D Fast
Dados Biográficos
| ID | 17592 |
|---|---|
| NOME | D Fast |
| PRENOMES | D |
| SOBRENOME | Fast |
| ASSINATURA | FAST D |
| AFILIAÇÕES | University of British Columbia |
| ORCID | 0000-0001-5994-3669 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAÇÕES | 86 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
School-Based Substance Use Interventions
Schools offer a strategic setting for substance use prevention; however, program effectiveness remains uncertain. The objective of this study was to evaluate the efficacy of school-based approaches to preventing and reducing substance use for children and adolescents, while incorporating school ecosystem considerations. The data sources were from systematic reviews and RCTs published January 1, 2013, to September 1, 2024. The study selection was …
I Know So Many Women That Have the Same Story as Mine”
Background Benzodiazepines have become increasingly prevalent in the unregulated drug supply in Canada. Benzodiazepines are regularly prescribed as anxiety or sleep aids, and typically have strong sedative effects. Despite the influx of benzodiazepines in the unregulated drug supply, the gendered impacts of this change have not been evaluated. To address this gap, our aim was to explore how the increase of benzodiazepines in the unregulated drug …
Re-making selves and social worlds
Across many settings in Canada and the US, overdose is now a leading cause of death among 10 to 18-year-olds. In the Canadian province of British Columbia (BC), there have been increased efforts to connect adolescents with substance use treatment, including live-in programs. While much previous work has focused on barriers to treatment among youth, less research has examined how adolescents, and in particular those experiencing high levels of res…
Policing and access to harm reduction services among young people who use drugs and young Indigenous people who use drugs before and after the pilot implementation of decriminalization of personal pos…
Among young PWUD, we observed relative reductions in experiencing policing-related barriers to harm reduction services after the pilot implementation of decriminalization, and this benefit extended to young Indigenous PWUD
The stakes of stimulant use, psychosis, and antipsychotic treatment among youth who use drugs
Psychosis among youth who use drugs in the context of entrenched poverty is often addressed through aggressive forms of psychiatric intervention. Clinicians must carefully consider the benefits and drawbacks of this approach with this population because of how institutionalization and the sedating and numbing effects and affects of antipsychotics may be distinctly constraining. This study aims to increase understanding of the benefits, drawbacks,…
I turn to my closest friends for support’
The objectives of this in-depth qualitative study were to identify how COVID-19 impacted the mental health experiences of queer youth in Vancouver, Canada. Between November 2020 and June 2021, fifteen queer youth aged 15 to 25 were enrolled in the study. They participated in semi-weekly, solicited digital diary entries and semi-structured intake and follow-up interviews about COVID-19, social distancing protocols, and mental health. Using themati…
S/LGBTQ+ youth substance use and pathways to homelessness
These narratives can usefully be anticipated and recognized to better understand and address the social contexts in which 2S/LGBTQ+ youth experience substance use and associated harms, especially homelessness. They affirm the need for tailored supports for 2S/LGBTQ+ youth who use drugs in the lead-up to and after becoming homeless, including the provision of care that better recognizes youths' pursuits of becoming and belonging in the context of …
Looking beyond drugs
BACKGROUND: Despite extensive literature exploring the harms associated with illicit substance use among young people who use drugs (YPWUD), the concept of "recovery" among this population has received significantly less attention. Addressing this literature gap can inform efforts to better support YPWUD as they pursue their goals. OBJECTIVE: To examine the qualitative literature on how young people (< 30 years of age) understand and navigate sub…
Intersecting transitions among 2S/LGBTQ+ youth experiencing homelessness
Two-Spirit, lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (2S/LGBTQ+) youth under 30 years of age are inequitably impacted by homelessness. Root drivers of homelessness among 2S/LGBTQ+ youth and the service-related needs of this group are multifaceted and complex. A synthesis of research can inform responsive action to support 2S/LGBTQ+ youth experiencing and at risk for homelessness with the goal of promoting b…
Navigating and negotiating “outness” among 2S/LGBTQ+ youth experiencing homelessness
There are important implications associated with coming and being out for Two-Spirit, lesbian, gay, bisexual, transgender, and queer, and other sexual and gender minority (2S/LGBTQ+) people. “Outness” is indeed imbued with risks, particularly in contexts of visibility and structural precarity. This community-based study used photovoice methods, including data from 61 semi-structured interviews with 32 2S/LGBTQ+ youth (ages 17-29), to examine how …
Homes of substance
Staying Together No Matter What
Among young people who use drugs in the context of entrenched poverty and homelessness, pregnancy is often viewed as an event that can meaningfully change the trajectory of their lives. However, youth’s desires and decision-making do not always align with the perspectives of various professionals and systems regarding how best to intervene during pregnancies and early parenting. Drawing on longitudinal interviews and fieldwork with young people i…
