À propos

Introduction

The driving force behind high-risk substance use is very complex and greatly impacts the health and safety of individuals and society. It has been shown that certain living and working conditions influence the likelihood of substance use issues in a person’s life. For example, life and working conditions such as poverty, food insecurity, traumatic experiences, unemployment, homelessness, and others all increase the risk of high-risk substance use. The negative effects of substance use impact all levels of society – individuals, family and peers, and communities. An effective response to this complex issue needs to be collaborative and comprehensive with a suite of interventions focused on substance use health.

The Spectrum of Substance Abuse

Les gens consomment des substances pour toutes sortes de raisons : se détendre, s’amuser, expérimenter ou gérer le stress et la douleur. Pour certains, la consommation de substances pourrait ne causer aucun méfait. Pour d’autres cependant, elle pourrait avoir des conséquences négatives sur leur vie. On peut passer d’un stade du spectre de la consommation de substances à un autre, et pas nécessairement dans l’ordre ci-dessous.

Même si ce spectre comprend la consommation bénéfique et la consommation à moindre risque, la SDAT met l’accent sur la prévention et la réduction des méfaits et des conséquences négatives liés à la consommation de substances.

Click the image to read more about substance use on Health Canada website.

In early 2021, TDAS was formed to better understand the local context of substance use and the associated harms. Since then, a lot of work has been carried out to assess available information, gather more, and create a Strategy that is truly for Timiskaming and by Timiskaming. The purpose of this Strategy is to build on the existing efforts in the Timiskaming area, inclusive of Temagami.

Background

Objectif

To prevent and reduce the harms associated with substance use to improve the quality of life of all Timiskaming residents.

Principes directeurs

All work is being guided by the following nine principles:

Trauma and violence-informed
Equity and accessibility
Reconciliation aware
Evidence-informed
Locally relevant
Inclusive of people with lived and living experience of substance use, including family and friends
Collaborative
Cultural sensitivity, safety, and competence
The five conditions for Collective Impact and Collective Impact Practices: a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and a backbone support organization

Current Membership

The Strategy membership consists of over 20 community organizations and people with lived and living experience. Sectors represented include mental health and addictions treatment services, Indigenous services, child and family health services, social services, municipalities, community members, family health teams, hospitals, school boards, police, and public health.

Structure

Structure

The Strategy is supported by a Steering Committee, four pillar working groups, three other working groups, and is grounded in an evaluation and surveillance framework. The Steering Committee provides leadership in the development, implementation, and evaluation of the strategy. It supports connecting the work of the four pillars, ensures all work is in alignment with our guiding principles and that the TDAS is evidence-informed with the opportunity to innovate. Some of the key roles of the Steering Committee include:

  • Communication: Developing a website and brand as well as coordinating and supporting communication strategies across pillars where indicated.
  • Shared Measurement: Coordinating and supporting data collection which includes monitoring, surveillance, and an evaluation strategy to support TDAS performance, continuous improvement and accountability, and a common agenda that is responsive to current and emerging needs.
  • Support the early warning system related to drug poisonings.
  • Explore next steps related to a strong mental health theme identified in the local community consultation.
  • Explore the feasibility of local application of the recommendations put forward by Canada’s Expert Task Force on Substance Use for the national drug strategy

The pillar working groups are responsible for ensuring a comprehensive and coordinated approach is taken to plan and implement the Strategy. The pillar working groups are guided and directed by the Steering Committee. The other working groups have been established to provide support across all entities of the TDAS structure. In particular, the People with Lived and Living Experience Advisory Committee participates on all pillar working groups and the Steering Committee, in addition to providing expertise on all TDAS documents and processes.

An evidence-informed framework is being used to ensure a coordinated and comprehensive approach. The four pillars work together to address community needs and create solutions that make sense in the local context.

Prévention

Prevent high-risk substance use.

Réduction des méfaits

Réduire les conséquences négatives de la consommation de substances sans forcer les gens à arrêter de consommer.

Sécurité communautaire

Réduire les activités criminelles et les problèmes de sécurité communautaire associés à la consommation de substances tout en établissant des relations de confiance avec les membres de la communauté.

Traitement

Appuyer des approches innovantes du traitement et de la réadaptation.

History

Since Spring of 2021, TDAS members have worked together to understand the situation in Timiskaming related to substance use and its harms and to find solutions to improve the health and wellbeing of residents. The work that has taken place to get to this point of releasing the Strategy is summarized below. Since forming, environmental scans, literature reviews, and ongoing knowledge exchange have occurred. This work is continuous in our pursuit to create and implement a Strategy that is responsive and evidence informed.

Each step has led to the creation of this current TDAS document. Moving forward, the TDAS will remain flexible to respond to and prioritize emerging needs, positioning itself to keep the needs of residents and resources of local services at the center of its work. It is important to recognize that there is potential to intersect with other local strategies and initiatives such as Timiskaming’s Community Safety and Wellbeing Plan and the Indigenous Mental Health and Wellness Strategy (in progress). Opportunities to work with others and avoid duplicating efforts will continue to be identified.