{"id":575,"date":"2017-04-05T19:43:36","date_gmt":"2017-04-05T19:43:36","guid":{"rendered":"http:\/\/cusjc.ca\/catalyst\/?post_type=project&#038;p=575"},"modified":"2018-04-23T19:23:21","modified_gmt":"2018-04-23T19:23:21","slug":"canadas-opioid-crisis-the-challenge-with-youth","status":"publish","type":"project","link":"https:\/\/cusjc.ca\/catalyst\/project\/canadas-opioid-crisis-the-challenge-with-youth\/","title":{"rendered":"Canada\u2019s opioid crisis: The challenge with youth"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221; background_image=&#8221;http:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2017\/03\/drugsED.jpg&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_css_main_element=&#8221;height: 100vh;&#8221;][et_pb_fullwidth_header admin_label=&#8221;Fullwidth Header&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; header_fullscreen=&#8221;off&#8221; header_scroll_down=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; content_orientation=&#8221;center&#8221; image_orientation=&#8221;center&#8221; custom_button_one=&#8221;off&#8221; button_one_letter_spacing=&#8221;0&#8243; button_one_use_icon=&#8221;default&#8221; button_one_icon_placement=&#8221;right&#8221; button_one_on_hover=&#8221;on&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; custom_button_two=&#8221;off&#8221; button_two_letter_spacing=&#8221;0&#8243; button_two_use_icon=&#8221;default&#8221; button_two_icon_placement=&#8221;right&#8221; button_two_on_hover=&#8221;on&#8221; button_two_letter_spacing_hover=&#8221;0&#8243; title=&#8221;Canada\u2019s opioid crisis: The challenge with youth&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>By Brooke Peloquin<\/strong><\/p>\n<p style=\"text-align: left;\">Youth play a significant role in Canada&#8217;s opioid crisis, but are they being overlooked?<\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section admin_label=&#8221;section&#8221;][et_pb_row admin_label=&#8221;row&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>Tucked away on a quiet road just outside of Carleton Place, Ont., is one of two <a href=\"http:\/\/www.davesmithcentre.org\">Dave Smith Youth Treatment Centre<\/a> (DSYTC) residential facilities.<\/p>\n<p>The facility, an old red brick home, houses young men aged 13-21 living with drug and alcohol addictions. Here, they can receive anything from family counseling to academic programming while on their road to recovery.<\/p>\n<p>Just a half hour drive away, in a slightly newer home, is the DSTYC\u2019s young women\u2019s facility. The centre helps young women, also aged 13-21, with their own struggles with addiction.<\/p>\n<p>While the DSYTC\u2019s services are extensive, the number of young clients that can benefit from their help is extremely limited. Between the two facilities, only 24 beds are available to youth, with admission waitlists that can last weeks, even months.<\/p>\n<p>The demand for their services is \u201calways higher than what our capacity is and that was always true from day one. It continues to be true and I suspect it will only grow,\u201d says\u00a0Mike Beauchesne, DSYTC\u2019s executive director.<\/p>\n<p>Youth play a significant, if overlooked, role in Canada\u2019s ballooning opioid crisis. In the <a href=\"http:\/\/www.camh.ca\/en\/research\/news_and_publications\/ontario-student-drug-use-and-health-survey\/Pages\/default.aspx\">2015 Ontario Student Drug Use and Health Survey<\/a> (OSDUHS), an estimated 10 per cent of students in grades seven to 12 used opioid pain relievers without a prescription\u2014almost 95,000 youth in Ontario alone.<\/p>\n<p>Oxycodone, Codeine and Fentanyl are some of the most commonly misused opioids in Canada. Young people typically get access to\u00a0these dangerous drugs by taking them from their own homes.<\/p>\n<p>Opioids are dangerous\u2014overdoses can happen after just one use, making treatment services like those offered by DSYTC essential for youth struggling with addiction. But with thousands of youth potentially in need of help, and limited services available, what does this bode for the future of opioid addicted youth?<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h3>Opioid<\/h3>\n<p>According to <a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/substance-abuse\/prescription-drug-abuse\/opioids\/about.html\">Health Canada<\/a>, opioids are defined as pain-relieving medications. \u201cThey relieve pain by acting on specific nerve cells of the spinal cord and brain.\u201d<\/p>\n<p>Some of the most commonly used opioids include:<\/p>\n<ul>\n<li>Oxycodone<\/li>\n<li>Morphine<\/li>\n<li>Hydromorphone<\/li>\n<li>Fentanyl<\/li>\n<li>Codeine<\/li>\n<\/ul>\n<h3>Concurrent Disorder<\/h3>\n<p>Someone is diagnosed with a concurrent disorder when they suffer from both mental health and substance use problems simultaneously.