Substitution treatment in the era of recovery: an analysis of stakeholder roles and policy windows in Britain

Article

Duke, K., Herring, R., Thickett, A. and Thom, B. 2013. Substitution treatment in the era of recovery: an analysis of stakeholder roles and policy windows in Britain. Substance Use and Misuse. 48 (11), pp. 966-976. https://doi.org/10.3109/10826084.2013.797727
TypeArticle
TitleSubstitution treatment in the era of recovery: an analysis of stakeholder roles and policy windows in Britain
AuthorsDuke, K., Herring, R., Thickett, A. and Thom, B.
Abstract

Based on documentary analyses and interviews with twenty key informants in 2012, this paper analyses the shift in British drugs policy towards “recovery” from the perspectives of major stakeholders. The processes involved in reopening the debate surrounding the role of substitution treatment and its re-emergence on to the policy agenda are examined. Drawing on Kingdon's work on agenda-setting, the ways in which methadone maintenance was challenged and defended by key stakeholders in the initial phase of policy development and the negotiation of a “recovery” focus as the organizing concept for British drugs policy are explored. Study limitations are noted.

KeywordsStakeholders, drug policy, substitution treatment, policy windows, recovery, abstinence, harm reduction, policy entrepreneurs, agenda-setting
PublisherTaylor & Francis (Routledge)
JournalSubstance Use and Misuse
ISSN1082-6084
Electronic1532-2491
Publication dates
PrintAug 2013
Publication process dates
Deposited24 Sep 2013
Output statusPublished
Digital Object Identifier (DOI)https://doi.org/10.3109/10826084.2013.797727
PubMed ID23952509
Web of Science identifierWOS:000323490700004
LanguageEnglish
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Bell, L., Lewis-Brooke, S., Herring, R., Lehane, L., O'Farrell-Pearce, S., Quinn, K. and So, T. 2015. Mothers apart: working with birth mothers who have had children successively and permanently removed from their care. 5th European Social Work Research Conference. Ljubljana, Slovenia 22 - 24 Apr 2015
Producing the 'problem of drugs': a cross national-comparison of ‘recovery' discourse in two Australian and British reports
Lancaster, K., Duke, K. and Ritter, A. 2015. Producing the 'problem of drugs': a cross national-comparison of ‘recovery' discourse in two Australian and British reports. International Journal of Drug Policy. 26 (7), pp. 617-625. https://doi.org/10.1016/j.drugpo.2015.04.006
Stakeholder influences on drug and alcohol policy processes
Asmussen Frank, V., Bjerge, B., Duke, K., Klein, A. and Stothard, B. 2015. Stakeholder influences on drug and alcohol policy processes. Drugs and Alcohol Today. 15 (4), pp. 177-180. https://doi.org/10.1108/DAT-10-2015-0060
The shifting roles of medical stakeholders in opioid substitution treatment: a comparison between Denmark and the UK
Bjerge, B., Duke, K. and Frank, V. 2015. The shifting roles of medical stakeholders in opioid substitution treatment: a comparison between Denmark and the UK. Drugs and Alcohol Today. 15 (4), pp. 216-230. https://doi.org/10.1108/DAT-07-2015-0033
Tackling drugs locally: the implementation of drug action teams in England
Duke, K. and MacGregor, S. 1997. Tackling drugs locally: the implementation of drug action teams in England. London HMSO. https://doi.org/9780114301460
Activating local networks: a comparison of two community development approaches to drug prevention
Duke, K., MacGregor, S. and Smith, L. 1996. Activating local networks: a comparison of two community development approaches to drug prevention. London Home Office Drugs Prevention Initiative. https://doi.org/9781858935560
Vietnamese refugees since 1982
Duke, K. and Marshall, T. 1995. Vietnamese refugees since 1982. London HMSO.
The resettlement experiences of refugees in the UK: main findings from an interview study
Duke, K. 1996. The resettlement experiences of refugees in the UK: main findings from an interview study. Journal of Ethnic and Migration Studies. 22 (3), pp. 461-478. https://doi.org/10.1080/1369183X.1996.9976550
Delivering alcohol IBA: broadening the base from health to non-health contexts: review of the literature and scoping
Thom, B., Herring, R., Luger, L., Annand, F., Alcohol Research UK and Middlesex University 2014. Delivering alcohol IBA: broadening the base from health to non-health contexts: review of the literature and scoping. London Alcohol Research UK.
