YRAP Interview with Dr. Marchand

YRAP Interview with Dr. Marchand

Written by: Jeanna Pillainayagam, member of Foundry’s Provincial Youth Advisory Committee 

 In May 2021, I had the opportunity to interview two researchers who had met with the Youth Research Advisory Panel (YRAP) to gain feedback on their research grant proposals. I wanted to see what the experience of working with the YRAP was like for them, as well as gain some insight into their perspectives on the importance of collaborating with youth in research. Below are some snippets of my conversation with Dr. Kirsten Marchand. 

*Please note that I have lightly edited Dr. Marchand’s responses for the sake of clarity.  

  

Jeanna: How did you hear about the YRAP? 

Dr. Marchand: At the end of October, I started a postdoctoral research fellowship position at Foundry, [which is] jointly sponsored also by UBC. … Within the first month of getting myself oriented, I got the chance to hear through our regular research team meetings about the YRAP … and just thought, ‘What an incredible idea!” All of my research in the past has been with populations that … some people would define as ‘underserved’ or ‘marginalized’. I use the air quotes, those are not my words. I’ve always been worried as a researcher and curious about how we can find more ways to involve people whose lives we’re studying and trying to support and help. And to try to find ways to better involve them in the research process. I stand behind the idea that obviously that can lead to a better final product, [which would be] a proposal to identify research questions that are more relevant and important to [the] people whose lives we’re trying to improve upon or to support. …  

  

Jeanna: What made you want to approach the YRAP for feedback on your grant proposal?  

Dr. Marchand: So there’s a couple of things. First … it aligns with my values as a researcher. And I’m in this stage now where as a postdoc, I am making the transition between being a student and focusing a lot on understanding the methods and the data, and all that stuff that you learn as a PhD student, to now making that jump towards becoming an independent research scientist. And so it really just aligns with my values and this was a great opportunity for me to have the chance to actually do work that is informed by or supported by conversations with young people. The other major reason for me is that all of my work previously has been with adult populations, and so I felt like this would be a … miniscule opportunity to ensure that … the way I was writing or the way I was thinking about these problems wasn’t just coming from the literature, but also that I had an opportunity to talk about it a little bit with a group of young people. Now I don’t think that my work stops there by any means … hopefully if this work gets funded, [it] will be an ongoing process where I’ll get to engage more with young people and have young people working alongside me so I can learn and do really good research. …  

  

Jeanna: What were some of your key learnings from your experience working with the YRAP? 

Dr. Marchand: I think one of the key learnings that I really took away was to not underestimate the complexity [and] the sensitivity of the topics that I’ve been working on … [T]here were some comments made [by the YRAP about] intersections with gender identity and gender roles … that of course I had thought a little bit about, but not at all I think to the level of complexity that it should have been given. So that was a really important takeaway. As well … a lot of the comments were around some of the inclusion criteria and the procedures that … I didn’t have a ton of space [to write about], so I only had like a page really to write about that stuff [in the grant proposal]. But [there were] a lot of comments as well around recruitment and just to challenge me, I think, in my thinking around traditional research approaches and how they can be very hierarchical and top-down, and how that can actually potentially hinder my ability to reach people who I obviously really want to be able to reach. So I think it was just challenging me to [think a bit more] outside the traditional structures of the university system and academic research, to be a bit more creative. And then just to be [thinking a bit more] completely through the complexity of the questions I want to ask. Which is all, again, at that stage of [the proposal] development, really crucial. But to me that’s going to require more than one meeting, and hopefully longer-term investment … those would be the two takeaways from the meeting. And then again, I think just in terms of my values, it just solidified why it’s so important I think for me to have those opportunities now and in the future to be able to work closely with the people that I’m trying to do research with and for.  

 

 

Jeanna: Do you think there’s a growing desire among researchers in your field to have more youth input in their research? 

