Trish Buchan, Jenny Deaville, John Wynn-Jones
Substance misuse has been perceived as an urban phenomenon, however recent research by the Institute of Rural Health reveals that even in the most sparsely populated regions of Wales, young people in their early teenage years, in small, rural and remote communities can access an extensive range of substances; both legal and illegal.
There is growing recognition of the vulnerability of rural young people to problems arising from the use of substances and of the need for early identification of young people at risk: the provision of specialist treatment services for young people as well as preventative interventions. Despite this, there is an absence of a robust evidence base to inform strategic interventions in rural, remote communities. This paper will present the findings of a qualitative research study that sought to explore the cultural and geographical context of the use of substance by young people in rural communities through a series of interviews with key gatekeepers in rural communities, and through discussion groups with the parents and with young people. There will be a particular focus on the rural specific issues that may have a detrimental impact upon the provision of specialist services and a discussion of the ways in which these barriers may be overcome.