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dc.contributor.advisorMushquash, Christopher
dc.contributor.authorMarshall, Nicole
dc.date.accessioned2019-12-02T18:41:26Z
dc.date.available2019-12-02T18:41:26Z
dc.date.created2019
dc.date.issued2019
dc.identifier.urihttp://knowledgecommons.lakeheadu.ca:7070/handle/2453/4513
dc.description.abstractCanada’s First Nations population experiences elevated rates of opioid use and negative opioid-related consequences. These rates stem from the long history of colonization that First Nations populations have faced, which has resulted in unique treatment access barriers and a need for culturally and contextually relevant treatment. The purpose of this study was to longitudinally evaluate the first on-reserve methadone maintenance therapy program in Canada through both client questionnaires and staff interviews. Forty-nine clients (mean age of 40, 51% female, 100% First Nations identification) and 11 staff members of the program participated in this study. Overall, clients noted self-improvement; improved quality of life, housing condition, employment status, and family support; and decreases in symptoms of anxiety and depression, overall psychological and physical distress, and drug use and high-risk behaviours. Qualitatively, clients spoke positively of the treatment centre and noted challenges of the program. Staff noted their primary goal as seeing clients become substance free and they also spoke about the importance of the community’s support of the program. Staff noted challenges with funding and reported a desire to see the program continue to help the community until everyone is healed. Overall, the results of the evaluation were positive and show that the program is succeeding in the eyes of the clients and the staff.en_US
dc.language.isoen_USen_US
dc.subjectMethadone maintenance therapy program in Canadaen_US
dc.subjectOpioiden_US
dc.subjectOpioid use (non-medical purposes)en_US
dc.subjectPrescription and nonprescription opioid use (Indigenous populations)en_US
dc.subjectOpioid related issues in Canada’s First Nations populationen_US
dc.titleA longitudinal evaluation of an on-reserve methadone maintenance therapy programen_US
dc.typeDissertationen_US
etd.degree.nameDoctor of Philosophyen_US
etd.degree.levelDoctoralen_US
etd.degree.disciplinePsychology : Clinicalen_US
etd.degree.grantorLakehead Universityen_US


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