Stigma as a public health tool: implications for health promotion and citizen involvement
Williamson, L., Thom, B., Stimson, G. and Uhl, A. 2014. Stigma as a public health tool: implications for health promotion and citizen involvement. International Journal of Drug Policy. 25 (3), pp. 333-335. https://doi.org/10.1016/j.drugpo.2014.04.008
Disruptive innovations: the rise of the e-cigarette
Stimson, G., Thom, B. and Uhl, A. 2014. Disruptive innovations: the rise of the e-cigarette. International Journal of Drug Policy. 25 (4), pp. 653-655. https://doi.org/10.1016/j.drugpo.2014.05.003
The role of evidence and the expert in contemporary processes of governance: the case of opioid substitution treatment policy in England
Duke, K. and Thom, B. 2014. The role of evidence and the expert in contemporary processes of governance: the case of opioid substitution treatment policy in England. International Journal of Drug Policy. 25 (5), pp. 964-971. https://doi.org/10.1016/j.drugpo.2014.01.015
Perceptions on the role of evidence: an English alcohol policy case study
Toner, P., Lloyd, C., Thom, B., MacGregor, S., Godfrey, C., Herring, R. and Tchilingirian, J. 2014. Perceptions on the role of evidence: an English alcohol policy case study. Evidence and Policy. 10 (1), pp. 93-112. https://doi.org/10.1332/174426514X13899745453819
Reforming the Soviet model: alcohol treatment services in Kazakhstan
Waters, E. and Thom, B. 2008. Reforming the Soviet model: alcohol treatment services in Kazakhstan. Addiction Research & Theory. 16 (4), pp. 319-330. https://doi.org/10.1080/16066350802008652
Stakeholders in opioid substitution treatment policy: similarities and differences in six European countries
Thom, B., Duke, K., Frank, V. and Bjerge, B. 2013. Stakeholders in opioid substitution treatment policy: similarities and differences in six European countries. Substance Use and Misuse. 48 (11), pp. 933-942. https://doi.org/10.3109/10826084.2013.797720
Containing contradictions: the development of prison drugs policy in England since 1980
Duke, K. 1999. Containing contradictions: the development of prison drugs policy in England since 1980. PhD thesis Middlesex University School of Social Science
Soft methods, hard targets: regional alcohol managers as a policy network
Lloyd, C., Thom, B., MacGregor, S., Herring, R., Godfrey, C., Toner, P. and Tchilingirian, J. 2014. Soft methods, hard targets: regional alcohol managers as a policy network. Journal of Substance Use. 19 (4), pp. 319-326. https://doi.org/10.3109/14659891.2013.808710
The alcohol improvement programme: evaluation of an initiative to address alcohol-related health harm in England
Thom, B., MacGregor, S., Godfrey, C., Herring, R., Lloyd, C., Tchilingirian, J. and Toner, P. 2013. The alcohol improvement programme: evaluation of an initiative to address alcohol-related health harm in England. Alcohol and Alcoholism. 48 (5), pp. 585-591. https://doi.org/10.1093/alcalc/agt052
"But no one told me it’s okay to not drink": a qualitative study of young people who drink little or no alcohol
Herring, R., Bayley, M. and Hurcombe, R. 2014. "But no one told me it’s okay to not drink": a qualitative study of young people who drink little or no alcohol. Journal of Substance Use. 19 (1-2), pp. 95-102. https://doi.org/10.3109/14659891.2012.740138
From crime to recovery: the reframing of British drugs policy?
