Tessa Parkes
Dados Biográficos
| ID | 6094652 |
|---|---|
| NOME | Tessa Parkes |
| PRENOMES | Tessa |
| SOBRENOME | Parkes |
| ASSINATURA | PARKES T |
| AFILIAÇÕES | University of Stirling |
| ORCID | 0000-0002-0409-3254 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAÇÕES | 17 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Greenspace programs and recovery from substance use and mental health challenges
Background Greenspace programs are nature-based health initiatives. Recovery depends on individual, social and community resources, known as recovery capital. This paper explores how greenspace programs generate recovery capital to improve physical and mental health for those experiencing co-occurring problem substance use and mental health challenges.Methods Interviews were conducted with participants with experience of greenspace programs (n = …
Realist review of nature-based interventions for men
Men face significant health disparities, including higher rates of premature death, mental health challenges, and substance use disorders. Nature-based interventions hold promise for improving men’s health and wellbeing by leveraging natural environments and structured activities aligned with men’s preferences for practical, action-oriented solutions. This realist review explores the contexts, mechanisms, and outcomes of nature-based intervention…
A qualitative exploration of the relevance of training provision in planning for implementation of managed alcohol programs within a third sector setting
Background: Managed Alcohol Programs (MAPs) are a harm reduction strategy for people experiencing homelessness and alcohol dependence. Despite a growing evidence base, resistance to MAPs is apparent due to limited knowledge of alcohol harm reduction and the cultural preference for abstinence-based approaches. To address this, service managers working in a not-for-profit organization in Scotland designed and delivered a program of alcohol-specific…
Chronic pain, prescribed opioids and overdose risk
It has been estimated that chronic non cancer pain (CNCP) affects more than 30% of people worldwide. Correspondingly, prescriptions for individuals experiencing CNCP have increased in recent years. While opioids can minimize pain, they also pose a risk of overdose. In 2019 in Scotland, prescription analgesics contributed to, or were implicated in, approximately 19% of drug related deaths. The experiences of those prescribed opioids for CNCP and f…
Patient, family members and community pharmacists' views of a proposed overdose prevention intervention delivered in community pharmacies for patients prescribed high‐strength opioids for chronic non‐…
‘It’s like a safety haven’
Alcohol use disorders (AUDs) are not equitably spread across the population, with some groups, such as people who are experiencing homelessness, being more vulnerable to AUDs due to social inequalities, stigma, and complex social and structural processes. Managed alcohol programs (MAPs) are a harm reduction approach first developed in Canada for those experiencing AUDs and homelessness with positive results. This study aimed to describe the facto…
‘It maybe doesn’t seem much, but to me it’s my kingdom’
Housing First (HF) represents a significant shift in the way that the problem of homelessness and co-occuring challenges including problem substance use, is addressed. HF interventions have been the focus of much research. Quantitative studies have consistently shown positive findings regarding housing outcomes, with results regarding health and well-being outcomes more mixed. To date, limited attention has been paid to the experiences and perspe…
Stress and Wellbeing during the Covid-19 Pandemic
Staff working in homelessness services often find the work rewarding yet challenging, and the sector experiences high levels of staff burnout and staff turnover. During the COVID-19 pandemic, staff working in these services faced particularly stressful working conditions. This study explored the experiences of stress and wellbeing among those working in frontline homelessness service roles during the early stages of the pandemic in Scotland. Semi…
Drug Consumption Rooms and Public Health Policy
There is widespread support for the introduction of Drug Consumption Rooms (DCRs) in Scotland as part of a policy response to record levels of drug-related harm. However, existing legal barriers are made more complex by the division of relevant powers between the UK and Scottish Governments. This paper reports on a national, qualitative study of key decision-makers in both local and national roles across Scotland. It explores views on the politic…
The Potential for Managed Alcohol Programmes in Scotland during the Covid-19 Pandemic
People experiencing homelessness and alcohol dependence are at increased risk of a range of harms, including from COVID-19. Managed Alcohol Programmes (MAPs) are an alcohol harm reduction intervention specifically for this group. In this paper we report on qualitative findings of a mixed methods study investigating the potential utility of MAPs during the COVID-19 pandemic in Scotland. Interviews, conducted with 40 participants, explored potentia…
