Province of British Columbia
40th Parliament – 2016
Select Standing Committee on Health
INDEX

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100 Mile House, B.C.

Physician recruitment (Richmond, A.) 30:1715

Accountants

Credentialling of foreign-trained accountants (Vohora, P.) 30:1515
Acupuncturists and traditional Chinese medicine practitioners

Concepts of traditional Chinese medicine (Ranallo, J.) 30:1530-1550
Services and role in addiction recovery See Recovery and support systems under Substance abuse and addiction
Addiction See Substance abuse and addiction; Mental illness and addiction under Mental health
Alcoholics Anonymous

12-step programs See Recovery and support systems under Substance abuse and addiction
Organization (Bushfield, I.) 30:1400
American Psychiatric Association

Classification and diagnostic manual See Diagnostic and Statistical Manual of Mental Disorders
American Society of Addiction Medicine

Levels-of-care system (Hildebrand, L.) 30:1045-1100 (Robinson) 30:1055
Apotex Inc. See also West, Heather

Presentation to committee 30:1425-1445
Generic drug substitution and iPharmacist initiatives (West, H.) 30:1430-1435, 30:1445
Operations (West, H.) 30:1425-1430
Position on generic drug use and cost coverage programs (Darcy) 30:1445 (West, H.) 30:1445
ASAM See American Society of Addiction Medicine
Association of Traditional Chinese Medicine and Acupuncture Practitioners See also Ranallo, Joseph

Presentation to committee 30:1530-1555
Members and role (Ranallo, J.) 30:1530, 30:1550-1555 (Robinson) 30:1555
Presentations to committee (Plecas) 30:1550-1555 (Ranallo, J.) 30:1555
Recommendations to committee (Ranallo, J.) 30:1550
ATCMA See Association of Traditional Chinese Medicine and Acupuncture Practitioners

Baker, Ray

Presentation to committee 30:1115-1140
As subject
experience with addiction and recovery 30:1120-1125
professional background 30:1115-1120
Brain and neurological health, dopamine and role in health conditions 30:1120
Cardiovascular health, public education and outcomes 30:1140
Health care system
change, barriers to change 30:1135
health professionals, training in addictions 30:1130
Mental illness and addiction
costs to health care system 30:1125
relationship 30:1140
Physicians
physician health program 30:1120, 30:1135
physicians with addictions, treatment and recovery 30:1120
role in health care system 30:1135-1140
training in addictions 30:1115
Primary health care, interdisciplinary teams and community care 30:1130
Substance abuse and addiction
impact on health care system 30:1125
incidence and description 30:1120-1125
management as chronic disease 30:1120, 30:1130-1135
recovery and support systems, advocacy and public education 30:1130-1140
recovery and support systems, recovery-based system of care 30:1115-1140
treatment services
costs and outcomes 30:1125, 30:1135
services at community health centres 26:1130
substitution therapy 30:1120
UBC medical program, addiction curriculum 30:1115
Berner, David

Presentation to committee on behalf of Drug Prevention Network of Canada 30:1325-1400
Drug Prevention Network of Canada, recommendations to committee 30:1330-1340
Health authorities, management of addiction treatment and recovery programs 30:1330-1335
Justice system, drug courts 30:1355
Mental health, mental illness and addiction, relationship and treatment 30:1340
Substance abuse and addiction
causal factors, social issues and childhood trauma 30:1350
public education and information on addiction treatment and recovery 30:1335-1340
recovery and support systems
funding 30:1355-1400
phases of recovery 30:1330-1335
programs and providers 30:1330
supports 30:1350-1400
recovery houses 30:1330
treatment services, long-term treatment and follow-up care 30:1345-1350
Bing, Doug (Maple Ridge–Pitt Meadows)

College of Physicians and Surgeons of B.C., position on foreign-trained physicians 30:1520-1525
Drugs, prescription drugs, generic and brand-name drug marketing approvals 30:1440
Edgewood Addiction Treatment Centre, cost of services and outcomes 30:1100
Medical Services Plan coverage, optometry services 30:1655
Mental health, mental illness and addiction, relationship 30:1350
Optometrists, billing and payment models 30:1655
Pacific Blue Cross, coverage of addiction treatment 30:1200
Physicians
complaints about physicians 30:1525
credentialling of foreign-trained physicians 30:1520-1525
supply and training, public interest 30:1520-1525
Substance abuse and addiction
causal factors, psychosocial issues and childhood trauma 30:1350
treatment services
access and barriers 30:1200
costs and outcomes 30:1100
duration of treatment 30:1100
private services 30:1100
Bishop, Cameron

Presentation to committee on behalf of Indivior Canada Ltd. 30:1145-1210
Drugs, Suboxone 30:1145-1155
Indivior Canada Ltd.
operations 30:1145
recommendations to committee 30:1150
Pacific Blue Cross, coverage of addiction treatment 30:1155-1200
Physicians
payment rates for addiction treatment 30:1155
training in addictions 30:1155
Public health emergency re addiction treatment and overdose deaths 30:1200
St. Paul's Hospital, Vancouver, B.C. Centre for Excellence in HIV/AIDS, report on opioid addiction treatment 30:1150
Substance abuse and addiction
costs to society 30:1150, 30:1205
maintenance therapy programs 30:1145, 30:1205
opiates and opioids 30:1145
opiates and opioids, substitution treatment 30:1145-1155
recovery and support systems
interagency collaboration and follow-up care 30:1155
psychosocial supports 30:1155
role of medications in recovery 30:1205-1210
supports and social conditions 30:1210
treatment services, access and barriers 30:1150-1200
treatment services, user fees 30:1155
Brain and neurological health

Addiction damage See Impact on brain health under Substance abuse and addiction
Dopamine, role in health conditions (Baker, R.) 30:1120
British Columbia

Population, religious beliefs and practice of religion (Bushfield, I.) 30:1405
B.C. Centre for Excellence in HIV/AIDS See St. Paul's Hospital, Vancouver, B.C.
B.C. Doctors of Optometry

Presentation to committee 30:1630-1655
British Columbia Human Rights Tribunal

Case re accommodation of religious beliefs in addiction treatment (Wood, B.) 30:1410
British Columbia Humanist Association See also Bushfield, Ian; Wood, Byron

