Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Take Action: Medical Access
2
The Stigma and Barriers
of
Medical Services
START HERE
Land Acknowledgment
We would like to respectfully acknowledge the traditional territories of the Lekwungen and WSÁNEĆ peoples whose land we present to you from today, and on which we continue to learn, work, and play.
https://www.reddit.com/r/VictoriaBC/comments/1ixhbq/a_moon_picture_of_my_own_island_view_beach/
ACCESS TO MEDICAL SERVICES
Access to medical services when you are experiencing houselessness, substance abuse/misuse, socioeconomic barriers etc. can be complex and sometimes impossible.
1
OUR FOCUS
Medical Services
What does it look like?
- Walk in Clinics
- General Practitioner/Family Doctor
- Sexual Health Clinic
- Wound Care
- Emergency Services (Paramedic, street nurse, ER etc.)
- Dentist/Denturist Offices
- Plastic Surgery
- Optomotrist
- OBGYN
- Physiotherapy
- Massage Therapist
- Acupunture
- Chiropractor
- Pharmacist
- (etc.)
When can I go there?
When can I go there?
If you work, have children, have housing or mental health barriers, is this easy to access?
Walk in clinics:
Generally 8-5 or closes
at capacity
Doctor/Dentist/
Optometrist:
8-4 based on availability and appt.
Hospital Emergency : 24hr
What to do?
Standards of Access
Be there in person (Get there)
1
2
Bring ID/Services Card during hours of operation.
3
Early enough to get on the wait list, or be prepared by booking an appointment.
BC's Mental Health and Substance Use Strategy
- Created by the former Minister of Health the Honourable Terry Lake
- Created for 2017-2020
- Has Three Main Pillars
2
WHAT IS BC DOING?
Essential understandings
Essential understandings
PARTNERSHIPS
WELLNESS
ACCESS
Better navigation by:
- Increasing capacity to deal with unmet demand.
- Expanding service offerings to new areas of the province.
- Targeting delivery to populations of people facing unique
or additional access barriers.
- Providing resources
and programs to help children, youth, adults and families
strengthen their social and emotional health and resilience
and develop the skills
- Creating supportive environments where individual and community strengths are fostered, community action is
strengthened, stigma is reduced and healthy choices are the
easy choices.
- Needed to better
deliver integrated
and well-coordinated services
- Services must be organized around people, rather than
around the organizations that deliver the services.
- Under this
pillar, government is committed to strengthening links both
across government and with our service partners outside the
public sector.
Retrived from http://www.llbc.leg.bc.ca/public/pubdocs/bcdocs2017_2/681562/mental-health-substance-use-strategy.pdf
WHO:
FOCUS:
3
THE HONOURABLE ADRIAN DIX
PREMIER
JOHN HORGAN
- BC Mental health and Substance Use Strategy
- Community feed back
- Experience in the field
- Research group feed back
- Personal Experience
- Growth Focused
Images retrieved from https://bcndpcaucus.ca
LETTER
RESEARCH GROUP
PEERS Research Group for Sex Trade Workers:
- What are some of the positives and negatives of supportive housing
- Safety Concerns
- Housing supports
- Staff supports
- Medical Supports
- Barriers
- Stigma
4
Reflection Lindsay
RESEARCH GROUP
Reflection
"Participating in the PEERS research workshop broadened my understanding of the existing stigma and barriers within our healthcare system. Stigma and discrimination towards individuals who are marginalized by houselessness, mental health, sex work, and drug use has been so ingrained in the healthcare system that some professionals outright refuse services to those who need it. I hope that with continued agency collaboration and action, we can break down the stigma and barriers that disrupt healthcare access in our community, and hold medical professionals accountable for lacking compassion."
Reflection
Reflection
Skye
“Through this research group, I was able to further understand the barriers and stigma that our community members face though the insights of other housing support workers. It was unanimous that the demographic we support, such as individuals that misuse or abuse substances, have mental heath complexities, are houseless or in the sex trade see healthcare services are a major barrier, which impacts their overall health and safety ”.
Reflection
"I learned that the struggle for accessible medical supports and services hits all housing programs. It also impacts the safety of individuals who use substances, consider themselves to be in the sex trade, and who are houseless. It was evident that the lack of compassion and understanding from medical staff is impacting the overall safety of individuals who are already at risk."
Reflection Madison
IDEAL SITUATION:
YOU ARE SICK
YOU GO TO THE DOCTOR/CLINIC/NURSE/PRACTITIONER
RECEIVE MEDICAL ATTENTION
GO HOME
FEEL BETTER! :)
5
IDEAL ACCESS
6
SCENARIO
Now you...
You have an infection, and a head ache.
You are tired, worked to the bone, and need to access medical care moving forward.
You are awake and ready to go...
What happens next?
7
NEXT
Next Steps:
- Get your Services Card/BC ID. Been there before? Don't worry about it! Never been to the clinic? You may need your services card, if not you may have to go to the hospital.
- Since you can't make it to the clinic, you must go to the hospital either by driving, someone driving you, bus or money for taxi.
- Do you have access to a phone in an emergency?
- Check in at the hospital, there is a 6 hour wait.
8
NEXT
Consider this:
- You have a substance use issue, how does that 6hr wait change your experience?
- You have mental health complexities that have gone undiagnosed. How do people see you? Do they see your mental health barriers? What do they know? Does your mental health barrier make you feel paranoid or are they really talking about you?
- Do you get frustrated? Become angry when people can't understand you?
- Do you have anxiety about large groups?
- Do you have ID? Can you access an ID clinic?
- Are you someone who experiences homelessness? Where do you keep your ID, important papers or medical card?
- Do you have somewhere to shower?
- Do you have anyone to drive you to the hospital? Do you have your own car? Do you have to bus? Do you have bus fare?
- What have you experienced before in hospital? Was it traumatic?
- Are you scared? Do you feel like you're dying? Does hospital staff think you're being dramatic?
- Are you a woman? Does that play into it? Are you part of the LGBTQQ2A/A + community?
- Do you have religious or spiritual beliefs? Do they match your practitioner's?
- Do you have kids? Can you bring them with you?
- Do you have a job? Is it flexible for your illness, sickness, or health issues?
9
CONSEQUENCES
Consequences of Barriers and Stimga
- Housing complications
- Consistency issues
- Preventable illnessness
- Infections
- Ignoring symptoms
- Unplanned pregnancies with no support
- Spread of disease/viruses
- Danger to service providers
- Segregation within the community
- "Us and Them" Environment
- Brain damage
- Dental damage
- Preventable death
- Barriers to treatment options