Browse COVID-19 resources from partners and CCSA experts – trusted sources for your information and research needs.

Canadian Centre on Substance Use and Addiction

Improving Treatment Together Project

In Canada, substance use treatment for youth has failed to keep pace with the evidence. Young people 15 to 24 years old are the fastest-growing population requiring hospital care from opioid overdoses in Canada. 94% of opioid overdose deaths happen by accident, many because street drugs in Canada have become tainted with powerful opioids such as fentanyl.

There is a clear need for treatment services that are accessible, appropriate and responsive to the needs of youth suffering from opioid use disorders. The purpose of the Improving Treatment Together (ITT) Project is to improve the experiences and outcomes of substance use services in the local community for young people who use opioids.

Since 2018, the Canadian Centre on Substance Use and Addiction (CCSA) has partnered with eight community organizations in British Columbia and Alberta to work with youth, families and service providers impacted by youth opioid use to understand their needs and co-design resources to improve treatment services. Our community partners in British Columbia are the Foundry centres in Victoria, Prince George, Vancouver-Granville and Kelowna. Our partners in Alberta Health Services are the Virtual Opioid Dependency Program, the Calgary Opioid Dependency Program, Child and Adolescent Addiction and Mental Health Services, North Zone, and Child, Youth and Families Addiction and Mental Health Services, Lethbridge.  

The ITT project follows a community-based participatory and co-design process with three distinct phases:

  • In phase 1, we collaborated with our community partners to host stakeholder workshops to understand the experiences and needs of young people, parents and caregivers accessing treatment services and service providers delivering them. We then brainstormed solutions and designed prototypes that could address the root causes of opioid disorders as defined by these populations.
  • We are currently in phase 2 of the project. During this phase we are working with our community partners to develop prototype ideas that came directly from the community workshops.
  • Phase 3 includes implementing and evaluating each prototype at the community level.

The initiatives described in the tabs below are part of the ITT project.

Parents Like Us. The Unofficial Survival Guide to Parenting a Young Person with a Substance Use Disorder is a support resource for parents. A group of twelve parents in Victoria, British Columbia, created the handbook in partnership with CCSA and Foundry Victoria. It is intended to improve the experiences and outcomes of community-based services for young people who use substances, their families and service providers.

The handbook is a collection of shared experiences and stories to help other parents and caregivers find refuge, support and courage to reach out for help. Whether your young person is experimenting with substances or has developed a substance use disorder, this handbook can help you feel connected with other parents and caregivers going through similar experiences.

If you read this handbook, we’d love to hear your thoughts. Leave your feedback here.

CCSA is developing “how-to” guide to provide step-by-step instructions on how an individual or an organization can create a similar handbook for their community. We expect the manual to be ready for distribution in 2023. 

If you want a copy of the manual, please let us know at info@ccsa.ca.

Our Alberta youth workshops felt there were a lack of positive stories in the public domain that feature young people doing well dealing with an opioid use disorder. The youth we spoke with reflected that most stories in the media deal with fatal overdoses and systemic failures. They identified a need for stories of hope showcasing the real experiences of youth. The youth from the workshops also wanted to show their involvement in projects like Improving Treatment Together as a way for young people to positively influence service delivery.

The youth worked for six weeks with the assistance of a professional storyteller to develop their stories around their lived and living experience with opioid use. The youth then created their own videos to effectively tell their story of how they achieved wellness and what worked for them on their journey.

Alberta Health and Wellness has released the first set of Real stories from youth. These stories:

  • Cover opioid use and opioid use disorder treatment options;
  • Explain why young people might use opioids;
  • Fight stigma around opioid use;
  • Help encourage youth to get help for opioid use; and
  • Show there is hope for treatment and recovery.

One of the videos has been featured in Frayme’s Great Big Stories virtual gallery. CCSA was one of ten organizations chosen by Frayme to capture and tell stories of youth and caregiver equity, while including the creation, design and refinement of youth mental heath and substance use programs and services.

CCSA is developing an interactive simulation of what it is like for a youth to be engaged in opioid use or have an opioid use disorder. The simulation also looks at the impact of the youth’s disorder on their family, trying to access services and the effects of stigma on youth with opioid use disorder.

The user can experience the simulation in both a rural and an urban setting. The characteristics of each setting will have an impact on the types of choices available. We expect to release the simulation in late 2022 or early 2023.

In collaboration with community partners Foundry Kelowna and Foundry Vancouver-Granville ,“Step-by-Step: A Youth-Informed Guide to Opioid Agonist Treatment” is a short, lived-experience video series about a young person’s everyday experience with opioid agonist treatment (OAT) as part of a treatment program. The videos hope to demystify and destigmatize OAT by providing authentic and relatable information for those seeking treatment for opioid use and to increase confidence for youth considering or starting OAT.

The series features four episodes:

  1. You’re Worth It: Defines what OAT is and its potential life-saving benefits within the context of the drug toxicity emergency.
  2. The Daily Routine: Provides descriptions of the different types of medications available for youth in British Columbia. Youth describe what being on OAT looks like in day-to-day life.
  3. Side Effects: Explains common side effects youth experienced while on OAT.
  4. The Big Picture: Explores the idea that OAT is only one tool that supports one’s wellness journey, and everyone’s treatment pathway is different. Youth share what other elements helped them while on OAT, including staying connected through support groups, friends and peers.

We’d love to hear your thoughts on these videos! Please fill out a short survey here. 

In collaboration with Foundry Prince George , the ITT team  developed a youth inclusion tool for health and social organizations to serve young people. The tool supports organizations in an ongoing learning process to improve youth service experiences by providing insight on their strengths and helping identify feasible solutions to address their weaker areas. The tool will help organizations assess their status in four areas:

  • Accessibility: How accessible is the service for young people, including hours of operation, affordability and the ageing out process.
  • Service environment: How welcoming and comfortable is the service environment, including inclusivity and diversity and whether the organization meets young people’s basic needs.
  • Quality of service: What is the quality of service, including whether the organization applies a patient-centred approach, respects young people’s rights to privacy and confidentiality, and is responsive to youth feedback.
  • Continuity of care: How is continuity of care ensured, including whether the organization is well connected to other services in the community that serve youth who use substances.

The tool comes with a list of youth-informed recommendations to address each assessment question, a list of youth services to improve youth and service provider awareness of local services, and a question sheet that includes questions young people may want to ask their service providers when accessing substance use services. The tool will be of interest to:

  • Substance use service providers
  • Mental health service providers
  • Youth treatment service providers
  • Harm reduction service providers
  • Youth shelters
  • Community health centres
  • Social services
  • Hospitals
  • Emergency departments

If you or your organization uses this tool, we’d love to hear your thoughts. Leave your feedback here

We use cookies to ensure that we give you the best experience possible on our website. 

You can change your cookie settings in your web browser at any time. If you continue without changing your settings, we’ll assume that you are happy to receive cookies from our website. Review our Privacy Notice for more information.