Presentation to committee 30:1400-1420
Organization (Bushfield, I.) 30:1400
Bushfield, Ian

Presentation to committee on behalf of B.C. Humanist Association 30:1400-1420
Alcoholics Anonymous 30:1400
B.C.
population, religious beliefs and practice of religion 30:1405
B.C. Humanist Association, organization 30:1400
Religion, religious freedom and right to atheism 30:1400-1405, 30:1420
Substance abuse and addiction
causal factors, historical religious view 30:1400
public information, treatment options on government website 30:1405, 30:1415-1420
recovery and support systems, 12-step programs 30:1400-1420
recovery and support systems, religious approach and access to secular programs 30:1400-1420
treatment services, religion-based and secular treatment programs and facilities 30:1410-1420

A Call for Evidence-based Medical Treatment of Opioid Dependence See B.C. Centre for Excellence in HIV/AIDS, report under St. Paul's Hospital, Vancouver, B.C.
Canadian Mental Health Association

B.C. division See also Gutray, Beverley; Keith, Barb; Morris, Jonathan
presentation to committee 30:1005-1035
recommendations to committee (Gutray, B.) 30:1020-1025
summary of presentation to committee (Keith, B.) 30:1010
Bounce Back coaching program (Morris, J.) 30:1030
Education course on addictions (Gutray, B.) 30:1025
Cardiovascular health

Public education, outcomes (Baker, R.) 30:1140
Centre for Excellence in HIV/AIDS See St. Paul's Hospital, Vancouver, B.C.
Children and youth

Health, eye health See Eye health
Chinese medicine practitioners See Acupuncturists and traditional Chinese medicine practitioners
College of Physicians and Surgeons of British Columbia

Position on foreign-trained physicians (Bing) 30:1520-1525 (Darcy) 30:1515 (Pawliuk, R.) 30:1525-1530
Cooksey, Jessica

Presentation to committee on behalf of Last Door Recovery Society 30:0940-1005
Health care funding model for addiction services 30:0950
Income assistance caseworkers, role in access to addiction treatment services 30:0945
Last Door Recovery Society
accreditation and staffing 30:0940
client recovery rates 30:1000
Mental health
mental illness and addiction, treatment services 30:0945
mental illness and addiction, youth treatment services and early intervention 30:1000-1005
programs and services, early psychosis intervention program 30:1000-1005
New Westminster, health care clinics and addiction services 30:0945
Public service employee and family assistance program, handling of addiction issues 30:0945
Substance abuse and addiction
impact on brain health, management and therapy 30:1000-1005
recovery and support systems, recovery goals 30:1000
recovery and support systems, supports 30:0955
treatment services
access and barriers 30:0945-0950
residential detox services 30:0945
user fee revenues 30:0950
youth services 30:0955-1000

Darcy, Judy (New Westminster)

As subject
referral of former employee to addictions treatment 30:1105
Apotex Inc., position on generic drug use and cost coverage programs 30:1445
College of Physicians and Surgeons of B.C., position on foreign-trained physicians 30:1515
Drugs, prescription drugs
coverage plans and national program proposal 30:1445
generic drug prices and cost management 30:1445
systems in other jurisdictions 30:1445
Edgewood Addiction Treatment Centre, referrals and coverage of costs 30:1105-1110
Health authorities, relationship with addiction services providers 30:1110
Health care facilities and hospitals, community health centres 30:1720
Health Committee
mandate 30:1715-1720
public consultation, focus of July 12 consultation meeting 30:0935
Last Door Recovery Society, work of organization 30:0950, 30:1005
Mental health, mental illness and addiction, incidence and treatment services 30:1030
Optometrists, scope of practice 30:1655
Physicians
credentialling and residencies for foreign-trained physicians 30:1515
role in health care system 30:1140
supply and training, residencies and supply 30:1515
women in profession 30:1520
Primary health care, community care model 30:1720
Ruddiman, Alan, position on foreign-trained physicians 30:1530
Rural B.C. health care, local decision-making and representation 30:1715-1720
Substance abuse and addiction, recovery and support systems
religious approach and access to secular programs 30:1420-1425
role of health care system and primary health care 30:1355
Substance abuse and addiction, treatment services
employee referrals and coverage 30:1105-1110
interdisciplinary teams and culturally sensitive care 30:1425
religion-based and secular treatment programs and facilities 30:1415
Diabetes

Management, eye health issues (Leekha, G.) 30:1645-1655
Diagnostic and Statistical Manual of Mental Disorders

Classification of addiction (Hildebrand, L.) 30:1045-1050, 30:1100
Doctors of B.C.

President See Ruddiman, Alan
Stepping Forward: Improving Addiction Care in British Columbia policy paper (Keith, B.) 30:1010
Stepping Forward: Improving Addiction Care in British Columbia policy paper, implementation of recommendations (Gutray, B.) 30:1020 (Morris, J.) 30:1035 (Robinson) 30:1035
Dopamine See Brain and neurological health
Doucette, Chuck

Presentation to committee on behalf of Drug Prevention Network of Canada 30:1325-1335, 30:1345, 30:1355-1400
Drug Prevention Network of Canada
organization 30:1325
recommendations to committee 30:1330-1335
Health care funding model for addiction treatment 30:1355
Mental health, mental illness and addiction, relationship and treatment 30:1345
Substance abuse and addiction
management as chronic disease 30:1325-1330
recovery and support systems
12-step programs 30:1400
funding 30:1400
phases of recovery 30:1330-1335
supports 30:1335, 30:1355-1400
treatment services
detox beds 30:1330
long-term treatment and follow-up care 30:1335, 30:1345, 30:1355
use of psychiatric medication 30:1345
Dovey, Tyler

Presentation to committee on behalf of Last Door Recovery Society 30:0950
As subject
experience with addiction and access to treatment services 30:0950
Substance abuse and addiction, treatment services, access and barriers 30:0950
Downtown Eastside See Vancouver, B.C.
Drug courts See Justice system
Drug Prevention Network of Canada See also Berner, David; Doucette, Chuck

