Résumés
Abstract
The purpose of this commentary is to consider circumstances under which it may be ethical to permit patients to use licit substances in rehabilitation contexts. While the content of this commentary may be transferable to other healthcare spaces, our focus on rehabilitation is based on some important distinctions that exist between rehabilitation and acute care spaces.
Keywords:
- substance use,
- rehabilitation,
- harm reduction,
- person-centred,
- patient-centred
Résumé
L’objectif de ce commentaire est d’examiner les circonstances dans lesquelles il peut être éthique de permettre aux patients de consommer des substances licites dans des contextes de réadaptation. Bien que le contenu de ce commentaire puisse être transposé à d’autres espaces de soins de santé, l’accent mis sur la réadaptation est fondé sur certaines distinctions importantes qui existent entre la réadaptation et les espaces de soins aigus.
Mots-clés :
- consommation de substances psychoactives,
- réadaptation,
- réduction des méfaits,
- centré sur la personne,
- centré sur le patient
Parties annexes
Bibliography
- 1. Institute for Work & Health (IWH). New World Health Organization guidelines on rehabilitation tap into Institute synthesis. 2017.
- 2. HealthLinkBC. Substance Use. 2021.
- 3. Hasin DS, O’Brien CP, Auriacombe M. DSM-5 criteria for substance use disorders: recommendations and rationale. American Journal of Psychiatry. 2013;170(8):834-51.
- 4. Centers for Disease Control and Prevention. Health Effects of Cigarette Smoking. 2020.
- 5. Government of Canada. Health Effects Of Cannabis. 2021.
- 6. Brooks HL, Kassam S, Salvalaggio G, Hyshka E. Implementing managed alcohol programs in hospital settings: A review of academic and grey literature. Drug and Alcohol Review. 2018;37(1):S145-S155.
- 7. Cortina S, Kennedy MC, Dong H, et al. Willingness to use an in-hospital supervised inhalation room among people who smoke crack cocaine in Vancouver, Canada. Drug and Alcohol Review. 2018;37(5):645-52.
- 8. Haber PS, Demirkol A, Lange K, Murnion B. Management of injecting drug users admitted to hospital. Lancet. 2009;374(9697):1284-93.
- 9. Young JM, Fish WM, Browne A, Lawrie RS. Using a harm reduction approach with clients who have alcohol/drug dependencies in a spinal cord rehabilitation program. Journal of Spinal Cord Medicine. 2002;25(2):81-87.
- 10. Health Canada. Canadian Tobacco, Alcohol and Drugs Survey (CTADS): summary of results for 2017. 2021.
- 11. World Health Organization (WHO). Substance Abuse. 2021.
- 12. Peacock A, Leung J, Larney S, et al. Global statistics on alcohol, tobacco and illicit drug use: 2017 status report. Addiction. 2018;113(10):1905-26.
- 13. Graupensperger S, Corey JJ, Turrisi RJ, Evans MB. Individuals with spinal cord injury have greater odds of substance use disorders than non-sci comparisons. Drug and Alcohol Dependence. 2019;205:107608.
- 14. Smedema SM, Ebener D. Substance abuse and psychosocial adaptation to physical disability: analysis of the literature and future directions. Disability and Rehabilitation. 2010;32(16):1311-19.
- 15. National Rehabilitation Information Center. Substance Abuse and Individuals with Disabilities. 2011;6(1).