Wait times for publicly funded addiction and problem gambling treatment agencies in Ontario, Canada

Pascoe, Rachael; Rush, Brian; Rotondi, Nooshin Khobzi

doi:10.1186/1472-6963-13-483

Cited by 13 publications

(9 citation statements)

References 33 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…People are significantly more vulnerable to overdose following release from residential abstinence-based detox and drug rehabilitation programs, or if expelled from OAT [ 76 – 78 ]. The more general barriers to addiction treatment described by participants, such as waitlists, age limitations, and restrictive abstinence-based and 12-step informed policies are consistent with previous studies on youth’s access to addiction services [ 41 , 79 – 82 ]. An epidemiological study of predictors of injection cessation in San Francisco, for example, stressed addiction services targeted at young people as an important area of intervention.…”

Section: Discussionsupporting

confidence: 84%

Social-structural factors influencing periods of injection cessation among marginalized youth who inject drugs in Vancouver, Canada: an ethno-epidemiological study

et al. 2017

View full text Add to dashboard Cite

BackgroundInjection drug use is associated with HIV and hepatitis C transmission, overdose, and other preventable harms. These harms are heightened for structurally vulnerable injection drug-using populations, as their social conditions pose barriers to safer injecting. Previous research on injection cessation has largely focused on adult drug-using populations. Little qualitative work has examined the social, structural, and environmental factors that shape periods of injection cessation among youth and young adults. Such research is essential to understanding how we can best reduce harms among this vulnerable population as they move in and out of periods of injection cessation.MethodsWe conducted 22 semi-structured, qualitative interviews with street-involved young people who use drugs (SY), focused on characterizing their transitions into periods of injection cessation and perceived barriers to injection cessation. Adopting an ethno-epidemiological approach, participants who had experienced at least 6 months of injection cessation were purposively recruited from an ongoing prospective cohort study of SY in Vancouver, Canada to participate in qualitative interviews. Qualitative interview findings were triangulated with the findings of a longitudinal program of ethnographic research with SY in this setting. This ethno-epidemiological approach allowed for a more robust exploration of contextual factors surrounding drug use patterns than would be possible through traditional epidemiological methods alone.ResultsFindings indicate that periods of injection cessation were influenced by access to harm reduction-informed youth-focused services, transitions in route of administration (e.g., from injecting methamphetamine to the smoking of methamphetamine), and the provision of housing and social supports (e.g., from friends, family, and care providers). Conversely, participants indicated that inadequate social supports and, for some, abstinence-focused treatment methods (e.g., 12-step programs), impeded efforts to cease injecting.ConclusionsTo reduce harms, it is imperative to reorient attention toward the social, structural, and spatial contexts that surround injection drug use and shape periods of injection cessation for SY. There is an urgent need for more comprehensive youth-focused services for those engaged in injection drug use, and further study of innovative means of engaging youth.

show abstract

Section: Discussionsupporting

confidence: 84%

Social-structural factors influencing periods of injection cessation among marginalized youth who inject drugs in Vancouver, Canada: an ethno-epidemiological study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In the USA in 2016, almost nine out of ten young adults and eight out of ten of adults aged 26 or older who needed treatment for illicit drug use did not receive specialty treatment [ 4 ]. And in a recent survey of publicly funded residential addiction treatment programs in Ontario, wait times for priority patients (including pregnant women and patients at risk of harming themselves and others) were on average 3 weeks and as long as 6 weeks [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Need for women-centered treatment for substance use disorders: results from focus group discussions

Elms

Link²,

Newman

et al. 2018

Harm Reduct J

View full text Add to dashboard Cite

BackgroundThere are few women-centered treatment programs for substance use disorder. We therefore undertook an exploratory study to better understand the treatment experience, barriers, and facilitators of mothers with substance use disorder.MethodsWe conducted two focus groups with a total of ten women with a history of substance use disorder in Kingston (Canada). Women were recruited from a community program for mothers with substance use disorder. The focus groups were recorded, and the resulting data were transcribed, coded, and thematically analyzed. Barriers, facilitators and treatment needs were identified.ResultsThe mean age of the participants was 31.1 years, 30% were currently using substances, and 60% had a child in their care. A key concern for women regarding substance use treatment was the welfare of their child(ren). Agencies charged with child protection were a barrier to treatment because women feared disclosing substance use would result in loss of child custody. In contrast, when agencies stipulated that women must attend treatment to retain custody, they facilitated treatment engagement. Other barriers to treatment included identifying treatment programs and completing admission requirements, wait times, counselor ability to address woman-centered issues, fear, safety, and stigma. Women’s personal motivation for treatment was a facilitator. Suggestions to improve treatment programs included to allow children to accompany their mothers, involvement of peer support, and women-only programs.ConclusionsThis small but novel study provides important data to inform treatment programming for mothers with substance use disorders.

show abstract

“…Waiting for services can be detrimental to recovery by decreasing motivation for treatment and future treatment adherence . Additional research is needed in BC to measure the length of wait‐lists, and the number of individuals currently waiting for treatment, in a similar manner to the work completed in Ontario . It would also be advantageous to calculate the number of persons from rural communities waiting for treatment and treatment outcomes for this population.…”

Section: Discussionmentioning

confidence: 99%

Alcohol, Isolation, and Access to Treatment: Family Physician Experiences of Alcohol Consumption and Access to Health Care in Rural British Columbia

Slaunwhite

Macdonald

2015

The Journal of Rural Health

View full text Add to dashboard Cite

show abstract

Wait times for publicly funded addiction and problem gambling treatment agencies in Ontario, Canada

Cited by 13 publications

References 33 publications

Social-structural factors influencing periods of injection cessation among marginalized youth who inject drugs in Vancouver, Canada: an ethno-epidemiological study

Social-structural factors influencing periods of injection cessation among marginalized youth who inject drugs in Vancouver, Canada: an ethno-epidemiological study

Need for women-centered treatment for substance use disorders: results from focus group discussions

Alcohol, Isolation, and Access to Treatment: Family Physician Experiences of Alcohol Consumption and Access to Health Care in Rural British Columbia

Contact Info

Product

Resources

About