To say ‘the field of addiction medicine has been changing rapidly as a result of the opioid crisis’ would be a major understatement.
But perinatal* women who use substances are still underrepresented, they're practically a hidden population within healthcare. They experience more challenges than men when it comes to accessing support, harm reduction, and early interventions.
This is ultimately because of the stigma that remains, even at the primary* healthcare level. There’s a very real, immediate fear of losing their children... among many other barriers.
- Perinatal essentially means: women who are about to give birth, or just gave birth.
- Primary healthcare is what everyone thinks when they think of healthcare, like going to a doctor for a specific concern. Whereas secondary healthcare is being referred to a specialist.
The FIR program at BC Women’s Hospital has been a world leader since it started in 2003. It’s dedicated to helping women and their newborns stabilize and withdraw from substances. It keeps them together whenever possible. It’s centred around women’s goals.
GET UP TO SPEED ON FIR
- “Separating newborn babies from mothers with addiction does more harm than good, says doctor”
- “How moms and babies rooming together can help combat opioid dependency”
- Contessa’s story of recovery.
BC Women’s is just a few months from moving Fir to a new, enhanced, renovated space here at the Hospital. Their harm reduction model of care is already a world-leader, so they’re striving to provide an environment to match. The idea is to make it feel less clinical, somewhere where women can really feel supported in their healing and wellness.
But Kristen Ruddick, Director of the Maternal Newborn Program at BC Women’s Hospital acknowledges that the work they’re doing here is only a segment of the patient journey.
Watch Kristen discuss FIR on CTV:
That’s why she’s most excited about the new guidelines our health authority implemented last summer. They really take an intersectional approach. They shift away from focussing on substance-dependence in isolation, towards other social determinants like adequate nutrition and safe housing.
BRINGING THE PROVINCE TOGETHER.
We often speak about the urban/rural divide in BC. But the combination of an already highly-stigmatized patient group with the lack of enough social services is only exacerbated as soon as you’re outside of Vancouver.
What’s great is, this expanded mandate really just formalizes the community partnerships Fir’s maintained for years. Partnerships with other bodies like the Ministry of Children & Family Development and BC Housing.
This is about doing everything we can to avoid working in silos. It’s about the continuum of care through areas of our province that have historically lacked the services found on the DTES, particularly through collaboration with Indigenous leaders.
Women deserve access to quality care wherever they might be. And care closer to home is always preferred.
We’re striving for a future where the learnings from Fir are integrated into every community in our province.
WHERE YOU COME IN.
But outside of any donating or running, we all need to work to decrease stigma.
Share articles like this, vote for policy makers who take the opioid crisis seriously, and continue to learn more about services like Fir in your community.
Written by Catherine Hodgson, @cat_hodgson.