Comparing Models for Addiction Services - HSJCC

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Comparing Models for Addiction Services Includes:

Final Report By

Olivia Emino

Completed for: Human Service and Justice Coordinating Committee Supervising Professor: Sharon Beaucage-Johnson Trent Community Research Centre

Department: Forensic Science Course Code: FRSC 4890 Course Name: Community-Based Research in Forensic Science Term: Fall/Winter Date of Project Submission: April, 2015

Project ID: 4444

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Comparing Models of Addiction Services Host Organization: Human Service and Justice Coordinating Committee

Olivia Emino 2014-2015

Supervisor: Dave Jarvis FRSC 4890

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Abstract

A comparative analysis of harm reduction and abstinence addiction treatment programs focusing on Peterborough City and County, Kawartha Lakes, Haliburton County, and Northumberland County has not been done. The present study researched previous studies in the field of addiction services, identifying the available services in the specified regions, surveying those services, and compiling data to determine the gaps in the current services to make future recommendations. This work is critical to addiction service research because substance use is a significant area of concern in the research area and across Canada. The study will aid in the identification and implementation of services needed in the four counties to reduce addiction and indirectly keep addiction-related offenders away from the criminal justice system. A literature review of harm reduction and abstinence was conducted using on-line portals. A questionnaire containing service details, client statistics, and gaps in services was administered to the available service providers and front line services including youth services and hospitals. Results show that individuals face many barriers when dealing with their addictions which include stigma, transportation, financial issues, and wait times for service. The current distribution of services is mostly harm reduction- compared to abstinence-based services but both serve equal males and females. The most prominent substance use is with alcohol, cannabis, and opioids. The significant gaps that currently exist are a lack of communication between services, a lack of funding for additional services, and a lack of residential detoxification centers and addiction supportive housing units.

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Acknowledgements

I would firstly like to thank Sharon Beaucage-Johnson for accepting me into the CommunityBased Research Course and introducing me to this project. I have learned valuable research skills, communication skills, and problem-solving skills. I also enjoyed working with the communities of Peterborough, Kawartha Lakes, Haliburton, and Northumberland, and I found the community-based atmosphere very rewarding.

Secondly, I would like to thank John Marris of the Trent Community Research Centre for always giving me feedback on my work and keeping me on track with my deadlines for the project through e-mail and in-person meetings.

Thirdly, I would like to thank Dave Jarvis for allowing me to take on this particular project. The project itself has been a lot of hard work but it has also been very rewarding. I hope that this paper helps to make positive changes in the addiction services field and the communities of Kawartha Lakes, Peterborough, Northumberland, and Haliburton.

Fourthly, I would like to thank all those who took the time to respond to my e-mails and phone calls, those who took time to physically meet with me to discuss my research, and those who took the time to fill out my questionnaires and surveys. Without your responses this paper would not have been possible.

Lastly, I would like to thank my family. My parents, Stephen and Krista Emino, have helped me persevere throughout the year in the ups and the downs. They have kept me motivated and pushed me to work my hardest on this project. Also to be thanked is my brother Steven Brewer who passed away from a drug overdose in 2007. He was the person who got me interested in addiction and helping people and through this report I hope to help many people in the future who are dealing with addictions.

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Table of Contents

Key Terms....................................................................................................................................6-9 Introduction..............................................................................................................................10-13 Methods....................................................................................................................................14-18 Results......................................................................................................................................19-30 Discussion.................................................................................................................................31-40 References................................................................................................................................41-44 Appendix A - List of Addiction Services Located and Contacted...........................................45-47 Appendix B - List of Front Line Services Located and Contacted..........................................48-49 Appendix C - E-mail/Phone Introduction......................................................................................50 Appendix D - Addiction Services Questionnaire.....................................................................51-52 Appendix E - Front Line Worker Questionnaire...........................................................................53 Appendix F - ACT Peterborough Questionnaire Response......................................................54-56 Appendix G - Central East Correctional Centre Questionnaire Response...............................57-59 Appendix H - CMHA Online Questionnaire Response............................................................60-61 Appendix I - CMHA Questionnaire Response.........................................................................62-63 Appendix J - Northumberland Hills Hospital Questionnaire Response...................................64-66 Appendix K - Trent Wellness Centre Online Questionnaire Response.........................................67 Appendix L - Trent Wellness Centre Transcribed Questionnaire Response............................68-72 Appendix M - AA Peterborough Transcribed Questionnaire Response..................................73-75 Appendix N - CHIMO Transcribed Questionnaire Response..................................................76-78 Appendix O - Kawartha Lakes Police Transcribed Questionnaire Response..........................79-80 Appendix P - Kawartha Lakes Police Transcribed Questionnaire Response 2........................81-87 Appendix Q - OATC Peterborough Transcribed Questionnaire Response..............................88-89 Appendix R - PIPC Transcribed Questionnaire Response.......................................................90-93 Appendix S - Kinark Questionnaire Response.........................................................................94-95 Appendix T - Mean and Standard Deviation Sample Calculations...............................................96

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