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Elaine Hyshka - University of Alberta. Edmonton, AB, CA

Elaine Hyshka Elaine Hyshka

Assistant Professor, School of Public Health | University of Alberta

Edmonton, AB, CANADA

Professor Hyshka is a health services and policy researcher focused on reducing the health, social, and economic costs of substance misuse.

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Biography

I am an applied health services and policy researcher focused on advancing a public health approach to substance misuse by: (1) evaluating novel interventions designed to reduce the health, social, and economic costs of drug and alcohol misuse; (2) analyzing drug policy; and (3) examining health inequities and service barriers faced by socially marginalized populations experiencing drug or alcohol problems. My research is conducted in partnership with several local, provincial, and national-level service providers, policymakers, and public health advocacy organizations.

Areas of Expertise (13)

Harm Reduction Opioids Cannabis Drug Policy Substance misuse Overdose prevention Supervised consumption services Illegal drugs Drug Use and Abuse Public Health and Health Services Naloxone Syringe distribution Supervised injection sites

Accomplishments (5)

Avenue Magazine’s Top 40 Under 40 Award

2016

Annual award honouring Edmontonians under 40 years of age who are excelling professionally, and making important contributions to the community.

Izaak Walton Killam Memorial Scholarship (professional)

Doctoral graduate scholarship (2014 - 2015)

Dorothy J Killam Memorial Graduate Prize

2014

Graduate prize recognizing outstanding doctoral students at the University of Alberta.

Alberta Innovates: Health Solutions Studentship

2011-2015

Provincial doctoral graduate scholarship.

Frederick Banting and Charles Best Canada Graduate Scholarship, Canadian Institutes of Health Research

2010 - 2013

Federal doctoral graduate scholarship.

Education (4)

University of Alberta: Ph.D., Health Promotion and Socio-behavioural Sciences 2015

University of Toronto: M.A., Sociology 2008

University of Toronto: Certification, Collaborative Program in Addiction Studies 2008

University of Alberta: B.A., Sociology 2007

Media Appearances (11)

Four safe injection locations announced for Edmonton's inner core

Edmonton Journal  print

2017-02-22

Elaine Hyshka, public health assistant professor at the University of Alberta, said the team surveyed more than 300 addicts in 2014 and determined most would not travel more than one kilometre to access a site. That means this effort is not going to draw people from across the city, she said.

They choose these health and service centres in the inner core because that’s where the largest number of people who are homeless and addicted currently are, she said. “This is about taking street-based injection out of the alleys and parks.”

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Other opioids killing more people than fentanyl in Edmonton

CBC News  

2016-11-01

"I think everyone had been waiting to see numbers on all the opioids, all the comprehensive numbers, and so I'm quite glad that the chief medical examiner's office was able to compile that data," said Elaine Hyshka, an assistant professor at the University of Alberta's School of Public Health.

"I think that goes a long way to understand the issue and to address it."

Hyshka said having the updated numbers of all opioid deaths will help health-care professionals find different ways to prevent deaths...

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Supervised injection site could come to Edmonton

Edmonton Metro  

2016-10-27

Elaine Hyshka, an assistant professor of public health at the University of Alberta and a member of the group, says the plan isn't for Edmonton to copy Insite, the Vancouver-based supervised consumption site that is currently Canada’s only facility of its kind.

Instead, she says the group is examining an integrated service concept, where there wouldn’t be one site but rather organizations that are already providing help to people who use drugs in Edmonton would simply add supervised consumption to their services.

“This demonstrates a clear commitment to addressing the crisis of overdoses that the province is facing,” Hyshka said...

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College of physicians endorses effort for safe-injection services in Edmonton

Edmonton Journal  

2016-09-08

Group member Elaine Hyshka, a University of Alberta public health researcher, said such services have been shown to reduce overdoses, decrease infection rates and boost uptake into treatment programs...

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Edmonton Heroes: University of Alberta prof stares down drug stigma

Edmonton Metro  

2016-04-25

The making of Elaine Hyshka started with an undergraduate course back in 2006.

“There was a lecture on the response to the drug problem and I was stunned at the overemphasis on the criminal justice system,” she says.

The need for change was evident to her even then. “There was a lot of clear evidence criminalization was contributing to negative health outcomes.”

Today, policy that works for people rather than re-asserts a destructive moral code is at the heart of Hyshka’s work...

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Edmonton needle-exchange sees rise in use, renewing calls for safe-injection site

CNC News  

2016-04-06

Elaine Hyshka, an assistant professor at the University of Alberta School of Public Health, works with a group trying to create a medically supervised injection site in the city.