Exploring how greenspace programmes might be effective in supporting people with problem substance use
The findings of this project are theoretically novel and have practical relevance for those designing greenspace programmes by providing recommendations on how to optimise, tailor, and implement future interventions. Findings could be particularly relevant for academic researchers, multidisciplinary health professionals, and for those working in the third sector, developing and delivering greenspace programmes for people to improve their mental h…
The impact of Covid-19 on access to harm reduction, substance use treatment and recovery services in Scotland
This qualitative research describes the impacts of COVID-19 social and service restrictions on PWUD in Scotland. These impacts were anticipated by policy makers and service providers. Effective and acceptable developments were shown to maintain and even increase service provision for PWUD. Developments were geographically dependent and significant challenges remained for many people. The learning generated can inform responses to increase service…
Negotiating an Illicit Economy in the Time of Covid-19
The impact of COVID-19 itself and societal responses to it have affected people who use drugs and the illicit drug economy. This paper is part of a project investigating the health impacts of COVID-19 related control measures on people who use drugs in Scotland. It examines their roles and decisions as economically situated actors. It does this within a moral economy perspective that places economic decisions and calculations within a context of …
‘Discursive struggles’ between criminal justice sanctions and health interventions for people who use drugs
Amidst growing recognition that people who use drugs are often vulnerable and in need of health-focused support, international conventions and national priorities on personal drug use are changing with emphasis shifting from criminal justice to health narratives. In Scotland, there has been a move toward health-led drug policymaking, and yet little is known about how diversion operates in this context. An exploratory qualitative study was conduct…
Investigating the need for alcohol harm reduction and managed alcohol programs for people experiencing homelessness and alcohol use disorders in Scotland
Exploring the Potential of Implementing Managed Alcohol Programmes to Reduce Risk of Covid-19 Infection and Transmission, and Wider Harms, for People Experiencing Alcohol Dependency and Homelessness i…
People who experience homelessness and alcohol dependency are more vulnerable than the general population to risks/harms relating to COVID-19. This mixed methods study explored stakeholder perspectives concerning the impact of COVID-19 and the potential utility of introducing managed alcohol programmes (MAPs) in Scotland as part of a wider health/social care response for this group. Data sources included: 12 case record reviews; 40 semi-structure…
Quantifying prescribed high dose opioids in the community and risk of overdose
Background Opioid prescribing for a range of health issues is increasing globally. The risk of fatal and non-fatal overdose is increased among people prescribed strong opioids: in high doses in the context of polypharmacy (the use of multiple medications at the same time), especially with other sedatives; and among people with multiple morbidities including cardiorespiratory, hepatic and renal conditions. This study described and quantified the p…
How might the ‘Icelandic model’ for preventing substance use among young people be developed and adapted for use in Scotland? Utilising the consolidated framework for implementation research in a qual…
Our findings provide insight into the views of a range of stakeholders regarding the potential implementation of the IM in Scotland, and perceived barriers and facilitators. There is a desire for primary prevention activities in Scotland, driven by concerns about high rates of substance use and related harms, and a general lack of effective and evidence based prevention activities across the country. Several key barriers would need to be addresse…
A systematic review and meta-analysis of the prevalence of take-home naloxone (THN) ownership and carriage
Greenspace programmes for mental health
The health benefits of greenspace are widely acknowledged. Greenspace programmes, defined as health programmes undertaken in outside green areas such as parks, gardens, hills, and forests, are becoming more commonplace. However, there is still limited understanding of the mechanisms by which greenspace programmes are effective. This makes future development and implementation very difficult. We recently developed and published a novel framework f…
Greenspace interventions for mental health in clinical and non-clinical populations