Presentation to committee 30:1325-1400
Organization (Doucette, C.) 30:1325
Recommendations to committee (Berner, D.) 30:1330-1340 (Doucette, C.) 30:1330-1335
Drugs

Buprenorphine (Hildebrand, L.) 30:1105
Buprenorphine-naloxone See Suboxone below
Methadone See Methadone replacement therapy program under Substance abuse and addiction
Naloxone-buprenorphine See Suboxone below
Opiates and opioids, Fentanyl addiction See Substance abuse and addiction
Overdoses See Substance abuse and addiction
PharmaCare See PharmaCare program
Prescription drugs
access to eye medications and prescribing authority (Leekha, G.) 30:1640-1645
coverage plans and national program proposal (Darcy) 30:1445 (West, H.) 30:1440-1445
generic and brand-name drug marketing approvals (Bing) 30:1440 (West, H.) 30:1440-1445
generic drug prices and cost management (Darcy) 30:1445 (Plecas) 30:1435-1440 (Robinson) 30:1445 (West, H.) 30:1430-1445
prescribing standards and education (Farnan, P.) 30:1625
systems in other jurisdictions (Darcy) 30:1445 (Plecas) 30:1440 (Robinson) 30:1445 (West, H.) 30:1440-1445
Tecta (West, H.) 30:1430
Seroquel (Hildebrand, L.) 30:1105
Suboxone (Bishop, C.) 30:1145-1155 (Plecas) 30:1205-1210
DSM See Diagnostic and Statistical Manual of Mental Disorders

Edgewood Addiction Treatment Centre, Nanaimo, B.C. See also Hildebrand, Lorne

Presentation to committee 30:1040-1110
Cost of services and outcomes (Bing) 30:1100 (Hildebrand, L.) 30:1055-1100 (Plecas) 30:1055
First Nations program (Hildebrand, L.) 30:1055
Placement assessment tool (Hildebrand, L.) 30:1045-1050
Referrals and coverage of costs (Darcy) 30:1105-1110 (Hildebrand, L.) 30:1110
Services and approach to addictions treatment (Hildebrand, L.) 30:1040-1110 (Plecas) 30:1050-1055 (Robinson) 30:1055
Edgewood Health Network

Role (Hildebrand, L.) 30:1040
EFAP See Employee and family assistance program under Public service
Emergencies

First responders, training and resources (Richmond, A.) 30:1705
Employee and family assistance program See Public service
Eye health

Eye examinations, coverage by Medical Services Plan See Coverage, optometry services under Medical Services Plan
Eye examinations, diagnosis of conditions (Leekha, G.) 30:1635
Eye health care (Leekha, G.) 30:1635
Eye health care, integration into primary care (Leekha, G.) 30:1650 (Robinson) 30:1650-1655
Eye health issues, incidence and needs (Leekha, G.) 30:1645 (Plecas) 30:1645
Eye health of children, a-b-See program (Leekha, G.) 30:1635
Impaired vision See Visual impairment below
Optometrists See Optometrists
Services and access (Leekha, G.) 30:1635-1650 (Plecas) 30:1650
Visual impairment and vision loss, costs (Leekha, G.) 30:1635-1640
Visual impairment and vision loss, risk due to diabetes See Management, eye health issues under Diabetes

Farnan, Paul

Presentation to committee 30:1600-1630
As subject
work in addiction medicine 30:1600
Drugs, prescribing standards and education 30:1625
Mental health, mental illness and addiction, treatment services 30:1610
Occupational health and safety, addiction awareness and intervention 30:1600, 30:1620
Physicians
physician health program for physicians with addictions 30:1615-1620
training in addictions 30:1600, 30:1620-1630
Substance abuse and addiction
diagnosis 30:1600, 30:1620
management as chronic disease 30:1605-1615
recovery and support systems
link to primary and acute health care systems 30:1600, 30:1610, 30:1625-1630
psychosocial supports 30:1610
recovery-based system of care 30:1605-1630
stigma 30:1630
treatment services
consent issue 30:1610
detox and withdrawal management 30:1620
early intervention 30:1600-1605, 30:1625
UBC medical program, addiction curriculum 30:1625
Fentanyl See Opiates and opioids under Substance abuse and addiction
First Nations

Addiction treatment services See Treatment services under Substance abuse and addiction

Ganci, Giuseppe

Presentation to committee on behalf of Last Door Recovery Society 30:0935-0940, 30:0950-1005
Last Door Recovery Society
client recovery rates and study 30:1000
operations and treatment facility 30:0935, 30:1000-1005
Public health, harm reduction and access to treatment services 30:0950
Substance abuse and addiction
impact on brain health, management and therapy 30:1000
recovery and support systems 30:0950-0955
definition of "recovery" 30:1005
family inclusion 30:0935
stigma 30:0950
treatment services, access and barriers 30:0950
treatment services, long-term treatment 30:0935, 30:1000-1005
Vancouver Pride Day festival, clean and sober space 30:0950
Generic drugs See Prescription drugs under Drugs
Gutray, Beverley

Presentation to committee on behalf of Canadian Mental Health Association, B.C. division 30:1020-1025
Canadian Mental Health Association
B.C. division, recommendations to committee 30:1020-1025
education course on addictions 30:1025
Doctors of B.C., Stepping Forward: Improving Addiction Care in British Columbia policy paper, implementation of recommendations 30:1020
Primary health care, primary care homes and collaborative care model for addictions 30:1020-1025
Public health, public education on mental health and addiction recovery 30:1025
Substance abuse and addiction
overdose deaths 30:1020
recovery and support systems, link to primary health care system 30:1020-1025
stigma 30:1025

Harm reduction See Public health
Health

Eye health See Eye health
Health authorities

Accountability and relationship with communities (Richmond, A.) 30:1720
Management of addiction treatment and recovery programs (Berner, D.) 30:1330-1335
Relationship with addiction services providers (Darcy) 30:1110 (Hildebrand, L.) 30:1110
Health care facilities and hospitals

Community health centres (Darcy) 30:1720 (Richmond, A.) 30:1720
Health care funding

