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Jody Wolfe, Elaine Hyshka, and T. Cameron Wild

UNMET NEED FOR HARM REDUCTION SERVICES AND MENTAL AND PHYSICAL HEALTH AMONGST A SAMPLE OF PEOPLE REPORTING PAST-YEAR ADDICTION PROBLEMS . Jody Wolfe, Elaine Hyshka, and T. Cameron Wild Addiction and Mental Health Research Laboratory, School of Public Health, University of Alberta

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Jody Wolfe, Elaine Hyshka, and T. Cameron Wild

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  1. UNMET NEED FOR HARM REDUCTION SERVICES AND MENTAL AND PHYSICAL HEALTH AMONGST A SAMPLE OF PEOPLE REPORTING PAST-YEAR ADDICTION PROBLEMS Jody Wolfe, Elaine Hyshka, and T. Cameron Wild Addiction and Mental Health Research Laboratory, School of Public Health, University of Alberta Public Health 2014 May 28, 2014

  2. Population burden of addiction problems in Canada

  3. Harm reduction as part of a tiered model of care for people living with addiction problems

  4. Need for harm reduction services across the population

  5. Research Questions • What is the level of unmet need for harm reduction services amongst the general population of Albertans reporting past year [diagnosed or undiagnosed] addiction problems? • Are those with unmet needs for harm reduction services experiencing more distress than those who have no unmet needs for harm reduction services?

  6. GAP-MAP • Data drawn from 2013 GAP-MAP study • Gap analysis of public mental health and addictions programs (GAP-MAP) in Alberta • Examined population need, program availability, and current level of investment in provincial addiction and mental health services.

  7. Methods • Single stage, stratified cluster sample design • Random digit dialing • Computer Assisted Telephone Interviews measured • Demographics • Health service utilization • Physical and mental health • N= 6,000 Alberta adults • MANOVA used to assess differences between individuals reporting unmet needs and those with no unmet needs on six measures of psychiatric and physical health.

  8. Results

  9. Perceived Need for Harm Reduction Services All Alberta adults 3,059,008 1.2% Perceived a need for harm reduction services 36,708

  10. Perceived Need for Harm Reduction Services All Alberta adults 3,059,008 6.5% Met criteria for a diagnosed or undiagnosed addiction 198,836 3.7% Unmet need for harm reduction services 7,357

  11. Patterns of Service Use

  12. Measures of Well-Being

  13. Measures of Well-Being

  14. Unmet Need for Harm Reduction Services and Elements of Well-Being • *Differences between those with and without unmet need for were statistically significant (p<.01) except PWI (p=.056) and GHQ-12 (p=.397)

  15. Limitations • Considerably underestimates need for harm reduction services in Alberta • Does not enable substance-specific analysis

  16. Conclusions • Harm reduction needs exist across the population • Unmet need associated with poorer health and reduced service use for individuals with addiction problems • Additional research is needed to better understand this need • Incorporating harm reduction services into mental health and addiction treatment systems and/or expanding access to harm reduction in Alberta could help connect more people with addictions to health and social services.

  17. Thank you GAP Analysis of Public Addiction and Mental Health Programs: Final Report Wild, Wolfe, Wang, and Ohinmaa (2014) http://www.health.alberta.ca/documents/GAP-MAP-Report-2014.pdf Questions? elaine.hyshka@ualberta.ca

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