Grant: Health System Impact Fellowships - PostDoc Western Canada 2 year
University of British Columbia
$108,500.00
Indigenizing harm reduction: Identifying barriers to Western systems and supporting community-driven approaches to reduce opioid-related mortalities among Indigenous people who use drugs in British Columbia
EF 2018-19
Résumé
As the opioid crisis in Canada continues, British Columbia is undoubtedly the epicentre with over 1,400 fatal overdoses in 2017. Government statistics indicate that First Nations people are five times more likely to die of an overdose than non-First Nations people in BC, and that this difference is greater for First Nations women and youth compared to non-First Nations women and youth. Despite an array of harm reduction and addiction treatment services in BC, First Nations people encounter several barriers to accessing and completing care and services including, racism and stigma, lack of service availability and anonymity in rural and remote communities, and trauma associated with colonization and the residential school system. In 2013, the First Nations Health Authority (FNHA) became the only province-wide First Nations health authority and since then, has been a primary player in BC's response to the crisis. As such, FNHA has identified key policy challenges that the proposed work will seek to address: prevent fatal overdoses, reduce drug-related harms (e.g., HIV), and increase service access, treatment options and culturally safe support for Indigenous people who use drugs (IPWUD) throughout the province. The proposed work will consist of 3 components with the overarching goal to develop a First Nations-led model of harm reduction that improves access and retention to supports and services, ultimately reducing opioid-related deaths among IPWUD. Part of the work will involve community-based research with 5 of BC's First Nations from each of FNHA's health regions to help articulate 'promising practices' from community harm reduction programs. The other components will identify ways to improve access, retention and cultural safety of harm reduction and treatment services in collaboration with FNHA and the provincially-mandated BC Centre on Substance Use. Findings will inform FNHA policy and programming, and be shared with health system partners in BC and beyond.
Programme
Health System Impact Fellowships - PostDoc Western Canada 2 year
Bénéficiaire
Emplacement
British Columbia, Canada
Type de bénéficiaire
Academia
Type
Grant
Source
CIHR Funding Decisions Database
Tel que publié
Id
387675
Name
Barker Brittany M
Region
British Columbia
Country
Canada
Orgtype
Institution Paid; Research Institution
Instname2
Indigenous Peoples' Health
Theme2
Social / Cultural / Environmental / Population Health
Prcname2
Fellowship : Health System Impact Fellowship Post Doctoral Fellows
Projecttitle
Indigenizing harm reduction: Identifying barriers to Western systems and supporting community-driven approaches to reduce opioid-related mortalities among Indigenous people who use drugs in British Columbia
Programtype2
Fellowship Programs
Orgnameinp2
University of British Columbia
Cihramount2
$108,500
Cihrequipment2
$0
Programname2
Health System Impact Fellowships - PostDoc Western Canada 2 year
Keyworddelim
Community-Based Research; Epidemiology; First Nations And Indigenous People; Harm Reduction; Health Policy; Health System Improvements; Indigenous Methodologies; Opioid Misuse
Abstract
As the opioid crisis in Canada continues, British Columbia is undoubtedly the epicentre with over 1,400 fatal overdoses in 2017. Government statistics indicate that First Nations people are five times more likely to die of an overdose than non-First Nations people in BC, and that this difference is greater for First Nations women and youth compared to non-First Nations women and youth. Despite an array of harm reduction and addiction treatment services in BC, First Nations people encounter several barriers to accessing and completing care and services including, racism and stigma, lack of service availability and anonymity in rural and remote communities, and trauma associated with colonization and the residential school system. In 2013, the First Nations Health Authority (FNHA) became the only province-wide First Nations health authority and since then, has been a primary player in BC's response to the crisis. As such, FNHA has identified key policy challenges that the proposed work will seek to address: prevent fatal overdoses, reduce drug-related harms (e.g., HIV), and increase service access, treatment options and culturally safe support for Indigenous people who use drugs (IPWUD) throughout the province. The proposed work will consist of 3 components with the overarching goal to develop a First Nations-led model of harm reduction that improves access and retention to supports and services, ultimately reducing opioid-related deaths among IPWUD. Part of the work will involve community-based research with 5 of BC's First Nations from each of FNHA's health regions to help articulate 'promising practices' from community harm reduction programs. The other components will identify ways to improve access, retention and cultural safety of harm reduction and treatment services in collaboration with FNHA and the provincially-mandated BC Centre on Substance Use. Findings will inform FNHA policy and programming, and be shared with health system partners in BC and beyond.
Competitiondate
201804
Approvedterm2
2 yrs 0 mth
Pinamesdelim
Barker, Brittany M
Approvedterm
2 ans 0 mois
Cihrcontribution2
Inst of Indigenous Health~ $108,500~ $0~