Emergency medical assistants education fund (Richmond, A.) 30:1700-1705
Funding model for addiction services and treatment (Cooksey, J.) 30:0950 (Doucette, C.) 30:1355
Health care system

Change, barriers to change (Baker, R.) 30:1135
Chronic disease management, substance abuse and addiction See Management as chronic disease under Substance abuse and addiction
Emergency services, medical assistants education fund See Health care funding
Emergency services, use related to substance use (Keith, B.) 30:1015
Health professionals, training in addictions (Baker, R.) 30:1130
System, sustainability (Richmond, A.) 30:1700
Telehealth (Leekha, G.) 30:1640-1650
Health, Select Standing Committee on

Mandate (Darcy) 30:1715-1720
Presentations to committee (Robinson) 30:1710-1715
Public consultation, focus of July 12 consultation meeting (Darcy) 30:0935
Heart health See Cardiovascular health
Hildebrand, Lorne

Presentation to committee on behalf of Edgewood Addiction Treatment Centre 30:1040-1110
American Society of Addiction Medicine, levels-of-care system 30:1045-1100
Diagnostic and Statistical Manual of Mental Disorders, classification of addiction 30:1045-1050, 30:1100
Drugs, buprenorphine and Seroquel 30:1105
Edgewood Addiction Treatment Centre
cost of services and outcomes 30:1055-1100
First Nations program 30:1055
placement assessment tool 30:1045-1050
referrals and coverage of costs 30:1110
services and approach to addictions treatment 30:1040-1110
Edgewood Health Network 30:1040
Health authorities, relationship with addiction services providers 30:1110
Homewood Health Centre, addiction treatment services 30:1110
Medical Services Plan, coverage of addiction services 30:1110
Physicians
physicians with addictions, treatment and recovery 30:1050
training in addictions 30:1110
Substance abuse and addiction
continuum of addiction severity 30:1040-1045
fentanyl 30:1050
management as chronic disease 30:1040-1055
opiates and opioids 30:1105
prescription drugs, controlled reduction in use 30:1105
recovery and support systems 30:1050-1055
therapeutic communities 30:1040
treatment services
costs and outcomes 30:1055-1105
duration of treatment 30:1100
employee referrals and coverage 30:1110
levels of care and assessment for placement 30:1045-1105
national program 30:1040
private services 30:1100, 30:1110
research 30:1055-1100
services for First Nations people 30:1055
substitution therapy 30:1050, 30:1105
toolkits for service providers 30:1045-1050
U.S., addictions counsellors, credentialling 30:1100
Vancouver, Downtown Eastside, addicted persons and treatment 30:1055
Homewood Health Centre, Guelph, Ontario

Addiction treatment program and services (Hildebrand, L.) 30:1110 (Wood, B.) 30:1405-1410
Human rights

Freedom of religion See Religion

Immigration

Credentialling of foreign-trained physicians See Physicians
Income assistance

Caseworkers, role in access to addiction treatment services (Cooksey, J.) 30:0945
Indivior Canada Ltd. See also Bishop, Cameron

Presentation to committee 30:1145-1210
Operations (Bishop, C.) 30:1145
Recommendations to committee (Bishop, C.) 30:1150
Interior Health Authority

Physician recruitment resources (Richmond, A.) 30:1715

Justice system

Drug courts (Berner, D.) 30:1355

Keith, Barb

Presentation to committee on behalf of Canadian Mental Health Association, B.C. division 30:1005-1020, 30:1030
As subject
experience in mental health and addictions work 30:1010
Canadian Mental Health Association, B.C. division, summary of presentation to committee 30:1010
Doctors of B.C., Stepping Forward: Improving Addiction Care in British Columbia policy paper 30:1010
Health care system, emergency services, use related to substance use 30:1015
Mental health, mental illness and addiction, relationship and role in criminal behaviour 30:1015
Substance abuse and addiction
impact on brain health, management and therapy 30:1030
maintenance therapy programs 30:1030
management as chronic disease 30:1010-1015, 30:1030
overdose deaths 30:1010
treatment services, access and barriers 30:1020
treatment services, early intervention 30:1015

Last Door Recovery Society See also Cooksey, Jessica; Dovey, Tyler; Ganci, Giuseppe; Marks, Daniel

Presentation to committee 30:0935-1005
Accreditation and staffing (Cooksey, J.) 30:0940
Client recovery rates (Cooksey, J.) 30:1000 (Plecas) 30:1000
Client recovery rates and study (Ganci, G.) 30:1000
Operations and treatment facility (Ganci, G.) 30:0935, 30:1000-1005 (Marks, D.) 30:1000
Work of organization (Darcy) 30:0950, 30:1005
Leekha, Gurpreet

Presentation to committee on behalf of B.C. Doctors of Optometry 30:1630-1655
Diabetes management, eye health issues 30:1645-1655
Drugs, prescription drugs, access to eye medications and prescribing authority 30:1640-1645
Eye health
eye examinations, diagnosis of conditions 30:1635
eye health care 30:1635
eye health issues, incidence and needs 30:1645
eye health of children, a-b-See program 30:1635
services and access 30:1635-1650
visual impairment and vision loss, costs 30:1635-1640
Health care system, telehealth 30:1640-1650
Medical Services Plan coverage, optometry services 30:1655
Optometrists
billing and payment models 30:1655
profession and role 30:1630-1635
role in primary health care 30:1650-1655
scope of practice 30:1640-1650
Primary health care, interdisciplinary teams 30:1650-1655
Seniors, falls prevention, role of vision care 30:1635

Marks, Daniel

Presentation to committee on behalf of Last Door Recovery Society 30:0940-0945, 30:0955-1000
Last Door Recovery Society, operations 30:1000
Substance abuse and addiction
maintenance therapy programs and alternatives 30:0940
recovery and support systems, family inclusion and programs 30:0945, 30:0955
recovery and support systems, supports 30:0955-1000
treatment services
access and barriers 30:0940-0945
services for middle-income persons 30:0940-0945
vision 30:0940
Medical Services Plan

Coverage, addiction services (Hildebrand, L.) 30:1110
Coverage, optometry services (Bing) 30:1655 (Leekha, G.) 30:1655
Mental health

