期刊论文详细信息
Harm Reduction Journal
“It’s like a safety net for when things go wrong”: key stakeholder and program user perspectives on a peer-led safe space program in Sydney, Australia
Research
Anthony Shakeshaft1  Christopher M. Doran2  Dam Anh Tran3  Phillip Wadds4 
[1] Centre for Indigenous Health, Faculty of Health and Behavioural Sciences, University of Queensland, St Lucia, Australia;Cluster for Resilience and Well-Being, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Australia;NHMRC Clinical Trials Centre, The University of Sydney, Sydney, Australia;School of Law Society and Criminology, Faculty of Law and Justice, University of New South Wales, 2052, Sydney, NSW, Australia;
关键词: Alcohol;    Illicit drugs;    Alcohol-related harm;    Harm reduction;    Night-time economy;    Entertainment precinct;    Policing;    Safety;    Safe spaces;    Peer-to-peer services;   
DOI  :  10.1186/s12954-023-00854-2
 received in 2023-02-24, accepted in 2023-08-20,  发布年份 2023
来源: Springer
PDF
【 摘 要 】

BackgroundSafe Spaces are a harm reduction approach commonly utilised in nightlife and festival settings to address alcohol and other drug-related harms. Despite increasing use, there has been little independent evaluation of safe space programs. This study aimed to explore (1) program user satisfaction with and use of a safe space program implemented in Sydney, Australia (The Take Kare Safe Space (TKSS)), and (2) the strengths and weaknesses of TKSS from the perspective of key stakeholders.MethodsSemi-structured, in-depth, interviews lasting between 30 min to 1 h were conducted with 38 key program stakeholders, including staff from police (n = 4), ambulance (n = 4), a local hospital accident and emergency room (n = 4), local council (n = 2), city ‘rangers’ (n = 2), the TKSS program (n = 4), licensed venues and other nightlife service providers (n = 4), and program users (n = 14). Purposive sampling was used to identify key stakeholders to participate in interviews.ResultsStakeholders stated that the TKSS program had a number of core benefits, including that it filled a service gap in nightlife settings; improved the efficiency and effectiveness of emergency services and other stakeholders operating in nightlife precincts; provided welfare services through proactive and non-judgmental interventions; and facilitated a means to de-escalate conflict without engaging police. Perceived weaknesses of the program included a lack of public awareness about the program; staff and volunteer levels; and misunderstandings regarding the scope and function of the TKSS program by some stakeholders.ConclusionThis study demonstrates the complex relationships that exist around the delivery of harm reduction in nightlife settings. In particular, it highlights the relative lack of servicing of public nightlife settings and the value of safe spaces/peer-to-peer safety ambassador programs in linking up care and filling this service gap. Further, it documents the extended benefit across key stakeholder groups of delivering proactive and non-judgemental harm reduction services and, in doing so, provides critical evidence around their efficacy in reducing AOD-related harms in the night-time economy.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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