Duke, K. 2012. From crime to recovery: the reframing of British drugs policy? Journal of Drug Issues. 43 (1), pp. 39-55. https://doi.org/10.1177/0022042612466614
Partnerships: survey respondents' perceptions of inter-professional collaboration to address alcohol-related harms in England
Thom, B., Herring, R., Bayley, M., Waller, S. and Berridge, V. 2013. Partnerships: survey respondents' perceptions of inter-professional collaboration to address alcohol-related harms in England. Critical Public Health. 23 (1), pp. 62-76. https://doi.org/10.1080/09581596.2012.724770
A positive choice: young people who drink little or no alcohol
Herring, R., Bayley, M., Hurcombe, R., Middlesex University and Joseph Rowntree Foundation 2012. A positive choice: young people who drink little or no alcohol. York Jospeh Rowntree Foundation.
Partnerships: a mechanism for local alcohol policy implementation.
Thom, B., Herring, R., Bayley, M., Waller, S. and Berridge, V. 2012. Partnerships: a mechanism for local alcohol policy implementation. London Alcohol Research UK.
Partnerships and communities in English drug policy: the challenge of deprivation
MacGregor, S. and Thickett, A. 2011. Partnerships and communities in English drug policy: the challenge of deprivation. International Journal of Drug Policy. 22 (6), pp. 478-490. https://doi.org/10.1016/j.drugpo.2011.06.003
Reconceptualising harm reduction in prisons
Duke, K. 2011. Reconceptualising harm reduction in prisons. in: Fraser, S. and Moore, D. (ed.) The drug effect: health, crime and society Cambridge, UK Cambridge University Press. pp. 209-224
Governance, sport and the city: realising mega sporting events in London.
Herring, R. 2006. Governance, sport and the city: realising mega sporting events in London. PhD thesis Middlesex University School of Health and Social Sciences
Alcohol harm reduction in Europe.
Herring, R., Thom, B., Beccaria, F., Kolind, T. and Moskalewicz, J. 2010. Alcohol harm reduction in Europe. in: Rhodes, T. and Hedrich, D. (ed.) Harm reduction: evidence, impacts and challenges. Lisbon, Spain European Monitoring Centre for Drugs and Drug Addiction.
Clashes in culture? the 'professionalisation' and 'criminalisation' of the drugs workforce
Duke, K. 2010. Clashes in culture? the 'professionalisation' and 'criminalisation' of the drugs workforce. British Journal of Community Justice. 8 (2), pp. 31-43.
Growing up with risk
Thom, B., Sales, R. and Pearce, J. 2007. Growing up with risk. Policy Press.
The role of Macmillan nurse tutors: an interview study with post-holders.
Herring, R., Wilson-Barnett, J. and Ball, S. 1995. The role of Macmillan nurse tutors: an interview study with post-holders. International Journal of Palliative Nursing. 1 (4), pp. 217-225.
The role of home carers: findings from a study of alcohol and older people.
Herring, R. and Thom, B. 1998. The role of home carers: findings from a study of alcohol and older people. Health Care in Later Life. 3 (3), pp. 199-211.
The right to take risks: alcohol and older people
Herring, R. and Thom, B. 1997. The right to take risks: alcohol and older people. Social Policy and Administration. 31 (3), pp. 233-246. https://doi.org/10.1111/1467-9515.00053
Street drinking: back on the agenda?
Herring, R. 1997. Street drinking: back on the agenda? Drugs: Education, Prevention, and Policy. 4 (2), pp. 187-191.
Alcohol misuse in older people: the role of home carers
Herring, R. and Thom, B. 1997. Alcohol misuse in older people: the role of home carers. Health and Social Care in the Community. 5 (4), pp. 235-245. https://doi.org/10.1111/j.1365-2524.1997.tb00119.x
Alcohol-related attendances in the A&E department: could nurses have a preventative role?
Herring, R. and Thom, B. 1999. Alcohol-related attendances in the A&E department: could nurses have a preventative role? Nursing Times. 95 (9), pp. 59-62.
Resisting the gaze? nurse perceptions of the role of accident and emergency departments in responding to alcohol-related attendances.