Mental illness and addiction
costs to health care system (Baker, R.) 30:1125
incidence and treatment services (Darcy) 30:1030 (Morris, J.) 30:1030-1035
relationship (Baker, R.) 30:1140 (Bing) 30:1350 (Robinson) 30:1140
relationship and role in criminal behaviour (Keith, B.) 30:1015 (Richmond, A.) 30:1710
relationship and treatment (Berner, D.) 30:1340 (Doucette, C.) 30:1345 (Plecas) 30:1340
treatment services (Cooksey, J.) 30:0945
youth treatment services and early intervention (Cooksey, J.) 30:1000-1005
Programs and services, early psychosis intervention program (Cooksey, J.) 30:1000-1005
Morris, Jonathan

Presentation to committee on behalf of Canadian Mental Health Association, B.C. division 30:1030-1035
Canadian Mental Health Association, Bounce Back coaching program 30:1030
Doctors of B.C., Stepping Forward: Improving Addiction Care in British Columbia policy paper, implementation of recommendations 30:1035
Mental health, mental illness and addiction, incidence and treatment services 30:1030-1035
Substance abuse and addiction
management as chronic disease 30:1035
treatment services, access and barriers 30:1035
treatment services, early intervention 30:1030

Neurological health See Brain and neurological health
New Westminster, B.C.

Health care clinics and addiction services (Cooksey, J.) 30:0945
Nurses

Nurse practitioners (Richmond, A.) 30:1710

Occupational health and safety

Addiction awareness and intervention (Farnan, P.) 30:1600, 30:1620
Opiates and opioids See Substance abuse and addiction
Optometrists

Billing and payment models (Bing) 30:1655 (Leekha, G.) 30:1655
Profession and role (Leekha, G.) 30:1630-1635
Role in primary health care (Leekha, G.) 30:1650-1655 (Robinson) 30:1650
Scope of practice (Darcy) 30:1655 (Leekha, G.) 30:1640-1650 (Plecas) 30:1650

Pacific Blue Cross

Coverage of addiction treatment (Bing) 30:1200 (Bishop, C.) 30:1155-1200
Paramedics

Community paramedicine (Richmond, A.) 30:1705
Supply and training
training fund See Emergency medical assistants education fund under Health care funding
Pawliuk, Rosemary

Presentation to committee on behalf of Society for Canadians Studying Medicine Abroad 30:1510-1530
As subject
daughter's experience with medical training (Vohora, P.) 30:1455
College of Physicians and Surgeons of B.C., position on foreign-trained physicians 30:1525-1530
Physicians
complaints about physicians 30:1525-1530
credentialling and residencies for foreign-trained physicians 30:1510-1530
supply and training
public interest 30:1525-1530
residencies and costs to health system 30:1510-1530
residencies paid for by foreign visa students 30:1525-1530
women in profession 30:1520
Pharmacists

Information resources and support (West, H.) 30:1430-1435
PHP See Physician health program under Physicians
Physicians

Complaints about physicians (Bing) 30:1525 (Pawliuk, R.) 30:1525-1530
Credentialling and residencies for foreign-trained physicians (Bing) 30:1520-1525 (Darcy) 30:1515 (Pawliuk, R.) 30:1510-1530 (Vohora, P.) 30:1455, 30:1505-1525
Payment rates for addiction treatment (Bishop, C.) 30:1155
Physician assistants (Richmond, A.) 30:1705
Physician health program for physicians with addictions (Baker, R.) 30:1120, 30:1135 (Farnan, P.) 30:1615-1620
Physicians with addictions, treatment and recovery (Baker, R.) 30:1120 (Hildebrand, L.) 30:1050
Prescribing practices See Prescription drugs, prescribing standards under Drugs
Role in health care system (Baker, R.) 30:1135-1140 (Darcy) 30:1140
Supply and training
credentialling of foreign-trained physicians See Credentialling above
public interest (Bing) 30:1520-1525 (Pawliuk, R.) 30:1525-1530 (Vohora, P.) 30:1525
residencies and costs to health system (Pawliuk, R.) 30:1510-1530
residencies and supply (Darcy) 30:1515 (Vohora, P.) 30:1455-1520
residencies paid for by foreign visa students (Pawliuk, R.) 30:1525-1530
supply and training (Richmond, A.) 30:1715
training in addictions (Baker, R.) 30:1115 (Bishop, C.) 30:1155 (Farnan, P.) 30:1600, 30:1620-1630 (Hildebrand, L.) 30:1110
Women in profession (Darcy) 30:1520 (Pawliuk, R.) 30:1520
Plecas, Darryl (Abbotsford South)

Association of Traditional Chinese Medicine and Acupuncture Practitioners, presentations to committee 30:1550-1555
Drugs
prescription drug systems in other jurisdictions 30:1440
prescription drugs, generic drug prices and cost management 30:1435-1440
Suboxone 30:1205-1210
Edgewood Addiction Treatment Centre
cost of services and outcomes 30:1055
services and approach to addictions treatment 30:1050-1055
Eye health
eye health issues, incidence and needs 30:1645
services and access 30:1650
Last Door Recovery Society, client recovery rates 30:1000
Mental health, mental illness and addiction, relationship and treatment 30:1340
Optometrists, scope of practice 30:1650
Public health, harm reduction 30:1055
Substance abuse and addiction
maintenance therapy programs 30:1205-1210
public information, treatment options on government website 30:1415-1420
recovery and support systems
advocacy and public education 30:1135
recovery 30:1000
recovery-based system of care 30:1050, 30:1135
religious approach and access to secular programs 30:1415-1420
role of medications in recovery 30:1205-1210
role of traditional Chinese medicine and acupuncture 30:1555
treatment services
costs and outcomes 30:1055
outcomes 30:1135, 30:1555
Vancouver
Downtown Eastside, addicted persons and treatment 30:1055
Prescription drugs See Drugs
Pride festival See Vancouver, B.C.
Primary health care

