"I've Never Seen It as a Real Problem": Experiences of Access to Care for People Who Use Methamphetamine.

Purpose: People who use methamphetamine can experience significant barriers to access treatment, care, and support. This study aimed to explore the experiences of access to care using a conceptual model, for this population. Patients and Methods: This descriptive qualitative study was embedded within an Australian telephone-delivered intervention trial for methamphetamine use problems. Twenty-seven participants were interviewed about their experiences of access to care (prior to enrolment in the trial). Interview transcripts were analysed using framework analysis, and data mapped to a patient-centred access to care framework. Results: Three themes were identified: (1) the "problem" of methamphetamine use; (2) beliefs about treatment; and, (3) the impact of stigma. These themes were aligned to relevant determinants of access to care. Access to care was experienced through participant perceptions about the need for care, the ability to engage in the care process, and the acceptability of service providers. Conclusion: Stigma and beliefs about problematic use, and knowledge of treatment options dominated participants' experiences of access. Clear information about available treatment options, particularly to address fears of engaging in treatment that is viewed as stigmatising, are important considerations for policy makers and service providers.