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>View the Article Abstract: Syringe services programmes face operational challenges to provide life-sustaining services to people who use substances and those who have substance use&#8230;<\/p>\n<div class=\"more-link-wrapper\"><a class=\"more-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2022\/05\/28\/we-figured-it-out-as-we-went-along-staff-perspectives-of-covid-19-response-efforts-at-a-large-north-american-syringe-services-programme\/\">Continue reading<span class=\"screen-reader-text\">&#8220;We figured it out as we went along&#8221;: Staff perspectives of COVID-19 response efforts at a large North American syringe services programme<\/span><\/a><\/div>\n","protected":false},"author":25431,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[37,8],"tags":[],"class_list":["post-2242","post","type-post","status-publish","format-standard","hentry","category-2022-publications","category-publications","entry"],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"","author_link":"https:\/\/sites.temple.edu\/turiskcommlab\/author\/"},"_links":{"self":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/2242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/users\/25431"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/comments?post=2242"}],"version-history":[{"count":0,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/2242\/revisions"}],"wp:attachment":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/media?parent=2242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/categories?post=2242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/tags?post=2242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}