La Ley N.° 29735 y su implementación en el Ministerio de Cultura

You do not have to take part in this study if you do not want to. Your decision whether to take part or not w ill not affect the standard o f your care or the m anagement o f your case in any way. If you do decide to take part you w ill be asked to sign a consent form but you are still free to withdraw at any time and without givin g a reason. W e will give you a copy o f the consent form and this information sheet for you to keep.

What will happen to me if I take part?

If you decide that you would like to take part in this study I w ill ask you to fill in som e questionnaires about your m ood and feelin gs, and answer som e questions about your experiences o f the help offered to you. This should take about 4 5 -5 0 minutes. After com pletion o f all the questionnaires I w ill give you a £5.0 0 voucher for W oolw orths or a BT telephone card as a thank you for your time. A ll information collected about you during the course o f the research w ill be kept strictly confidential.

The information w ill be coded by number and your name w ill not appear on any forms. H ow ever, if during our m eeting you should say som ething that might m ake m e concerned for your safety or the safety o f others, I may have to inform staff at the X X Centre. If that should becom e necessary I w ill, however, inform you before doing so.

What will happen to the results o f the research study?

The results o f the research w ill be written up as part o f a thesis which it is hoped w ill be published. Y ou will not be identified in any report or publication. A summary o f the findings w ill be available to all those w ho take part in the study.

Who is organising and funding the research?

This research is organised and funded by the U niversity C ollege London and Camden & Islington Mental Health N H S Trust.

Contact for further Information

If you would like any more information about the research or have any questions please do not hesitate to contact m e (Karen Andersen) or Paul D avis on 7530 3057, or ask for m e or Paul when you are next at the X X Centre.

Thank you very much fo r taking the time to read this and fo r taking part in this study!

All proposals for research using human subjects are review ed by an ethics com m ittee before they can proceed. This proposal was review ed by the Camden and Islington Health Services N H S Trust Ethics Committee.

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CDU Participant Number:

CONSENT FORM

Confidential

Title of Project: Feelings o f shame in people who use or have used opiates.

Name of Researcher: Karen Andersen

1. I confum that I have read and understand the information sheet dated (version CDU) for the above study

Please tick

□YES □ NO 2. I have had an opportunity to ask questions and discuss this study DYES □ NO 3. I understand that I am free to withdraw from this study:-

• at any time,

• without giving any reason,

• without it affecting my medical care □ YES □ NO 4. I understand that sections of any of my case notes from the

CDU Centre may be looked at by the researcher where it is relevant to my taking part in this study. I give permission for

this individual to have access to my records. □ YES □ NO 5. I agree to take part in the above study. □YES □ NO

Name of Participant Date Signature

Name of person taking consent (if different from researcher)

Date Signature

Researcher Date Signature

Appendix 3

PARTICIPANT INFORM ATION SHEET & C O NSENT FORM

Study title: Feelings o f shame in people who use opiates.

Y ou are being invited to take part in a research study. B efore you decide it is important to understand why the research is being done and what it w ill involve. P lease take tim e to read the follow in g information carefully and to decide whether you w ish to take part. Please do not hesitate to ask m e if there is anything that is not clear.

What is the purpose of the study?

To be able to improve the way services are offered to people who have problems with drugs it is important to find out if there are specific feelin gs that staff should be aware o f when trying to help. R ecently feelin gs o f sham e have been found to be important in various mental health problems. This study aims to look at whether such feelings are also important for people who have problem with drugs.

Why have I been chosen?

W e have asked you to take part in this study, as w e would like to com pare the results w e have gained from people with drug problems to the responses from a group o f people from the general public who do not have drug- or alcohol- m isuse problems. W e hope to hear from 4 0 people from the Jobcentre and from 4 0 p eople who attend a local Drug D ependency Unit.