Asking questions about the type, frequency, and amount of substance use is often a routine part of prenatal care for physicians, midwives, nurses, pregnancy outreach workers and other prenatal care providers. Here are some ideas for open, supportive, and effective conversations with women and girls.
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Within trauma-informed organizations and systems, learning grounding activities can be important for clients and service providers alike. This handout offers 10 grounding activities that can be helpful for managing trauma responses.
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Because substance use has wide-ranging effects on many different aspects of life, service providers across a range of health care and social service settings can have an important role in addressing the potential harms of substance use and improving overall health. This resource focuses on brief intervention with girls and women in the preconception and perinatal period. Service providers from a range of backgrounds will find it relevant to their practice.
Brief interventions are collaborative conversations between an individual and a health care or social service provider about a health issue. This resource focuses on brief intervention on substance use with girls and women in the preconception and perinatal period in addressing the potential harms of substance use and improving girls’ and women’s overall health.
This toolkit provides information about trauma, gender, and sex informed programs, initiatives and projects to share in staff training, program planning and evaluation, and to assist in supporting these approaches in programs and organizations. It also includes specific tools to support practice and policy change. It is one of many publications created as part of the Trauma/Gender/Substance Use Project.
This resource has been made possible by a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.
This discussion guide is intended to stimulate further conversation on “becoming trauma-informed” and assist health care and social service providers in considering additional ways of addressing the opioid crisis in their particular context. It is one of many publications created as part of the Trauma/Gender/Substance Use Project.
This resource has been made possible by a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.
A discussion guide for service providers and program planners, this resource offers strategies to support organizational change. It includes reflective questions for examining current approaches to seclusion and restraint, determining current trends and impacts, and developing alternatives that are trauma informed.
It is one of several resources developed as part of the Trauma / Gender / Substance Use (TGS) project made possible by funding from Health Canada. The views in the guide do not necessarily represent the views of Health Canada.
View TGS Trauma-Informed Approaches to Seclusion and Restraint Reduction
Selection of trauma-informed treatment-related resources and curricula. Some focus solely on trauma-informed practices; others incorporate elements of both trauma-informed and trauma-specific approaches.
One of 3 resource lists on trauma, gender, and substance use made possible by funding from Health Canada. Revised May 2019.
Overview of gender transformative resources compiled in 2016.
One of 3 resource lists focusing on gender, trauma and substance use. Made possible by funding from Health Canada.
An overview of gender-informed resources in the substance use field.
This is one of 3 resource lists focusing on gender, trauma and substance use, and has been made possible by a financial contribution from Health Canada.
Download TGS Gender Informed Approaches to Substance Use resource list
This report describes research about the use of prescription pain medications by girls and women, focussing on the links to experiences of trauma and chronic pain. The goal of the research was to provide a foundation for identifying program and policy issues and research questions. The project involved: 1) a scoping review on sex- and gender-based risks, issues, and treatment considerations; 2) an environmental scan involving treatment providers, practitioners, community advocates, researchers, policy makers and medical school instructors to identify priority research and practice issues; and, 3) consultations to identify key issues, priorities and recommendations. The research was funded by the Canadian Institutes of Health Research (CIHR) under the Canadian Research Initiative in Substance Misuse (CRISM).
View pdf Prescription Report August 2015
Repairing the Holes in the Net was a 2 year research and system change initiative to improve policy and practice related to care and support for northern women experiencing homelessness, mental health and substance use concerns.
In each of the capital cities of Canada’s three northern territories − Whitehorse, Yellowknife, and Iqaluit − a group of researchers, health care and social service providers, community advocates, and policy makers met monthly to share, learn and collaborate.
This booklet describes how the project participants (who came from diverse government departments and service agencies and included sectors such as addictions, mental health, primary health care, justice, housing, police, income support, child protection, shelters and women’s advocacy) worked to find ways to understand the complexity of homelessness and make shifts in whole systems of service delivery.
View pdf RTN Summary_August 9 2015
This poster is designed for use by services involved in prevention of alcohol, tobacco and other substance use in pregnancy. On the front it is a poster, and on the back is information for service providers on supporting women, families and communities from a harm reduction stance. This resource was developed with the support of the Education and Training Council, Alberta FASD Cross Ministry Committee and was reviewed by members of the CanFASD Research Network with prevention expertise.