Using photovoice to understand experiences of opioid use among sexual and gender minority youth in Vancouver, Canada
In Canada, sexual and gender minority youth use opioids at disproportionately high rates. Yet, little is known about the distinct contexts of opioid use within this group, challenging capacity to develop well founded policy and practice supports. This case study aims to examine - in depth - the experiences and contexts of opioid use among a sample of four sexual and gender minority youth in Vancouver, Canada. Qualitative data from photovoice meth…
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…
They are always focusing on the person who is doing the worst
Navigating Opioid Agonist Therapy among Young People who use Illicit Opioids in Vancouver, Canada
Findings underscore the importance of working collaboratively with young people to develop treatment plans and timelines, and suggest that OAT engagement and retention among young people could be improved by expanding access to the full range of OAT; updating clinical guidelines to improve access to safer prescription alternatives to the increasingly poisonous, unregulated drug supply; addressing treatment gaps arising from missed doses and take-…
I'm just trying to stay
Over the past decades the city of Vancouver has attempted to address a lack of affordable housing for it most marginalized citizens, including young people who use drugs (YPWUD), by expanding access to temporary modular and supportive housing. These projects are guided by a Housing First philosophy that recognizes housing as a key social determinant of health. In this commentary, we draw attention to how, rather than providing a clear pathway to …
The sexualised use of cannabis among young sexual minority men
The objective of this study was to identify how cannabis use features within the sexual lives of young sexual minority men who use substances, and how this might intersect with features of their contemporary socio-cultural contexts in a setting where non-medical cannabis was recently legalised: Vancouver, Canada. Forty-one sexual minority men ages 15 to 30 years were recruited between January and December 2018 to participate in in-depth, semi-str…
Going Nowhere
The declaration of an overdose public health emergency in Vancouver has generated an "affective churn" of intervention across youth-focused drug treatment settings, including the expanded provision of opioid agonist therapy. In this article, I track moments when young people became swept up in the momentum of this churn and the future possibilities that treatment seemed to promise. I also track moments when treatment and what happened next engend…
Opioid agonist therapy trajectories among street entrenched youth in the context of a public health crisis
North America is in the midst of an overdose crisis that is having devastating effects among street entrenched youth (<30 years of age). Opioid agonist therapy (OAT) is a cornerstone of the public health response to this crisis; yet, we struggle to connect youth to OAT across numerous settings. This qualitative study examined perspectives on OAT among street entrenched youth and their providers in Vancouver, Canada. Our findings reveal youth's ho…
Poppers, queer sex and a Canadian crackdown
The knife's edge
In our field sites and clinical practice in East Africa, we regularly encounter men who have become overwhelmed by "thinking too many thoughts" and "gone crazy from confusion," brought about by the problems of life created by deepening social, economic and political precarity. Across diverse settings, many African men continue to be enmeshed in social and material obligations and expectations that position them as economic consumers and providers…
Prevalence and correlates of selling illicit cannabis among people who use drugs in Vancouver, Canada
Becoming and Coming Undone on the Streets of Dar es Salaam
We examine how young men who have spent years living on the streets of downtown Dar es Salaam, Tanzania, have used urban spaces, as well as particular kinds of spatial "flights" and "fixes," to navigate the process of growing into adulthood.We argue that places called maskani have provided them with a powerful sense of forward momentum, engendering more immediate and future-oriented forms of becoming.As time has passed, however, life at these pla…
We Don't Belong There
Drawing on eight years of ethnographic research in Vancouver's inner city, we explore how aligned processes of gentrification and poverty management are producing new geographies of homelessness, addiction, and social control for young people who use drugs and inhabit the social, spatial, and economic margins of urban space. In particular, we examine the emergence of government-subsidized supportive housing for youth in this setting. Tracing the …
We Don't Belong There
Drawing on eight years of ethnographic research in Vancouver's inner city, we explore how aligned processes of gentrification and poverty management are producing new geographies of homelessness, addiction, and social control for young people who use drugs and inhabit the social, spatial, and economic margins of urban space. In particular, we examine the emergence of government-subsidized supportive housing for youth in this setting. Tracing the …
Safety and danger in downtown Vancouver
Coming 'down here
The multiple truths about crystal meth among young people entrenched in an urban drug scene
