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Healing journey: Experiences of First Nations individuals with recovery from opioid use.
Madden, Sharen; Root, Ariel; Suganaqueb, Maria Cindy; Sofea, Levi; Duncan, Carla; Gordon, Janet; Poirier, Jenna; Meekis, Charles; Sainnawap, Deiter; Hummelen, Ruben; Kelly, Len.
Afiliación
  • Madden S; Associate Professor in the Division of Clinical Sciences at NOSM University in Sioux Lookout, Ont.
  • Root A; Anishininiiw Nanadowi'kikendamowin Program Manager at Sioux Lookout First Nations Health Authority.
  • Suganaqueb MC; Opioid Agonist Therapy Coordinator at Webequie First Nation in Ontario.
  • Sofea L; Director of Operations at Webequie First Nations Property Management and Maintenance.
  • Duncan C; Complex Care Navigator in Developmental Services at Sioux Lookout First Nations Health Authority.
  • Gordon J; Chief Operating Offcer at Sioux Lookout First Nations Health Authority.
  • Poirier J; Research intern at Sioux Lookout-NOSM Local Education Group.
  • Meekis C; Cultural Liaison at Sioux Lookout First Nations Health Authority.
  • Sainnawap D; Knowledge Keeper at Kitchenuhmaykoosib Inninuwug First Nation Treaty 9 in Ontario.
  • Hummelen R; Associate Professor in the Division of Clinical Sciences at NOSM University.
  • Kelly L; Research consultant for the Sioux Lookout Meno Ya Win Health Centre.
Can Fam Physician ; 70(2): 117-125, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38383009
ABSTRACT

OBJECTIVE:

To understand experiences of recovery from opioid use among First Nations individuals living in a small remote community.

DESIGN:

Qualitative phenomenologic study.

SETTING:

Northwestern Ontario.

PARTICIPANTS:

Sixteen First Nations individuals living in a remote community who had participated in or completed the community opioid agonist therapy program.

METHODS:

Extensive community consultation took place to ensure local acceptance of the study and permission for publication. Semistructured telephone interviews with consenting participants were audiorecorded between November and December 2021 and transcribed. Transcripts were reviewed and discussed in meetings with Indigenous and non-Indigenous research team members who conducted thematic analysis using immersion and crystallization. MAIN

FINDINGS:

Participants described their opioid use as a form of self-management of trauma. Their recovery processes were multifaceted and included developing cultural and self-awareness. Motivation for change often arose from concerns about family well-being and finances. Traditional cultural practices and time spent on the land were identified as important wellness experiences. Barriers to healing included limited clinical and holistic addiction services, particularly around dose weaning and opioid agonist therapy discontinuation.

CONCLUSION:

Community-based addiction programming for First Nations patients needs to be robust. It requires resources for trauma-informed clinical and addiction care, culturally appropriate addictions education, aftercare support, and land-based activities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígena Canadiense / Trastornos Relacionados con Opioides Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can Fam Physician Año: 2024 Tipo del documento: Article Pais de publicación: Canadá
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígena Canadiense / Trastornos Relacionados con Opioides Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can Fam Physician Año: 2024 Tipo del documento: Article Pais de publicación: Canadá