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Assessing service and treatment needs of young people who use illicit and non-medical prescription drugs living in Northern Ontario, Canada.

ABSTRACT: Background: The use of illicit and prescription drugs for non-medical purposes among youth and young adults living in Northern Ontario communities is a major public health concern. This problem is amplified in that there is insufficient knowledge on the types of services and treatment centers available for and utilized by young people with substance use issues in Northern Ontario. This needs assessment study aims to examine the service and treatment needs of youth and young adults who use drugs in Northern Ontario communities. Methods/Design: A mixed-methods study design will be used to assess the service and treatment needs of youth and young adults (aged 14-25) who have used one or more illicit drug (excluding cannabis) and/or psychoactive prescription drug for non-medical purposes for at least 3 months and on at least 10 days in the last month. Participants will be recruited from approximately ten Northern, remote and rural communities across Northern Ontario using a mobile research lab. Eligible study candidates from each community will be asked to partake in a focus group and questionnaire exploring service and treatment utilization and needs. We will additionally collect basic socio-demographic information as well as examine patterns of problematic drug use. Interviews with service providers and community organizers will also be conducted in each community. Discussion: Findings from our study will highlight the availability, accessibility and utilization of existing services; identify the gaps and barriers in current service provision; and provide insight into the service and treatment needs of youth and young adults who use drugs in Northern Ontario communities. Assessing the needs of young people who use drugs will allow service providers, community organizers and health policymakers to improve addiction-related services and treatment centers in Northern Ontario.

SUBMITTER: Varatharajan T

PROVIDER: S-EPMC7025771 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Assessing service and treatment needs of young people who use illicit and non-medical prescription drugs living in Northern Ontario, Canada.

Varatharajan Thepikaa T Sabioni Pamela P Russell Cayley C Henderson Joanna J Fischer Benedikt B Miles Sarah S Rehm Jürgen J

F1000Research 20181016

<b>Background:</b> The use of illicit and prescription drugs for non-medical purposes among youth and young adults living in Northern Ontario communities is a major public health concern. This problem is amplified in that there is insufficient knowledge on the types of services and treatment centers available for and utilized by young people with substance use issues in Northern Ontario. This needs assessment study aims to examine the service and treatment needs of youth and young adults who use ...[more]

PMID: 32117563

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Project description:BackgroundIllicit drug use rates are high among Canadian youth, and are particularly pronounced in Northern Ontario. The availability and accessibility of effective substance use-related treatments and services are required to address this problem, especially among rural and remote Northern communities. In order to assess specific service and treatment needs, as well as barriers and deterrents to accessing and utilizing services and treatments for youth who use illicit drugs in Northern Ontario, we conducted the present study.MethodsThis study utilized a mixed-methods design and incorporated a community-based participatory research approach. Questionnaires were administered in conjunction with audio-recorded semi-structured interviews and/or focus groups with youth (aged 14-25) who live in Northern Ontario and use illicit drugs. Interviews with 'key informants' who work with the youth in each community were also conducted. Between August and December 2017, the research team traveled to Northern Ontario communities and carried out data collection procedures.ResultsA total of 102 youth and 35 key informants from eleven different Northern Ontario communities were interviewed. The most commonly used drugs were prescription opioids, cocaine and crack-cocaine. Most participants experienced problems related to their drug use, and reported 'fair' mental and physical health status. Qualitative analyses highlighted an overall lack of services; barriers to accessing treatment and services included lack of motivation, stigmatization, long wait-lists and transportation/mobility issues. Articulated needs revolved around the necessity of harm reduction-based services, low-threshold programs, specialized programming, and peer-based counselling.ConclusionsAlthough each community varied in terms of drug use behaviors and available services, an overall need for youth-specific, low-threshold services was identified. Information gathered from this study can be used to help inform rural and remote communities towards improving treatment and service system performance and provision.

Project description:BackgroundPeople who use drugs (PWUD) often have complex health and social support needs related to substance use, yet face numerous barriers to service access, resulting in unmet treatment needs and a corresponding gap in treatment. While initiatives to scale up substance use services for PWUD in Canada - and Ontario - have been undertaken, these have excluded PWUD' perspectives, and their needs have largely been defined by other actors. As end-users of services, PWUD' perspectives are vital to understanding what services are required, and whether existent services are adequate, appropriate and effective. Thus, the present study aimed to elicit in-depth knowledge from PWUD with lived experience of accessing services to better understand their unmet treatment and service needs, towards closing the service and treatment gap in Ontario.MethodsThis qualitative study included one-on-one interviews conducted with a cohort of n = 45 adult PWUD with substance use and treatment experience in Ontario, Canada. Participants were recruited from substance use services based on ConnexOntario's directory of all provincial addiction services, as well as by word-of-mouth. Questions focused on participants' experiences and perspectives on substance use services towards understanding their service needs. Data underwent an inductive thematic analysis based on key themes that emerged.ResultsParticipants commonly engaged in polysubstance use, and identified a number of unmet substance use service needs including complex factors within the current service system that influenced access to available programs. Specifically, participants suggested the need to address stigmatization and system fragmentation, increase service provision and capacity, and scale up specific services and related supports such as harm reduction, counseling, treatment, and housing.ConclusionsThis study identified PWUD' needs in relation to substance use service provision in Ontario, Canada, and highlighted important areas for policy change and program planning and implementation. Concrete recommendations include the development of a government-funded, low-barrier, comprehensive and integrated service delivery and referral models that include PWUD as collaborators and program facilitators to ensure that services are as accessible, effective, and cohesive as possible. Results from this study can be used to enhance provincial substance use treatment and service provision.

