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Improving access to care for people who inject drugs: Qualitative evaluation of project ITTREAT — An integrated community hepatitis C service

Phillips, Clare, Schulkind, Jasmine, O'Sullivan, Margaret, Edelman, Natalie, Smith, Helen E., Verma, Sumita and Jones, Christina J. (2019) Improving access to care for people who inject drugs: Qualitative evaluation of project ITTREAT — An integrated community hepatitis C service Journal of Viral Hepatitis.

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Abstract

Achieving hepatitis C virus (HCV) elimination by 2030 requires an increased linkage to care for people who inject drugs (PWID). Project ITTREAT was established to mitigate barriers to HCV care by providing an integrated service within a local drug and alcohol treatment centre. This study aimed to explore the experiences of clients and staff involved in Project ITTREAT and assess the facilitators and barriers to a community‐based HCV service. Between October 2014 and April 2016, drug and alcohol treatment attendees were interviewed using one‐to‐one semi‐structured interviews. Drug and alcohol treatment staff took part in focus groups. All data were recorded, transcribed verbatim and analysed using thematic content analysis. Fifteen drug and alcohol treatment attendees with current/previous HCV infection were interviewed, and 15 staff members contributed across two focus groups. Drug and alcohol treatment staff and attendees reported that Project ITTREAT facilitated access to HCV care by mitigating previous negative hospital‐based experiences. Other key facilitators were positive narratives around HCV care, and drug and alcohol treatment attendees being well engaged in their drug/alcohol recovery. Barriers included a lack of stability in drug and alcohol treatment attendees, negative discourse around testing/treatment and stigma associated with attending the drug and alcohol treatment to access HCV treatment in some who had successfully achieved drug rehabilitation. Our findings indicate the positive impact of an integrated and personalized community‐based service delivered by a dedicated hepatitis nurse. This played a crucial role in reducing barriers to HCV care for PWID. Our work also highlights areas for future investment including non–DAT‐based community services and increasing awareness of new treatments amongst this cohort.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Phillips, Clare
Schulkind, Jasmine
O'Sullivan, Margaret
Edelman, Natalie
Smith, Helen E.
Verma, Sumita
Jones, Christina J.c.j.jones@surrey.ac.uk
Date : 15 October 2019
Funders : Brighton and Hove Commissioner and Gilead Sciences
DOI : 10.1111/jvh.13214
Grant Title : National Gilead Fellowship and Gilead Investigator Sponsored Research
Copyright Disclaimer : © 2019 John Wiley & Sons Ltd
Uncontrolled Keywords : Staff/client experience; Substance misuse; Hepatitis C virus; Community HCV service; Barriers; Facilitators
Depositing User : Clive Harris
Date Deposited : 01 Nov 2019 11:00
Last Modified : 04 Feb 2020 09:17
URI: http://epubs.surrey.ac.uk/id/eprint/853025

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