Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.

Access to government-funded addiction treatment programs can reduce harms experienced by people who use substances (PWUS). There is some research on what features (e.g., policies and practices) of treatment programs help or do not help with access; however, not much is known about program directors&...

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Main Authors: Holly Mathias, Lois A Jackson, Jane A Buxton, Anik Dubé, Niki Kiepek, Jo-Ann MacDonald, Fiona Martin, Jen Smith
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0328524
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author Holly Mathias
Lois A Jackson
Jane A Buxton
Anik Dubé
Niki Kiepek
Jo-Ann MacDonald
Fiona Martin
Jen Smith
author_facet Holly Mathias
Lois A Jackson
Jane A Buxton
Anik Dubé
Niki Kiepek
Jo-Ann MacDonald
Fiona Martin
Jen Smith
author_sort Holly Mathias
collection DOAJ
description Access to government-funded addiction treatment programs can reduce harms experienced by people who use substances (PWUS). There is some research on what features (e.g., policies and practices) of treatment programs help or do not help with access; however, not much is known about program directors' and physicians' perspectives of these features in Atlantic Canada. One-on-one semi-structured qualitative interviews were conducted with program directors and physicians working in government-funded addiction treatment programs in Atlantic Canada in 2021. Interview questions focused on perspectives of program features that helped or not with access and retention, including perspectives on changes due to COVID-19. Data were coded and analyzed using grounded theory techniques to develop themes and subthemes. Fourteen individuals were interviewed. They identified several features that helped (e.g., quick access) or did not help (e.g., wait times) with access and retention. Participants shared some features that changed due to COVID-19, including some that helped (e.g., virtual services) and did not (e.g., limited program spaces). Participants suggested changes that could support access and retention, including better linkages to mental health supports. This paper highlights program directors' and physicians' perspectives on how program features inform access and retention in Atlantic Canada. Findings on changes made during COVID-19 point to the need to maintain the changes that were helpful and implement additional changes to better support access for more PWUS. To support the implementation and sustainability of these changes, more resources must be invested.
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spelling doaj-art-5f1d7bc08bc64d018f06f5961659a41a2025-08-20T03:37:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e032852410.1371/journal.pone.0328524Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.Holly MathiasLois A JacksonJane A BuxtonAnik DubéNiki KiepekJo-Ann MacDonaldFiona MartinJen SmithAccess to government-funded addiction treatment programs can reduce harms experienced by people who use substances (PWUS). There is some research on what features (e.g., policies and practices) of treatment programs help or do not help with access; however, not much is known about program directors' and physicians' perspectives of these features in Atlantic Canada. One-on-one semi-structured qualitative interviews were conducted with program directors and physicians working in government-funded addiction treatment programs in Atlantic Canada in 2021. Interview questions focused on perspectives of program features that helped or not with access and retention, including perspectives on changes due to COVID-19. Data were coded and analyzed using grounded theory techniques to develop themes and subthemes. Fourteen individuals were interviewed. They identified several features that helped (e.g., quick access) or did not help (e.g., wait times) with access and retention. Participants shared some features that changed due to COVID-19, including some that helped (e.g., virtual services) and did not (e.g., limited program spaces). Participants suggested changes that could support access and retention, including better linkages to mental health supports. This paper highlights program directors' and physicians' perspectives on how program features inform access and retention in Atlantic Canada. Findings on changes made during COVID-19 point to the need to maintain the changes that were helpful and implement additional changes to better support access for more PWUS. To support the implementation and sustainability of these changes, more resources must be invested.https://doi.org/10.1371/journal.pone.0328524
spellingShingle Holly Mathias
Lois A Jackson
Jane A Buxton
Anik Dubé
Niki Kiepek
Jo-Ann MacDonald
Fiona Martin
Jen Smith
Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
PLoS ONE
title Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
title_full Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
title_fullStr Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
title_full_unstemmed Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
title_short Features of drug addiction treatment programs in Atlantic Canada that help (or not) with access and retention: A qualitative study.
title_sort features of drug addiction treatment programs in atlantic canada that help or not with access and retention a qualitative study
url https://doi.org/10.1371/journal.pone.0328524
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