Community care model (Darcy) 30:1720 (Richmond, A.) 30:1720
Community health centres See Health care facilities and hospitals
Interdisciplinary teams (Leekha, G.) 30:1650-1655 (Richmond, A.) 30:1700-1705 (Robinson) 30:1650
Interdisciplinary teams and community care (Baker, R.) 30:1130
Primary care homes and collaborative care model for addictions (Gutray, B.) 30:1020-1025
Psychotherapists and counsellors

Addictions counselling See Recovery and support systems and Treatment services under Substance abuse and addiction
Counsellors for public service employees Se Employee and family assistance program under Public service
Public health

Harm reduction (Plecas) 30:1055
Harm reduction and access to treatment services (Ganci, G.) 30:0950
Public education on mental health and addiction recovery (Gutray, B.) 30:1025
Public health emergency re addiction treatment and overdose deaths See also Overdoses and overdose deaths under Substance abuse and addiction
(Bishop, C.) 30:1200
Public sector

Employees, access to secular programs for mandated addiction treatment (Wood, B.) 30:1405-1410
Public service

Employee and family assistance program, handling of addiction issues (Cooksey, J.) 30:0945
Medical benefits, extended health care coverage See Pacific Blue Cross

Quebec

Generic drug substitution program (Robinson) 30:1445 (West, H.) 30:1430, 30:1445
Quesnel, B.C.

Primary health care clinic and physician retention (Richmond, A.) 30:1720

Ranallo, Joseph

Presentation to committee on behalf of Association of Traditional Chinese Medicine and Acupuncture Practitioners 30:1530-1555
Acupuncturists and traditional Chinese medicine practitioners
concepts of traditional Chinese medicine 30:1530-1550
Association of Traditional Chinese Medicine and Acupuncture Practitioners
members and role 30:1530, 30:1550-1555
presentations to committee 30:1555
recommendations to committee 30:1550
Substance abuse and addiction
recovery, role of traditional Chinese medicine and acupuncture 30:1545-1555
treatment services, outcomes 30:1555
Tobacco, smoking cessation programs, outcomes 30:1555
Recovery and support systems See Substance abuse and addiction
Religion

Practice in B.C. See Population under British Columbia
Religious freedom (Bushfield, I.) 30:1420
Religious freedom and right to atheism (Bushfield, I.) 30:1400-1405
Resident physicians See Supply and training under Physicians
Richmond, Al

Presentation to committee on behalf of Union of B.C.Municipalities 30:1655-1720
100 Mile House, physician recruitment 30:1715
Emergencies, first responders, training and resources 30:1705
Health authorities, accountability and relationship with communities 30:1720
Health care facilities and hospitals, community health centres 30:1720
Health care funding, emergency medical assistants education fund 30:1700-1705
Health care system, sustainability 30:1700
Interior Health Authority, physician recruitment resources 30:1715
Mental health, mental illness and addiction, relationship and role in criminal behaviour 30:1710
Nurse practitioners 30:1710
Paramedics, community paramedicine 30:1705
Physicians
physician assistants 30:1705
supply and training 30:1715
Primary health care
community care model 30:1720
interdisciplinary teams 30:1700-1705
Quesnel, primary health care clinic and physician retention 30:1720
Rural B.C. health care
health professionals, recruitment and retention 30:1700-1715
local decision-making and representation 30:1710-1720
maternity and surgical services 30:1700
physician supply and training 30:1700, 30:1715
services 30:1700-1720
Substance abuse and addiction, treatment services, early intervention 30:1710
Union of B.C. Municipalities
healthy communities committee 30:1700, 30:1710
role 30:1700
Robinson, Selina (Coquitlam-Maillardville)

As subject
family member's treatment for addiction 30:1055
American Society of Addiction Medicine, levels-of-care system 30:1055
Association of Traditional Chinese Medicine and Acupuncture Practitioners, members and role 30:1555
Doctors of B.C. policy paper, Stepping Forward: Improving Addiction Care in British Columbia, implementation of recommendations 30:1035
Drugs, prescription drugs
generic drug prices and cost management 30:1445
systems in other jurisdictions 30:1445
Edgewood Addiction Treatment Centre, services and approach to addictions treatment 30:1055
Eye health
eye health care, integration into primary care 30:1650-1655
Health Committee, presentations to committee 30:1710-1715
Mental health, mental illness and addiction, relationship 30:1140
Optometrists, role in primary health care 30:1650
Primary health care, interdisciplinary teams 30:1650
Quebec, generic drug substitution program 30:1445
Rural B.C. health care
local decision-making and representation 30:1715
pharmacy services 30:1445
services, interdisciplinary teams 30:1715
Substance abuse and addiction
public information, treatment options on government website 30:1410-1415
recovery and support systems 30:0955
religious approach and access to secular programs 30:1410-1415
treatment services
interdisciplinary teams 30:1345
levels of care and assessment for placement 30:1055
long-term treatment and follow-up care 30:1345
religion-based and secular treatment programs and facilities 30:1410-1415
research 30:1055
services for middle-income persons 30:0955
youth services 30:0955
Ruddiman, Alan

As subject
position on foreign-trained physicians (Darcy) 30:1530
Rural B.C. health care

Health professionals
recruitment and retention (Richmond, A.) 30:1700-1715
Local decision-making (Vohora, P.) 30:1505-1510
Local decision-making and representation (Darcy) 30:1715-1720 (Richmond, A.) 30:1710-1720 (Robinson) 30:1715
Maternity and surgical services (Richmond, A.) 30:1700
Pharmacy services (Robinson) 30:1445 (West, H.) 30:1435, 30:1445
Physician supply
foreign-trained physicians (Vohora, P.) 30:1500-1510
residency programs (Vohora, P.) 30:1510
supply and training (Richmond, A.) 30:1700, 30:1715 (Vohora, P.) 30:1455-1510, 30:1525
Services
interdisciplinary teams (Robinson) 30:1715
services (Richmond, A.) 30:1700-1720

St. Paul's Hospital, Vancouver, B.C.

