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  1. 1

    Rod MacQueen

    The major problem here is the title – clearly there is no perceived “need” to change the current system, at the political level! We have much the same problem in providing drug and alcohol services to our multiply disadvantaged people. There is little or no integration with housing, hepatitis treatment, general health services, mental health. I agree entirely that local people and workers should be an active and ongoing part of the team, operating in an iterative, evidence based and evidence generating manner, and this has been done in some areas where it is called community based participatory research. But our health bureaucrats and politicians are not interested, nor are they swayed by our current arguments or by what we perceive to be an obvious need for change.


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