Dr. Marchand: I can’t say youth input specifically because this is [a] newish [area] for me now. But … I can say that at least in my work with people who are using substances and experiencing mental health challenges or needs, that there’s definitely a growing movement to encourage researchers from the very beginning to co-design research with people with lived and living experience. And that to me is just an ethical imperative. We’re studying topics that are incredibly sensitive and complicated and require great care in order for the project to be meaningful, for it to be sensitive, for it to do well, and then also for it to actually land and have some impact. And I think that another area for me is that I’ve been frustrated by the fact that we often do research on these topics, and then we just publish the paper, and move on. And it doesn’t lead to any real success aside from [helping] the researcher’s curriculum vitae grow[ ]. So [researchers] get more publications and [researchers] get more success out of it, but especially during research in healthcare on complex topics like opioid use disorder, it is so important I think to involve those stakeholders from the very beginning so that we can then have more of an impactful study that hopefully leads to some kind of systems-related change. …   

  

Jeanna: What would you say are some of the challenges of incorporating youth feedback into research?  

Dr. Marchand: [F]or this application [when] I met with the YRAP, that was for [a specific grant], and for fellowship applications. So they didn’t have a devoted section for knowledge translation, or integrated knowledge translation, or how [the researcher will be] working with young people. They didn’t have a section for that, so then I was stuck to sort of choose what to include and what I could fit. So that root problem comes down to the funder, and if they want us to be doing research that is more engaged research, then they need to create more spaces within our actual applications to speak to how we are doing that, … And give the researchers also more time to do that kind of research, because it takes more time to get together to meet and to account for different perspectives and all of that stuff. And so I would say the root of that challenge comes to the funder, and [on] the flip side, I just recently applied to [another specific grant] with the same application that I met with the YRAP about, but they had more space to actually spell out some of those things. So I was able to then take into account more of the procedures that were suggested from the panel when I met with everybody around different forms of recruitment and engagement, and stuff like that. …  

  

Jeanna: From your viewpoint, what would you say is the significance of a panel like this?  

Dr. Marchand: I feel like so many things, to be honest. So I’m not sure if I’m going to be able to pinpoint it to one thing. I think it just makes you a better researcher. That’s like a super silly-sounding, idealistic way of saying it. But I just think it makes you more accountable, it makes sure that you’re asking questions that make sense to the people that you are eventually going to be asking those questions to. It brings us more together in our world views, in our ways of seeing a problem. And I use that word, “problem”, as in, I’m thinking [of] health systems or like big social problems that we’re facing these days. So it makes you just think about it in a way that makes sense to everybody, not just from your office, university, and campus, … So I think it just makes you a better researcher. It means you’re going to ask questions, you’re going to be thinking it through in a different way. More complex problems require very complex ideas and solutions, and so we want to have as many diverse perspectives at the table, in my opinion, to make a project successful, and to hopefully lead to some kind of change. … [B]ut then I also see that there’s probably, or hopefully, some benefits to young people and to families who might be able to be engaged in this as well. So getting the chances to have your voices heard, and from the very beginning, and maybe hopefully learning some new skills along the way. …  

  

Jeanna: Do you see this type of panel being adopted in other fields of research, or even other parts of the world? Do you see this kind of model being replicated? 

Dr. Marchand: I think it could be, for sure. It seems to me, from my very naive one-time visit, especially now in this new world where we’re so accustomed to working virtually, why could it not? Maybe the better question is what are the stop gaps? … there needs to be a bit of resources and funding to back it up, and that’s where … it needs to come down to the funders. …  

[T]he whole system is set up in a way that it feels like it values this ivory tower research. Like doing research in silos, doing research alone, and it values that researchers get publications. The whole system is set up in this way that it’s around the research scientist, and it’s not around the community that we’re trying to do research to inform solutions [for] better delivery of care to, … [B]ut that can’t happen in silos, and it shouldn’t be about a publication. It should be about policy change or a change in the quality of care.  

To me, it really does come down to the root problem being at the funder. So if funders would put in requirements around this and give researchers the room to do this kind of research, [through] time and resources, then I can’t see what the problem would be. I think maybe the questions we need to be asking ourselves more is how can we not? And why are we not doing this? Why is this not a standard practice, [when] doing research on and about especially sensitive topics? So I feel like yeah, it could be replicated for sure.

 

About Jeanna Pillainayagam 

Image description: A person of colour smiling at the camera against a black background.

