“It feels like I’m coming to a friend’s house” : an interpretive descriptive study of an integrated care site offering iOAT (Dr. Peter Centre)
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
identifier citation: Addiction Science & Clinical Practice. 2023 Dec 02;18(1):73
contributor: Providence Health Care (Vancouver, B.C.)
contributor: St. Paul's Hospital (Vancouver, B.C.)
contributor: St. Paul's Hospital (Vancouver, B.C.). Centre for Advancing Health Outcomes
rights copyright: The Author(s)
creator: Dobischok, Sophia
creator: Carvajal, José R.
creator: Turner, Kyle
creator: Jaffe, Kaitlyn
creator: Lehal, Eisha
creator: Blawatt, Sarinn
creator: Redquest, Casey
creator: Baltzer Turje, Rosalind
creator: McDougall, Patrick
creator: Koch, Bryce
creator: McDermid, Cheryl
creator: Hassan, Damon
creator: Harrison, Scott
creator: Oviedo-Joekes, Eugenia
issued: 2024-12-12T23:37:55Z
issued: 2023-12-02
description: Background: Injectable opioid agonist treatment (iOAT) has proven to be a safe and effective treatment option for severe opioid use disorder (OUD). Yet, iOAT is often isolated from other health and social services. To align with a person-centered care approach, iOAT can be embedded in sites that combine systems and services that have been historically fragmented and that address multiple comorbidities (integrated care sites). The present study investigates the addition of iOAT at an integrated care in Vancouver, British Columbia. We aimed to capture what it means for service users and service providers to incorporate iOAT in an integrated care site and describe the processes by which the site keeps people engaged. Methods: We conducted 22 interviews with 15 service users and 14 interviews with 13 service providers across two rounds of individual semi-structured interviews (Fall 2021, Summer 2022). The second interview round was precipitated by a service interruption in medication dispensation. Interview audio was recorded, transcribed, and then analysed in NVivo 1.6 following an interpretive description approach. Results: The emergent themes from the analysis are represented in two categories: (1) a holistic approach (client autonomy, de-medicalized care, supportive staff relationships, multiple opportunities for engagement, barriers to iOAT integration) and (2) a sense of place (physical location, social connection and community belonging, food). Conclusion: Incorporating iOAT at an integrated care site revealed how iOAT delivery can be strengthened through its direct connection to a diverse, comprehensive network of health and social services that are provided in a community atmosphere with high quality therapeutic relationships.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/89873
note: Dobischok et al. Addiction Science & Clinical Practice (2023) 18:73 https://doi.org/10.1186/s13722-023-00428-4RESEARCH“It feels like I’m coming to a friend’s house”: an interpretive descriptive study of an integrated care site offering iOAT (Dr. Peter Centre)Sophia Dobischok1,2, José R. Carvajal1, Kyle Turner1, Kaitlyn Jaffe3, Eisha Lehal1, Sarinn Blawatt1, Casey Redquest4, Rosalind Baltzer Turje4, Patrick McDougall4, Bryce Koch4, Cheryl McDermid4,5, Damon Hassan4, Scott Harrison5 and Eugenia Oviedo‑Joekes1,6* Abstract Background Injectable opioid agonist treatment (iOAT) has proven to be a safe and effective treatment option for severe opioid use disorder (OUD). Yet, iOAT is often isolated from other health and social services. To align with a person‑centered care approach, iOAT can be embedded in sites that combine systems and services that have been historically fragmented and that address multiple comorbidities (integrated care sites). The present study investi‑gates the addition of iOAT at an integrated care in Vancouver, British Columbia. We aimed to capture what it means for service users and service providers to incorporate iOAT in an integrated care site and describe the processes by which the site keeps people engaged.Methods We conducted 22 interviews with 15 service users and 14 interviews with 13 service providers across two rounds of individual semi‑structured interviews (Fall 2021, Summer 2022). The second interview round was precipi‑tated by a service interruption in medication dispensation. Interview audio was recorded, transcribed, and then analysed in NVivo 1.6 following an interpretive description approach.Results The emergent themes from the analysis are represented in two categories: (1) a holistic approach (cli‑ent autonomy, de‑medicalized care, supportive staff relationships, multiple opportunities for engagement, barriers to iOAT integration) and (2) a sense of place (physical location, social connection and community belonging, food).Conclu…
has type: Article
is shown at: 10.14288/1.0447484
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s13722-023-00428-4
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
scholar level: Researcher
scholar level: Other
type: Text
identifier URI: http://hdl.handle.net/2429/89873