2020
DOI: 10.1177/2150132720963656
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Development of Best Practice Guidelines for Primary Care to Support Patients Who Use Substances

Abstract: Introduction People who use substances often mistrust the primary care system, impeding access. Objectives To build on research clarifying how to improve patients’ feelings of safety, through co-creating best practice guidelines with physicians and patient representatives. Methods After obtaining Research Ethics Board approval, this qualitative study engaged 22 participants including patients, physicians, and health system partners. We held a series of workshops, co-facilitated by patients and researchers, cor… Show more

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Cited by 3 publications
(13 citation statements)
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“…Finally, only 28% of the studies reported the organisation of one or more World Cafés, as the only method used (Table 2). As regards the macro‐area covered by the studies, about half of the studies were centred on health promotion (12 studies) 15,18–22,25,27,28,32,34,35 and the other half on disease prevention (11 studies) 7–9,16,17,23,24,26,29,30,33 . Only two studies addressed health promotion and prevention issues together 14,31 .…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Finally, only 28% of the studies reported the organisation of one or more World Cafés, as the only method used (Table 2). As regards the macro‐area covered by the studies, about half of the studies were centred on health promotion (12 studies) 15,18–22,25,27,28,32,34,35 and the other half on disease prevention (11 studies) 7–9,16,17,23,24,26,29,30,33 . Only two studies addressed health promotion and prevention issues together 14,31 .…”
Section: Resultsmentioning
confidence: 99%
“…Most of the studies included in the review were organised in Anglo-Saxon countries. In particular, those studies have been realised in Australia (5), 7,8,[14][15][16] United Kingdom (5), [17][18][19][20][21] United States (4), [22][23][24][25] Canada (3), [26][27][28] Ireland (3), [29][30][31] and South Africa (1). 32 Only four studies were carried out in non-Anglo-Saxon countries, such as Italy (1), 33 Netherlands (1), 9 Portugal (1), 34 and Germany (1).…”
Section: Characteristics Of the Studies Included In The Reviewmentioning
confidence: 99%
“…Advocacy. Authors characterized advocacy as interventions to assist patients to meet basic needs (Brooks et al, 2018), obtain the best possible treatment (Esden, 2018), navigate complex health systems (Ford-Gilboe et al, 2011;Hartney et al, 2020), and connect with appropriate care and resources (Roberts et al, 2019). In several accounts, the referral of patients to mental health services was essential for addressing trauma and managing sequelae-like substance use that can exacerbate health problems (Roberts et al, 2019;Selwyn & Lathan, 2021).…”
Section: Attributesmentioning
confidence: 99%
“…For those with substance abuse disorder, stigma can be a particular problem. Hartney et al (2020) highlighted how important it is when using TIC with this group to understand the impacts trauma has on building trusting relationships. Among human trafficking victims as well, TIC requires targeted trauma-informed protocols to create trust and avoid implications of judgment (Stevens et al, 2019).…”
Section: Contextual Basesmentioning
confidence: 99%
“…Simultaneously, the reduction of available health services not directly related to COVID-19 has impacted the public' s access to services that could provide early intervention or ongoing treatment for heavy drinking. Patient-oriented research indicates the importance of supportive, trauma-informed relationships between physicians and people who use substances (Hartney et al 2020), which are undermined by limited access, social distancing and infection-control strategies such as wearing masks. Any delay in help-seeking behaviours in people with substance-related problems is likely to increase the threshold for intervention to higher levels of impairment.…”
Section: Introductionmentioning
confidence: 99%