Most parents assume substance addiction and overdoseing isn’t an immediate threat to their children, says Drug Free Kids Canada (DFKC) executive director Chantal Vallerand, but studies pointing to a growing crisis say otherwise.
As students prepare to go back to school — where peer influence is highly prevalent — prevention organizations are urging parents, caregivers and schools to take action against the rising risk of substance abuse to youth.
“Parents don’t think their kids are at risk. It’s always somebody else’s kid. But it’s more important than ever to take preventative measures,” Vallerand told Global News.
A report by the 2022 Canadian Paediatric Surveillance Program (CPSP) surveying 1,000 pediatricians has called drug overdoses among children and teens a public health emergency.
The number of youth suffering from severe, life-threatening overdose is increasing and has become the leading cause of death in children 10 to 18 years of age in Western Canada, the report says.
Stimulant overdose was the most commonly reported, followed by sedatives, then opioid overdoses.
A survey by DFKC found that only 11 per cent of Ontario high-schoolers admitted to using opioids or prescription drugs for recreational use, but Vallerand warns there is still a high risk.
“It’s not the vast majority, it’s not the substance of choice for initiation… but things could still turn up bad like the stats we’re seeing on overdosing,” Vallerand said.
Vallerand says parents or any trusted adults that have a relationship with a child, play an essential role in limiting the risk of harm to youth when it comes to substance use.
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DFKC’s annual tracking study surveys parents and children separately. Each year kids have listed their parents as their most reliable source of information, followed by school and then peers.
‘Just say no’ approach is outdated, say experts
Vallerand says the “just say no” lecture approach to educating youth on substance use is outdated, as it is anchored in the belief of abstinence as a solution.
Instead, DFKC aims to help educate and empower parents to normalize the conversation, she says.
“We’re proposing for parents to have early discussions, informed discussions, approaching it with curiosity as opposed to lecturing a kid,” Vallerand said.
Vallerand adds that while she is all for supporting youth who are already suffering from addiction, prevention is important.
“Let’s make sure we equip kids to make informed decisions about their health. When they go to a party and they’re being offered whatever drug, you want them to make the best decisions for themselves,” she said.
“It’s not easy, it can be intimidating, but we really encourage parents to start the conversation early.”
2:05 Why early intervention in youth mental health is important, according to expert
This year’s tracking survey also found that 49 per cent of kids who admitted to using prescription drugs recreationally got them from home.
As part of National Drug Drop-Off month during August, DFKC encouraged parents to limit accessibility to prescription drugs at home, making sure they are safely stored or disposed of if no longer needed. Safe disposal means bringing drugs back to the pharmacy, for example, rather than throwing them in the toilet or garbage.
Another reliable source of information on substance use are schools. D.A.R.E. (Drug Abuse Resistance Education) originated in 1983 and offers schools around the world curriculums that aim to provide kids with the skills they need to live healthy and safe lives.
One ten-week program offered in Canada and internationally is keepin’ it REAL, taught by law enforcement officers rather than teachers. It covers problem solving, risk, peer pressure, bullying and stress.
“It’s very much about empowering young people to use their brain, to educate themselves, to become more confident… more resilient, so that when… there’s peer pressure for them to do something or try a drug, they have more confidence and more skills to resist,” Shawn Evans, retired Ontario Provincial Police (OPP) officer and member of D.A.R.E Canada, told Global News.
A three-year, multi-longitudinal study of D.A.R.E.’s keepin’ it REAL program by UNC Greensboro and Prevention Strategies found statistically significant reductions in the prevalence of alcohol consumption, cigarette smoking and vaping among students who received the program. It was entirely successful in preventing marijuana use, the report found.
ABC’s of Youth Substance Use is another project aiming to build up the capacity of adults around young people.
The initiative is funded by the government of British Columbia and promotes evidence-based approaches to youth substance use education in B.C. schools.
The ABCs refers to Autonomy, Belonging and Competencies. According to Ash Amlani who co-leads the program, the ABCs are essential stepping stones to promoting youth wellbeing, preventing, delaying and reducing harms related to substance use.
“A lot of our focus and attention on the ABCs is really on all of the adults in the school building, as well as the administrators that are surrounding and supporting youth as they grow older,” Amlani told Global News.
One way the project supports schools is by giving them the ability to refer parents with tools and resources on youth substance use.
“Sometimes the folks in the school building become the bridge between the two systems,” said Amlani, who is also the former harm reduction epidemiologist for the B.C. Centre for Disease Control.
“A lot of times teachers or principals are called on to support parents (by) talking to parents about what’s happening with their child,” she said.
1:20 Program launched in Richmond to help at-risk youth receive support
Amlani echoed Vallerand’s sentiments on the “just say no” tactic for substance use discussions, saying it limits the conversation.
“When you just say no, well, what if I’m in an environment when someone else has said yes? What do I do in that situation? So we want to create that sense of safety. Being able to have those open, candid conversations (is part of that),” she said.
What is causing youth to seek substances?
Amlani says sometimes substance use is introduced as a coping mechanism for some young people. While substances aren’t often the first thing they go to, for some it becomes a critical part of coping.
“Post-COVID I would say this is a very common experience. Youth have really struggled with their mental health. Some experience social anxiety… sleep patterns have been very disrupted. So there’s lots of things that youth are dealing with,” Amlani said.
In a 2022 study by the Canadian Centre on Substance Use and Addiction (CCSUA), only one in four youth between the ages of 16 and 24 reported having excellent or very good mental health
Fifty-one per cent of participants reported problematic cannabis use. 37 per cent reported increased alcohol use.
Wellstream is another initiative investigating how to better support youth substance use through the school system.
Based in B.C., and part of the Canadian Centre for Innovation in Child and Youth Mental Health and Substance Use, the initiative launched as a response to the need for research and programming aimed at addressing the upstream issues that affect mental health and substance use for kids.
Dr. Emily Jenkins is the head of research for Wellstream. She says there have been a number of initiatives to address the crisis of overdosing as the leading cause of death among young people in B.C., but other interventions that “span the whole spectrum of substance use” are missing. That includes initiatives aimed at mitigating crimes and preventing the early onset of substance use.
Jenkins notes that a large portion of the youth who died in B.C. due to overdose in the last few years had involvement with the child welfare system.
“What that tells us is that this issue is particularly concentrated among youth who experience or have histories of trauma, of violence, poverty, of racism, the complex relationships between these issues,” Jenkins told Global News.
“In order to help address where the need is concentrated, we need to have approaches that are really responsive to the underlying issues that are influencing substance use,” she said.
Jenkins says treatment beds are important, but it’s also essential to pay attention to how governments provide safe and secure housing and opportunities for education and meaningful employment.
“Without doing that, we’re going to continue to be chasing this problem, which is not an okay solution,” she said.
VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.
Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.
In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.
The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.
Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”
Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”
This report by The Canadian Press was first published Sept. 16, 2024
The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.
It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.
Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”
Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.
Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.
A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.
On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.
Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”
But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”
“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.
Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.
Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.
Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.
“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.
“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”
This report by The Canadian Press was first published Sept. 13, 2024.
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