Jeanna Pillainayagam is currently a member of the Foundry Provincial Youth Advisory Committee, and was a member of the Youth Research Advisory Panel (YRAP). She also has volunteer experience with mental health organizations including CMHA-BC and Jack.org, and has previously worked on mental health projects with groups such as Anxiety Canada, the University of Northern British Columbia, and the BC School Counsellors Association. She is passionate about promoting mental health education and destigmatizing mental illness.

Jeanna believes the YRAP was an excellent opportunity for young people to advocate for the needs of youth in terms of creating accessible, adequate, and appropriate health/wellness services. She hopes to see more programs like the YRAP in the future. To read more articles written by Jeanna Pillainayagam click here.

 

 

Foundry supports youth in living a good life

Written by: Aslam (he/they) & Lee (she/they) – Provincial Youth Advisors, writers with Foundry BC  

Jumping in the lake and getting slushies is all anyone can think about on the last days of June 2019. For Aslam* (he/they), they had just graduated from high school, and like many others, they dreamed of leaving their small town for the big city.  

“Planning to move to Vancouver gave me so much hope,” says Aslam. “I was finally free to be openly queer, meet new friends and be immersed in a multicultural community.”  

Within six months, COVID-19 cases began to rise, and self-isolation became the norm. Suddenly alone, Aslam’s mental health began to decline, and they started to indulge in substances.  

“Moving came with so many pros that I forgot it also came with the cons,” stresses Aslam. “I thought everything was normal – drinking every night with my new friends and being hungover during class, wasting what little money I had left on the next disposable vape.”  

The isolation from early spring until the following summer made accessing resources almost impossible, impacting youth all over the province.  

“At first, I wasn’t even aware that I was at my worst,” says Aslam, “I was so used to my routine: wake up, still feeling helpless and empty, pack a bowl and take a couple of tokes out of my bedroom window, then go back to sleep. It was intense denial and numbing.”  

During the summer of 2021, Aslam gained the courage to reach out and receive support for their substance use and mental health. They went to Foundry, an integrated youth service that provides mental health care, substance use services, physical and sexual health care, youth and family peer supports and social services for young people ages 12-24 and their families/caregivers across BC.  

“I spoke to someone through Foundry in the past, when I was going through a lot of transitions mentally and spiritually,” says Aslam. “They really helped guide me through my struggles at the time.”  

Caption: Staff at Foundry Vancouver-Granville, operated by Providence Health Care. One of many Foundry centre across BC that provide integrated health services to young people like Aslam and Lee. Photo by Jeff Topham. 

Working with peer supporters with similar lived experience, Aslam was able to openly speak about their struggles with homophobia, past trauma and how it led to their battle with substance use. Aslam eventually connected with a physician through Foundry Vancouver-Granville and was able to learn more about their mental health, including their hereditary anxiety and signs of depression and obsessive-compulsive disorder (OCD).  

Similarly, Lee* (she/they), a Foundry provincial youth advisor alongside Aslam, also experienced worsening mental health during the pandemic.

“To those of you who feel isolated or lonely – know that you are not alone,” Lee shares. “I was especially lucky that I was able to reach out to a counselor and doctor who have supported me through my path to recovery. I felt stuck for a long time and with help, I realized the way I had been living was not the path I had to follow.” 

Throughout high school, some of Lee’s close friends and peers used substances to alleviate feelings of anxiety and depression. As someone with lived experiences, Lee continues to encourage others to reach out to support services, no matter how difficult it may be to take the first step. 

“Sometimes, we don’t realize when we need to get help,” says Lee, “until we know other people who have gone through similar experiences.” 

As Foundry provincial youth advisors, both Aslam and Lee share their perspectives to make Foundry services youth-friendly and inclusive to others.  

“Being a part of my community has always been a critical part of my healing journey,” shares Aslam, “connecting with other youth and the opportunity to shape my own wellness journey, has made me feel stronger and less isolated in my struggles.” 

With the ever-changing lingo for substances and new trends on the internet, Foundry’s staff are well equipped; and some have their own lived experience as well. Encouraging youth to be open and honest about substance usage, and using harm reduction strategies, allows youth to feel less stigmatized.   

