Managing service change in post HIV drugs services--a case study from Inner London.
The advent of HIV/AIDS has presented a major ideological challenge to established drug treatment agencies, where the incorporation of HIV-prevention strategies has proved problematic. This case study analyses the response to the HIV/AIDS epidemic by the drug misuse services of one Inner London district health authority (Bloomsbury) during the period 1985-89. While innovation and enthusiasm were much in evidence, a number of special problems prevented an effective and coherent strategic response. Key factors in the management of change in drugs/HIV services are identified which may be of special importance to clinicians, managers and funders and a number of key organizational and managerial competencies are suggested.
Cranfield
S
S
Drug Training Unit, LBTC, London, UK.
Feinmann
C
C
Ferlie
E
E
Walter
C
C
D015658:HIV Infections / Q000517:prevention & control*; D015528:HIV Seroprevalence / Q000639:trends; D006801:Humans; D008131:London; D010348:Patient Care Team / Q000639:trends; D016320:Substance Abuse Treatment Centers / Q000639:trends*; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000534:rehabilitation*; D014504:Urban Health / Q000639:trends*