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Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment
BACKGROUND: Many communities across North America are coming together to develop comprehensive plans to address and respond to the escalating overdose crisis, largely driven by an increasingly toxic unregulated drug supply. As there is a need to build capacity for successful implementation, the obje...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296108/ https://www.ncbi.nlm.nih.gov/pubmed/35854231 http://dx.doi.org/10.1186/s12889-022-13762-0 |
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author | Khorasheh, Triti AbuAyyash, Caroline Bennett Mallakin, Maryam Sellen, Kate Corace, Kim Pauly, Bernadette Buchman, Daniel Hamilton, Michael Boyce, Nick Ng, Karen Strike, Carol Taha, Sheena Manson, Heather Leece, Pamela |
author_facet | Khorasheh, Triti AbuAyyash, Caroline Bennett Mallakin, Maryam Sellen, Kate Corace, Kim Pauly, Bernadette Buchman, Daniel Hamilton, Michael Boyce, Nick Ng, Karen Strike, Carol Taha, Sheena Manson, Heather Leece, Pamela |
author_sort | Khorasheh, Triti |
collection | PubMed |
description | BACKGROUND: Many communities across North America are coming together to develop comprehensive plans to address and respond to the escalating overdose crisis, largely driven by an increasingly toxic unregulated drug supply. As there is a need to build capacity for successful implementation, the objective of our mixed methods study was to identify the current planning and implementation practices, needs, and priority areas of support for community overdose response plans in Ontario, Canada. METHODS: We used a situational assessment methodology to collect data on current planning and implementation practices, needs, and challenges related to community overdose response plans in Ontario, consisting of three components. Between November 2019 to February 2020, we conducted ten semi-structured key informant interviews, three focus groups with 25 participants, and administered an online survey (N = 66). Purposeful sampling was used to identify professionals involved in coordinating, supporting, or partnering on community overdose response plans in jurisdictions with relevant information for Ontario including other Canadian provinces and American states. Key informants included evaluators, representatives involved in centralised supports, as well as coordinators and partners on community overdose response plans. Focus group participants were coordinators or leads of community overdose response plans in Ontario. RESULTS: Sixty-six professionals participated in the study. The current planning and implementation practices of community overdose response plans varied in Ontario. Our analysis generated four overarching areas for needs and support for the planning and implementation of community overdose response plans: 1) data and information; 2) evidence and practice; 3) implementation/operational factors; and 4) partnership, engagement, and collaboration. Addressing stigma and equity within planning and implementation of community overdose response plans was a cross-cutting theme that included meaningful engagement of people with living and lived expertise and meeting the service needs of different populations and communities. CONCLUSIONS: Through exploring the needs and related supports for community overdose response plans in Ontario, we have identified key priority areas for building local capacity building to address overdose-related harms. Ongoing development and refinement, community partnership, and evaluation of our project will highlight the influence of our supports to advance the capacity, motivation, and opportunities of community overdose response plans. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13762-0. |
format | Online Article Text |
id | pubmed-9296108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92961082022-07-20 Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment Khorasheh, Triti AbuAyyash, Caroline Bennett Mallakin, Maryam Sellen, Kate Corace, Kim Pauly, Bernadette Buchman, Daniel Hamilton, Michael Boyce, Nick Ng, Karen Strike, Carol Taha, Sheena Manson, Heather Leece, Pamela BMC Public Health Research BACKGROUND: Many communities across North America are coming together to develop comprehensive plans to address and respond to the escalating overdose crisis, largely driven by an increasingly toxic unregulated drug supply. As there is a need to build capacity for successful implementation, the objective of our mixed methods study was to identify the current planning and implementation practices, needs, and priority areas of support for community overdose response plans in Ontario, Canada. METHODS: We used a situational assessment methodology to collect data on current planning and implementation practices, needs, and challenges related to community overdose response plans in Ontario, consisting of three components. Between November 2019 to February 2020, we conducted ten semi-structured key informant interviews, three focus groups with 25 participants, and administered an online survey (N = 66). Purposeful sampling was used to identify professionals involved in coordinating, supporting, or partnering on community overdose response plans in jurisdictions with relevant information for Ontario including other Canadian provinces and American states. Key informants included evaluators, representatives involved in centralised supports, as well as coordinators and partners on community overdose response plans. Focus group participants were coordinators or leads of community overdose response plans in Ontario. RESULTS: Sixty-six professionals participated in the study. The current planning and implementation practices of community overdose response plans varied in Ontario. Our analysis generated four overarching areas for needs and support for the planning and implementation of community overdose response plans: 1) data and information; 2) evidence and practice; 3) implementation/operational factors; and 4) partnership, engagement, and collaboration. Addressing stigma and equity within planning and implementation of community overdose response plans was a cross-cutting theme that included meaningful engagement of people with living and lived expertise and meeting the service needs of different populations and communities. CONCLUSIONS: Through exploring the needs and related supports for community overdose response plans in Ontario, we have identified key priority areas for building local capacity building to address overdose-related harms. Ongoing development and refinement, community partnership, and evaluation of our project will highlight the influence of our supports to advance the capacity, motivation, and opportunities of community overdose response plans. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13762-0. BioMed Central 2022-07-19 /pmc/articles/PMC9296108/ /pubmed/35854231 http://dx.doi.org/10.1186/s12889-022-13762-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Khorasheh, Triti AbuAyyash, Caroline Bennett Mallakin, Maryam Sellen, Kate Corace, Kim Pauly, Bernadette Buchman, Daniel Hamilton, Michael Boyce, Nick Ng, Karen Strike, Carol Taha, Sheena Manson, Heather Leece, Pamela Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title | Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title_full | Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title_fullStr | Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title_full_unstemmed | Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title_short | Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment |
title_sort | supporting community overdose response planning in ontario, canada: findings from a situational assessment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296108/ https://www.ncbi.nlm.nih.gov/pubmed/35854231 http://dx.doi.org/10.1186/s12889-022-13762-0 |
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