Brittany Barker
Datos Biográficos
| ID | 5408669 |
|---|---|
| NOMBRE | Brittany Barker |
| NOMBRES | Brittany |
| APELLIDO | Barker |
| FIRMA | BARKER B |
| AFILIACIONES | University of British Columbia |
| ORCID | 0000-0002-4333-3345 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 15 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Indigenizing Harm Reduction
First Nations Peoples are disproportionately represented among toxic drug poisoning deaths in British Columbia (BC) and experience systemic barriers to accessing harm reduction and substance use care due to the ongoing impacts of colonization. Grounded in First Nations community voices, the First Nations Health Authority (FNHA) initiated the Indigenizing Harm Reduction Study to better understand community needs, priorities, and wise practices for…
Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of Covid-19 and toxic drug deaths in British Columbia, Canada
Our study builds on the importance of evaluating problem representations in the process of policymaking. The RMG illustrates how crisis-driven policymaking shapes problem representations, enabling rapid intervention through the COVID-19 response while constraining responses to the toxic drug emergency. As a medicalized emergency response, the RMG addressed contagion but failed to confront the structural drivers of toxic drug deaths. Our study hig…
Two-Eyed Seeing in Knowledge Synthesis
Using methodological approaches rooted in Indigenous ways of knowing and being can help to ensure that research findings are relevant and useful to Indigenous communities, while providing evidence for more responsive public health policy and practice. This article explores a practical application of a Two-Eyed Seeing approach in knowledge synthesis as part of Phase I of the First Nation Health Authority’s Indigenizing Harm Reduction Study. The St…
Implementation Barriers and Outcomes of a Provincial Prescribed Safer Supply Initiative among Indigenous People who use Substances amid Covid-19 and a Toxic Drug Crisis in British Columbia, Canada
Background: In 2020, British Columbia (BC) introduced Risk Mitigation Guidance to support the provision of prescribed safer supply (PSS) to people at risk of toxic drug harms and death amid the COVID-19 pandemic. We sought to assess the self-reported barriers to and outcomes of PSS among Indigenous people who sought or accessed a prescription. Methods: Cross-sectional and longitudinal surveys with up to 5 time points per participant over 3 months…
Implementation of risk mitigation prescribing during dual public health emergencies
Implementation and access to risk mitigation prescribing in Northern BC was limited, with region-specific applicability challenges and a health service delivery model that was not able to sufficiently meet the unique service needs of IPWUD. Demonstrating Northern ingenuity, peer groups, harm reduction community champions, and telehealth services were identified as stopgap measures that promoted access and reduced inequitable implementation within…
Just have this come from their prescription pad
Context In March 2020, British Columbia introduced the Risk Mitigation Guidance (RMG) to enable the prescription of pharmaceutical substitutes for the unregulated drug market to decrease overdose deaths and COVID-19 infections. This study presents health planners’ perspectives on the RMG adoption within a medicalized system of care.Methods We conducted interviews with 28 health planners to obtain their views on implementation. We undertook a them…
Risk mitigation guidance and safer supply prescribing among young people who use drugs in the context of Covid-19 and overdose emergencies
Across North America, overlapping overdose and COVID-19 emergencies have had a substantial impact on young people who use drugs (YPWUD). New risk mitigation guidance (RMG) prescribing practices were introduced in British Columbia, Canada, in 2020 to allow people to decrease risk of overdose and withdrawal and better self-isolate. We examined how the prescribing of hydromorphone tablets specifically impacted YPWUD's substance use and care trajecto…
Long-term benefits of providing transitional services to youth aging-out of the child welfare system
Non-disclosure of drug use in outpatient health care settings
Engagement in Maximally-Assisted Therapy and Adherence to Antiretroviral Therapy Among a Cohort of Indigenous People Who Use Illicit Drugs
Reclaiming Indigenous identities
High school incompletion and childhood maltreatment among street-involved young people in Vancouver, Canada
While the link between educational attainment and future health and wellness is well understood, little investigation has considered the potential impacts of distinct forms of childhood maltreatment on high school completion. In the present study, the relationship between five categories of childhood maltreatment (physical, emotional, and sexual abuse, and physical and emotional neglect) and completion of high school education were examined using…
High prevalence of exposure to the child welfare system among street-involved youth in a Canadian setting
Youth with a history of being in government care appear to be at high-risk of adverse illicit substance-related behaviours. Evidence-based interventions are required to better support vulnerable children and youth with histories of being in the child welfare system, and prevent problematic substance use and street-involvement among this population
