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Cited by 30Hepatitis C virus researchSubstance Abuse Treatment and OutcomesHIV, Drug Use, Sexual Risk

“It gives me a sense of belonging”: Providing integrated health care and treatment to people with HCV engaged in a psycho-educational support group

Woolhouse, Susan, Cooper, Emily, Pickard, Angela·2013·International Journal of Drug Policy
DOI 10.1016/j.drugpo.2013.05.018
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Abstract

Background Injection drug use (IDU) increases the risk of contracting hepatitis C virus (HCV) yet very few people living with HCV access effective, and potentially curative, treatments. The East Toronto Hepatitis C Program (ETHCP) was developed in 2006 and provides health care, treatment and support to people living with HCV who have complex mental health, physical health and psychosocial needs. The program is anchored in a 16-18 week psychosocial support group located within one of the 3 participating community-based health clinics. The objective of this study was to explore the experiences of individuals engaged in the ETHCP psycho-educational group.Methods This phenomenological qualitative study consisted of semi-structured in-depth interviews with twenty randomly selected program participants.Results The three dominant themes that emerged from the analysis were program structure, group cohesion and group as agent for change. The ETHCP "one-stop shopping" model provided a stable foundation allowing for the development of group cohesion. Group cohesion was marked by the formation of intense relationships creating a safe and non-judgmental environment where participants could self-reflect, make social connections and feel cared for and accepted. Three types of relationships characterized group cohesion: relationship to self, relationships with individual group members and relationship to group as a whole. Within the nurturing group environment, participants could challenge themselves and others, ultimately enabling change.Conclusion The results of our qualitative study suggest that it is the formation of strong group cohesion that facilitated participants' behavioural change, regardless of their level of substance use. The structure of the group provided stability and was characterized by consistent weekly meetings, knowledge exchange and the provision of multiple services in one location. The support from peers and staff allowed participants to develop personal goals. Participants began to see themselves in a new and changed way; expressing this change in a variety of positive behaviours.

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Authors
Woolhouse, S., Cooper, E., & Pickard, A.
Affiliations
  • Western University (CA)
  • South Riverdale Community Health Centre (CA)
  • University of Toronto (CA)
Venue
International Journal of Drug Policy
Publisher
Elsevier BV
Published
2013-11
Volume
24
Issue
6
Pages
550-557
ISSN
0955-3959 (ISSN-L)
DOI
10.1016/j.drugpo.2013.05.018
OpenAlex
W2025739066
Cited by
30
References
47
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 1
FWCI
1.04
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Drug Policy (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Physicians' Services Incorporated Foundation
  • Center for Substance Abuse Treatment
Topics
  • Health Sciences › Medicine › Hepatology › Hepatitis C virus research
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
hepatitis C virus, intravenous drug use, psychosocial support groups, psychoeducational groups, group cohesion, integrated care, peer support, behavior change, community clinics, sense of belonging
MeSH terms
Adaptation, Psychological, Adult, Female, Group Processes, Hepatitis C, Humans, Interpersonal Relations, Interviews as Topic, Judgment, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Ontario, Patient Education as Topic, Self-Help Groups, Psychological Distance, Time Factors, Program Evaluation, Health Behavior, Substance Abuse, Intravenous, Treatment Outcome, Delivery of Health Care, Integrated, Qualitative Research, Drug Users

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