With growing strain on mental health services, greenspace interventions could be a promising addition to current health and social care provisions as they have the potential to be widely accessible for people within their own communities and used alongside a variety of treatment plans. Despite promising progress in greenspace research, the underlying mechanisms and processes of greenspace interventions are still unclear. Without knowing these it …
Family solidarity in the face of stress
Background: In the past, Greek drug-affected families had predominantly been conceptualized as one of the main causes of drug problems. This study explored the ways drug-affected families respond to, and cope with, a relative’s drug problem by examining the perceptions of both Greek drug users and drug-affected families.Method: A qualitative study comprised of semi-structured in-depth interviews was conducted in two state drug agencies in Thessal…
Delivery of alcohol brief interventions in community-based youth work settings
ABIs were feasible in a range of youth work settings with some adaptation. Acceptability to staff was strongly influenced by perceived benefits, and the extent to which ABIs fitted with their project's ethos. Young people were largely comfortable with such conversations. Future implementation efforts should be based on detailed consideration of current practice and contexts. Flexible models of delivery, where professional judgement can be exercis…
The politics of providing opioid pharmacotherapy
Assessment of alcohol problems using Audit in a prison setting
To our knowledge, this is the first study to identify differing behaviours and needs among prisoners with high AUDIT score ranges, through additional analysis of individual questions. The study has identified high prevalence of alcohol use, varied problem behaviours, and links across drinking, crime and recidivism, supporting the argument for more extensive provision of alcohol-focused interventions in prisons. These should be carefully targeted …
Protest or Partnership? The Voluntary and Community Sectors in the Policy Process
The growing emphasis on partnership is opening up new opportunities for voluntary and community organizations, many of which have felt themselves hitherto to be “outsiders” in the policy process. But it is also generating new dilemmas as they strive to maintain their autonomy while increasingly operating as insiders. This article examines the strategic choices that such organizations make in seeking to influence policy and the challenges that the…
The case for case management in adult protection
This paper argues for a case management rationale in adult protection management and practice, drawing insights from a series of linked training initiatives and an evaluation of the role of the specialist adult protection co‐ordinator. An explicit case managed approach contrasts with much current practice for adult protection, where responsibilities often vary widely within, between and across agencies and professional and worker roles
A Sea-change or a Swamp? New Spaces for Voluntary Sector Engagement in Governance in the UK
In recent years, the emphasis of the New Labour government on partnership and civil renewal has opened up new govemance spaces in the UK. These spaces have provided new opportunities for voluntary and community organisations (VCOs) but also posed new dilemmas. This article draws on research into the role of these organisations in the policy process, exploring how open the new spaces are, who is engaged in them and what scope for influence they of…
The case for case management in adult protection
This paper argues for a case management rationale in adult protection management and practice, drawing insights from a series of linked training initiatives and an evaluation of the role of the specialist adult protection co‐ordinator. An explicit case managed approach contrasts with much current practice for adult protection, where responsibilities often vary widely within, between and across agencies and professional and worker roles
A Sea-change or a Swamp? New Spaces for Voluntary Sector Engagement in Governance in the UK
In recent years, the emphasis of the New Labour government on partnership and civil renewal has opened up new govemance spaces in the UK. These spaces have provided new opportunities for voluntary and community organisations (VCOs) but also posed new dilemmas. This article draws on research into the role of these organisations in the policy process, exploring how open the new spaces are, who is engaged in them and what scope for influence they of…
Protest or Partnership? The Voluntary and Community Sectors in the Policy Process
The growing emphasis on partnership is opening up new opportunities for voluntary and community organizations, many of which have felt themselves hitherto to be “outsiders” in the policy process. But it is also generating new dilemmas as they strive to maintain their autonomy while increasingly operating as insiders. This article examines the strategic choices that such organizations make in seeking to influence policy and the challenges that the…
Assessment of alcohol problems using Audit in a prison setting