B.C. Centre for Excellence in HIV/AIDS, report on opioid addiction treatment (Bishop, C.) 30:1150
Seniors

Falls prevention, role of vision care (Leekha, G.) 30:1635
Smoking See Tobacco
Society for Canadians Studying Medicine Abroad See also Pawliuk, Rosemary; Vohora, Praveen

Presentation to committee 30:1455-1530
Recommendations to committee (Vohora, P.) 30:1505-1510
Role (Vohora, P.) 30:1455
Stepping Forward: Improving Addiction Care in British Columbia See Doctors of B.C.
Suboxone See Drugs
Substance abuse and addiction

Awareness, training for physicians See Supply and training under Physicians
Causal factors, historical religious view (Bushfield, I.) 30:1400
Causal factors, psychosocial issues and childhood trauma (Berner, D.) 30:1350 (Bing) 30:1350
Continuum of addiction severity (Hildebrand, L.) 30:1040-1045
Costs to society (Bishop, C.) 30:1150, 30:1205
Diagnosis (Farnan, P.) 30:1600, 30:1620
Dual diagnosis See Relationship to other conditions below; Mental illness and addiction under Mental health
Fentanyl (Hildebrand, L.) 30:1050
Fentanyl overdoses See Overdoses and overdose deaths below
Harm reduction See Public health
Impact on brain health, management and therapy (Cooksey, J.) 30:1000-1005 (Ganci, G.) 30:1000 (Keith, B.) 30:1030 (Sullivan) 30:1000
Impact on health care system (Baker, R.) 30:1125
Incidence and description (Baker, R.) 30:1120-1125
Maintenance therapy programs See also Opiates and opioids, substitution treatment below
(Bishop, C.) 30:1145, 30:1205 (Keith, B.) 30:1030 (Plecas) 30:1205-1210
Maintenance therapy programs and alternatives (Marks, D.) 30:0940
Management as chronic disease (Baker, R.) 30:1120, 30:1130-1135 (Doucette, C.) 30:1325-1330 (Farnan, P.) 30:1605-1615 (Hildebrand, L.) 30:1040-1055 (Keith, B.) 30:1010-1015, 30:1030 (Morris, J.) 30:1035 (Sullivan) 30:1025-1030
Multiple diagnosis See Mental illness and addiction under Mental health
Opiates and opioids (Bishop, C.) 30:1145 (Hildebrand, L.) 30:1105 (Sullivan) 30:1100-1105
Opiates and opioids, overdoses See Overdoses and overdose deaths below
Opiates and opioids, substitution treatment (Bishop, C.) 30:1145-1155
Overdoses and overdose deaths (Gutray, B.) 30:1020 (Keith, B.) 30:1010
Prescription drug addiction, controlled reduction in use (Hildebrand, L.) 30:1105 (Sullivan) 30:1105
Public education See Public health
Public education and information on addiction treatment and recovery (Berner, D.) 30:1335-1340
Public information, treatment options on government website (Bushfield, I.) 30:1405, 30:1415-1420 (Plecas) 30:1415-1420 (Robinson) 30:1410-1415
Recovery and support systems
12-step programs (Bushfield, I.) 30:1400-1420 (Doucette, C.) 30:1400 (Wood, B.) 30:1405-1410
advocacy and public education (Baker, R.) 30:1130-1140 (Plecas) 30:1135
definition of recovery (Ganci, G.) 30:1005 (Sullivan) 30:1100
family inclusion and programs (Ganci, G.) 30:0935 (Marks, D.) 30:0945, 30:0955
funding (Berner, D.) 30:1355-1400 (Doucette, C.) 30:1400
interagency collaboration and follow-up care (Bishop, C.) 30:1155
link to primary and acute health care systems (Farnan, P.) 30:1600, 30:1610, 30:1625-1630
link to primary health care system (Gutray, B.) 30:1020-1025
phases of recovery (Berner, D.) 30:1330-1335 (Doucette, C.) 30:1330-1335
programs and providers (Berner, D.) 30:1330
psychosocial supports (Bishop, C.) 30:1155 (Farnan, P.) 30:1610
recovery (Plecas) 30:1000
recovery goals (Cooksey, J.) 30:1000
recovery-based system of care (Baker, R.) 30:1115-1140 (Farnan, P.) 30:1605-1630 (Hildebrand, L.) 30:1050-1055 (Plecas) 30:1050, 30:1135
religious approach See also 12-step programs above
religious approach and access to secular programs (Bushfield, I.) 30:1400-1420 (Darcy) 30:1420-1425 (Plecas) 30:1415-1420 (Robinson) 30:1410-1415 (Wood, B.) 30:1405-1410
role of health care system and primary health care (Darcy) 30:1355
role of medications in recovery (Bishop, C.) 30:1205-1210 (Plecas) 30:1205-1210
role of religious beliefs See religious approach above
role of traditional Chinese medicine and acupuncture (Plecas) 30:1555 (Ranallo, J.) 30:1545-1555
support networks in communities (Hildebrand, L.) 30:1055
supports (Berner, D.) 30:1350-1400 (Cooksey, J.) 30:0955 (Doucette, C.) 30:1335, 30:1355-1400 (Ganci, G.) 30:0950-0955 (Marks, D.) 30:0955-1000 (Robinson) 30:0955
supports and social conditions (Bishop, C.) 30:1210
Recovery houses (Berner, D.) 30:1330
Relationship to mental illness See Mental illness and addiction under Mental health
Relationship to other conditions See Mental illness and addiction under Mental health
Stigma (Farnan, P.) 30:1630 (Ganci, G.) 30:0950 (Gutray, B.) 30:1025
Therapeutic communities (Hildebrand, L.) 30:1040
Treatment funding model See Health care funding
Treatment services
access and barriers (Bing) 30:1200 (Bishop, C.) 30:1150-1200 (Cooksey, J.) 30:0945-0950 (Dovey, T.) 30:0950 (Ganci, G.) 30:0950 (Keith, B.) 30:1020 (Marks, D.) 30:0940-0945 (Morris, J.) 30:1035
consent issue (Farnan, P.) 30:1610
costs and outcomes (Baker, R.) 30:1125, 30:1135 (Bing) 30:1100 (Hildebrand, L.) 30:1055-1105 (Plecas) 30:1055
detox and withdrawal management (Farnan, P.) 30:1620
detox beds (Doucette, C.) 30:1330
duration of treatment (Bing) 30:1100 (Hildebrand, L.) 30:1100
early intervention (Farnan, P.) 30:1600-1605, 30:1625 (Keith, B.) 30:1015 (Morris, J.) 30:1030 (Richmond, A.) 30:1710
employee referrals and coverage (Darcy) 30:1105-1110 (Hildebrand, L.) 30:1110
interdisciplinary teams (Robinson) 30:1345
interdisciplinary teams and culturally sensitive care (Darcy) 30:1425
levels of care and assessment for placement (Hildebrand, L.) 30:1045-1105 (Robinson) 30:1055 (Sullivan) 30:1100
long-term treatment (Doucette, C.) 30:1355 (Ganci, G.) 30:0935, 30:1000-1005
long-term treatment and follow-up care (Berner, D.) 30:1345-1350 (Doucette, C.) 30:1335, 30:1345 (Robinson) 30:1345
medication-assisted treatment See Maintenance therapy programs above
national program (Hildebrand, L.) 30:1040
outcomes (Plecas) 30:1135, 30:1555 (Ranallo, J.) 30:1555 (Sullivan) 30:1100
private services (Bing) 30:1100 (Hildebrand, L.) 30:1100, 30:1110
religion-based and secular treatment programs and facilities (Bushfield, I.) 30:1410-1420 (Darcy) 30:1415 (Robinson) 30:1410-1415 (Wood, B.) 30:1415
research (Hildebrand, L.) 30:1055-1100 (Robinson) 30:1055
residential detox services (Cooksey, J.) 30:0945
services at community health centres (Baker, R.) 26:1130
services for middle-income persons (Marks, D.) 30:0940-0945 (Robinson) 30:0955
substitution therapy See also Maintenance therapy programs above; Opiates and opioids above
(Baker, R.) 30:1120 (Hildebrand, L.) 30:1050, 30:1105 (Sullivan) 30:1100
tiered system See access and barriers above
toolkits for service providers (Hildebrand, L.) 30:1045-1050
use of psychiatric medication (Doucette, C.) 30:1345
user fee revenues (Cooksey, J.) 30:0950
user fees (Bishop, C.) 30:1155
vision (Marks, D.) 30:0940
youth services (Cooksey, J.) 30:0955-1000 (Robinson) 30:0955
Treatment services for First Nations people
services (Hildebrand, L.) 30:1055
Substitution therapy See Maintenance therapy programs under Substance abuse and addiction; Treatment services under Substance abuse and addiction
Sullivan, Sam (Vancouver–False Creek)

