| 7:00-8:00 |
AA Meeting (Second Floor Boardroom)
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| 8:30-9:00 |
Breakfast in Exhibit Hall (Room 100)
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| 9:00-10:30 |
Plenary Opening(Room 200)
Annette Dale-Perera
Strategic Director, Addictions and Offender Care Directorate, Central and NW London NHS Foundation Trust
“The Models of Care journey: sharing successes and disappointments from implementing national drug and alcohol frameworks in England”
Since 2001, England has developed and implemented national frameworks for evidence-based addiction interventions to be provided in each region. This talk describes the development of these frameworks and how hindsight can offer insight into their strengths and weaknesses. Ms. Dale-Perera looks at leadership and change in the language the frameworks generated, and describes the different journeys England has been on in trying to implement drug and alcohol treatment systems. Her talk compares and contrasts a drug treatment system that received resources and a national performance management system with an alcohol treatment system that did not. It looks at whether England’s journey has reached a point where better outcomes are offered for substance-misusing clients. Finally, Ms. Dale-Perera reflects on lessons learned from attempts to implement change and improvement in a range of public sector services. |
| 10:30-11:00 |
Networking Break in Exhibit Hall (Room 100) |
| 11:00-12:30 |
Concurrent Session 1
CC 1 Moving the Treatment Strategy Ahead at the National Level
Speakers:
Facilitator: Rebecca Jesseman, CCSA
Description: The collaboration and partnerships that form the premise of the National Treatment Strategy (NTS) will be forged across a broad range of jurisdictions, sectors, and organizations. Although these partnerships will need a strong ground-level foundation, there is also an important facilitation and coordination role to be played at the broader national level. This session will present initiatives that promote and facilitate implementation of the NTS at the multi-sectoral and multi-jurisdictional levels. The session will also focus on gathering ideas and advice from attendees about how best to promote a comprehensive network of partnerships and collaboration that will benefit the systems that they represent and work within.
SAT 1 Developing Creative Responses to Complicated Addiction Issues: Cyber Addiction, Insomnia and Smoking Cessation
Speakers:
Facilitator: Greg Purvis, Nova Scotia Department of Health
Description: The presentations in this session illustrate the complexity of the substance use field through three distinct examples. Collectively, the three presentations will demonstrate the creative responsiveness to special needs and populations, drawing on evidence-based literature and practice. First, cyber addiction is an emerging concern that is receiving considerable attention and sparking questions about where to draw the line on addictions and treatment services. Second, insomnia among clients is a problem that has long been observed by service providers and has received relatively little attention. Finally, although the importance of targeting client needs is accepted, recent research indicates a lack of smoking cessation programming for clients suffering from eating disorders—despite an increased rate of nicotine dependence.
PHP 1 What Works and What Doesn’t in School-based Prevention Programming?
Speakers:
Facilitator: Darren O’Handley, PEI Department of Health
Description: The first presentation will examine reasons for the limited effectiveness of universal prevention approaches in reducing substance use among youth. This presentation will also discuss the benefits of a targeted approach to prevention, where the message is tailored to the individual and his or her current use and level of risk for future use. The second presentation will discuss the results from a meta-analytic review of the effectiveness of school-based prevention programs in reducing cannabis use among youth. This presentation will also review the aspects of the prevention programs that influenced program effectiveness. The third presentation will describe results from research aimed at understanding at least three levels or spheres of policy, including policy-in-intention, policy-in-implementation and policy-in-experience among school principals, teachers, counselors and students. The findings from this study will inform alcohol prevention initiatives amongst students in Saskatchewan and beyond.
EIBI 1 Gambling: Learning to Recognize and Respond to Risk and Harm
Speakers:
Facilitator: Robert Graham, Nova Scotia Department of Health
Description: Problem gambling is now accepted as a valid domain within addiction science, prevention and treatment. The first two presentations will present initiatives of the Nova Scotia Department of Health. First, a new instrument, the Focal Youth Gambling Risk Screen, was developed, focusing on the diverse pre-harm risk indicators and gambling related consequences particular to adolescents. Results from this study provide valuable insight into risk factors for gambling among adolescents in the province. Second, a study is being undertaken to gain understanding and reduce the stigma of substance use and gambling among healthcare providers. This project focuses on training students in health care professions to normalize discussion of substance use and gambling behaviours in working with clients in diverse settings. The third presentation will outline a multi-leveled couples’ therapy training study involving problem gambling counsellors in 13 Ontario treatment sites. Factors that played a role in acting as facilitators and barriers in the knowledge exchange process will be presented and the potential and limitations of this innovative model of KE will be discussed.
PCHP 1 Fetal Alcohol Spectrum Disorder: Developing Capacity through Partnerships, Community Mobilization, Principles and Promising Practices
Speakers:
Facilitator: Stacey McHenry, Saskatchewan Prevention Institute
Description: The presentations in this session describe approaches that have been developed for FASD prevention. The first presentation examines how different models have been successful. Participants will help identify best practices and ways to disseminate these insights. The second presentation is based on the work of the Saskatchewan Prevention Institute in preventing FASD. This session will emphasize the importance of having guiding principles and will focus on two specific initiatives. The third presentation will present the findings from six case studies—six models of comprehensive community mobilization on FASD. Through this interactive presentation, participants will: learn how and why these models have been successful; help identify promising practices; and be encouraged to disseminate information to communities across the country facing similar challenges.