To our knowledge, this is the first study to identify differing behaviours and needs among prisoners with high AUDIT score ranges, through additional analysis of individual questions. The study has identified high prevalence of alcohol use, varied problem behaviours, and links across drinking, crime and recidivism, supporting the argument for more extensive provision of alcohol-focused interventions in prisons. These should be carefully targeted …
The politics of providing opioid pharmacotherapy
Family solidarity in the face of stress
Background: In the past, Greek drug-affected families had predominantly been conceptualized as one of the main causes of drug problems. This study explored the ways drug-affected families respond to, and cope with, a relative’s drug problem by examining the perceptions of both Greek drug users and drug-affected families.Method: A qualitative study comprised of semi-structured in-depth interviews was conducted in two state drug agencies in Thessal…
Delivery of alcohol brief interventions in community-based youth work settings
ABIs were feasible in a range of youth work settings with some adaptation. Acceptability to staff was strongly influenced by perceived benefits, and the extent to which ABIs fitted with their project's ethos. Young people were largely comfortable with such conversations. Future implementation efforts should be based on detailed consideration of current practice and contexts. Flexible models of delivery, where professional judgement can be exercis…
Greenspace interventions for mental health in clinical and non-clinical populations
With growing strain on mental health services, greenspace interventions could be a promising addition to current health and social care provisions as they have the potential to be widely accessible for people within their own communities and used alongside a variety of treatment plans. Despite promising progress in greenspace research, the underlying mechanisms and processes of greenspace interventions are still unclear. Without knowing these it …
‘Discursive struggles’ between criminal justice sanctions and health interventions for people who use drugs
Amidst growing recognition that people who use drugs are often vulnerable and in need of health-focused support, international conventions and national priorities on personal drug use are changing with emphasis shifting from criminal justice to health narratives. In Scotland, there has been a move toward health-led drug policymaking, and yet little is known about how diversion operates in this context. An exploratory qualitative study was conduct…
Investigating the need for alcohol harm reduction and managed alcohol programs for people experiencing homelessness and alcohol use disorders in Scotland
Exploring the Potential of Implementing Managed Alcohol Programmes to Reduce Risk of Covid-19 Infection and Transmission, and Wider Harms, for People Experiencing Alcohol Dependency and Homelessness i…
People who experience homelessness and alcohol dependency are more vulnerable than the general population to risks/harms relating to COVID-19. This mixed methods study explored stakeholder perspectives concerning the impact of COVID-19 and the potential utility of introducing managed alcohol programmes (MAPs) in Scotland as part of a wider health/social care response for this group. Data sources included: 12 case record reviews; 40 semi-structure…
Quantifying prescribed high dose opioids in the community and risk of overdose
Background Opioid prescribing for a range of health issues is increasing globally. The risk of fatal and non-fatal overdose is increased among people prescribed strong opioids: in high doses in the context of polypharmacy (the use of multiple medications at the same time), especially with other sedatives; and among people with multiple morbidities including cardiorespiratory, hepatic and renal conditions. This study described and quantified the p…
How might the ‘Icelandic model’ for preventing substance use among young people be developed and adapted for use in Scotland? Utilising the consolidated framework for implementation research in a qual…
Our findings provide insight into the views of a range of stakeholders regarding the potential implementation of the IM in Scotland, and perceived barriers and facilitators. There is a desire for primary prevention activities in Scotland, driven by concerns about high rates of substance use and related harms, and a general lack of effective and evidence based prevention activities across the country. Several key barriers would need to be addresse…
A systematic review and meta-analysis of the prevalence of take-home naloxone (THN) ownership and carriage
Greenspace programmes for mental health
The health benefits of greenspace are widely acknowledged. Greenspace programmes, defined as health programmes undertaken in outside green areas such as parks, gardens, hills, and forests, are becoming more commonplace. However, there is still limited understanding of the mechanisms by which greenspace programmes are effective. This makes future development and implementation very difficult. We recently developed and published a novel framework f…
