Harm Reduction in Canadian Health Care: A Qualitative Study of Caring and Compassion in a Supervised Consumption Clinic

dc.contributor.advisorDucey, Ariel
dc.contributor.advisorRittenbach, Katherine K.
dc.contributor.authorVan Dyke, Jessica Lauren
dc.contributor.committeememberLightman, Naomi
dc.contributor.committeememberHaines-Saah, Rebecca J.
dc.date2020-06
dc.date.accessioned2020-05-20T13:27:56Z
dc.date.available2020-05-20T13:27:56Z
dc.date.issued2020-05-15
dc.description.abstractThis autoethnographic research explores my lived experiences within Calgary’s only supervised consumption site, Safeworks, and those of program, staff and clients. In this thesis I am attentive to the everyday, the minute, and the details of lives lived within real time, in specific moments, and in actual situations. Drawing on several months of participatory observations within the supervised consumption site and 21 in-depth interviews with program staff and clients, I discuss how supervised consumption services offer more than a reduction in drug related harms; rather, these services fulfill an essential social void in the lives of people who use drugs – that of interpersonal recognition and respect. I offer consideration into caring relationships as they are cultivated at Safeworks – exploring the difficulties and tensions of caring for a population that is regularly publicly denounced and denied. Further, I offer a reflection of the ethical dilemmas present in the course of providing care; what may be felt to be intuitively just by some staff is seldom shared by all those involved in the delivery of supervised consumption services. What moral predicaments arise when clients present at Safeworks with more needs than staff can ever hope to meet? The burdens borne by staff, I argue, exist because they are not shared. In the absence of a collective vision of mutual recognition and resemblance with persons who use substances, care providers at Safeworks must work overtime: supporting clients to feel less stigmatized and less isolated, above attending to their daily needs in states of dependency, despair, and overdose, while simultaneously extending their reach to cover gaps in service delivery that manifest in societies indifferent to the plight of those overwhelmed by addictions.en_US
dc.identifier.citationVan Dyke, J. L. (2020). Harm Reduction in Canadian Health Care: A Qualitative Study of Caring and Compassion in a Supervised Consumption Clinic (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/37863
dc.identifier.urihttp://hdl.handle.net/1880/112102
dc.language.isoengen_US
dc.publisher.facultyArtsen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectHarm Reductionen_US
dc.subjectSupervised Consumption Servicesen_US
dc.subjectCare practicesen_US
dc.subjectMoral dilemmasen_US
dc.subjectDrug useen_US
dc.subject.classificationEducation--Social Sciencesen_US
dc.subject.classificationPublic and Social Welfareen_US
dc.titleHarm Reduction in Canadian Health Care: A Qualitative Study of Caring and Compassion in a Supervised Consumption Clinicen_US
dc.typemaster thesisen_US
thesis.degree.disciplineSociologyen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Arts (MA)en_US
ucalgary.item.requestcopytrueen_US
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