Evidence map›Paper›PMID 42004817›Full record

ArticleSSM. Qualitative research in health2025

RE-MAKING SELVES AND SOCIAL WORLDS: EXPERIENCES OF LIVE-IN SUBSTANCE USE TREATMENT AMONG ADOLESCENTS EXPERIENCING SOCIAL STRUCTURAL MARGINALIZATION IN VANCOUVER.

Monique Sandhu, Madison Thulien, Cameron R Eekhoudt, Drew Friesen, Eva Moore, Martha Ignaszewski, Sarah Bagley, Rossio Motta-Ochoa, Emily Jenkins, Danya Fast

Abstract read
In one paragraph

Article in SSM. Qualitative research in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Monique SandhuDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Madison ThulienYouth Overdose Prevention Research Cluster, University of British Columbia, Vancouver, BC, Canada.
Cameron R EekhoudtDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Drew FriesenSquamish Nation; Youth Researcher, University of British Columbia Youth Overdose Prevention Research Cluster, Vancouver, BC, Canada.
Eva MooreBritish Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.
Martha IgnaszewskiBritish Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.
Sarah BagleyBoston Medical Center, Boston, MA, USA.
Rossio Motta-OchoaSchool of Social Work, University of Montreal, Montreal, QC, Canada.
Emily JenkinsSchool of Nursing, University of British Columbia, Vancouver, BC, Canada.
Danya FastDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.

Funding

An ethno-epidemiological study of the implementation and effectiveness of an innovative and comprehensive response to the opioid epidemicR01DA044181 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI Thomas Kerr, Ryan McNeil · 2017 to 2026
$4.0M
NIDA NIH HHS R01 DA044181
6 · The paper itself

Abstract

Across many settings in Canada and the US, overdose is now a leading cause of death among 10 to 18-year-olds. In the Canadian province of British Columbia (BC), there have been increased efforts to connect adolescents with substance use treatment, including live-in programs. While much previous work has focused on barriers to treatment among youth, less research has examined how adolescents, and in particular those experiencing high levels of residential instability, homelessness, and institutionalization via child protection, criminal legal and housing systems, understand and experience these programs. This qualitative study draws on semi-structured interviews with 37 adolescents and those who were very recently adolescents aged 14 to 20 who planned to access, were accessing or had recently accessed "Cypress Place" (a pseudonym), a live-in treatment program for adolescents in Vancouver, BC. Drawing on concepts of self and social world-making, our findings reveal that the changes adolescents envisioned making through live-in treatment extended far beyond abstinence from substance use, to encompass significant shifts in who they were and who they surrounded themselves with. While the weight of the social structural contexts that "followed" youth into treatment could powerfully undermine their abilities to make desired changes, this study nevertheless provides insights into how transformative projects of self and social world-making can be better supported across their treatment trajectories. Namely, providers and programs can work to bridge the kinds of self and social transformations achieved during live-in treatment with what comes next by providing opportunities for youth to stay connected and prioritizing the development of skills for living well - as individuals and as part of collectivities - that open up possibilities for recovery and healing over the longer term.

Indexed as

AdolescentsLive-in treatmentOverdoseSelf-transformationSocial worldsSubstance use

Identifiers

PMID42004817
PMCPMC13089973

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.