Justice Institute of British Columbia

About: Justice Institute of British Columbia is a based out in . It is known for research contribution in the topics: Poison control & Mental health. The organization has 52 authors who have published 74 publications receiving 1729 citations.

Like a Fish Out of Water: Reconsidering Disaster Recovery and the Role of Place and Social Capital in Community Disaster Resilience

Abstract: In this paper we draw on the findings of a critical, multi-sited ethnographic study of two rural communities affected by a wildfire in British Columbia, Canada to examine the salience of place, identity, and social capital to the disaster recovery process and community disaster resilience. We argue that a reconfiguration of disaster recovery is required that more meaningfully considers the role of place in the disaster recovery process and opens up the space for a more reflective and intentional consideration of the disorientation and disruption associated with disasters and our organized response to that disorientation. We describe a social-psychological process, reorientation, in which affected individuals and communities navigate the psychological, social and emotional responses to the symbolic and material changes to social and geographic place that result from the fire's destruction. The reorientation process emphasizes the critical importance of place not only as an orienting framework in recovery but also as the ground upon which social capital and community disaster resilience are built. This approach to understanding and responding to the disorientation of disasters has implications for community psychologists and other service providers engaged in supporting disaster survivors. This includes the need to consider the complex dynamic of contextual and cultural factors that influence the disaster recovery process.

Digital Learners in Higher Education: Generation is Not the Issue

Abstract: Generation is often used to explain and rationalize the use of information and communication technologies (ICTs) in higher education. However, a comprehensive review of the research and popular literature on the topic and an empirical study at one postsecondary institution in Canada suggest there are no meaningful generational differences in how learners say they use ICTs or their perceived behavioural characteristics. The study also concluded that the post-secondary students at the institution in question use a limited set of ICTs and their use is driven by three key issues: familiarity, cost, and immediacy. The findings are based on focus group interviews with 69 students and survey responses from a random sample of 438 second year students in 14 different programs in five schools in the institution. The results of this investigation add to a growing body of research that questions the popular view that generation can be used to explain the use of ICTs in higher education.

Exposures to potentially traumatic events among public safety personnel in Canada.

Abstract: Canadian Public Safety Personnel (e.g., correctional workers, dispatchers, firefighters, paramedics, and police) are regularly exposed to potentially traumatic events, some of which are highlighted as critical incidents warranting additional resources. Unfortunately, available Canadian public safety personnel data measuring associations between potentially traumatic events and mental health remains sparse. The current research quantifies estimates for diverse event exposures within and between several categories of public safety personnel. Participants were 4,441 public safety personnel (31.7% women) in 1 of 6 categories (i.e., dispatchers, correctional workers, firefighters, municipal/provincial police, paramedics, and Royal Canadian Mounted Police). Participants reported exposures to diverse events including sudden violent (93.8%) or accidental deaths (93.7%), serious transportation accidents (93.2%), and physical assaults (90.6%), often 11+ times per event. There were significant relationships between potentially traumatic event exposures and all mental disorders. Sudden violent death and severe human suffering appeared particularly related to mental disorder symptoms, and therein potentially defensible as critical incidents. The current results offer initial evidence that (a) potentially traumatic event exposures are diverse and frequent among diverse Canadian public safety personnel; (b) many different types of exposure can be associated with mental disorders; (c) event exposures are associated with diverse mental disorders, including but not limited to posttraumatic stress disorder, and mental disorder screens would be substantially reduced in the absence of exposures; and (d) population attributable fractions indicated a substantial reduction in positive mental disorder screens (i.e., between 29.0 and 79.5%) if all traumatic event exposures were eliminated among Canadian public safety personnel. Le personnel de sécurité publique canadien (p. ex. les travailleurs des services correctionnels, les répartiteurs, les ambulanciers et les policiers) sont régulièrement exposés à des événements au potentiel traumatique, certains desquels sont présentés comme des événements critiques justifiant le recours à des ressources additionnelles. Malheureusement, les données disponibles concernant le personnel de sécurité publique canadien qui permettraient de mesurer les associations entre les événements au potentiel traumatique et la santé mentale se font encore rares. La recherche actuelle quantifie les estimations liées à l’exposition à divers incidents parmi plusieurs catégories de personnel de sécurité publique. Au total, 4 441 membres du personnel de sécurité publique (dont 31,7 % de femmes) de six catégories différentes (répartiteurs, travailleurs des services correctionnels, pompiers, policiers municipaux/provinciaux, ambulanciers et agents de la Gendarmerie royale canadienne) ont pris part à l’étude. Parmi les événements rapportés par les participants, notons des morts violentes subites (93,8 %) ou accidentelles (93,7 %), des accidents de la route graves (93,2 %) et des agressions physiques (90,6 %). Souvent, les participants s’étaient retrouvés confrontés 11 fois ou plus à de tels événements. Des relations déterminantes ont été observées entre l’exposition à des événements traumatisants et l’ensemble des troubles mentaux. Les morts violentes subites et la souffrance humaine aiguë semblaient particulièrement reliées aux symptômes de trouble mental. Il était donc justifié de les considérer comme des incidents critiques. Les résultats actuels permettent d’entrée de jeu de conclure que (a) les expositions à des événements au potentiel traumatique sont diversifiées et fréquentes parmi l’ensemble du personnel de sécurité publique; (b) de nombreux types d’expositions peuvent être associés à divers troubles de santé mentale, notamment le trouble de stress post-traumatique, et les tests de dépistage de troubles mentaux seraient considérablement réduits en l’absence d’exposition; et (d) les fractions étiologiques du risque indiquaient une réduction substantielle des résultats positifs aux tests de dépistage de troubles mentaux (soit entre 29,0 % et 79,5 %) si toutes les expositions à des événements traumatisants étaient éliminées chez le personnel de sécurité publique canadien.

Intravenous vs subcutaneous naloxone for out-of-hospital management of presumed opioid overdose

Abstract: Objective: To determine whether naloxone administered IV to out-of-hospital patients with suspected opioid overdose would have a more rapid therapeutic onset than naloxone given subcutaneously (SQ) Methods: A prospective, sequential, observational cohort study of 196 consecutive patients with suspected opioid overdose was conducted in an urban out-of-hospital setting, comparing time intervals from arrival at the patient's side to development of a respiratory rate ≥10 breaths/min, and durations of bag-valve-mask ventilation Subjects received either naloxone 04 mg IV (n= 74) or naloxone 08 mg SQ (n= 122), for respiratory depression of <10 breaths/min Results: Mean interval from crew arrival to respiratory rate ≥ 10 breaths/min was 93 ± 42 min for the IV group vs 96 ± 458 min for the SQ group (95% CI of the difference -155, 100) Mean duration of bag-valve-mask ventilation was 81 ± 60 min for the IV group vs 91 ± 48 min for the SQ group Cost of materials for administering naloxone 04 mg IV was $1230/patient, compared with $1070/patient for naloxone 08 mg SQ Conclusion: There was no clinical difference in the time interval to respiratory rate ≥10 breaths/min between naloxone 08 mg SQ and naloxone 04 mg IV for the out-of-hospital management of patients with suspected opioid overdose The slower rate of absorption via the SQ route was offset by the delay in establishing an IV