This resource was developed as part of a project funded by the Canadian Research Initiative in Substance Misuse.
View the Fact Sheet
opioid, oxycontin, oxycodone, hydrocodone, vicodin, morphine, codeine, prescription pain medication
This resource was developed following a panel held at the HerWay Home Community Conference on September 29, 2014. The conference was generously supported by the Children’s Health Foundation of Vancouver Island.
This resource provides a short introduction to harm reduction approaches during pregnancy and uses examples from programs across Canada that work with pregnant women and new mothers to illustrate harm reduction ‘in action’.
Canada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective
Legislation, social policy and health care and child welfare practices can contribute significantly to effective care and support for women who use substances during pregnancy. This backgrounder provides a brief overview of several important areas of policy-making and discusses how policy can contribute to developing supportive health and social services to effectively address substance use during pregnancy.
Prepared for the Ministry of Health by Gerald Thomas, Okanagan Research and Nancy Poole, BC Centre of Excellence for Women’s Health. This resource includes a discussion of the forms and types of messages that can be provided via FASD prevention signs, including examples of recommended messages to help prevent/reduce drinking in pregnancy and promote health among women of childbearing years.
This information sheet has been prepared for decision makers, health system planners and service providers interested in improving care for women at risk of having a child affected by FASD. It has been prepared by members of the Canada FASD Research Network’s Action Team on FASD Prevention from a Women’s Health Determinant’s Perspective.
British Columbia Centre of Excellence for Women’s Health, 2014.
This guide is a companion resource to the www.fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women including pregnant women and recent mothers, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. This guide provides an introduction to the visual maps that the website is based on, discussion questions for groups planning or undertaking evaluation, and suggestions on how to make use of the variety of resources available on-line.
British Columbia Centre of Excellence for Women’s Health, 2014.
This guide is a companion resource to the fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women who are pregnant and parenting, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. The guide provides an introduction to the program philosophies and theoretical frameworks discussed on the website. It also includes discussion questions for groups beginning or renewing evaluation and suggestions on how to make use of the variety of resources available on-line.
BCCEWH, Prairie Women’s Health Centre of Excellence, and Atlantic Centre of Excellence for Women’s Health Editors: A. Pederson, M.J. Haworth-Brockman, B. Clow, H. Isfeld and A. Liwander, 2013
The BCCEWH, the Atlantic Centre of Excellence for Women’s Health and the Prairie Women’s Health Centre of Excellence have released a new women’s health resource entitled Rethinking Women and Healthy Living in Canada. The report, funded by Health Canada, is intended to generate an understanding of women and healthy living and to contribute to the development of evidence-informed responses to addressing challenges related to healthy living for women in Canada.
This casebook is intended for a range of audiences and can be used in a number of ways. Health and social service providers looking for ways to expand their practices or to gain a stronger understanding of women and tobacco issues will find an introduction to better and promising practices for working with women. Program planners and community organizations will find resources and ideas for addressing the impact of tobacco on girls and women in their individual contexts. Students, researchers, decision makers, and policy makers new to the field of tobacco or who are interested in learning more about applying a gender analysis to tobacco control will find a range of practical examples.
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Emily Arthur, Amanda Seymour, Michelle Dartnall, Paula Beltgens, Nancy Poole, Diane Smylie, Naomi North, and Rose Schmidt
Initial draft authors: Cristine Urquhart and Fran Jasiura of Change Talk Associates
British Columbia Centre of Excellence for Women’s Health; BC Ministry of Health, Mental Health and Substance Use Branch; and Vancouver Island Health Authority, Youth and Family Substance Use Services, 2013
The Trauma-Informed Practice (TIP) Guide was developed collaboratively to support the application of trauma-informed principles into practice and policy, by clinics, agencies and groups assisting clients with mental health and substance use concerns in British Columbia.
Cristine Urquhart, Frances Jasiura, Nancy Poole, Tasnim Nathoo and Lorraine Greaves
British Columbia Centre of Excellence for Women’s Health, 2012
This guide offers support to service providers in diverse contexts (e.g. within transition houses, community mental health teams, or primary health care) to start a conversation with women about their smoking and the possibility of quitting.
Canada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective, 2012
In this document, we profile the development of single-access programs in four different communities and talk about why this type of program works.