CCMA 1 One Addiction Treatment Organization's Journey to Establishing a Community of Practice
Speakers:
Facilitator: Mary Cripton, Nova Scotia Department of Health
Description: This session describes one addiction treatment organization’s journey to establish a Community of Practice to build bridges within its own system and improve client care. The session follows the progress of the organization as it rethought and refocused the way it worked with clients. The presenters will walk participants through the process from the initial pilot projects that sparked the idea through to the final plan and initial outcomes. |
| 12:30-13:30 |
Lunch (Room 200) |
| 13:30-15:00 |
Concurrent Session 2
CC 2 Guiding the National Native Alcohol and Drug Abuse Program (NNADAP) Renewal Process
Speakers:
Facilitator: Carol Hopkins, First Nations Addictions Advisory Panel
Description: The National Native Alcohol and Drug Abuse Program (NNADAP) Renewal is a multi-phased initiative aimed at enhancing, renewing and validating on-reserve addiction prevention and treatment services. This process seeks to systematically enhance, renew and validate on-reserve addiction services. This includes the engagement of First Nations communities, service providers, representative organizations. The goal is to guide NNADAP program planning and service delivery over the next five to 10 years. The session presentation will explore an overview of the Renewal Framework, the collection and synthesis of evidence from key sources, and will chart out future directions for Aboriginal addictions prevention and treatment services in Canada.
SAT 2 A Meta-analysis of Studies of Integrated Treatment Programs: Length of Stay, Maternal Substance Use, Statistical Issues and Feasibility
Speakers:
Facilitator: Dr. Joanna Henderson, Centre for Addiction and Mental Health
Description: This research team conducted a meta-analysis of the effectiveness of integrated programs (programs that integrate on-site pregnancy-, parenting-, or child-related services with substance use treatment) for women with substance use issues and their children. In the meta-analysis, the team synthesized this body of research, examined the strength of outcome effects, and explored client, program, and study characteristics that might moderate outcome. In this session, presenters will discuss results for length of stay and maternal substance use, statistical issues, and feasibility issues. Implications for clinical practice, policy, and future research will be discussed.
PHP 2 Achieving Excellence Together: Developing a Comprehensive Health Promotion Framework for Nova Scotia's Addiction Prevention and Health Promotion Professionals
Speakers:
Facilitator: Natalie Cochrane, Nova Scotia Department of Health
Description: Working to establish excellence in the delivery of prevention and health promotion within the substance use field, Nova Scotia's Addiction Services' health promotion professionals have been engaged in a process of standards and competency development through research, collaboration, and knowledge exchange. Committed to redefining the traditional application of 'prevention' to encompass a comprehensive and integrated understanding of health promotion, a population health approach is taken and the values of social inclusion and social justice are embraced. This session will describe and share learning to date and engage participants as active voices in this collaboration.
EIBI 2 Alcochoix+: A Program on Managing Alcohol Use (in French with simultaneous interpretation)
Speakers:
Facilitator: Hélène Simoneau, Centre Dollard-Cormier
Description: The three presentations in the session will address the following questions: What is the Alcochoix+ program? How does this brief intervention program fit into the Quebec health services structure? Considering that particular attention has been paid to the use of valid and user-friendly tracking tools to facilitate linking between various treatment levels, how does the implementation of the program work across Quebec? Each presenter will show empirical data that can be used to answer these questions and will ask participants to compare their respective communities. What are the common points and differences between their services and those presented here?
PCHP 2 Professional Duties and Community Action
Speakers:
Facilitator: Wayne Skinner, Centre for Addiction and Mental Health
Description: Based on the principles of Canadian tort law, in the first presentation the authors postulate that failure to treat addiction may constitute a failure to meet Standards of Care. A strategic dialogue is warranted in this regard to elucidate the risks and to evaluate if health professions are indeed at risk. The second presentation outlines rural challenges and ways in which the Inter-professional Team in the Eastern Kings Memorial Community Health Centre in Wolfville is working to address them. The third presentation looks at the National Opiate Treatment Association of Canada, which brings together people who have personal experience of treatment with those who provide treatment, in a national collaboration to improve access to treatment. This presentation will outline aims and objectives and allow time to discuss both the challenges and benefits of such an organization within Canada.