High prevalence of exposure to the child welfare system among street-involved youth in a Canadian setting
Youth with a history of being in government care appear to be at high-risk of adverse illicit substance-related behaviours. Evidence-based interventions are required to better support vulnerable children and youth with histories of being in the child welfare system, and prevent problematic substance use and street-involvement among this population
High school incompletion and childhood maltreatment among street-involved young people in Vancouver, Canada
While the link between educational attainment and future health and wellness is well understood, little investigation has considered the potential impacts of distinct forms of childhood maltreatment on high school completion. In the present study, the relationship between five categories of childhood maltreatment (physical, emotional, and sexual abuse, and physical and emotional neglect) and completion of high school education were examined using…
Reclaiming Indigenous identities
Engagement in Maximally-Assisted Therapy and Adherence to Antiretroviral Therapy Among a Cohort of Indigenous People Who Use Illicit Drugs
Long-term benefits of providing transitional services to youth aging-out of the child welfare system
Non-disclosure of drug use in outpatient health care settings
Risk mitigation guidance and safer supply prescribing among young people who use drugs in the context of Covid-19 and overdose emergencies
Across North America, overlapping overdose and COVID-19 emergencies have had a substantial impact on young people who use drugs (YPWUD). New risk mitigation guidance (RMG) prescribing practices were introduced in British Columbia, Canada, in 2020 to allow people to decrease risk of overdose and withdrawal and better self-isolate. We examined how the prescribing of hydromorphone tablets specifically impacted YPWUD's substance use and care trajecto…
Just have this come from their prescription pad
Context In March 2020, British Columbia introduced the Risk Mitigation Guidance (RMG) to enable the prescription of pharmaceutical substitutes for the unregulated drug market to decrease overdose deaths and COVID-19 infections. This study presents health planners’ perspectives on the RMG adoption within a medicalized system of care.Methods We conducted interviews with 28 health planners to obtain their views on implementation. We undertook a them…
Two-Eyed Seeing in Knowledge Synthesis
Using methodological approaches rooted in Indigenous ways of knowing and being can help to ensure that research findings are relevant and useful to Indigenous communities, while providing evidence for more responsive public health policy and practice. This article explores a practical application of a Two-Eyed Seeing approach in knowledge synthesis as part of Phase I of the First Nation Health Authority’s Indigenizing Harm Reduction Study. The St…
Implementation Barriers and Outcomes of a Provincial Prescribed Safer Supply Initiative among Indigenous People who use Substances amid Covid-19 and a Toxic Drug Crisis in British Columbia, Canada
Background: In 2020, British Columbia (BC) introduced Risk Mitigation Guidance to support the provision of prescribed safer supply (PSS) to people at risk of toxic drug harms and death amid the COVID-19 pandemic. We sought to assess the self-reported barriers to and outcomes of PSS among Indigenous people who sought or accessed a prescription. Methods: Cross-sectional and longitudinal surveys with up to 5 time points per participant over 3 months…
Implementation of risk mitigation prescribing during dual public health emergencies
Implementation and access to risk mitigation prescribing in Northern BC was limited, with region-specific applicability challenges and a health service delivery model that was not able to sufficiently meet the unique service needs of IPWUD. Demonstrating Northern ingenuity, peer groups, harm reduction community champions, and telehealth services were identified as stopgap measures that promoted access and reduced inequitable implementation within…
Indigenizing Harm Reduction
First Nations Peoples are disproportionately represented among toxic drug poisoning deaths in British Columbia (BC) and experience systemic barriers to accessing harm reduction and substance use care due to the ongoing impacts of colonization. Grounded in First Nations community voices, the First Nations Health Authority (FNHA) initiated the Indigenizing Harm Reduction Study to better understand community needs, priorities, and wise practices for…
Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of Covid-19 and toxic drug deaths in British Columbia, Canada
Our study builds on the importance of evaluating problem representations in the process of policymaking. The RMG illustrates how crisis-driven policymaking shapes problem representations, enabling rapid intervention through the COVID-19 response while constraining responses to the toxic drug emergency. As a medicalized emergency response, the RMG addressed contagion but failed to confront the structural drivers of toxic drug deaths. Our study hig…
Medicine (9 obras) · HIV, Drug Use, Sexual Risk (6 obras) · Psychiatry (6 obras) · Environmental health (5 obras) · Indigenous (5 obras) · Nursing (5 obras) · Opioid Use Disorder Treatment (5 obras) · Public health (5 obras) · Cohort (4 obras) · Health care (4 obras)