Objectives: This study explored the perspectives of chemsex service providers and the factors influencing their treatment approaches. Methods: Through purposive sampling, this study interviewed 17 experienced chemsex service providers to examine approaches acquired during training and how practice settings and experiences influence approach. Results: Participants were categorized into three groups on the basis of their treatment approach: abstinence, harm reduction, and an approach situated between the aforementioned two approaches. Most participants supported abstinence, basing their approach on evidence-based neuroscience, social reintegration needs, and the legal ramifications of substance use. Participants favoring the harm reduction approach were from diverse professional backgrounds, primarily working in nongovernmental organizations focused on sexual health and HIV prevention. They argued against a sole focus on abstinence, prioritizing the client’s motivation and participation and providing pragmatic assistance. In practice, half of those in the abstinence group adapt their methods to incorporate more flexibility or to align with the harm reduction approach. By contrast, only one participant from the harm reduction group modified their stance. Shifts in approach generally reflect an emphasis on client needs and the effective implementation of treatment plans. Conclusions: Chemsex service providers must embrace client-centered approaches and recognize the barriers to care imposed by legal regulations, social contexts, and the health-care system and develop supportive and inclusive treatment strategies.
日期:
2024-08
關聯:
Taiwan Journal of Public Health. 2024 Aug;43(4):386-400.
