Understanding the Experiences of People who use Drugs Participating in a New Drug Diversion Program in Queensland, Australia

Abstract

The criminalisation of drug use and stigma create barriers to healthcare and harm reduction, limiting access due to fear of legal consequences and mistrust of health services. Queensland’s Drug Diversion Program (DDP) aims to address these issues by redirecting people into support services. This study explored the lived-living experiences of people who use drugs, assessing their perceptions of the DDP through semi-structured interviews with 30 participants (Mean age = 28, SD = 4.6; 25 men, 5 women). Key themes included: societal and familial challenges before program entry, positive reception of diversion, mixed experiences with health services, and post-program outcomes emphasising accessibility and personalisation. Findings highlight that stigma, criminalisation, and service gaps shape how participants access care. While the DDP builds trust and offers critical support, limitations in awareness and cultural responsiveness remain. Enhancing program flexibility and visibility, alongside broader reform, is key to improving outcomes.