CCMA 2 Care Monitoring and Evaluation: Dashboard Indicators, Adolescent Treatment and Problem Gambler Treatment
Speakers:
Facilitator: Adam Webber, Nova Scotia Department of Health
Description: In the first presentation, the use of strategic dashboard indicators will be presented to demonstrate their role in monitoring and measuring health outcomes and needed changes. The second presentation will describe the Pine River Institute, an innovative residential treatment program for adolescents with severe substance use. The presentation will outline the process and outcome of establishing a culture of research and evaluation within an addictions treatment organization. The third presentation will describe a clinical study of a case-finding and case management approach for problem gamblers. The study tests the use of a brief screening instrument, a standardized “brief motivational enhancement” (BME) resource and a state-of-the-art Cognitive Motivational Behavioural Therapy (CMBT), presented in a manualized form by addictions personnel in the primary care facility. |
| 15:00-15:30 |
Networking Break in Exhibit Hall (Room 100) |
| 15:30-17:00 |
Concurrent Session 3
CC 3 Integration, Collaboration and Coordination in Three Canadian Communities
Speakers:
Facilitator: Jeff Daiter, Ontario Addiction Treatment Centres
Description: Efforts designed to integrate organizations within three communities across the country are explored and discussed. The first presentation demonstrates how a broad range of partners have collaborated to develop an innovative service model for people experiencing crises related to substance use, a Toronto Drug Strategy priority. The second presentation brings the Alberta experience to light by discussing how Alberta Health Services was formed through a collaborative process based on the premises contained in the National Treatment Strategy. Lastly, the third session brings to light a unique PEI experience aimed at assembling service providers and parents. This last presentation focuses on an approach to dealing with youth substance use and addiction issues.
SAT 3 Detoxification services in Québec addiction rehabilitation centres and model for a liaison team specialized in addiction in hospital emergencies (in French with simultaneous interpretation)
Speakers:
Facilitator: Pierre Desrosiers
Description: The goal of this session is to present both detoxification best practices in addiction rehabilitation centres (ARC) in terms of clinical intervention and service organization, and the liaison team model implemented in hospital emergency services in the Quebec City area and also to address proven practices from similar projects in other regions in Québec. The hospital liaison team model is one of the promising practices led by ARCs to support detoxification services offered within an integrated service network context.
PHP 3 Research, Responses and Initiatives for a Comprehensive Approach to Reducing Alcohol Use and Related Harms
Speakers:
Facilitator: Julia Cecchetto, Halifax Regional Police
Description: The first presentation will describe the linkages between school, family, and peer relationships, and trends in drinking, drunkenness and illicit drug use using data from the Canadian Health Behaviour in School-aged Children Study. The next presentation will report on the first and only provincial alcohol strategy: Changing the Culture of Alcohol Use in Nova Scotia. This presentation will discuss a number of issues that were encountered during the Strategy’s development and how they were overcome to promote a comprehensive approach to reducing alcohol-related harms in Canada, and Nova Scotia in particular. The third presentation will discuss Nova Scotia’s Alcohol Ignition Interlock Program that is being used to reduce alcohol-impaired driving. Launched in September 2008, this program was developed in collaboration with five provincial departments and is based on Best Practices for Alcohol Interlock Programs.
EIBI 3 Partnerships in Prevention and Brief Intervention for Parents, Allied Professionals and Alcohol Policy Developers
Speakers:
Facilitator: Barney Savage, Centre for Addiction and Mental Health
Description: The RCMP and Alberta Health Services have developed a shared program entitled “Kids and Drugs: A Parent’s Guide to Prevention”. The collaborative process, evaluation, facilitator training and roll-out of parent education workshops developed in this project will be presented. The second presentation will argue that evidence-based, accessible screening and brief intervention training for allied professionals is essential for an effective community response to substance use and problem gambling. Community colleges presently deliver training to many NGO frontline workers and have the existing infrastructure for tailored programming in partnership with local communities. The third presentation will profile the collaborative work of BC Ministry of Healthy Living and Sport, BC Centre for Excellence in Women’s Health and Public Health Agency of Canada and, thereby, describe the value and means for bridging and integrating the FASD prevention and alcohol policy fields.
PCHP 3 Studies of Integrated Programs for Women with Substance Use Issues and their Children: Meta-analysis and Meta-synthesis
Speakers:
Facilitator: Karen Milligan, Integra
Description: This research team conducted a meta-analysis of quantitative studies on the effectiveness of integrated programs for women with substance use issues and their children, and a meta-synthesis of qualitative studies of integrated programs. In this session, presenters will discuss results of the meta-analysis for birth outcomes and maternal well-being and results of the meta-synthesis of qualitative studies of the processes and outcomes of integrated programs. Implications for clinical practice, policy and future research will be discussed.
CCMA 3 Measuring and Monitoring Treatment in Canada
Speakers:
Facilitator: Brian Rush
Description: Developing and evaluating effective care planning and system coordination requires accurate information. This session outlines three initiatives that will address this need. Outcome monitoring provides a means of monitoring the effectiveness of services and supports in relation to client needs, directly contributing to care planning and coordination. Treatment indicators provide quantitative information on service and system utilization, performance and overall capacity. Needs-based planning coordinates client need and system capacity data to develop a system that is responsive to the service needs of the population. Feedback will be sought on challenges and strategies to implementation, and on possible pilot opportunities.
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| 18:00-21:00 |
Dinner and Entertainment-Second City Improv (Room 200) |
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