Users' perception of a harm reduction program in an outpatient drug dependency treatment center

Constanza Daigre, Marina Comín, Laia Rodríguez-Cintas, Nuria Voltes, Alba Alvarez, Carlos Roncero, Begoña Gonzalvo, Miguel Casas

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7 Citations (Scopus)


Objectives: We analyzed the perspective of users enrolled in a harm reduction program that provides syringe exchange, an educational room for «warmth and coffee», a methadone maintenance program, a room for supervised drug consumption, a place for personal hygiene, and medical and psychosocial follow-up. The particularity of this program lies in its integration within an outpatient drug treatment center forming part of a general hospital. Methods: We performed a descriptive study using qualitative methods. Theoretical sampling was conducted. Twelve in-depth interviews and one focus group composed of eight users were carried out. Information analysis was based on grounded theory. Literal transcriptions were coded and subsequently sorted into broad categories. Three researchers participated in this process and finally a fourth researcher triangulated the results. Results: Five dimensions were identified in the users' discourse: accessibility, service, relationship, localization, and identity. Each consisted of several topics that were evaluated based on the participants' experiences and expectations. The dimension of identity emerged as a distinctive element in patient-program bonding. Conclusions: The users' overall evaluation of the program was positive. Facilitators and barriers influencing patient-program bonding were identified and participants suggested ways to remove barriers. The coexistence among users of the harm reduction program and patients treated conventionally provoked ambivalence but the team's management was deemed helpful in easing the difficulties arising from this situation. © 2010 SESPAS.
Original languageEnglish
Pages (from-to)446-452
JournalGaceta Sanitaria
Issue number6
Publication statusPublished - 1 Nov 2010


  • Bonding
  • Drug addiction
  • Harm reduction program
  • Qualitative research


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