Barriers to Accessing Addiction Treatment for Women at Risk of Homelessness

Rizzo, Davinia; Mu, Temika; Cotroneo, Sophia; Arunogiri, Shalini

doi:10.3389/fgwh.2022.795532

Cited by 9 publications

(7 citation statements)

References 55 publications

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“…As such, emerging evidence suggests that integrating services for pregnancy and/or child-care into treatment services for women with SUD, may lead to improved parenting outcomes, such as reduced risk of maltreatment and increased parenting satisfaction [ 25 ]. In general, research has underscored the need for more gender-responsive, female-specific, SUD treatment options, and the elimination of gender-specific barriers to treatment access, such as familial responsibilities, intimate partner violence, and the heightened stigma and shame associated with accessing treatment [ 24 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

An environmental scan of residential treatment service provision in Ontario

Ali,

Law,

Russell

et al. 2023

Subst Abuse Treat Prev Policy

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Background Ontario has one of the highest rates of substance-related harms in Canada. Residential treatment programs in the province provide a variety of in-house treatment services to support the needs of individuals with substance use disorders (SUD). However, these programs are not standardized, often varying in the type, quality, and availability of services offered, including evidence-based interventions such as Opioid Agonist Treatment (OAT). Local treatment systems are also rather fragmented and complex to navigate, creating barriers for potential services users to identify and make informed choices on available treatment options. Methods Between May to August 2023, we conducted an environmental scan to capture available information on all publicly-funded residential treatment programs in Ontario using the ConnexOntario service portal, a government-funded, health services information platform. Data were captured on organization name, geographical location, program description, program type (residential addictions treatment or supportive recovery programs), eligibility criteria, target population, the program’s OAT policies, number of available beds, minimum and maximum length of stay, projected wait times, funding source, and associated fees for program admission. Data were extracted and organized by geographic region, and findings were presented descriptively. Results A total of 102 residential addiction treatment programs and 36 residential supportive recovery programs in Ontario were identified. The scan noted substantial regional variations in program availability and wait times, along with a lack of programs tailored to unique populations such as women, youth, and Indigenous peoples. There is also a paucity of publicly-available information on program offerings, including detailed specifics on OAT policies within residential treatment programs that are crucial to ensuring that the services being offered are safe and grounded in evidence-based practice. Conclusions Findings from the scan highlight notable gaps in program types, offerings, and availability among residential treatment programs in the province, including a lack of standardization on OAT policies across programs. Efforts should be made to ensure access to treatment-specific program information relevant to potential service users and to enhance coordinated access to residential treatment services in the province.

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Section: Discussionmentioning

confidence: 99%

An environmental scan of residential treatment service provision in Ontario

Ali,

Law,

Russell

et al. 2023

Subst Abuse Treat Prev Policy

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“…This highlights the need for research based in real-world settings, and drawing from practice-based evidence, such as that derived from this service audit to delineate intersections between social and clinical diagnostic complexity factors. For example, in a previous study examining a range of barriers to service access for women with homelessness and AOD problems, we found that it was the intersection between a range of key social factors alongside the system and individual level (emotional and psychological) factors that underpinned challenges in access to care (Rizzo et al , 2022).…”

Section: Discussionmentioning

confidence: 99%

Social work in alcohol and other drug service navigation: supporting social complexity in dual diagnosis

Thomas

Cotroneo²,

Pham³

et al. 2023

ADD

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Purpose Many people with dual diagnosis present with social complexity that impedes service access. The role of social work support in such service navigation is poorly understood. This study aims to characterise client presentations to an Australian telephone-based social work alcohol and other drug (AOD) service navigation and linkage program, with consideration of presentation complexity compared between those clients who present with or without self-reported mental health (MH) concerns and a history of MH diagnoses, to identify differences in baseline characteristics, and linkage outcomes. Design/methodology/approach A retrospective audit was conducted of routinely collected clinical information from a six-month period, selected to capture the social and health challenges experienced during the mid-pandemic period (mid-2021) in Victoria, Australia, during which a number of lockdowns resulted in a reliance on telephone-based services. The audit focused on client and presentation characteristics, and compared clients with and without a history of co-occurring MH and AOD concerns. Findings It was found that three in four people accessing an Australian telephone-based AOD service navigation and linkage program presented with dual diagnosis. Individuals with dual diagnosis required more support from the service compared to those without a co-occurring MH disorder; but overall, were just as likely to achieve a successful linkage to services, when offered holistic, long-term social work support. Originality/value This study focused on the role of social workers in this service navigation program in supporting individuals with complexity. It also highlights the challenges in operationalising social complexity factors alongside clinical MH and AOD diagnoses, and points to the need for further research to guide future service development for this vulnerable client group.

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“…8 Other barriers to seeking and receiving help include reports of a feeling of shame or stigma as well as a fear of government agencies. 9 Cultural appropriateness of services delivered and innate racial bias have also been reported as barriers. 10 As a result, significant proportions are without treatment or flexible treatment options.…”

Section: Introductionmentioning

confidence: 99%

Recruitment and Retention in mhealth Interventions for Addiction and Problematic Substance Use: A Systematic Review

Kidd,

McCormack,

Newcombe

et al. 2023

Preprint

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BackgroundDisordered and problematic addictions are significant public health issues. It has been proposed that mHealth interventions can provide new models and intervention delivery modalities. However, research shows that studies that evaluate mHealth interventions for addiction disorders have low recruitment and high attrition. This study aims to identify published peer-reviewed literature on the recruitment and retention of participants in studies of mHealth interventions for people with addiction or problematic use and to identify successful recruitment and retention strategies.MethodsRelevant studies were identified through Medline, Embase, PsychINFO, and Cochrane Central Register of Controlled Trials (CENTRAL) after January 1998. Studies were limited to peer-reviewed literature and English language published up to 2023. The revised Cochrane Risk of Bias RoB 2 tool was used to assess the risk of bias.ResultsOf the 2135 articles found, 60 met the inclusion criteria and were included. The majority of studies were for smoking cessation. Only three studies retained 95% of participants at the longest follow-up, with ten studies retaining less than 80% at the longest follow-up, indicating a high risk of retention bias. Those studies with high retention rates used a variety of recruitment modalities; however, they also recruited from populations already partially engaged with health support services rather than those not accessing services.ConclusionsThis review of recruitment and retention outcomes with mHealth interventions highlights the need for multimodal recruitment methods. However, significant gaps in effective engagement and retention strategies limit the positive outcomes expected from mHealth interventions.

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Barriers to Accessing Addiction Treatment for Women at Risk of Homelessness

Cited by 9 publications

References 55 publications

An environmental scan of residential treatment service provision in Ontario

An environmental scan of residential treatment service provision in Ontario

Social work in alcohol and other drug service navigation: supporting social complexity in dual diagnosis

Recruitment and Retention in mhealth Interventions for Addiction and Problematic Substance Use: A Systematic Review

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