scholarly journals 1.7 IMPROVING SUBSTANCE USE SERVICES AND OUTCOMES FOR RACIALLY MINORITIZED ADOLESCENTS

2021 ◽  
Vol 60 (10) ◽  
pp. S122
Author(s):  
Lisa R. Fortuna ◽  
Marina Tolou-Shams ◽  
Michelle Porche
Keyword(s):  
Substance Use ◽  
Substance Use Services

scholarly journals Going virtual: youth attitudes toward and experiences of virtual mental health and substance use services during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Natasha Y. Sheikhan ◽  
Karen MacCon ◽  
Joanna Henderson
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Youth Mental Health ◽  
Research Process ◽  
Clinical Samples ◽  
Future Research ◽  
Advantages And Disadvantages ◽  
Substance Use Services ◽  
Youth Attitudes ◽  
Virtual Services

Abstract Background During the COVID-19 pandemic, youth mental health and substance use services rapidly moved to virtual modalities to meet social distancing requirements. It is important to understand youth attitudes toward and experience of virtual services. Objective This study examined the attitudes toward and experiences of virtual mental health and substance use services among youth drawn from clinical and non-clinical samples. Method Four hundred nine youth completed a survey including questions about their attitudes toward and experience of virtual services. The survey included quantitative and open-ended questions on virtual care, as well as a mental health and substance use screener. Results The majority of youth with mental health or substance use challenges would be willing to consider individual virtual services, but fewer would consider group virtual services. However, many have not received virtual services. Youth are interested in accessing a wide variety of virtual services and other supportive wellness services. Advantages and disadvantages of virtual services are discussed, including accessibility benefits and technological barriers. Discussion As youth mental health and substance use services have rapidly gone virtual during the COVID-19 pandemic, it is essential that we hear the perspectives of youth to promote service utilization among those in need. Diverse, accessible, technologically stable virtual services are required to meet the needs of different youth, possibly with in-person options for some youth. Future research, engaging youth in the research process, is needed to evaluate the efficacy of virtual services to plan for the sustainability of some virtual service gains beyond the pandemic period.

scholarly journals What makes mental health and substance use services youth friendly? A scoping review of literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Kamna Mehra ◽  
Cara Settipani ◽  
Jaqueline Relihan ◽  
Karleigh Darnay ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Scoping Review ◽  
Review Of Literature ◽  
Substance Use Services ◽  
Youth Friendly

A Review of Family Engagement Measures for Adolescent Substance Use Services

2015 ◽  
Vol 24 (12) ◽  
pp. 3700-3710 ◽  
Author(s):  
Robert Hock ◽  
Mary Ann Priester ◽  
Aidyn L. Iachini ◽  
Teri Browne ◽  
Dana DeHart ◽  
...  
Keyword(s):  
Substance Use ◽  
Family Engagement ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
Substance Use Services

scholarly journals Social Stigma and Perinatal Substance Use Services: Recognizing the Power of the Good Mother Ideal

2020 ◽  
pp. 009145092096920
Author(s):  
Tracy R. Nichols ◽  
Amber Welborn ◽  
Meredith R. Gringle ◽  
Amy Lee
Keyword(s):  
Substance Use ◽  
Service Providers ◽  
Social Stigma ◽  
Cultural Norms ◽  
Social Sanctions ◽  
Substance Use Services ◽  
Stigmatizing Attitudes ◽  
Using Data ◽  
The Continuum

People who are diagnosed with a substance use disorder can experience stigmatizing interactions with health and social service providers, which may decrease both quality and continuity of care. For women with a substance-exposed pregnancy (SEP), this stigma can increase exponentially. Stigmatizing interactions can be difficult to identify due to social sanctions against expressing stigmatizing attitudes, beliefs, and behaviors and because stigma often resides in accepted cultural norms. Examining discourses around care provision can serve to identify instances of social stigma as well as illuminate the cultural norms in which they are embedded. Using data from a seven-year grounded theory study on perinatal substance use service provision, this paper reports on the perceptions and experiences of service providers working with mothers who have an SEP and illustrates complexities behind stigmatizing patient-provider interactions. Data collected included observations at meetings, workshops, and conferences addressing best practices across the continuum of care for perinatal substance use as well as interviews and focus groups with providers. The construct of “good mothering,” or hegemonic motherhood, was identified as an important cultural norm that supported social stigma and was embedded in providers’ interactions with mothers with an SEP. Discursive elements found in providers’ descriptions of perinatal substance use service work are presented and highlight the role of hegemonic motherhood as a stigmatizing agent.