‘It’s like a safety haven’
Alcohol use disorders (AUDs) are not equitably spread across the population, with some groups, such as people who are experiencing homelessness, being more vulnerable to AUDs due to social inequalities, stigma, and complex social and structural processes. Managed alcohol programs (MAPs) are a harm reduction approach first developed in Canada for those experiencing AUDs and homelessness with positive results. This study aimed to describe the facto…
‘It maybe doesn’t seem much, but to me it’s my kingdom’
Housing First (HF) represents a significant shift in the way that the problem of homelessness and co-occuring challenges including problem substance use, is addressed. HF interventions have been the focus of much research. Quantitative studies have consistently shown positive findings regarding housing outcomes, with results regarding health and well-being outcomes more mixed. To date, limited attention has been paid to the experiences and perspe…
Stress and Wellbeing during the Covid-19 Pandemic
Staff working in homelessness services often find the work rewarding yet challenging, and the sector experiences high levels of staff burnout and staff turnover. During the COVID-19 pandemic, staff working in these services faced particularly stressful working conditions. This study explored the experiences of stress and wellbeing among those working in frontline homelessness service roles during the early stages of the pandemic in Scotland. Semi…
Drug Consumption Rooms and Public Health Policy
There is widespread support for the introduction of Drug Consumption Rooms (DCRs) in Scotland as part of a policy response to record levels of drug-related harm. However, existing legal barriers are made more complex by the division of relevant powers between the UK and Scottish Governments. This paper reports on a national, qualitative study of key decision-makers in both local and national roles across Scotland. It explores views on the politic…
The Potential for Managed Alcohol Programmes in Scotland during the Covid-19 Pandemic
People experiencing homelessness and alcohol dependence are at increased risk of a range of harms, including from COVID-19. Managed Alcohol Programmes (MAPs) are an alcohol harm reduction intervention specifically for this group. In this paper we report on qualitative findings of a mixed methods study investigating the potential utility of MAPs during the COVID-19 pandemic in Scotland. Interviews, conducted with 40 participants, explored potentia…
Exploring how greenspace programmes might be effective in supporting people with problem substance use
The findings of this project are theoretically novel and have practical relevance for those designing greenspace programmes by providing recommendations on how to optimise, tailor, and implement future interventions. Findings could be particularly relevant for academic researchers, multidisciplinary health professionals, and for those working in the third sector, developing and delivering greenspace programmes for people to improve their mental h…
The impact of Covid-19 on access to harm reduction, substance use treatment and recovery services in Scotland
This qualitative research describes the impacts of COVID-19 social and service restrictions on PWUD in Scotland. These impacts were anticipated by policy makers and service providers. Effective and acceptable developments were shown to maintain and even increase service provision for PWUD. Developments were geographically dependent and significant challenges remained for many people. The learning generated can inform responses to increase service…
Negotiating an Illicit Economy in the Time of Covid-19
The impact of COVID-19 itself and societal responses to it have affected people who use drugs and the illicit drug economy. This paper is part of a project investigating the health impacts of COVID-19 related control measures on people who use drugs in Scotland. It examines their roles and decisions as economically situated actors. It does this within a moral economy perspective that places economic decisions and calculations within a context of …
Chronic pain, prescribed opioids and overdose risk
It has been estimated that chronic non cancer pain (CNCP) affects more than 30% of people worldwide. Correspondingly, prescriptions for individuals experiencing CNCP have increased in recent years. While opioids can minimize pain, they also pose a risk of overdose. In 2019 in Scotland, prescription analgesics contributed to, or were implicated in, approximately 19% of drug related deaths. The experiences of those prescribed opioids for CNCP and f…
Patient, family members and community pharmacists' views of a proposed overdose prevention intervention delivered in community pharmacies for patients prescribed high‐strength opioids for chronic non‐…
Medicine (17 obras) · Nursing (14 obras) · Sociology (14 obras) · Political science (13 obras) · Psychology (13 obras) · Homelessness and Social Issues (11 obras) · Psychiatry (11 obras) · Public health (11 obras) · Qualitative research (11 obras) · Business (9 obras)