"I think what appears to be an increase in injection drug use in the city is concerning," Hyshka said. "Also, with the increase in overdose deaths we've seen related to fentanyl, I think now is an excellent opportunity to be having these discussions.

"Frankly, though, I think these services are overdue."...

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Dr. Elaine Hyshka - Supervised Safe Injection Services for EDM?

The Ryan Jespersen Show  

2016-04-01

Dr. Elaine Hyshka talks about supervised safe injection services...

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Edmonton group pushing for city's first safe injection site

Edmonton Journal  

2016-03-20

Elaine Hyshka, a University of Alberta public health researcher and core member of Access to Medically Supervised Injection Services Edmonton, said group members envision a network of supervised injection services offered through organizations already working with homeless and disadvantaged people in Edmonton’s core.

“This is something that’s long overdue in Edmonton and other cities,” said Hyshka. “This service will literally save lives.”...

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Safe Injection Sites, Elaine Hyshka

Lacombe Globe  

2016-03-19

Elaine Hyshka is part of a group of public health researchers writing a proposal for a network of supervised injection services in Edmonton. Video by Shaughn Butts...

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Fentanyl care in Edmonton ‘disappointing’: University of Alberta researcher

Edmonton Metro  

2016-02-10

A University of Alberta researcher says she's disappointed that just two of the 29 walk-in clinics Alberta Health Services partnered with to offer naloxone kits to fentanyl users are in Edmonton.

“It’s important to have as many clinics as possible [offering naloxone] everywhere," said Elaine Hyshka, who specializes in substance misuse.

"Until Health Canada makes naloxone available over the counter, Alberta Health Services and the provincial government have a role to play to expand access to naloxone through community health service providers...

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Top 40 under 40: Elaine Hyshka

Avenue Edmonton  

2016-12-01

While studying sociology as an undergrad, Elaine Hyshka came across literature that showed zero-tolerance approaches to substance misuse can have negative impacts. Criminalizing people who use drugs actually stigmatizes addictions and leads to increased chances of overdose, says Hyshka. But treatments that focus on the patients and the contexts of their addictions can save lives...

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Event Appearances (6)

Implementing harm reduction services in acute care: Patient and healthcare provider experiences

Canadian Research Initiative on Substance Misuse Prairie Node Annual General Meeting  Calgary, Canada

2016-06-23

Western Canada’s opioid overdose epidemic: The urgent need for better public health response

2nd National Charting the Future of Drug Policy in Canada conference  Toronto, Canada

2016-06-17

Substance use, health, and homelessness in Edmonton’s inner city

Council of Western Financial, Logistical and Operational Personnel  University of Alberta, Edmonton, Canada

2015-11-05

Using research to leverage local and provincial drug policy change

Canadian Drug Policy Coalition and conducted as an ancillary event to the Canadian Association of HIV Research annual conference  Toronto, Canada

2015-04-30

On the limits of conventional approaches to evidence-based public health policymaking: The case of supervised injection services

National Core for Neuroethics  University of British Columbia, Vancouver, Canada

2015-03-02

The science of harm reduction

Canadian Academy of Health Sciences’ Forum and Annual General Meeting  Ottawa, Canada

2013-09-19

Research Grants (5)

Navigating the ethics of inpatient syringe exchange in a large acute care hospital

Canadian Institutes of Health Research, Catalyst Grant: Ethics $99,922

2016 - 2018. Role: Principal Investigator.

A family-centered approach to problematic substance use in Alberta: Perspectives from research, policy and lived experience

Campus Alberta Health Outcomes and Population Health, Networking Funding Opportunity $4,860

2017. Role: Lead Applicant.

Health, prevention, and policy environments (HAPPEN): Investigating policy-maker and public knowledge, attitudes, and beliefs about the effectiveness of healthy public policies

Canadian Institutes of Health Research, Project Scheme—1st Live Pilot (bridge funding) $100,000

2016 - 2017. Role: Co-applicant.

Managed alcohol programs: Evaluating effectiveness and policy implications

Canadian Institutes of Health Research, Partnerships for Health System Improvement $510,000

2016 - 2019. Role: Co-Applicant.

Implementing harm reduction services into acute care: Patient and healthcare provider experiences

M.S.I. Foundation $98,000

2016 - 2018. Role: Principal Applicant.