Lorraine Greaves, Nancy Poole, Chizimuzo T.C. Okoli, Natalie Hemsing, Annie Qu, Lauren Bialystok and Renée O’Leary; British Columbia Centre of Excellence for Women’s Health, 2011
This revised edition reviews research and intervention development in the years since the first edition was published in 2003. It reflects recent emerging interventions and better practices with a variety of groups of pregnant and postpartum women, with an added section on high-risk populations of pregnant smokers.
Pamela Ponic, Rehana Nanjijuma, Ann Pederson, Nancy Poole and Jenny Scott
BC Centre of Excellence for Women’s Health & ProMOTION Plus, 2011
BC Centre of Excellence in Women’s Health and ProMOTION Plus have conducted an environmental scan on Physical Activity for Marginalized Women in BC. Our aim in the scan was to learn more about the current context for and activities being facilitated to promote physical activity for marginalized women at provincial and local levels in BC.
British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010
This discussion guide explores four topics related to young women’s substance use: 1) patterns and trends in young women’s use, 2) sex differences in the health consequences of use, 3) gendered influences on substance use, and 4) examples of gender-informed and gender-specific programming.
British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010
This discussion guide explores four topics related to mothers and pregnant women with substance use problems: 1) stigma and public discourse, 2) barriers to treatment, 3) a guiding framework for practice, and 4) examples of Canadian mother-centred programming.
British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010
This discussion guide explores coexisting trauma, mental health and substance use problems experienced by girls and women as well as trauma-informed and trauma-specific approaches. It provides: 1) background to the issues, 2) core approaches to providing multi-level support, 3) examples of Canadian promising practices in action.
British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010
This discussion guide explores bringing a gender-based analysis to harm reduction strategies. It 1) introduce some of the intersecting components of harm reduction and health determinants, such as violence and trauma and pregnancy and mothering, 2) highlights the key ways that these elements interact to influence women’s substance use experiences, 3) provides examples of Canadian women-centred harm reduction programs.
The VANDU Women CARE Team, 2009
This report is a summary of the most relevant findings of this community-driven research project for health care providers treating women who use drugs in the DTES.
Prepared by Tessa Parkes, Nancy Poole, Amy Salmon, Lorraine Greaves, and Cristine Urquhart, 2008.
This report is a review of evidence from peer-reviewed literature on the topic of interventions aimed at supporting women to reduce their use of alcohol in the childbearing years. The phrase, “Double Exposure” in the title reflects our concern with the effects of alcohol on both the woman and the fetus and underlines the importance of addressing women’s health and women’s circumstances during pregnancy to optimize health. View PDF
British Columbia Centre of Excellence for Women’s Health, BC Women’s Hospital & Health Centre, 2008
In 2004, a provincial women’s health strategy was realeased. Advancing the Health of Girls and Women: A Women’s Health Strategy for British Columbia provided a coordi¬nated blueprint for future change and helped define a province-wide perspective on women’s health. This report continues that legacy by analyzing the its contribution to activities aimed at advancing the health of girls and women in British Columbia in the past four years.
Jo-Anne Fiske and Annette J.Browne, 2008
This report constitutes the second of two phases of research conducted in collaboration with a First Nation community in north central British Columbia. The research considers health care policy within the context of government-sponsored policy “reform” consultations with citizens and within everyday encounters in health services where policy is implemented.
Lorraine Greaves, Natasha Jategaonkar and Sara Sanchez, 2006
El presente informe, Pasando página: Mujeres, tabaco y el futuro, facilita una perspectiva muy necesaria del consumo de tabaco entre mujeres de distintos contextos sociales, identifica los efectos para la salud que tiene el tabaco y describe el papel de la mujer en su producción y comercialización. También proporciona una directriz para evaluar y afrontar las cuestiones de género del control del tabaquismo en las políticas, programas e investigaciones y reducir los devastadores efectos que tiene el tabaco sobre las mujeres.
Lorraine Greaves, Natasha Jategaonkar and Sara Sanchez, 2006
Le présent rapport, Pour tourner la page – Les femmes, le tabac et l’avenir, brosse un portrait de l’utilisation du tabac par les femmes dans différents contextes sociaux, détermine les effets du tabac sur la santé et décrit le rôle des femmes dans la production et la mise en marché du tabac. En outre, il trace des lignes directrices pour évaluer et résoudre les questions spécifiques au sexe liées à la lutte contre le tabagisme dans les politiques, les programmes et la recherche.
Lorraine Greaves, Joy Johnson, Joan Bottorff, Susan Kirkland, Natasha Jategaonkar, Melissa McGowan, Lucy McCullogh and Lupin Battersby, 2006
This report reviews evidence of the effectiveness of three aspects of tobacco control policy on diverse groups of males and females particularly vulnerable to smoking: Aboriginal and individuals from low socioeconomic backgrounds.
Lorraine Greaves, Natasha Jategaonkar and Sara Sanchez, 2006
This report provides a much-needed picture of women’s tobacco use in different social contexts, identifies the health effects of tobacco, and describes women’s role in tobacco production and marketing. It also provides direction on assessing and addressing the gendered issues of tobacco control in policy, programming, and research in order to reduce the devastating effects of tobacco on women.
BC Women’s Hospital & Health Centre and British Columbia Centre of Excellence for Women’s Health, 2004
The aim of the Provincial Women’s Health Strategy is to improve the health of girls and women throughout BC. This document describes an approach to understanding girls’ and women’s health and provides background information to promote the development of initiatives to integrate girls’ and women’s health into research, policy and clinical care.
Marina Morrow
British Columbia Centre of Excellence for Women’s Health, 2003
This report describes four innovative mental health demonstration projects designed specifically for women with chronic and persistent mental health problems in four different communities in British Columbia.
Lorraine Greaves
British Columbia Centre of Excellence for Women’s Health, 2003
The number of people who need palliative care in Canada is rising, yet we have no national policy and no national regulations to ensure consistency and quality of care. This paper seeks to make recommendations regarding palliative care and the ability to achieve consistent, high-quality palliative care across all sites and caregivers.
Marina Morrow
British Columbia Centre of Excellence for Women’s Health, 2003
Evidence shows that certain mental illnesses are more prevalent in women, that women utilize mental health services more frequently than men do, and that women would like a wider range of treatment and support options than is currently available. This report outlines the need for both provincial and national health strategies to address the issues distinct to women’s mental health.
Janet C. Currie
British Columbia Centre of Excellence for Women’s Health, 2003
This report describes benzodiazepines, prescribing rates and practices, and their effect on women in Canada. Based on this information, recommendations are made regarding policy and intervention strategies to address the effects of benzodiazepines and sleeping pills on women, families and society in Canada.
Jude Kornelsen, 2003
This report captures presentations and debates about new and innovative ways midwives can use their skills and expertise to meet the needs of Canadian women, including plans for alternative models of care, collaborative practice with other health care professionals and an expanded scope of practice.
BC Women’s Hospital & Health Centre and BC Centre of Excellence for Women’s Health, 2003
The purpose of this study was to undertake a preliminary examination of the use of health records in criminal and civil cases involving violence against women in relationships.
Jude Kornelsen, 2003
This report discusses the need for new policies at the provincial and federal levels to enhance the capacity of midwifery to make a greater contribution to maternity care and to help solve the health care practitioner crisis.
Lenore Riddell, Kathy Greenberg, Joan Meister and Jude Kornelson, 2003
This research study addresses to what extent women with disabilities regularly receive screening for breast and cervical cancer, what barriers prevent them from receiving this care and how the information collected can improve screening. The report also describes the innovative Access Clinic at BC Women’s Hospital designed to provide gynecologic and breast health care for women with disabilities.
British Columbia Centre of Excellence for Women’s Health, 2003
Jude Kornelsen
British Columbia Centre of Excellence for Women’s Health, 2002
This report reflects the focus of the “Midwifery in Canada: Directions for Research” workshop, moving forward with a national midwifery research agenda.
Marina Morrow, 2002
This paper documents practice in five mental health care settings with respect to the provision of services to women diagnosed with mental illnesses who are survivors of trauma.
Nancy Poole and Barbara Isaac
British Columbia Centre of Excellence for Women’s Health, 2001
This research study explores the barriers and supports encountered by pregnant and parenting women accessing care for addictions treatment.
Patricia Lee
British Columbia Centre of Excellence for Women’s Health, 2001
This background report serves to assist sexual assault services in British Columbia in developing informed and thoughtful policy on the complex issue of consent to collect forensic evidence from an unconscious patient/victim who has been sexually assaulted.
