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Consumer participation in drug treatment: a systematic review

Consumer participation in drug treatment: a systematic review It is unclear how consumer participation (CP) can be optimised to transform drug and alcohol treatment services and improve health outcomes. The purpose of this paper is to present the findings of a systematic review examining the types and benefits of activities, and the factors that facilitate CP in drug treatment services.Design/methodology/approachA structured search of four databases was undertaken to identify peer reviewed primary research literature in English. Screened articles were appraised. A content analysis was applied to examine the types and outcomes of CP and the associated factors affecting the process. In total, 16 articles were included for review.FindingsA range of CP activities were identified, and benefits included increased consumer satisfaction, and improved health service delivery. Factors that facilitated the process of CP included positive attitudes of both consumers and providers and employment of people with a lived experience of drug use. However, the lack of consumer and organisational capacity, negative attitudes of providers and power imbalances between consumers and providers constrained CP efforts.Practical implicationsTo maximise the benefits of CP in drug and alcohol treatment services, negative attitudes about CP and power dynamics between consumers and health providers need to be addressed. This can be achieved by the strategic use of strengths-based interventions and consumer led education to enhance social capital.Originality/valueThis is the first known review to examine the benefits and facilitators of CP in drug treatment services. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Drugs and Alcohol Today Emerald Publishing

Consumer participation in drug treatment: a systematic review

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References (81)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1745-9265
DOI
10.1108/dat-05-2018-0023
Publisher site
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Abstract

It is unclear how consumer participation (CP) can be optimised to transform drug and alcohol treatment services and improve health outcomes. The purpose of this paper is to present the findings of a systematic review examining the types and benefits of activities, and the factors that facilitate CP in drug treatment services.Design/methodology/approachA structured search of four databases was undertaken to identify peer reviewed primary research literature in English. Screened articles were appraised. A content analysis was applied to examine the types and outcomes of CP and the associated factors affecting the process. In total, 16 articles were included for review.FindingsA range of CP activities were identified, and benefits included increased consumer satisfaction, and improved health service delivery. Factors that facilitated the process of CP included positive attitudes of both consumers and providers and employment of people with a lived experience of drug use. However, the lack of consumer and organisational capacity, negative attitudes of providers and power imbalances between consumers and providers constrained CP efforts.Practical implicationsTo maximise the benefits of CP in drug and alcohol treatment services, negative attitudes about CP and power dynamics between consumers and health providers need to be addressed. This can be achieved by the strategic use of strengths-based interventions and consumer led education to enhance social capital.Originality/valueThis is the first known review to examine the benefits and facilitators of CP in drug treatment services.

Journal

Drugs and Alcohol Today – Emerald Publishing

Published: Apr 5, 2019

Keywords: User involvement; Social capital; Consumer participation; Drug treatment service delivery; Professional attitudes; Strength-based interventions

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