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The seminar will introduce participants to the aims and methods of this multi-phase study. It will then focus on the findings of a meta-synthesis which involved analysis of 63 unique qualitative studies. A description and explanation of an explanatory model arising from the synthesis will then be described. This will be followed by a description of the methods and findings of a realist evaluation based upon in-depth data collected from 86 participants in three UK study sites (2 in England and 1 in Scotland). Study participants were: Service users in regular contact with services; Service users not in regular contact with services; Core service staff; Core service managers; Non-core services staff; and Service commissioners. Participants will be introduced to a Refined Programme Theory which can be used to explain for whom, in what contexts and in what ways, improved access to, engagement with, retention in, and successful exit from, OST and NSP can optimally occur. The webinar will conclude with an opportunity for observations, insights, and questions from webinar participants.
About the speaker
Steve MacGillivray is the lead of the Substance Use Research Group in the School of Health Sciences, University of Dundee. He has a background in Psychology and a PhD in Health Services Research. He has worked in drug harm reduction services in the past and as an academic in Psychiatry, General Practice, Epidemiology and Public Health, and Mother and Child Health. He has a track record of research within the field of mental health, particularly regarding the prescribing, efficacy, tolerability and safety of antidepressants. His research also focuses on understanding optimal delivery of services providing Opiate Substitution Therapy and/or Needle and Syringe Programmes, reducing health inequalities, and improving access to and engagement with health services. He has expertise in conducting meta-analyses of randomized controlled trials, meta-syntheses of qualitative studies, rapid evidence reviews for policy, realist reviews, realist evaluation, and in-depth qualitative studies.