Substitution treatment in the era of "recovery": An analysis of stakeholder roles and policy windows in Britain

Subst Use Misuse. 2013 Aug;48(11):966-76. doi: 10.3109/10826084.2013.797727.


Based on documentary analyses and interviews with twenty key informants in 2012, this paper analyses the shift in British drugs policy towards "recovery" from the perspectives of major stakeholders. The processes involved in reopening the debate surrounding the role of substitution treatment and its re-emergence on to the policy agenda are examined. Drawing on Kingdon's work on agenda-setting, the ways in which methadone maintenance was challenged and defended by key stakeholders in the initial phase of policy development and the negotiation of a "recovery" focus as the organizing concept for British drugs policy are explored. Study limitations are noted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Health Policy*
  • Humans
  • Opiate Substitution Treatment*
  • Opioid-Related Disorders / drug therapy*
  • Policy Making*
  • United Kingdom