scholarly journals Patient and Family Engagement

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Bonnie Hope Cai
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Substance Use ◽  
Lived Experience ◽  
Patient Engagement ◽  
Family Engagement ◽  
Public Mental Health ◽  
System Level ◽  
Project Coordinator ◽  
Substance Use Services

British Columbia Mental Health and Substance Use Services (BCMHSUS) provides mental health services, education, and health promotion initiatives to people with mental health and substance use issues across the province of BC. As a Project Coordinator in the Patient and Community Engagement portfolio, I performed a variety of work to support patient and family engagement under the newly created Patient Engagement Framework. Engaging patients and families as active participants and co-designers of their own care is an important component of patient-centred care that improves healthcare quality, health outcomes, and overall experiences of care at a system level. To work towards this goal, I developed a trauma-informed policy and procedure for BCMHSUS on patient and family engagement to serve as a guideline for giving patients and families a voice in the design and delivery of their mental health care. I also drafted two patient engagement playbooks called Managing Conflict and Respecting Emotions and Engaging Mandated and Incarcerated Patients, which focus on barriers and solutions to engaging patients in vulnerable circumstances. Moreover, I worked with provincial stakeholders to write the annual report for the BC Partners, which is a collaborative mental health promotion partnership between BCMHSUS and 7 provincial organizations with different mental health and substance use specialties (e.g. BC Schizophrenia Society, The Mood Disorders Association of BC, Canadian Institute for Substance Use Research, etc.). I also performed a literature review of the evidence supporting family engagement in patient- and family-centred care, and I made infographics and other visual designs to translate research and knowledge in visually appealing ways. Overall, my practicum helped me contribute towards advancing public mental health by valuing patients' knowledge, skills, and lived experience in the health system and working on a variety of initiatives to promote mental health in the province.

scholarly journals Point-of-Care Mobile Application to Guide Health Care Professionals in Conducting Substance Use Screening and Intervention: A Mixed-Methods User Experience Study

ACI Open ◽  
2019 ◽  
Vol 03 (01) ◽  
pp. e1-e12
Author(s):  
Megan O'Grady ◽  
Sandeep Kapoor ◽  
Evan Gilmer ◽  
Charles Neighbors ◽  
Joseph Conigliaro ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Mixed Methods ◽  
User Experience ◽  
Point Of Care ◽  
Health Care Settings ◽  
Health Technologies ◽  
Patient Interactions ◽  
System Usability Scale ◽  
Substance Use Services

Background Well-documented barriers have limited the widespread, sustained adoption of screening and intervention for substance use problems in health care settings. mHealth applications may address provider-related barriers; however, there is limited research on development and user experience of such applications. Objective This user experience study examines a provider-focused point-of-care app for substance use screening and intervention in health care settings. Method This mixed-methods study included think-aloud tasks, task success ratings, semistructured interviews, and usability questionnaires (e.g., System Usability Scale [SUS]) to examine user experience among 12 health coaches who provide substance use services in emergency department and primary care settings. Results The average rate of successful task completion was 94% and the mean SUS score was 76 out of 100. Qualitative data suggested the app enhanced participants' capability to complete tasks efficiently and effectively. Participants reported being satisfied with the app's features, content, screen layout, and navigation and felt it was easy to learn and could benefit patient interactions. Despite overwhelmingly positive user experience reports, there were some concerns that the app could negatively affect patient interactions due to reductions in eye contact and ability to build rapport. Conclusion Using the “Fit between Individuals, Task, and Technology” framework to guide interpretation, overall results indicate acceptable user experience and usability for this provider-focused point-of-care mobile app for substance use screening and intervention as well as favorable potential for adoption by health care practitioners. Such mobile health technologies may help to address well-known challenges related to implementing substance use services in health care settings.

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