Wendy Frisby, Fearon Blair, Therese Dorer, Larena Hill, Jennifer Fenton and Bryna Kopelow, 2001
This study documents the factors that influence whether or not action is taken in communities to increase the access of women on low incomes to community recreation. A resource to support service providers in their work with women.
Marina Morrow with the Midlife Health Needs of Women with Disabilities Advisory Committee
British Columbia Centre of Excellence for Women’s Health, 2000
This study highlights the interconnections between menopause, midlife, disability and aging, and through interviews with women with different disabilities, makes clear that further research, education of health care professionals, and information for women with disabilities is needed.
Nancy Poole
British Columbia Centre of Excellence for Women’s Health, 2000
This report is an evaluation of a unique outreach program in Vancouver that provides services to pregnant women with substance use problems and support to mothers and their families through a women-centred, harm-reduction, culturally focused approach.
Joan L. Bottorff, Lynda G. Balneaves, Lorna Sent, Suki Grewal and Annette J. Browne, 2000
Underutilization of mainstream health services has led to the development of specialized health services for women from different ethnocultural groups. These services provide an important focus for the study of women-centred care. The purpose of this study was to identify and describe critical elements of women-centred care within the context of three cervical cancer screening clinics in Vancouver serving Asian, South Asian and First Nations women. A further aim of the study was to determine factors that influenced full implementation of women-centred care within these clinics.
Lorraine Greaves, Victoria J. Barr, with the collaboration of the Women and Tobacco Working Group, 2000
This paper develops a gendered analysis of tobacco policy, contextualized in the national and international tobacco control and reduction movement, and identifies women-centred policy directions to reduce women’s tobacco use.
Annette J. Browne with Jo-Anne Fiske and Geraldine Thomas
the British Columbia Centre of Excellence for Women’s Health, 2000
Through First Nations women’s own descriptions of their encounters with health care, this investigation illustrates the social, economic and political forces at work influencing the lives of First Nations women in relation to dominant political systems.
Jude Kornelsen, V. Susan Dahinten and Elaine Carty
British Columbia Centre of Excellence for Women’s Health, 2000
This report describes the results of a survey of nurses on the topic of midwifery, which was conducted shortly after the introduction of midwives as a regulated and funded part of the British Columbia health care system.
Lorraine Greaves et Victoria J. Barr; en collaboration avec le Groupe de travail sur les femmes et le tabagisme, 2000
Le présent document décrit ces questions et ces tendances et définit les éléments propres au sexe biologique et au sexe social qui, au Canada, ont des incidences sur le tabagisme chez les femmes. Il est essentiel, en particulier, d’analyser le niveau de revenu, les responsabilités concernant les soins à prodiguer aux enfants et la nature du travail des femmes pour comprendre les effets selon le sexe des politiques de lutte contre le tabagisme. Nous examinons les mesures de réglementation du tabac et nous appliquons une « analyse comparative entre les sexes » à plusieurs d’entre elles, dont l’emballage des produits du tabac et la restriction de l’usage du tabac.
Jude Kornelson, 2000
This report considers the current relationship between midwives, physicians and nurses from both a professional and interpersonal perspective, looks at objections put forward by the medical and nursing communities and considers the way objections have affected client care.
Jeanne Lyons and Elaine Carty, 2000
Documenting the observations of a researcher in the midwifery field, this report observes and comments on province-wide presentations and discussions on midwifery and its integration into BC’s health care system.
Ken Bassett, Patricia Lee, Carolyn Green, Lisa Mitchell, Hana Sroka, Rohinne Lal, Robin Hanvelt and Arminée Kazanjian, 2000
This review examines maternal serum triple-marker screening (TMS) for fetuses with Down Syndrome, other chromosomal abnormalities, and spina bifida in the British Columbia context.
* Co-funded by the British Columbia Centre of Excellence for Women’s Health, this report is available in print from the Centre for Health Services & Policy Research.
Marina Morrow with Monika Chappell
The British Columbia Centre of Excellence for Women’s Health, 1999
This multi-level study into the experience of mental health care for women in BC ranges in scope from the voices of consumers to policy makers and includes recommendations for change throughout the system.
Colleen Fuller, 1999
This paper places BC’s health system reform in a national context and points out the information gaps and inadequacies concerning issues affecting women users and workers in the system.
Shirley Masuda, 1999
This report details the results of a study about how women with disabilities experience being healthy and the structural barriers they face in achieving health.