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe src=&#8221;https:\/\/www.google.com\/maps\/d\/embed?mid=1bMBnkv9lOnHH_XDLclwysbJJRmA&#8221; width=&#8221;640&#8243; height=&#8221;480&#8243;&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h3>Gaps in the system<\/h3>\n<p>The demand for youth addiction treatment is not an uncommon problem across Canada\u00a0and sheds light on where the addiction treatment system falls short.<\/p>\n<p>Extensive waitlists for residential treatment, limited community based treatment capacities and the need for more detox beds are just a few of the resources available to youth that are seriously underfunded, explains Beauchesne.<\/p>\n<p>As part of Ontario\u2019s <a href=\"http:\/\/www.fin.gov.on.ca\/en\/budget\/ontariobudgets\/2016\/\">2016 budget<\/a>, the province invested $51.8 billion in health care\u2014nearly 42 per cent of the province\u2019s expected total spending for that year.<\/p>\n<p>Of that $51.8 billion, less than <a href=\"http:\/\/www.addictionsandmentalhealthontario.ca\/uploads\/1\/8\/6\/3\/18638346\/amho_scfea_pre_budget_submission_2017_01_20.pdf\">seven per cent<\/a> of the province\u2019s resources went towards mental health and addiction services.<\/p>\n<blockquote>\n<h4><strong>\u201cWe know that for every dollar spent on addiction treatment results in at least four to seven dollars in savings in healthcare costs alone.&#8221;<\/strong><\/h4>\n<\/blockquote>\n<p>\u201cIt\u2019s a tremendous investment that provides great return for the community and we just need to allocate and invest more in where it\u2019s needed,&#8221; says\u00a0Beauchesne.<\/p>\n<p>In the OSDUH survey, approximately 114, 600 students in grades nine to 12 reported having symptoms of a drug use problem, but only 0.6 per cent of those surveyed, an estimated 4, 200 students, had been in treatment for their substance use problems.<\/p>\n<p>In the race to fill the gaps and properly allocate funding in the youth addiction treatment system, the number of youth in need but not seeking help constantly looms overhead.<\/p>\n<p>\u201cI think in the larger scale, we need to consider estimates are in the range of 10 per cent of individuals who actually require addiction treatment, reach out to receive it so even with our challenging ability to meet current demand, we\u2019re also only dealing with the tip of the iceberg.\u201d<\/p>\n<p>[\/et_pb_text][et_pb_image admin_label=&#8221;Image&#8221; src=&#8221;http:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2017\/03\/waiting-roomED.jpg&#8221; show_in_lightbox=&#8221;off&#8221; url_new_window=&#8221;off&#8221; use_overlay=&#8221;off&#8221; animation=&#8221;left&#8221; sticky=&#8221;off&#8221; align=&#8221;left&#8221; force_fullwidth=&#8221;off&#8221; always_center_on_mobile=&#8221;on&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;] [\/et_pb_image][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h3>Youth: Not your typical patients<\/h3>\n<p>Once youth have successfully been admitted into a treatment program, they present a unique set of challenges to healthcare providers.<\/p>\n<p>Often, a youth\u2019s mental health plays a large role in the development and treatment of their opioid addiction, says\u00a0Benedicte Carriere, a social worker in <a href=\"http:\/\/www.theroyal.ca\/mental-health-centre\/\">The Royal<\/a> Ottawa hospital\u2019s regional opioid intervention service.<\/p>\n<p>Typically, youth are going through challenging stages of development, both physically and mentally, which can be detrimentally impacted by substance use.<\/p>\n<p>\u201cWe see a lot of young people with very complex mental health problems that require stabilization and treatment along with their substance use disorder,\u201d explains Carriere.<\/p>\n<p>According to a <a href=\"http:\/\/www.excellenceforchildandyouth.ca\/sites\/default\/files\/policy_concurrent_sa_and_mh_disorders.pdf\">2013 study<\/a>, approximately three\u00a0per cent of Canadian youth aged 15-24 fit the diagnostic criteria for a concurrent disorder.<\/p>\n<p>\u201cConcurrent disorders become kind of a chicken and the egg situation because the mental health symptoms aggravate the substance use problems, and the substance use problem aggravates the mental health problem,\u201d adds Carriere.<\/p>\n<p>In addition to mental health problems and their stage in development, a major challenge health practitioners face when treating youth is the nature of opioids themselves.<\/p>\n<p>\u201cOpioid use is a very high risk behaviour and so supporting youth in managing some of those risks and avoiding a lot of negative consequences as they go through treatment is challenging,\u201d says\u00a0Carriere.<\/p>\n<blockquote>\n<h4><strong>\u201cYoung people tend to think, \u2018Take risks and experiment,\u2019 but these young people are just experimenting with something that\u2019s particularly high risk.\u201d<\/strong><\/h4>\n<\/blockquote>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h3>Not a new problem, but a changing problem<\/h3>\n<p>Although there\u2019s been a growing awareness of youth drug use, it\u2019s not a new issue in Canada.