Articles (7)

Perceived unmet need and barriers to care amongst street‐involved people who use illicit drugs Drug and Alcohol Review

2016

Most (82%) participants reported unmet need for one or more services during the past year. Odds of reporting one or more unmet needs were elevated amongst participants reporting substantial housing instability (adjusted odds ratio= 2.37; 95% confidence interval 1.19–4.28) and amongst participants meeting criteria for drug dependence (adjusted odds ratio= 1.22; 95% confidence interval 1.03–1.50), even after adjustment for sociodemographic covariates. Structural, rather than motivational barriers were the most ...

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A common public health-oriented policy framework for cannabis, alcohol and tobacco in Canada? Canadian Journal of Public Health

2015

Support for a public health approach to cannabis policy as an alternative to prohibition and criminalization is gaining momentum. Recent drug policy changes in the United States suggest growing political feasibility for legal regulation of cannabis in other North American jurisdictions. This commentary discusses the outcomes of an interdisciplinary policy meeting with Canadian experts and knowledge users in the area of substance use interventions. The meeting explored possibilities for applying cross- ...

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‘It's more about the heroin’: injection drug users' response to an overdose warning campaign in a Canadian setting Addiction

2013

Although nearly all participants were aware of the warning, their recollections of the message and the timing of its release were obscured by on-going social interactions within the drug scene focussed on heroin quality. Many injection drug users reported seeking the high potency heroin and nearly all reported no change in overdose risk behaviours. Responses to the warning were shaped by various social, economic and structural forces that interacted with individual behaviour and undermined efforts to promote behavioural change, including sales tactics employed by dealers, poverty, the high cost and shifting quality of available heroin, and risks associated with income-generating activities. Individual-level factors, including emotional suffering, withdrawal, entrenched injecting routines, perceived invincibility and the desire for intense intoxication also undermined risk reduction messages.

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Applying a social determinants of health perspective to early adolescent cannabis use–An overview Drugs: Education, Prevention and Policy

2013

Cannabis is the most widely used illicit drug in the world. Although the risk of problematic cannabis use is relatively low, the lifetime prevalence of dependence is greater than for all other illicit drugs. As such, the population burden of problematic cannabis use warrants attention. Many health and psychosocial risks associated with cannabis use are exacerbated or predicted by initiation of cannabis use in early adolescence and early adolescent users are more vulnerable to negative developmental outcomes, longer ...

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Prospects for scaling‐up supervised injection facilities in Canada: the role of evidence in legal and political decision‐making Addiction

2013

North America's first supervised injection facility—Insite—opened in Vancouver in 2003 under a special federal legal exemption. Insite has faced significant political and legal opposition, which culminated in a recent Supreme Court of Canada ruling that ordered the federal Minister of Health to extend the facility's exemption and cited evidence that the facility is life-preserving and does not increase public disorder. Officials in several other cities have initiated or accelerated preparations for new facilities due to speculation that ...

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Needle exchange and the HIV epidemic in Vancouver: lessons learned from 15 years of research International Journal of Drug Policy

2012

During the mid-1990s, Vancouver experienced a well characterized HIV outbreak among injection drug users (IDU) and many questioned how this could occur in the presence of a high volume needle exchange program (NEP). Specific concerns were fuelled by early research demonstrating that frequent needle exchange program attendees were more likely to be HIV positive than those who attended the NEP less frequently. Since then, some have misinterpreted this finding as evidence that NEPs are ineffective or potentially harmful...

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Turning failure into success: What does the case of Western Australia tell us about Canadian cannabis policymaking? Policy Studies

2009

Cannabis policy in Canada is a puzzling affair. Since the 1960s and as recently as 2006, several policy windows have opened promising evidence-based cannabis law reform only to be slammed shut before achieving meaningful change. This ‘saga of promise, hesitation, and retreat’ has motivated Canadian cannabis researchers to investigate the reasons behind this policy inertia. These single-jurisdiction analyses have resulted in interesting yet necessarily tenuous findings. Fischer's (1999) Policy Studies article suggests the need for an analysis of Canadian cannabis policy in comparative context and offers Australia as a point of departure. This article addresses this analytic task by examining two recent case studies in cannabis policy. Specifically, borrowing Kingdon's (1995) concept of a policy window, it contrasts Canada's failure to decriminalise minor cannabis offences between 2001 and 2006 with Western Australia's successful decriminalisation of cannabis possession and production for personal use between 2001 and 2004. In particular, it appears that a lack of support from law enforcement and cannabis users, conflicting evidence and risk associated with a lack of an evaluation plan all combined with a weakened electoral mandate for the government to contribute to a perception that cannabis decriminalisation was not politically feasible. Additional variables worthy of further inquiry are also discussed.

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