Herring, R. and Thom, B. 1999. Resisting the gaze? nurse perceptions of the role of accident and emergency departments in responding to alcohol-related attendances. Critical Public Health. 9 (2), pp. 135-148. https://doi.org/10.1080/09581599908402926
Identifying alcohol-related harm in young drinkers: the role of accident and emergency departments
Thom, B., Herring, R. and Judd, A. 1999. Identifying alcohol-related harm in young drinkers: the role of accident and emergency departments. Alcohol and Alcoholism. 34 (6), pp. 910-915. https://doi.org/10.1093/alcalc/34.6.910
Exploring changes in young men's drinking using the AUDIT questionnaire
Harnett, R., Herring, R., Thom, B. and Kelly, M. 1999. Exploring changes in young men's drinking using the AUDIT questionnaire. Alcohol and Alcoholism. 34 (5), pp. 672-677. https://doi.org/10.1093/alcalc/34.5.672
Alcohol in transition: towards a model of young men's drinking styles.
Harnett, R., Thom, B., Herring, R. and Kelly, M. 2000. Alcohol in transition: towards a model of young men's drinking styles. Journal of Youth Studies. 3 (1), pp. 61-77. https://doi.org/10.1080/136762600113040
Social capital and well-being: generations in an East London neighbourhood.
Cattell, V. and Herring, R. 2002. Social capital and well-being: generations in an East London neighbourhood. Journal of Public Mental Health. 1 (3), pp. 8-19.
Networking health research networks in Britain: the post-war childhood leukaemia trials
Moscucci, O., Herring, R. and Berridge, V. 2009. Networking health research networks in Britain: the post-war childhood leukaemia trials. Twentieth Century British History. 20 (1), pp. 23-52. https://doi.org/10.1093/tcbh/hwn039
The Licensing Act 2003: a step in the right direction?
Foster, J., Herring, R., Waller, S. and Thom, B. 2009. The Licensing Act 2003: a step in the right direction? Journal of Substance Use. 14 (2), pp. 113-123. https://doi.org/10.1080/14659890802654532
Local responses to the Alcohol Licensing Act 2003: the case of Greater London.
Herring, R., Thom, B., Foster, J., Franey, C. and Salazar, C. 2008. Local responses to the Alcohol Licensing Act 2003: the case of Greater London. Drugs: Education, Prevention, and Policy. 15 (3), pp. 251-265. https://doi.org/10.1080/09687630801920641
Binge drinking today: learning lessons from the past
Herring, R., Berridge, V. and Thom, B. 2008. Binge drinking today: learning lessons from the past. Drugs: Education, Prevention, and Policy. 15 (5), pp. 475-486. https://doi.org/10.1080/09687630801937355
Binge drinking: an exploration of a confused concept
Herring, R., Berridge, V. and Thom, B. 2008. Binge drinking: an exploration of a confused concept. Journal of Epidemiology and Community Health. 62 (6), pp. 476-479. https://doi.org/10.1136/jech.2006.056721
Black and minority ethnic groups and alcohol: A scoping and consultation study
Thom, B., Lloyd, C., Hurcombe, R., Bayley, M., Stone, K., Thickett, A. and Watts, B. 2010. Black and minority ethnic groups and alcohol: A scoping and consultation study. London Department of Health.
Working with communities: a feature of multi-component programmes to tackle alcohol and drug-related harm
Thom, B. 2009. Working with communities: a feature of multi-component programmes to tackle alcohol and drug-related harm. Socialno Delo. 48 (5-6), pp. 315-325.
Drugs: the great Cannabis debate
Woolner, C. and Thom, B. 2003. Drugs: the great Cannabis debate. in: Matthews, R. and Young, J. (ed.) The new politics of crime and punishment Willan Publishing.
The focus on crime and coercion in UK drugs policy
Duke, K. 2009. The focus on crime and coercion in UK drugs policy. in: MacGregor, S. (ed.) Responding to drugs misuse: research and policy priorities in health and social care London Routledge. pp. 14-24
Evidence-based policy-making?: research utilisation and the development of prison drugs policy.
Duke, K. 2000. Evidence-based policy-making?: research utilisation and the development of prison drugs policy. Social Policy Association Conference. University of Surrey 18 - 20 Jul 2000
Drug consumption in London - A city of diverse and changing scenes
Ward, J. and Thom, B. 2009. Drug consumption in London - A city of diverse and changing scenes. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies England Ashgate. pp. 39-56
Binge drinking: a confused concept and its contemporary history
Berridge, V., Herring, R. and Thom, B. 2009. Binge drinking: a confused concept and its contemporary history. Social History of Medicine. 22 (3), pp. 597-607. https://doi.org/10.1093/shm/hkp053
Quantities, quality, costs and sources.
