What Do Needle and Syringe Programs Do? : An Assemblic Account of Staff-Client Relationships at Needle Syringe Programs

• Record Nr.: UNINA9910765481803321
• Autore: Yates Ken
• Pubbl/distr/stampa: Cham : , : Palgrave Macmillan, , 2023; ©2023
• ISBN: 9783031459689; 3031459687
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (178 pages)
• Disciplina: 364.13365099441
• Soggetti: Needle exchange programs; Harm reduction
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di contenuto: Intro -- Preface -- Contents -- Abbreviations -- List of Tables -- 1 Introduction -- Hepatitis C -- Hepatitis C Virus -- The HCV Epidemic in Australia -- The Impact of HCV Infections -- HCV Treatments -- NSP Interventions and Harm Reduction -- Needle and Syringe Programs as Policy and Health Intervention -- NSP Efficacy -- NSPs in Other Regions Globally -- NSPs in New South Wales, Australia -- NSP Clients in NSW -- Biopolitical Assemblages of Harm Reduction -- Medical or Social Focus -- Priorities: Reducing Harm to the General Population or for People Who Inject Drugs -- Biopolitics of Drugs and Harm Reduction -- Strategic and Cautious Engagement -- Theoretical Approach -- A Materialist Ontology -- Assemblages, Relationality, and Capacities -- Implications for Health and Care -- Subjectivity, Fluidity, and Performativity -- The Biopolitics of Drug Stigma -- Harm Reduction and Demarginalisation -- Diversity of Assemblage Thinking -- Tensions, Questions, and Challenges -- Ethico-Methodological Considerations -- Methodology -- Methodological Background -- Interviewing -- Sampling and Recruitment -- Analysis -- References -- 2 The Relations of Client Engagement -- The Sample -- Assembling Access -- Beyond Provision of Injecting Equipment -- Wound Care -- Costs -- Talk -- Basic Material Needs -- Non-judgmental Services -- Deliberative Spontaneity -- Summary: Non-equipment Services, Non-; judgmental Provision, and Deliberative Spontaneity -- Assembling and Disassembling Harm -- Assembling Harm -- Deterritorialising Harm: Harm-Reducing Possibilities -- Summary: Harm Production and the Possibilities of Reduction -- Assembling Identity -- The Self, Others, and Injecting Equipment -- Responsibility and Care -- The Encounter and Experience of Service Engagement -- Summary: Ethical Relations, Responsibilities, and the Affects of Access.; Chapter Summary: Assembling Access, Assembling Harm, and Assembling Identity -- References -- 3 The Harm Reduction Subject and Demarginalisation -- Client Accounts of Demarginalisation -- NSP Worker Perspectives on Practice and Client Demarginalisation -- NSP Staff Sample -- Working with Clients -- Empowerment -- Conversations and Problems -- NSP Staff Advocating for Clients -- Chapter Summary: Demarginalisation, Empowerment, and Advocacy -- References -- 4 The Discourtesy of Courtesy Stigma -- NSP Staff Experiences of Discrimination -- Resistance to NSP Service Provision -- Face-Work -- Chapter Summary: Discrimination, Service Resistance, and Face-work -- References -- 5 Situating the Empirical Work -- Findings Summary and Review -- Practical Insights: Beyond Equipment Distribution -- Practical Insights: Accessing Services -- Theoretical Insights: Service Encounters -- Atmospheres, Affects, Empowerment -- Worker Relations, Affects, and Capacities -- Non-judgmental Encounters and Feeling like a Person -- Rethinking Success as Ongoing Engagement with Process -- Theoretical Insights: Service Philosophy -- Emergent Subjects and Possibilities -- Ethics, Transformation, and Citizenship -- Biopolitical Interventions -- Reflections on Methodological Limitations and Challenges -- The Challenge of Ontology and Research Translation -- Researcher-driven Analysis? -- Ordering Relations -- What Do NSPs Do? -- The 'More Than' of NSPs -- References -- 6 Implications for Future Research and Practice -- Context Counts -- The Collateral Realities of Service Provision -- Demonstration of Novel Theoretical and Methodological Approach -- Evidence Concerning the Strengths and Limits of NSPs and the Need for Sensitivity Toward Other Effects of Service Provision and Engagement -- Contexts and Contributions.; Implications: Decentred Relations of Harm and the Contestation of Liberal Individualism -- A Note on the Emphasis on Primary Service Provision -- Conclusion and Reflections on Future Research -- Ethico-Political Decisions and the 'More Than' of What NSPs Do -- References -- Index.
• Sommario/riassunto: This book, authored by Ken Yates, delves into the operations and impact of Needle and Syringe Programs (NSPs) as a harm reduction strategy for people who inject drugs, focusing on staff-client relationships. Situated in Western Sydney, Australia, it explores the socio-political dynamics, challenges, and effectiveness of NSPs in addressing public health issues like Hepatitis C and illicit drug use. The work employs an assemblage theory approach, examining the interconnectedness of human and non-human elements in service provision. Aimed at scholars and the general public, it offers insights into the complexities of harm reduction and critiques conventional views on drug-related harm.