BC Patient Safety & Quality Council

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Substance Use

On April 14, 2016, Provincial Health Officer Dr. Perry Kendall declared a Public Health Emergency under the Public Health Act due to the unprecedented rise in deaths due to opioid overdoses in British Columbia. While significant improvements in care have been made since this declaration, the number of people dying in BC has continued to rise. Improving access to appropriate and effective treatments and supports is critical to preventing overdoses before they happen. In order to increase the efficacy of primary care in addressing the needs of people who use substances, a shared understanding of how the current primary care system is experienced by both health care providers and patients/peers is required.

In the summer and fall of 2017, we partnered with the Ministry of Health, the Ministry of Mental Health and Addictions, the First Nations Health Authority and the General Practice Services Committee to host two journey mapping sessions to explore the current state of treatment options and support for people with substance use concerns in primary care settings – from both the health care provider and the patient/peer perspectives. Over 120 health care providers, patients and organizational representatives contributed to the creation of six distinct journey maps.

A final report summarizing the results from both sessions and high-resolution versions of the final maps are available below for download.

Final Report

Journey Mapping Substance Use Treatment
An Exploration of Health Care Provider and Peer Experiences in Delivering and Receiving Primary Care

Journey Maps – Primary Care Focus

Substance Use Treatment Journey: Peer Experiences
Visual illustration of what peers experience when they’re not in treatment, and throughout their treatment and recovery journey.
Accessing Treatment: Provider Experiences
A high-level visual illustration of the provider’s perspective into the many ways people can access treatment for substance use.
Primary Care Case Study: Provider Experiences
Visual illustration of the steps, considerations and feelings of providers when someone with substance use presents at a primary health care clinic or family physician’s office.
Overdose in the Park Case Study: Provider Experiences
Visual illustration of the experiences of various providers when a patient with a substance use overdose moves through the emergency and acute care health systems.

Journey Maps – Indigenous Perspectives

Substance Use Journey: Indigenous Peer Experiences
Visual illustration of the experiences of Indigenous peers with substance use as they move through treatment and recovery.
Substance Use Journey: Providers Treating Indigenous Peers Experiences
Visual illustration of the experiences of providers when treating and supporting Indigenous peers through substance use treatment and recovery.

At a Glance

Key Contact:

Shari McKeown
Director, Clinical Improvement