Toxicity: exploring and expanding the concept

Strang, John; Neale, Joanne; Kalk, Nicola J.

doi:10.1111/add.14080

Cited by 12 publications

(9 citation statements)

References 11 publications

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“…The association between earlier opportunity to use heroin and increased likelihood of overdosewhich remained after controlling for age of initiation and duration of heroin use -parallels findings that younger age of heroin initiation is associated with overdose (Lynskey & Hall, 1998). In line with recent calls to expand the concept of toxicity (Strang, Neale, McDonald, & Kalk, 2018), these findings suggest that the field may benefit from expanding our concept beyond pharmacology to consider motivations and risk behaviours underlying overdose. It is plausible that those who have earlier opportunity to use heroin are growing up in environments in which potentially dangerous drug use habits, such as concomitant use of multiple drugs, will develop.…”

Section: Discussionsupporting

confidence: 67%

Characterising opportunity to use heroin reveals new avenues for intervention: context, outcomes, and latency to initiation

Hines

Morley

Strang

et al. 2018

Drugs: Education, Prevention and Policy

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Section: Discussionsupporting

confidence: 67%

Characterising opportunity to use heroin reveals new avenues for intervention: context, outcomes, and latency to initiation

Hines

Morley

Strang

et al. 2018

Drugs: Education, Prevention and Policy

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“…Importantly, such effects can shape future practices in ways that increase the dangers relating to opioid overdose (Strang et al . ).…”

Section: Literature Reviewmentioning

confidence: 97%

“… A politics of care approach to administration may not only improve individual experiences of revival but may advance naloxone's reputation and encourage uptake (Strang et al . ). A politics of care approach emphasises social relations which is especially important in a context in which those affected are heavily stigmatised and constituted as lacking meaningful relationships (Fomiatti et al . ). A politics of care approach holds political issues of marginalisation, material resourcing and stigma at the centre of analysis.…”

Section: Conclusion: Towards a Politics Of Carementioning

confidence: 97%

Take‐home naloxone and the politics of care

Farrugia

Fraser

Dwyer

et al. 2019

Sociology Health & Illness

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Take-home naloxone' refers to a life-saving intervention in which a drug (naloxone) is made available to nonmedically trained people for administration to other people experiencing an opioid overdose. In Australia, it has not been taken up as widely as would be expected, given its life-saving potential. We consider the actions of take-home naloxone, focusing on how care relations shape its uses and effects. Mobilising Science and Technology Studies insights, we suggest that the uses and effects of naloxone are co-produced within social relations and, therefore, this initiative 'affords' multiple outcomes. We argue that these affordances are shaped by a politics of care, and that these politics relate to uptake. We analyse two complementary case studies, drawn from an interview-based project, in which opioid consumers discussed take-home naloxone and its uses. Our analysis maps the ways take-home naloxone can afford (i) a regime of care within an intimate partnership (allowing a terminally ill man to more safely consume opioids) and (ii) a political process of care (in which a consumer takes care of others treated with the medication by administering it 'gently'). We conclude by exploring the political affordances of a politics of care approach for the uptake of take-home naloxone.

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“…Although unintended consequences of THN provision cannot be ruled out (and future policy and practice should address these to the extent possible), greater harm could emerge from ‘reputational toxicity’ of the intervention. Myths around unintended consequences (based on anecdotal or unreliable evidence) can give THN a bad reputation, and such unfounded perception of risk could discourage providers from prescribing naloxone, which would reduce the net benefit of THN.…”

Section: The Policy Responsementioning

confidence: 99%