Becoming and Coming Undone on the Streets of Dar es Salaam
We examine how young men who have spent years living on the streets of downtown Dar es Salaam, Tanzania, have used urban spaces, as well as particular kinds of spatial "flights" and "fixes," to navigate the process of growing into adulthood.We argue that places called maskani have provided them with a powerful sense of forward momentum, engendering more immediate and future-oriented forms of becoming.As time has passed, however, life at these pla…
Going Nowhere
The declaration of an overdose public health emergency in Vancouver has generated an "affective churn" of intervention across youth-focused drug treatment settings, including the expanded provision of opioid agonist therapy. In this article, I track moments when young people became swept up in the momentum of this churn and the future possibilities that treatment seemed to promise. I also track moments when treatment and what happened next engend…
Social and structural barriers to housing among street-involved youth who use illicit drugs
In Canada, approximately 150,000 youth live on the street. Street-involvement and homelessness have been associated with various health risks, including increased substance use, blood-borne infections and sexually transmitted diseases. We undertook a qualitative study to better understand the social and structural barriers street-involved youth who use illicit drugs encounter when seeking housing. We conducted 38 semi-structured interviews with s…
The knife's edge
In our field sites and clinical practice in East Africa, we regularly encounter men who have become overwhelmed by "thinking too many thoughts" and "gone crazy from confusion," brought about by the problems of life created by deepening social, economic and political precarity. Across diverse settings, many African men continue to be enmeshed in social and material obligations and expectations that position them as economic consumers and providers…
Dream homes and dead ends in the city
Research focused on the relationship between place and health demonstrates that it is complex and shifting, as overlapping social, historical, institutional and political and economic processes continually transform the landscapes in which lived experiences are embedded. Understanding this relationship requires knowledge of the situated meanings and local worlds that ethnographic methods are well suited to investigate. However, even conventional …
Homes of substance
They are always focusing on the person who is doing the worst
Safety and danger in downtown Vancouver
Coming 'down here
I guess my own fancy screwed me over
Importantly, as young people become increasingly entrenched in the local drug scene, drug use transitions seem to constitute increasingly relevant (and even 'inevitable') choices congruent with everyday lived experience. The implications of these findings for the development of meaningful interventions for youth are discussed
Drug-related risks among street youth in two neighborhoods in a Canadian setting
Social and structural barriers to housing among street-involved youth who use illicit drugs
In Canada, approximately 150,000 youth live on the street. Street-involvement and homelessness have been associated with various health risks, including increased substance use, blood-borne infections and sexually transmitted diseases. We undertook a qualitative study to better understand the social and structural barriers street-involved youth who use illicit drugs encounter when seeking housing. We conducted 38 semi-structured interviews with s…
Did Somebody Say Community? Young People's Critiques of Conventional Community Narratives in the Context of a Local Drug Scene
The language of community is ubiquitous in academic, public health, and policy discourse about drug using populations. Yet, it has been argued that in some settings, the parameters of "the drug user community" are far from self-evident. We undertook this ethnographic investigation to explore experiences and understandings of a "drug user community" (sometimes referred to more specifically as a "street youth community") among young people entrench…
The multiple truths about crystal meth among young people entrenched in an urban drug scene
Mapping senses of place in an urban drug scene
Pathways to criminalization for street-involved youth who use illicit substances
Illicit drug use and homelessness among street-involved young people remain community and public health concerns, in part because of their association with ‘public disorder’, as well as increased encounters between youth, police, the criminal justice system, and the associated health-related harms. In the public imagination, illicit drug use, homelessness, and police encounters (including incarceration) are often understood as problems rooted in …
My friends look just like you
Drawing on eight years of research with young people who inhabit the margins of Vancouver, in this article I bring into view some of the 'frictions' that can arise when conducting anthropological research at home, across vast differences in power and privilege. I argue that our research subjects can also be deeply concerned with how to position themselves in relation to researchers and research studies, and with navigating the various forms of so…
Getting out of downtown”
Policies and programming interventions that can facilitate young people's efforts to reduce engagement with Vancouver's inner-city drug scene are critically needed, including meaningful educational and/or occupational training opportunities, 'low threshold' addiction treatment services, as well as access to supportive housing outside of the scene
