Agostino, Alba

Substance use disorder (SUD) is a pervasive psychological disorder detrimentally impacting both individuals and society on a psychological, economic, and social level. The best protocol for treating SUD as well as what defines success in treatment is often debated in the research. However, researchers agree that different psychosocial factors can influence outcomes. The literature suggests that mood, dark personality traits (narcissism and psychopathy), social supports, and state of change may be associated with treatment for SUD. The current study explored whether these factors predicted the type of treatment (abstinence-based or harm reduction) individuals with SUD were in. The sample consisted of 37 participants in a 12-step abstinence-based program and 65 in a harm reduction program at a local hospital. Results indicated that those in abstinence-based groups reported significantly fewer symptoms of anxiety and depression, lower levels of narcissism and psychopathy, more social supports, and advanced stage of change in comparison to those attending a harm reduction program. In addition, depression, narcissism, and perceived social support were significant predictors of treatment group membership. These findings suggest that those involved in abstinence-based groups appear to experience overall more wellness than those in harm reduction. Although further research is needed to specify the relations among factors, this study is a step towards understanding the difference between people who utilize one program versus another.

Author Keywords: Abstinence, Addiction, Harm Reduction, Personality, Treatment

Although Canada's healthcare system is designed for everyone to access services regardless of the person's gender, age, or income, there are significant barriers for individuals accessing substance abuse services that live in areas outside of urban centres (Adbool, et al., 2017; Hardill, 2011). Women are particularly stigmatized by the lack of anonymity in smaller communities and often avoid engaging in substance abuse programs (Ashley, Marsden, & Thomas, 2003). The aim of the current thesis was to explore RedPath, a grassroots initiative in Port Hope, Ontario, geared to engaging individuals and encourage them to participate in substance abuse programming. This initiative employs a member from the community, called an Activator, who is tasked with engaging their peers. A qualitative study was conducted to explore the role of a hired RedPath Activator in facilitating access of female community members with substance abuse issues to services in the Port Hope community. Her role in supporting women was a specific interest, as the selection of a female Activator was a strategy to support the engagement of women to the program. The data was analyzed using a thematic content analysis approach. The most significant of these themes were (1) barriers and challenges in the community and (2) building trust to facilitate engagement and maintain attendance in the program.

Author Keywords: activator, community, mental health, substance abuse, woman, women