Project description:BackgroundForests in the Far North of Ontario (FNO), Canada, are likely the least studied in North America, and quantifying their current and future carbon (C) stocks is the first step in assessing their potential role in climate change mitigation. Although the FNO forests are unmanaged, the latter task is made more important by growing interest in developing the region's natural resources, primarily for timber harvesting. In this study, we used a combination of field and remotely sensed observations with a land surface model to estimate forest C stocks in the FNO forests and to project their future dynamics. The specific objective was to simulate historical C stocks for 1901-2014 and future C stocks for 2015-2100 for five shared socioeconomic pathway (SSP) scenarios selected as high priority scenarios for the 6th Assessment Report on Climate Change.ResultsCarbon stocks in live vegetation in the FNO forests remained relatively stable between 1901 and 2014 while soil organic carbon (SOC) stocks steadily declined, losing about 16% of their initial value. At the end of the historical simulation (in 2014), the stocks were estimated at 19.8, 46.4, and 66.2 tCha-1 in live vegetation, SOC, and total ecosystem pools, respectively. Projections for 2015-2100 indicated effectively no substantial change in SOC stocks, while live vegetation C stocks increased, accelerating their growth in the second half of the twenty-first century. These results were consistent among all simulated SSP scenarios. Consequently, increase in total forest ecosystem C stocks by 2100 ranged from 16.7 to 20.7% of their value in 2015. Simulations with and without wildfires showed the strong effect of fire on forest C stock dynamics during 2015-2100: inclusion of wildfires reduced the live vegetation increase by half while increasing the SOC pool due to higher turnover of vegetation C to SOC.ConclusionsForest ecosystem C stock estimates at the end of historical simulation period were at the lower end but within the range of values reported in the literature for northern boreal forests. These estimates may be treated as conservatively low since the area included in the estimates is poorly studied and some of the forests may be on peat deposits rather than mineral soils. Future C stocks were projected to increase in all simulated SSP scenarios, especially in the second half of the twenty-first century. Thus, during the projected period forest ecosystems of the FNO are likely to act as a C sink. In light of growing interest in developing natural resources in the FNO, collecting more data on the status and dynamics of its forests is needed to verify the above-presented estimates and design management activities that would maintain their projected C sink status.

Project description:BackgroundTo support AIDS service organisations and other community-based organisations' use of research evidence to inform HIV-related programmes, services and policies, the Ontario HIV Treatment Network (OHTN) developed a Rapid Response Service. The final product of the rapid response process at the OHTN, which is more streamlined than that of traditional systematic reviews, consists of a detailed report answering questions regarding an HIV-specific issue and how the findings apply within the local context. In 2016, the OHTN conducted an evaluation to assess the effectiveness of its Rapid Response Service. This article reports on the development of this service as well as the results of the evaluation.MethodsAll rapid responses published between January 1, 2009, and September 30, 2016, by the OHTN (n = 102) were analysed using univariate analyses. Frequency distributions were determined for the following variables for each rapid response: populations observed, topics covered, requestor affiliations and number of downloads from the OHTN's website. Requestors of rapid responses were also interviewed regarding perceived helpfulness and utility of the service and final products, and suggestions for changes to the service. Six-month follow-up interviews were conducted to determine how affiliated organisations used the evidence from the rapid response they requested.ResultsThe 102 rapid responses published covered 14 different populations of interest. Topics covered included the HIV prevention, engagement and care cascade, determinants of health, syndemics, and comorbidities. Requestor affiliations consisted of AIDS service organisations, government agencies and policy-makers, non-HIV-focused community-based organisations, and hospitals, universities or health centres. Requestors perceived most aspects of the Rapid Response Service as very helpful and most frequently suggested that the rapid responses should provide recommendations. Follow-up interviews regarding the impact of rapid responses show that rapid responses have been used to assist organisations in numerous activities.ConclusionsOrganisations that have used the OHTN's Rapid Response Service describe it as a valuable service useful for the development of programmes and policies. Improvements in capacity-building efforts may increase its utility. Describing the findings of this evaluation may serve as a reference for similar programmes to increase the use of research evidence among public health decision-makers.

Dataset Information

Assessing service and treatment needs of young people who use illicit and non-medical prescription drugs living in Northern Ontario, Canada.

Publications

Assessing service and treatment needs of young people who use illicit and non-medical prescription drugs living in Northern Ontario, Canada.

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