Presentation (CTI)

OBJECTIVES: Problematic alcohol use (PAU) is a significant global health risk, with care further disrupted by the COVID-19 pandemic. This study used a discrete choice experiment (DCE) survey to identify preferred characteristics of Rapid Access Addiction Medicine (RAAM) clinics for PAU for individuals with PAU and assessed the pandemic’s impact on these preferences.
METHODS: We used multiple methods to develop a DCE questionnaire. A scoping review and stakeholder meetings were conducted to identify characteristics of substance use health services for individuals with PAU relevant to RAAM clinics in Ontario. We also explored how experiences of PAU individuals differed before and during the COVID-19 pandemic. The eDelphi survey prioritized a final list of attributes, which were incorporated into the final online questionnaire.
RESULTS: The scoping review identified several barriers, including complex care pathway, high costs, long wait times, limited geographically accessible treatment, inconvenient appointment hours, inadequate cultural/demographic sensitivity, and lack of anonymity/privacy. Stakeholder meetings and eDelphi survey refined these findings and include key attributes, such as service delivery modes, operating hours, wait times, the availability of peer support workers, and shared decision-making opportunities. The DCE survey is underway, and its results will be presented at the meeting.
CONCLUSIONS: Our review has identified key barriers to accessing substance use health services for PAU. Findings from our studies can highlight which aspects of RAAM clinics, if modified, could more effectively improve the delivery and accessibility of these services.