{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:50:50Z","timestamp":1791820250389,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1176131"],"award-info":[{"award-number":["1176131"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>People receiving opioid agonist treatment (OAT) are at higher risk of comorbidities, poverty and discrimination, which Big Events like the COVID\u201019 pandemic may exacerbate. The behaviours of people receiving OAT do not always align with normative behaviours as conceived by ruling institutions and laws, and so the group becomes a counterpublic, not imagined in mainstream public discourse. The aim of this study was to understand how people receiving OAT, as a counterpublic, implemented practises of care to mitigate negative health outcomes during COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were recruited via eight peer\u2010led organisations across Australia. In\u2010depth, semi\u2010structured interviews were completed between August and December 2020 with 40 people receiving OAT. The analysis centres practises of care, allowing interactions that influence the health of participants, to be understood in their unique contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Aspects of the COVID\u201019 state response were designed for an idealised public, demonstrated by the increased policing that accompanied enforcement of restrictions which was detrimental to the wellbeing of people receiving OAT. Counterpublic health strategies employed by people receiving OAT were disrupted, but participants were often able to adapt to the changing context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>This study elucidates how practises of care among people receiving OAT are enacted and disrupted during a Big Event, with implications beyond the COVID\u201019 pandemic for future Big Events. The study findings evidence the need for policies that mitigate the impact of Big Events such as supporting re\u2010groupment within the counterpublic, legitimising counterpublic health strategies and stopping the criminalisation of people who use drugs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13531","type":"journal-article","created":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T04:28:00Z","timestamp":1662006480000},"page":"203-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["People engaged in opioid agonist treatment as a counterpublic during the <scp>COVID<\/scp>\u201019 pandemic in Australia: A qualitative study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9082-9714","authenticated-orcid":false,"given":"Anna","family":"Conway","sequence":"first","affiliation":[{"name":"The Kirby Institute UNSW Sydney  Sydney Australia"},{"name":"Centre for Social Research in Health UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Treloar","sequence":"additional","affiliation":[{"name":"Centre for Social Research in Health UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sione","family":"Crawford","sequence":"additional","affiliation":[{"name":"Harm Reduction Victoria  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Grebely","sequence":"additional","affiliation":[{"name":"The Kirby Institute UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison D.","family":"Marshall","sequence":"additional","affiliation":[{"name":"The Kirby Institute UNSW Sydney  Sydney Australia"},{"name":"Centre for Social Research in Health UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000684"},{"key":"e_1_2_8_3_1","first-page":"1189","article-title":"Editorial: the opioid epidemic during the COVID\u201019 pandemic","volume":"69","author":"Haley DF","year":"2020","journal-title":"JAMA"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/M20-1210"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12442"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13079"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2020.102958"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-020-00370-7"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108176"},{"key":"e_1_2_8_10_1","first-page":"1891","article-title":"Research letter: nonfatal opioid overdoses at an urban emergency department during the COVID\u201019 pandemic","volume":"323","author":"Ochalek TA","year":"2020","journal-title":"JAMA"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.12865"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30491-0"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113407"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2008.10.006"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2015.1042289"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2015.1018755"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2021.1903528"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-020-00372-5"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1440783314562502"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25583"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.2307\/466240"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1215\/08992363-14-1-49"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2020.102896"},{"key":"e_1_2_8_24_1","unstructured":"RitchieH MathieuE Rod\u00e9s\u2010GuiraoL AppelC GiattinoC Ortiz\u2010OspinaE et al.Coronavirus pandemic (COVID\u201019) [Internet]. 2020 [cited 24 May 2022]. 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