Zuk Aleksandra M, Ahmed Fatima, Charania Nadia A, Sutherland Celine, Kataquapit Gisele, Moriarity Robert J, Spence Nicholas D, Tsuji Leonard J S, Liberda Eric N
Department of Physical and Environmental Sciences, University of Toronto, Toronto, Ontario, Canada.
School of Nursing, Queen's University, Kingston, Ontario, Canada.
Dialogues Health. 2024 Sep 1;5:100190. doi: 10.1016/j.dialog.2024.100190. eCollection 2024 Dec.
BACKGROUND/PURPOSE: In response to the opioid use challenges exacerbated from the COVID-19 pandemic, Fort Albany First Nation (FAFN), a remote Cree First Nation community situated in subarctic Ontario, Canada, implemented a buprenorphine-naloxone program. The newly initiated program was collaboratively developed by First Nations' nurses and community leaders, driven by the community's strengths, resilience, and forward-thinking approach. Using the First Nations Information Governance Centre strengths-based model, this article examines discussions with four community leaders to identify key strengths and challenges that emerged during the implementation of this program.
this qualitative study amplify the positive aspects and community strengths through the power of oral narratives. We conducted 20 semi-structured face-to-face interviews with community members who helped lead FAFN's COVID-19 pandemic response. Utilizing the Medicine Wheel framework, this work introduces a holistic model for the buprenorphine-naloxone program that addresses the cognitive, physical, spiritual, and emotional dimensions of well-being.
Recommendations to support this initiative included the need for culturally competent staff, customized education programs, and the expanding of the program. Additionally, there is a pressing need for increased funding to support these initiatives effectively and sustainably. The development of this program, despite challenges, underscores the vital role of community leadership and cultural sensitivity to address the opioid crisis in a positive and culturally safe manner.
The study highlights the successes of the buprenorphine-naloxone program, which was developed in response to the needs arising from the pandemic, specifically addressing community members suffering from opioid addiction. The timely funding for this program came as the urgent needs of community members became apparent due to pandemic lockdowns and isolation. Holistic care, including mental health services and fostering community relations, is important. By centering conversations on community strengths and advocating for culturally sensitive mental health strategies that nurture well-being, resilience, and empowerment, these findings can be adapted and expanded to support other Indigenous communities contending with opioid addiction.
背景/目的：为应对新冠疫情加剧的阿片类药物使用挑战，位于加拿大安大略省亚北极地区的偏远克里第一民族社区奥尔巴尼堡第一民族（FAFN）实施了丁丙诺啡 - 纳洛酮项目。这个新启动的项目是由第一民族的护士和社区领袖共同开发的，受到社区的优势、韧性和前瞻性思维方式的推动。本文运用基于第一民族信息治理中心优势的模型，探讨与四位社区领袖的讨论，以确定该项目实施过程中出现的关键优势和挑战。
这项定性研究通过口述叙事的力量放大积极方面和社区优势。我们对帮助领导FAFN应对新冠疫情的社区成员进行了2次半结构化面对面访谈。利用药轮框架，这项工作为丁丙诺啡 - 纳洛酮项目引入了一个整体模型，该模型涉及幸福的认知、身体、精神和情感层面。
支持该倡议的建议包括需要具备文化能力的工作人员、定制教育项目以及扩大该项目。此外，迫切需要增加资金，以有效且可持续地支持这些倡议。尽管面临挑战，但该项目的开展凸显了社区领导力和文化敏感性在以积极且文化安全的方式应对阿片类药物危机方面的重要作用。
该研究突出了丁丙诺啡 - 纳洛酮项目的成功之处，该项目是为应对疫情引发的需求而开发的，特别针对患有阿片类药物成瘾的社区成员。由于疫情封锁和隔离，社区成员的迫切需求变得明显，此时该项目获得了及时的资金支持。包括心理健康服务和促进社区关系在内的整体护理很重要。通过将对话聚焦于社区优势，并倡导培养幸福感、韧性和赋权的文化敏感型心理健康策略，这些研究结果可以被调整和扩展，以支持其他与阿片类药物成瘾作斗争的原住民社区。
