Social stigma and the dilemmas of providing care to substance users in a safety-net emergency department

Journal of Health Care for the Poor and Underserved

Volumn 19, Issue 4, 2008, Pages 1336-1349

  Henderson, Stuart ^a   Stacey, Clare L ^b   Dohan, Daniel ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b KENT STATE UNIVERSITY   (United States)

Author keywords

Alcohol; Drug use; Emergency medicine; Ethnography; Qualitative methods; Stigma; Substance use

Indexed keywords

ADDICTION; ARTICLE; EMERGENCY HEALTH SERVICE; HEALTH CARE DELIVERY; HUMAN; HUMAN RELATION; ORGANIZATION AND MANAGEMENT; QUALITATIVE RESEARCH; SOCIAL PSYCHOLOGY; VULNERABLE POPULATION;

EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES ACCESSIBILITY; HUMANS; PREJUDICE; PROFESSIONAL-PATIENT RELATIONS; QUALITATIVE RESEARCH; SUBSTANCE-RELATED DISORDERS; VULNERABLE POPULATIONS;

EID: 58149183066     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.0.0088     Document Type: Article

References (39)

1. McLaughlin D, Long A. An extended literature review of health professionals' perceptions of illicit drugs and their clients who use them. J Psychiatr Ment Health Nurs. 1996;3(5):283-8.
2. Miller NS, Sheppard LM, Colenda CC, et al. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Acad Med. 2001;76(5): 410-8.
3. Hoskins R, Salmon D, Binks S, et al. A study exploring drug use and management of patients presenting to an inner city emergency department. Accident and Emergency Nursing. 2005;13:147-53.
4. Ahern J, Stuber J, Galea S. Stigma, discrimination and the health of illicit drug users. Drug Alcohol Depend. 2007;88:188-96.
5. Link B, Struening E, Rahav M, et al. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J. Health Soc. Behav. 1997;38:177-90.
6. Ritson E. Alcohol, drugs and stigma. Int J Clin Prac. 1999;53(7):549-51.
7. Weiss MG, Ramakrishna J, Somma D. Health-related stigma: rethinking concepts and interventions. Psychology, Health and Medicine. 2006;11(3):277-87.
8. Chitwood D, McBride D, French M, et al. Health care need and utilization: a preliminary comparison of injection drug users, other illicit drug users, and nonusers. Subst Use Misuse. 1999;34(4-5):727-46.
9. McCoy CB, Metsch LR, Chitwood DD, et al. Drug use and barriers to use of health care services. Subst Use Misuse. 2001;36(6-7).
10. Alexandre PK, French MT, Matzger H, et al. Addiction treatment history, medical services utilization, and cost: a longitudinal analysis of problem drinkers. J Addict Dis. 2006;25(1).
11. Cherpitel CJ. Alcohol and injuries: a review of international emergency room studies. Addiction. 1993;88(7):923-37.
12. Malone RE. Whither the almshouse? Overutilization of the role of the emergency department. J Health Polit Policy Law. 1998;23(5):795-832.
13. Gordon JA, Chudnofsky CR, Hayward RA. Where health and welfare meet: social deprivation among patients in the emergency department. J Urban Health. 2001; 78(1):104-111.
14. Dohan D. Managing indigent care: a case study of a safety-net emergency department. Health Serv Res. 2002;37(2):361-76.
15. Rhodes KV, Pollock DA. The future of emergency medicine public health research. Emerg Med Clin North Am. 2006;24(4):1053-73.
16. McGeary KA, French MT. Illicit drug use and emergency room utilization. Health Serv Res. 2000;35(1):153-69.
17. Cherpitel CJ. Changes in substance use associated with emergency room and primary care services utilization in the United States general population: 1995-2000. Drug Alcohol Abuse. 2003;29(4):789-802.
18. Rockett IRH, Putnam SL, Jia H, et al. Unmet substance abuse treatment need, health services utilization, and cost: a population-based emergency department study. Ann Emerg Med. 2005;45(2):118-27.
19. U.S. Department of Health and Human Serices, Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Drug abuse warning network 2003: interim national estimates of drug-related emergency department visits; 2004.
20. Geller G, Levine DM, Mamon JA, et al. Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. JAMA. 1989;261(21):3115-20.
21. D'Onofrio G, Becker B, Woolard R. The impact of alcohol, tobacco, and other drug use and abuse in the emergency department. Emerg Med Clin North Am. 2006; 24:925-67.
22. Goffman E. Stigma: notes on the management of spoiled identity. New York: Simon and Schuster Inc., 1963.
23. Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol. 2001;27:363-85.
24. Atkinson P, Hammersley M. Ethnography and participant observation. In: Denzin NK, Lincoln YS, eds. Strategies of qualitative inquiry. Thousand Oaks, CA: Sage Publications, 1998; 110-36.
25. Emerson RM, Fretz RI, Shaw LL. Writing ethnographic fieldnotes. Chicago: University of Chicago; 1995.
26. Becker HS. Tricks of the trade: how to think about your research while you're doing it. Chicago, IL: University of Chicago Press, 1998.
27. Morse JM, Barrett M, Mayan M, et al. Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods. 2002;1(2):Article 2. Retrieved March 24, 2008 from http://www.ualberta.ca/̃ijqm/.
28. Erickson K, Stull D. Doing team ethnography: warnings and advice. Thousand Oaks, CA: Sage, 1998.
29. Nvivo qualiative analysis software, version 2 [computer program]. Melbourne, Australia: QSR International Pty Ltd., 2002.
30. Ulin P, Robinson ET, Tolley EE. Qualitative methods in public health: a field guide for applied research. San Francisco, CA: Jossey-Bass, 2004.
31. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine Publishing Company, 1967.
32. Lofland J, Lofland LH. Analyzing social settings: a guide to qualitative observation and analysis. 3rd ed. Belmont, CA: Wadsworth, 1995.
33. Peckover S, Chidlaw RG. Too frightened to care? Accounts by district nurses working with clients who misuse substances. Health Soc Care Comm. 2007;15(3):238-45.
34. Link BG, Phelan JC. Stigma and its public health implications. Lancet. Feb 11 2006; 367(9509):528-9.
35. Corrigan PW, Watson AC, Ottati V. From whence comes mental illness stigma? Int J Soc Psychiatry. Jun 2003;49(2):142-57.
36. Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med. Jul 2003;57(1):13-24.
37. Okin RL, Boccellari A, Azocar F, et al. The effects of clinical case management on hospital service use among ed frequent users. Am J Emerg Med. Sep 2000;18(5):603-8.
38. Witbeck G, Hornfeld S, Dalack GW. Emergency room outreach to chronically addicted individuals: a pilot study. J Subst Abuse Treat. Jul 2000;19(1):39-43.
39. Shumway M, Boccellari A, O'Brien K, et al. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. Feb 2008;26(2):155-64.