Moskalewicz, J., Ward, J. and Thom, B. 2009. Quantities, quality, costs and sources. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies. Ashgate. pp. 247-280
The fast alcohol screening test
Thom, B., Alwyn, T., Hodgson, R. and John, B. 2002. The fast alcohol screening test. Alcohol and Alcoholism. 37 (1), pp. 61-66. https://doi.org/10.1093/alcalc/37.1.61
Self-reported never-drinkers in England 1994-2003: characteristics and trends, focusing on white adults aged 18-54.
Thom, B., Nanchahal, K., Pattenden, S. and Primatesta, P. 2007. Self-reported never-drinkers in England 1994-2003: characteristics and trends, focusing on white adults aged 18-54. Alcohol and Alcoholism. 43 (1), pp. 91-96. https://doi.org/10.1093/alcalc/agm138
From alcoholism treatment to the alcohol harm reduction strategy for England: an overview of alcohol policy from 1950.
Thom, B. 2005. From alcoholism treatment to the alcohol harm reduction strategy for England: an overview of alcohol policy from 1950. American Journal on Addictions. 14 (5), pp. 416-425. https://doi.org/10.1080/10550490500247065
Alcohol, policy and politics in Kazakhstan
Waters, E. and Thom, B. 2007. Alcohol, policy and politics in Kazakhstan. Europe-Asia Studies. 59 (6), pp. 999-1023. https://doi.org/10.1080/09668130701489188
Out of crime and into treatment? The criminalisation of contemporary drug policy since Tackling Drugs Together
Duke, K. 2006. Out of crime and into treatment? The criminalisation of contemporary drug policy since Tackling Drugs Together. Drugs: Education, Prevention, and Policy. 13 (5), pp. 409-415. https://doi.org/10.1080/09687630600613520
Screening for illicit drug use in psychiatric hospitals: whose job is it?
Thom, B., Bloor, R. and Crome, I. 2006. Screening for illicit drug use in psychiatric hospitals: whose job is it? Advances in Psychiatric Treatment. 12 (5), pp. 375-383. https://doi.org/10.1192/apt.12.5.375
Déjà vu?: Opportunities and obstacles in developing alcohol policy in English prisons
Duke, K. 2005. Déjà vu?: Opportunities and obstacles in developing alcohol policy in English prisons. Drugs: Education, Prevention, and Policy. 12 (5), pp. 417-430. https://doi.org/10.1080/09687630500281873
Drugs, prisons and policy-making
Duke, K. 2003. Drugs, prisons and policy-making. London Palgrave Macmillan.
Getting beyond the 'official line': reflections on dilemmas of access, knowledge, and power in researching policy networks
Duke, K. 2002. Getting beyond the 'official line': reflections on dilemmas of access, knowledge, and power in researching policy networks. Journal of Social Policy. 31 (1), pp. 39-59. https://doi.org/10.1017/S0047279402006505
Evidence-based policy making?: The interplay between research and the development of prison drugs policy
Duke, K. 2001. Evidence-based policy making?: The interplay between research and the development of prison drugs policy. Criminal Justice. 1 (3), pp. 277-300. https://doi.org/10.1177/1466802501001003002
Prison drugs policy since 1980: shifting agendas and policy networks
Duke, K. 2000. Prison drugs policy since 1980: shifting agendas and policy networks. Drugs: Education, Prevention, and Policy. 7 (4), pp. 393-408. https://doi.org/10.1080/dep.7.4.393.408
Refugee resettlement in Europe
Duke, K., Sales, R. and Gregory, J. 1999. Refugee resettlement in Europe. in: Bloch, A. and Levy, C. (ed.) Refugees, social policy and citizenship in Europe Palgrave Macmillan. pp. 105-131
The settlement of refugees in Britain
Carey-Wood, J., Duke, K., Karn, V. and Marshall, T. 1995. The settlement of refugees in Britain. London HMSO.