Substance abuse and addiction
impact on brain health, management and therapy 30:1000
management as chronic disease 30:1025-1030
opiates and opioids 30:1100-1105
prescription drugs, controlled reduction in use 30:1105
recovery and support systems, definition of recovery 30:1100
treatment services
levels of care and assessment for placement 30:1100
outcomes 30:1100
substitution therapy 30:1100

TCM See Acupuncturists and traditional Chinese medicine practitioners
Tecta See Prescription drugs under Drugs
Therapeutic communities See Substance abuse and addiction
Tobacco

Smoking cessation programs, outcomes (Ranallo, J.) 30:1555
Traditional Chinese Medicine Association See Association of Traditional Chinese Medicine and Acupuncture Practitioners
Traditional Chinese medicine practitioners See Acupuncturists and traditional Chinese medicine practitioners

Union of British Columbia Municipalities See also Richmond, Al

Presentation to committee 30:1655-1720
Healthy communities committee (Richmond, A.) 30:1700, 30:1710
Role (Richmond, A.) 30:1700
United States

Addictions counsellors, credentialling (Hildebrand, L.) 30:1100
University of British Columbia, Vancouver, B.C.

Medical program, addiction curriculum (Baker, R.) 30:1115 (Farnan, P.) 30:1625

Vancouver, B.C.

Downtown Eastside, addicted persons and treatment (Hildebrand, L.) 30:1055 (Plecas) 30:1055
Pride Day festival, clean and sober space (Ganci, G.) 30:0950
Visual impairment See Eye health
Vohora, Praveen

Presentation to committee on behalf of Society for Canadians Studying Medicine Abroad 30:1455-1525
As subject
background and son's experience with medical training 30:1455-1500
Accountants, credentialling of foreign-trained accountants 30:1515
Pawliuk, Rosemary, daughter's experience with medical training 30:1455
Physicians
credentialling and residencies for foreign-trained physicians 30:1455, 30:1505-1525
supply and training, public interest 30:1525
supply and training, residencies and supply 30:1455-1520
Rural B.C. health care
local decision-making 30:1505-1510
physician supply
foreign-trained physicians 30:1500-1510
residency programs 30:1510
supply and training 30:1455-1510, 30:1525
Society for Canadians Studying Medicine Abroad
recommendations to committee 30:1505-1510
role 30:1455

West, Heather

Presentation to committee on behalf of Apotex Inc. 30:1425-1445
Apotex Inc.
generic drug substitution and iPharmacist initiatives 30:1430-1435, 30:1445
operations 30:1425-1430
position on generic drug use and cost coverage programs 30:1445
Drugs, prescription drugs
coverage plans and national program proposal 30:1440-1445
generic and brand-name drug marketing approvals 30:1440-1445
generic drug prices and cost management 30:1430-1445
systems in other jurisdictions 30:1440-1445
Tecta 30:1430
Pharmacists, information resources and support 30:1430-1435
Quebec, generic drug substitution program 30:1430, 30:1445
Rural B.C. health care, pharmacy services 30:1435, 30:1445
Wood, Byron

Presentation to committee on behalf of B.C. Humanist Association 30:1405-1415
As subject
experience with mandated addiction treatment as atheist and human rights complaint 30:1405-1415
B.C. Human Rights Tribunal case re accommodation of religious beliefs in addiction treatment 30:1410
Homewood Health Centre, addiction treatment program 30:1405-1410
Public sector employees, access to secular programs for mandated addiction treatment 30:1405-1410
Substance abuse and addiction
recovery and support systems, 12-step programs 30:1405-1410
recovery and support systems, religious approach and access to secular programs 30:1405-1410
treatment services, religion-based and secular treatment programs and facilities 30:1415

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