February 6, 2017
A Vancouver study
The findings are from a cohort study of street-involved youth (aged 14-26) in Vancouver who had used drugs in the past six months. Participants had to have never injected drugs at study enrollment and to have at least one follow-up visit to be included in this study. Between September 2005 and May 2014, 462 participants met these criteria. Over the course of the study:
Of the participants who were unable to access addiction treatment, 41% tried to access detox services, 35% treatment centres, 10% recovery houses, and 4% counsellors. Waiting lists were the most frequent barrier to treatment (66%); 18% of participants cited logistical barriers including location, hours and documentation requirements as barriers; and 6% for behavioural issues. Seventeen percent of participants were rejected by treatment programs for unspecified reasons and 6% for behavioural issues.
The results of this study suggest that reducing barriers to treatment for youth who use drugs but who have never injected may reduce the likelihood that they will transition to injection drug use. This will avoid missed opportunities to prevent injection initiation and help to reduce drug-related harms like overdose and infection with HIV and hepatitis C.
Logan Broeckaert holds a Master's degree in History and is currently a researcher/writer at CATIE. Before joining CATIE, Logan worked on provincial and national research and knowledge exchange projects for the Canadian AIDS Society and the Ontario Public Health Association.
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