Still “at risk”
The material, moral, and affective worlds of dealing and crime among young men entrenched in an inner city drug scene
Dream homes and dead ends in the city
Research focused on the relationship between place and health demonstrates that it is complex and shifting, as overlapping social, historical, institutional and political and economic processes continually transform the landscapes in which lived experiences are embedded. Understanding this relationship requires knowledge of the situated meanings and local worlds that ethnographic methods are well suited to investigate. However, even conventional …
Becoming and Coming Undone on the Streets of Dar es Salaam
We examine how young men who have spent years living on the streets of downtown Dar es Salaam, Tanzania, have used urban spaces, as well as particular kinds of spatial "flights" and "fixes," to navigate the process of growing into adulthood.We argue that places called maskani have provided them with a powerful sense of forward momentum, engendering more immediate and future-oriented forms of becoming.As time has passed, however, life at these pla…
We Don't Belong There
Drawing on eight years of ethnographic research in Vancouver's inner city, we explore how aligned processes of gentrification and poverty management are producing new geographies of homelessness, addiction, and social control for young people who use drugs and inhabit the social, spatial, and economic margins of urban space. In particular, we examine the emergence of government-subsidized supportive housing for youth in this setting. Tracing the …
Prevalence and correlates of selling illicit cannabis among people who use drugs in Vancouver, Canada
Opioid agonist therapy trajectories among street entrenched youth in the context of a public health crisis
North America is in the midst of an overdose crisis that is having devastating effects among street entrenched youth (<30 years of age). Opioid agonist therapy (OAT) is a cornerstone of the public health response to this crisis; yet, we struggle to connect youth to OAT across numerous settings. This qualitative study examined perspectives on OAT among street entrenched youth and their providers in Vancouver, Canada. Our findings reveal youth's ho…
Poppers, queer sex and a Canadian crackdown
The knife's edge
In our field sites and clinical practice in East Africa, we regularly encounter men who have become overwhelmed by "thinking too many thoughts" and "gone crazy from confusion," brought about by the problems of life created by deepening social, economic and political precarity. Across diverse settings, many African men continue to be enmeshed in social and material obligations and expectations that position them as economic consumers and providers…
The sexualised use of cannabis among young sexual minority men
The objective of this study was to identify how cannabis use features within the sexual lives of young sexual minority men who use substances, and how this might intersect with features of their contemporary socio-cultural contexts in a setting where non-medical cannabis was recently legalised: Vancouver, Canada. Forty-one sexual minority men ages 15 to 30 years were recruited between January and December 2018 to participate in in-depth, semi-str…
Going Nowhere
The declaration of an overdose public health emergency in Vancouver has generated an "affective churn" of intervention across youth-focused drug treatment settings, including the expanded provision of opioid agonist therapy. In this article, I track moments when young people became swept up in the momentum of this churn and the future possibilities that treatment seemed to promise. I also track moments when treatment and what happened next engend…
Navigating Opioid Agonist Therapy among Young People who use Illicit Opioids in Vancouver, Canada
Findings underscore the importance of working collaboratively with young people to develop treatment plans and timelines, and suggest that OAT engagement and retention among young people could be improved by expanding access to the full range of OAT; updating clinical guidelines to improve access to safer prescription alternatives to the increasingly poisonous, unregulated drug supply; addressing treatment gaps arising from missed doses and take-…
I'm just trying to stay
Over the past decades the city of Vancouver has attempted to address a lack of affordable housing for it most marginalized citizens, including young people who use drugs (YPWUD), by expanding access to temporary modular and supportive housing. These projects are guided by a Housing First philosophy that recognizes housing as a key social determinant of health. In this commentary, we draw attention to how, rather than providing a clear pathway to …
Staying Together No Matter What
Among young people who use drugs in the context of entrenched poverty and homelessness, pregnancy is often viewed as an event that can meaningfully change the trajectory of their lives. However, youth’s desires and decision-making do not always align with the perspectives of various professionals and systems regarding how best to intervene during pregnancies and early parenting. Drawing on longitudinal interviews and fieldwork with young people i…
Sociology (27 obras) · Psychology (22 obras) · Homelessness and Social Issues (20 obras) · Psychiatry (20 obras) · Medicine (19 obras) · HIV, Drug Use, Sexual Risk (16 obras) · Political science (13 obras) · Gender Studies (11 obras) · Psychological intervention (11 obras) · Geography (10 obras)