Plant the Seeds and See What Grows: Education and Culture Change

When I try to explain the kind of work that I do for CARBC, I often use the analogy of being a farmer. I am the Coordinator of the Changing the Culture of Substance Use Project, a multi-year project to build a vibrant community of practice on BC’s post-secondary campuses. But my work is similar to the farmer; I research, prepare and plan what we should grow, examine the growing conditions, help plant the seeds, and then I, along with my team, continuously encourage their growth so that we will have a fruitful harvest. Of course, our seeds are very different from the farmer’s. Ours are the seeds of thought as to how we might change a culture of substance use in a growing campus community of practice. And what we hope to eventually see is the changing norms, attitudes, programs, policies, and practices that reflect this kind of thinking on campus.

Education with respect to culture change is a unique challenge. When the goal is culture change, education becomes about engagement. We need to think about whom we engage in this learning, how we engage them and what we engage them about. We are not necessarily concerned with equipping these folks with the tools to manage their own patterns of use (although that may be a by-product of the process). Rather, we hope that they will become part of a larger concerted effort to co-develop efforts on campus that have the power to significantly impact generations of students.

  • So who should we engage in this kind of learning? We engage those who are intrinsically interested and motivated to be part of a culture change effort on campus. These could include counselling staff, health practitioners, faculty members, students, access and support services, deans, as well as many others.  Our basic premise is that all members of a campus community can potentially be or become leaders in culture change.
  • And how do we engage them? Our engagement is constructivist and collaborative. We harness the expertise in the room and in this field around what might change a culture on a particular campus. Campuses will learn from each other and pick up tools and techniques that have been successful for others for adaptation. For instance, Selkirk College recently developed an innovative Dinner Basket program that encourages students to share a meal and discuss substance use in a nonjudgmental manner. Several other campuses are now adapting this approach for their own contexts.
  • And what do we engage about? Often it is a combination of a wide variety of topics. These topics generally focus on how we go about shifting a culture. For instance, we might begin with some discussions on the role of culture in influencing behavior around substance use. As we become more familiar with the topic, we look at mechanisms for changing a culture, such as community of practice building, motivational approaches or situational assessment. The goal is to build the toolbox campuses have at their disposal with the best in current thinking and see what takes hold. This may sound haphazard, but it allows us to avoid being prescriptive in what we endorse and encourages campuses to identify their own goals, resources, areas of strength and required efforts in this process.

This type of work is not easy or simple. Much like the farmer’s work, it requires patience, flexibility, responsiveness and the ability to see the forest for the trees. It also requires the ability to release control and allow the community to grow and develop, guided by a caring hand. With dedicated, strategic and consistent efforts, we are hopeful for a plentiful harvest.

To learn more about the Changing the Culture of Substance Use Project and/or how to join our community of practice, please check out this article in CMHA-BC’s Visions Journal or visit our website at www.healthycampuses.ca.

Catriona Remocker

Author: Catriona Remocker, Research Associate, Centre for Addictions Research of BC; Coordinator of the Changing the Culture of Substance Use Project

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC.

 

Drug Education Takes Many Forms

Drug education does not solely require educating people about drugs; it can also mean educating them about how to use drugs safely. This increases their capacity to mitigate the risks related to drugs, empowering them to manage their substance use. In turn, this helps them make better decisions about use in the context of their own unique situation.

The Safer Use series, developed by the Centre for Addictions Research of BC, offers practical ways for people who use substances to be active players in their own well-being, including helping them develop skills in managing their patterns of use, as well as adopt safer modes of use and ways to mitigate risk.

Safer use

One of the challenges in developing the series was how to address effectively the needs of people who are experienced in substance use yet may be using in risky ways.  As the development process unfolded, it was helpful to constantly ask is the content

  • Easy to understand. “Clear but not simplistic” is a useful principle to keep in mind. The aim is to help the reader grasp and use the content as easily as possible. Some ways to do this include using audience-appropriate everyday words (e.g., “drunk” rather than “intoxicated”) as well as clarifying with illustrations and using informative headings such as “before you start” and “things to avoid.”
  • Relevant. Knowing the audience is so important. Material that is tailored to address specific concerns helps engage people and draw them in. For instance, techniques of safer injecting may matter to street-entrenched youth, but would be less relevant for club- or party-going youth who may be more concerned about “safer tripping” strategies.
  • Useful. Ensuring suggested practices are doable and practical improves the chances they will be adopted. This involves going beyond the ideal (e.g., recommending the use of sterile water) and providing more accessible alternative measures (e.g., boiling tap water). While it’s critical to ground content in sound theory and evidence, lengthy explanations of the research behind a suggested practice can obscure key messages.
  • Credible. Making sure the content is objective and balanced helps build trust. Drug education efforts risk being discredited when messages conflict with the experience of the audience. Therefore it is important to offer an honest and even-handed discussion that acknowledges the positive effects of drugs as well as potential harms.

No substance use is completely without risk, but educating people who use drugs to manage use more safely affirms their self-efficacy – the capacity to increase control over their own health.

Reimer Bette-

Author: Bette Reimer, Research Associate, Centre for Addictions Research of BC

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC.