Transcript Stuck in the Mud

Stuck in the Mud
Stagnation of innovative policy
development to reduce harm
within injecting communities
Policy Process
Policy development
Policy implementation
Policy modulation
Policy
Policy Framework
Govt
MP’S
Macro
Meso
Micro
DOH
MEDIA
User Involvement
Pressure Groups
Professionals
Policy Process
Is characterised by intense
competition between different
elite groups.
Involves a diverse range of
interests and agendas
Often developed &
implemented from a top down
process
Policy Process
Is often disjointed and
incremental
Differing interpretations
Policy – Practice gap
Policy impact assessment
Dangerous Policy – Bad Practice
– Harmful Outcomes
Poor Policy
One for One Exchange
No returns – No exchange
Retractable syringes
HCV Treatment for those in
treatment
Access & Opening times
NX Coverage
Policy formulation often
overlooks drug users as a
community
Good Policy
Evidence based policy
development & practice
Seamless structure of policy
development
Policy impact assessment
Be innovative & creative to
meet customer need
SMILE
Customer
Requirements
Quality
Value
Customer
Satisfaction
Service
Marketing policy
philosophy involves
identifying,
anticipating and
fulfilling customer
needs!
Customer
Requirements
• Policy makers
appear to be so far
removed from the
realms and realities
of IDU’s everyday
life's that it is
difficult to
comprehend how
policy can address
and meet their
needs
Policy makers must
work with all
stakeholders in
formulating policy to
reduce the harm
within injecting
communities
Public Health Crisis
Much Needle Exchange
provision and policy today is still
set within the prevention of HIV
and as such injecting behaviour
amongst some IDU communities
continues within HIV prevention
not HCV prevention
Public Health Crisis
Innovative policy development
that is inclusive of those it effects
is required to at least slow down
the rate of HCV transmission
amongst IDU communities
Moving Forward
Current good policy practice
must be researched to identify
what works
Policy makers must give IDU’s
the prospect and opportunity to
see themselves as a group of
citizens with a representative role
and identity