Boston Violence Intervention Advocacy Program: A Qualitative Study of Client Experiences and Perceived Effect

Nature is considered to have restorative qualities that can potentially improve psychotherapy success. However, little is known about how clients experience nature during psychotherapy. The research aim of this phenomenological qualitative study was to study how clients experience nature during individual outpatient psychotherapy that took place while walking in nature. More specifically we were interested in clients’ inner world experiences. All participants (N = 12) received treatment through licensed therapists for a DSM-5 classified disorder. Semi-structured interviews were conducted. To uncover true lived experiences during these interviews, participants were asked to close their eyes and envision themselves during a psychotherapy session in nature. The verbatim transcripts were coded by means of inductive thematic analysis and the results were member checked. Results showed that nature brings clients closer to their inner worlds. How nature brings this about is unfolded in a conceptual model of lived experience. We argue that psychotherapy can be enriched by considering nature as a supportive environment because bringing clients closer to their inner worlds is of essential value in facilitating successful treatment interventions.

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Peer-Assisted Injection as a Harm Reduction Measure in a Supervised Consumption Service: A Qualitative Study of Client Experiences

10.21203/rs.3.rs-24831/v3 ◽

2020 ◽

Author(s):

Em M. Pijl ◽

Tracy Oosterbroek ◽

Takara Motz ◽

Erin Mason ◽

Keltie Hamilton

Keyword(s):

Qualitative Study ◽

Harm Reduction ◽

Interpersonal Relationships ◽

Safe Place ◽

Client Experiences ◽

Controlled Drugs ◽

Reduction Measure ◽

Significant Burden ◽

And Gender ◽

Health Canada

Abstract Background: Peer assistance is an emerging area of study in injection drug use. When Canada’s first supervised consumption site (SCS) opened in 2003 in Vancouver, BC, clients were prohibited from injecting their peers; only recently has this practice been introduced as a harm reduction measure at these sites. In 2018, Health Canada granted federal exemption to allow peer-assisted injection at certain SCS sites, under the Controlled Drugs and Substances Act. Literature pertaining to peer-assisted injection addresses several topics: interpersonal relationships between the injection provider and recipient; the role of pragmatism; trust and expertise; and gender relations. Methods: In this qualitative study, participants (n=16) were recruited to be interviewed about their experiences in a peer-assisted injection program (PAIP) at one SCS regulated by Health Canada. Interview data were transcribed and thematically analyzed. Quantitative administrative data was used to provide context and to describe the study population, comprised of people in the PAIP (n=248) Results: PAIP clients made up 17.4% of all SCS clients. PAIP clients were more likely to be female and Indigenous. Injection providers expressed being moved by compassion to help others inject. While their desire to assist was pragmatic, they felt a significant burden of responsibility for the outcomes. Other prominent factors related to the injection provider-recipient relationship were social connection, trust, safety, social capital, and reciprocity. Participants also made suggestions for improving the PAIP which included adding more inhalation rooms so that if someone was unable to inject they could smoke in a safe place instead. Additionally, being required by law to divide drugs outside of the SCS, prior to preparing and using in the site, created unsafe conditions for clients. Conclusions: Regular use of the SCS, and access to its resources, enabled participants to lower their risk through smoking and to practise lower-risk injections. At the federal level, there is considerable room to advocate for allowing clients to divide drugs safely within the SCS, and to increase capacity for safer alternatives such as inhalation.

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Client experiences of counselling and treatment interventions: a qualitative study of family views of family therapy

British Journal of Guidance and Counselling ◽

10.1080/03069889600760341 ◽

1996 ◽

Vol 24 (3) ◽

pp. 367-375 ◽

Cited By ~ 3

Author(s):

David Howe

Keyword(s):

Family Therapy ◽

Qualitative Study ◽

Treatment Interventions ◽

Client Experiences

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The Qualitative Study on Experiences of Young Adults with Intellectual Disabilities Participating in Self-advocacy Program Focusing on Disability Awareness

Journal of Special Education for Curriculum and Instruction ◽

10.24005/seci.2018.11.3.135 ◽

2018 ◽

Vol 11 (3) ◽

pp. 135-162 ◽

Cited By ~ 1

Author(s):

Kim Suhyun ◽

이숙향

Keyword(s):

Young Adults ◽

Qualitative Study ◽

Intellectual Disabilities ◽

Self Advocacy ◽

Disability Awareness ◽

Adults With Intellectual Disabilities ◽

Advocacy Program

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Client Experiences of a Telephone-Delivered Intervention for Alcohol Use: a Qualitative Study

International Journal of Mental Health and Addiction ◽

10.1007/s11469-020-00381-2 ◽

2020 ◽

Author(s):

Chloe Bernard ◽

Jasmin Grigg ◽

Isabelle Volpe ◽

Dan I Lubman ◽

Victoria Manning

Keyword(s):

Alcohol Use ◽

Qualitative Study ◽

Client Experiences

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Peer-assisted injection as a harm reduction measure in a supervised consumption service: a qualitative study of client experiences

Harm Reduction Journal ◽

10.1186/s12954-020-00455-3 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Em Pijl ◽

Tracy Oosterbroek ◽

Takara Motz ◽

Erin Mason ◽

Keltie Hamilton

Keyword(s):

Qualitative Study ◽

Harm Reduction ◽

Interpersonal Relationships ◽

Safe Place ◽

Client Experiences ◽

Controlled Drugs ◽

Reduction Measure ◽

Significant Burden ◽

And Gender ◽

Health Canada

Abstract Background Peer assistance is an emerging area of study in injection drug use. When Canada’s first supervised consumption site (SCS) opened in 2003 in Vancouver, Canada, clients were prohibited from injecting their peers; only recently has this practise been introduced as a harm reduction measure at these sites. In 2018, Health Canada granted federal exemption to allow peer-assisted injection at certain SCS sites, under the Controlled Drugs and Substances Act. Literature pertaining to peer-assisted injection addresses several topics: interpersonal relationships between the injection provider and recipient; the role of pragmatism; trust and expertise; and gender relations. Methods In this qualitative study, participants (n = 16) were recruited to be interviewed about their experiences in a peer-assisted injection program (PAIP) at one SCS regulated by Health Canada. Interview data were transcribed and thematically analyzed. Quantitative administrative data were used to provide context and to describe the study population, comprised of people in the PAIP (n = 248). Results PAIP clients made up 17.4% of all SCS clients. PAIP clients were more likely to be female and Indigenous. Injection providers expressed being moved by compassion to help others inject. While their desire to assist was pragmatic, they felt a significant burden of responsibility for the outcomes. Other prominent factors related to the injection provider-recipient relationship were social connection, trust, safety, social capital, and reciprocity. Participants also made suggestions for improving the PAIP which included adding more inhalation rooms so that if someone was unable to inject they could smoke in a safe place instead. Additionally, being required by law to divide drugs outside of the SCS, prior to preparing and using in the site, created unsafe conditions for clients. Conclusions Regular use of the SCS, and access to its resources, enabled participants to lower their risk through smoking and to practice lower-risk injections. At the federal level, there is considerable room to advocate for allowing clients to divide drugs safely within the SCS, and to increase capacity for safer alternatives such as inhalation.

Download Full-text