<\/p>\n<p>What\u2019s changed is the substance itself.<\/p>\n<p>\u201cOpioid use specifically has been a growing problem in youth and we\u2019re seeing it grow exponentially over the past few years,\u201d says\u00a0Carriere. \u201cI don\u2019t think that we necessarily saw this level of experimentation with this high risk of a substance in the past\u2026 Certainly the risk involved has increased.&#8221;<\/p>\n<p>Unlike alcohol or marijuana, the most commonly used substances among youth, one opioid use could have fatal consequences.<\/p>\n<p>These consequences have shaken the Ottawa community in recent months, seeing the deaths of two youth to opioid overdoses.<\/p>\n<p>As a result of these highly publicized overdoses, waitlists at the DSYTC skyrocketed, \u201cbecause of increased attention to the issue,\u201d says\u00a0Beauchesne.<\/p>\n<p>In their own efforts to cutback on waitlists and the shortage of spaces for youth with addictions, the DSYTC is now advocating for a new facility.<\/p>\n<p>\u201cWith the new build, we\u2019d be able to increase our capacity by six beds, so that would be a 25 per cent increase to what we provide now,\u201d explains Beauchesne.<\/p>\n<p>Six beds might not seem like a lot, but it could make all the difference for youth struggling with addiction and who manage to overcome the psychological barriers to seeking treatment.<\/p>\n<p>\u201cAs we continue to work towards reducing stigma and fighting the shame, creating awareness around addiction and hopefully encouraging more and more people who need help to reach out for it, demand is only going to increase,\u201d says\u00a0Beauchesne.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_image admin_label=&#8221;Image&#8221; src=&#8221;http:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2017\/03\/pic2.jpg&#8221; show_in_lightbox=&#8221;off&#8221; url_new_window=&#8221;off&#8221; use_overlay=&#8221;off&#8221; animation=&#8221;left&#8221; sticky=&#8221;off&#8221; align=&#8221;left&#8221; force_fullwidth=&#8221;off&#8221; always_center_on_mobile=&#8221;on&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;] [\/et_pb_image][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>In response to recent youth opioid overdoses, the City of Ottawa organized a series of pubic meetings at local high schools to give parents information about youth substance use and treatment options. Representatives at the meetings included the Dave Smith Youth Treatment Centre, The Royal, Ottawa police and several other local organizations. [Photo \u00a9Brooke Peloquin]<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe src=&#8217;https:\/\/cdn.knightlab.com\/libs\/timeline3\/latest\/embed\/index.html?source=14ZDK5sWGkCLs9ksMmlakuYm5WXRKBHQkfv7zfjryDUg&amp;font=Default&amp;lang=en&amp;initial_zoom=2&amp;height=650&#8242; width=&#8217;100%&#8217; height=&#8217;650&#8242; webkitallowfullscreen mozallowfullscreen allowfullscreen frameborder=&#8217;0&#8242;&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221; background_image=&#8221;http:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2017\/03\/drugsED.jpg&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_css_main_element=&#8221;height: 100vh;&#8221;][et_pb_fullwidth_header admin_label=&#8221;Fullwidth Header&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; header_fullscreen=&#8221;off&#8221; header_scroll_down=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; content_orientation=&#8221;center&#8221; image_orientation=&#8221;center&#8221; custom_button_one=&#8221;off&#8221; button_one_letter_spacing=&#8221;0&#8243; button_one_use_icon=&#8221;default&#8221; button_one_icon_placement=&#8221;right&#8221; button_one_on_hover=&#8221;on&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; custom_button_two=&#8221;off&#8221; button_two_letter_spacing=&#8221;0&#8243; button_two_use_icon=&#8221;default&#8221; button_two_icon_placement=&#8221;right&#8221; button_two_on_hover=&#8221;on&#8221; button_two_letter_spacing_hover=&#8221;0&#8243; title=&#8221;Canada\u2019s opioid crisis: The challenge with youth&#8221;] By Brooke Peloquin Youth play a significant role in [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":638,"comment_status":"open","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"project_category":[135],"project_tag":[],"class_list":["post-575","project","type-project","status-publish","has-post-thumbnail","hentry","project_category-feature"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Canada\u2019s opioid crisis: The challenge with youth - Catalyst<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cusjc.ca\/catalyst\/project\/canadas-opioid-crisis-the-challenge-with-youth\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Canada\u2019s opioid crisis: The challenge with youth - Catalyst\" \/>\n<meta property=\"og:description\" content=\"[et_pb_section admin_label=&#8221;Section&#8221; 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