Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario
Abstract Objective Our primary objective was to evaluate how the Indigenous Healing and Seeking Safety (IHSS) model impacted residential addiction treatment program completion rates. Our secondary objective was to evaluate health service use 6 months before and 6 months after residential treatment f...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-08-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08406-3 |
| _version_ | 1818498034108989440 |
|---|---|
| author | K. A. Morin T. N. Marsh C. Eshakakogan J. K. Eibl M. Spence G. Gauthier J. D. Walker Dean Sayers Alan Ozawanimke Brent Bissaillion D. C. Marsh |
| author_facet | K. A. Morin T. N. Marsh C. Eshakakogan J. K. Eibl M. Spence G. Gauthier J. D. Walker Dean Sayers Alan Ozawanimke Brent Bissaillion D. C. Marsh |
| author_sort | K. A. Morin |
| collection | DOAJ |
| description | Abstract Objective Our primary objective was to evaluate how the Indigenous Healing and Seeking Safety (IHSS) model impacted residential addiction treatment program completion rates. Our secondary objective was to evaluate health service use 6 months before and 6 months after residential treatment for clients who attended the program before and after implementing IHSS. Methods We observed clients of the Benbowopka Residential Treatment before IHSS implementation (from April 2013 to March 31, 2016) and after IHSS implementation (from January 1, 2018 – March 31, 2020). The program data were linked to health administration data, including the Ontario Health Insurance Plan (OHIP) physician billing, the Registered Persons Database (RPDB), the National Ambulatory Care Reporting System (NACRS), and the Discharge Abstract Database (DAD). Chi-square tests were used to compare patient characteristics in the no-IHSS and IHSS groups. We used logistic regression to estimate the association between IHSS and treatment completion. We used generalized estimating equation (GEE) regression model to evaluate health service use (including primary care visits, ED visits overall and for substance use, hospitalizations and mental health visits), Results: There were 266 patients in the no-IHSS group and 136 in the IHSS group. After adjusting for individual characteristics, we observed that IHSS was associated with increased program completion rates (odds ratio = 1.95, 95% CI 1.02-3.70). There was no significant association between IHSS patients’ health service use at time one or time two. Primary care visits time 1: aOR 0.55, 95%CI 0.72-1.13, time 2: aOR 1.13, 95%CI 0.79-1.23; ED visits overall time 1: aOR 0.91, 95%CI 0.67-1.23, time 2: aOR 1.06, 95%CI 0.75-1.50; ED visits for substance use time 1: aOR 0.81, 95%CI 0.47-1.39, time 2: aOR 0.79, 95%CI 0.37-1.54; Hospitalizations time 1: aOR 0.78, 95%CI 0.41-1.47, time 2: aOR 0.76, 95%CI 0.32-1.80; Mental health visits time 1: aOR 0.66, 95%CI 0.46-0.96, time 2: aOR 0.92 95%CI 0.7-1.40. Conclusions Our results indicate that IHSS positively influenced program completion but had no significant effect on health service use. Trial registration This study was registered with clinicaltrials.gov (identifier number NCT04604574). First registration 10/27/2020. |
| first_indexed | 2024-12-10T18:52:48Z |
| format | Article |
| id | doaj.art-a3cf127311534dc581002b490cbd4ef4 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-10T18:52:48Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-a3cf127311534dc581002b490cbd4ef42022-12-22T01:37:16ZengBMCBMC Health Services Research1472-69632022-08-0122111010.1186/s12913-022-08406-3Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern OntarioK. A. Morin0T. N. Marsh1C. Eshakakogan2J. K. Eibl3M. Spence4G. Gauthier5J. D. Walker6Dean Sayers7Alan Ozawanimke8Brent Bissaillion9D. C. Marsh10Northern Ontario School of MedicineNorthern Ontario School of MedicineNorth Shore Tribal CouncilNorthern Ontario School of MedicineNorthern Ontario School of MedicineNorthern Ontario School of MedicineMcMaster UniversityBatchewana First NationSagamok First NationSerpent River First NationNorthern Ontario School of MedicineAbstract Objective Our primary objective was to evaluate how the Indigenous Healing and Seeking Safety (IHSS) model impacted residential addiction treatment program completion rates. Our secondary objective was to evaluate health service use 6 months before and 6 months after residential treatment for clients who attended the program before and after implementing IHSS. Methods We observed clients of the Benbowopka Residential Treatment before IHSS implementation (from April 2013 to March 31, 2016) and after IHSS implementation (from January 1, 2018 – March 31, 2020). The program data were linked to health administration data, including the Ontario Health Insurance Plan (OHIP) physician billing, the Registered Persons Database (RPDB), the National Ambulatory Care Reporting System (NACRS), and the Discharge Abstract Database (DAD). Chi-square tests were used to compare patient characteristics in the no-IHSS and IHSS groups. We used logistic regression to estimate the association between IHSS and treatment completion. We used generalized estimating equation (GEE) regression model to evaluate health service use (including primary care visits, ED visits overall and for substance use, hospitalizations and mental health visits), Results: There were 266 patients in the no-IHSS group and 136 in the IHSS group. After adjusting for individual characteristics, we observed that IHSS was associated with increased program completion rates (odds ratio = 1.95, 95% CI 1.02-3.70). There was no significant association between IHSS patients’ health service use at time one or time two. Primary care visits time 1: aOR 0.55, 95%CI 0.72-1.13, time 2: aOR 1.13, 95%CI 0.79-1.23; ED visits overall time 1: aOR 0.91, 95%CI 0.67-1.23, time 2: aOR 1.06, 95%CI 0.75-1.50; ED visits for substance use time 1: aOR 0.81, 95%CI 0.47-1.39, time 2: aOR 0.79, 95%CI 0.37-1.54; Hospitalizations time 1: aOR 0.78, 95%CI 0.41-1.47, time 2: aOR 0.76, 95%CI 0.32-1.80; Mental health visits time 1: aOR 0.66, 95%CI 0.46-0.96, time 2: aOR 0.92 95%CI 0.7-1.40. Conclusions Our results indicate that IHSS positively influenced program completion but had no significant effect on health service use. Trial registration This study was registered with clinicaltrials.gov (identifier number NCT04604574). First registration 10/27/2020.https://doi.org/10.1186/s12913-022-08406-3Indigenous health principlesSeeking safetyTraumaSubstance use disorder |
| spellingShingle | K. A. Morin T. N. Marsh C. Eshakakogan J. K. Eibl M. Spence G. Gauthier J. D. Walker Dean Sayers Alan Ozawanimke Brent Bissaillion D. C. Marsh Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario BMC Health Services Research Indigenous health principles Seeking safety Trauma Substance use disorder |
| title | Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario |
| title_full | Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario |
| title_fullStr | Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario |
| title_full_unstemmed | Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario |
| title_short | Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario |
| title_sort | community trial evaluating the integration of indigenous healing practices and a harm reduction approach with principles of seeking safety in an indigenous residential treatment program in northern ontario |
| topic | Indigenous health principles Seeking safety Trauma Substance use disorder |
| url | https://doi.org/10.1186/s12913-022-08406-3 |
| work_keys_str_mv | AT kamorin communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT tnmarsh communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT ceshakakogan communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT jkeibl communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT mspence communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT ggauthier communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT jdwalker communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT deansayers communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT alanozawanimke communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT brentbissaillion communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario AT dcmarsh communitytrialevaluatingtheintegrationofindigenoushealingpracticesandaharmreductionapproachwithprinciplesofseekingsafetyinanindigenousresidentialtreatmentprograminnorthernontario |