“When I went to Foundry, I was accepted,” says Aslam. “I didn’t need to explain why I made the choices I did because they already knew why, and they didn’t care. They just wanted me to feel supported and loved.”  

It is important to be able to meet youth where they are at in their journeys. Young people can walk into a local Foundry centre, explore online tools and resources at foundrybc.ca, or connect virtually through the Foundry BC app.   

“Our generation is strong, willing to grow and change for the better,” says Aslam. “With the services that Foundry is offering, no problem is too big or small. Foundry services are available, and they can help you.”  

To learn more, visit foundrybc.ca/youmatter. 

Are you a parent/caregiver looking for support for yourself and a young person in your life? Visit foundrybc.ca/youthcare for more information.

 

In the news

Check out media coverage in The Vancouver Sun, The Province (coming soon) and Black Press Media.

 

 

 

Keywords: Foundry, Foundry BC, Foundry Virtual, Foundry BC app, youth mental health, integrated youth services, physical and sexual healthcare, substance use, harm reduction, youth and family peer support, online support, virtual care, you matter, youth care, COVID-19, free and confidential, health and wellness, supports services, mental health care, social services support, support for families, support for caregivers, mental health support

Foundry BC receives 2021 Premier’s Award for Innovation

On December 8th, BC Public Services named Foundry BC as the recipient of the 2021 Premier’s Award for Innovation, which recognizes groups, teams or organizations in the BC Public Service who have developed and transformed new ideas into tangible initiatives, programs or projects. 

Now, more than ever, we know that young people are in need of support.  

Since the launch of A Pathway to Hope in 2019 by the Ministry of Mental Health and Addictions to ensure better access to mental health and substance use for people in BC, more than 12,000 youth accessed Foundry services in more than 90,000 visits. We are thankful Foundry was nominated for this award by our partners in government, and excited to share this acknowledgement with everyone in our network. 

“Foundry is a really great example of innovation in the public service because… it’s a model built for youth by youth,” says Nick Grant, Assistant Deputy Minister.   

Foundry BC is incredibly honoured to be part of this annual celebration which highlights the finest examples of innovation and excellence in the BC Public Service. Thank you to all Foundry centres and networks across the province who are instrumental in this achievement, as we continue our mission in reaching younger people early and address smaller problems before they become bigger ones. 

To learn more, watch the video below. 

Visit foundrybc.ca or Foundry Virtual BC to learn more about our services. 

 

Keywords: 

BC Public Service, Foundry BC, Foundry Virtual BC, 2021 Premier’s Award for Innovation, Award, Mental Health, Public Service, Youth, Youth Services, British Columbia, Support, Youth Support, Support Services, Provincial Services, BC, Nick Grant, Dr. Steve Mathias, Peer Support, Counselling, Caregivers, Parents, Innovation, Substance Use, A Pathway to Hope, Ministry of Mental Heath and Addictions, Michael Smith Health Research BC, Providence Health Care, St. Paul’s Foundation

Foundry’s research team receives Convening and Collaborating award from Michael Smith Health Research BC

On September 29th, 2021, the Michael Smith Health Research BC (Health Research BC) named Dan Nixon (Youth Peer Engagement Coordinator, Foundry BC), Dr. Kirsten Marchand, Dr. Krista Glowacki, Dr. Nikki Ow, Dr. Skye Barbic (Director of Research, Foundry BC) and their team among the 32 recipients receiving the 2021 Convening and Collaborating (C2) award for their project: Sharing the podium: identifying solutions to meaningfully collaborate with youth in mental health and substance use research. This project will engage key stakeholders in co-creating a set of recommendations to improve youth engagement and collaboration in mental health and substance use (MHSU) research.  

Foundry is thrilled to be part of this announcement which comes two weeks following the announcement of Dr. Kirsten Marchand and Dr. Krista Glowacki, as recipients of Health Research BC’s Research Trainee award. This marks the first time that Foundry has been honoured with two Health Research BC awards in the same year.  

“Since day 1, Health Research BC has been there to support Foundry. Through various programs, Health Research BC’s support allows us to build a network of academic, clinical, and youth leaders who are driving service innovation in BC for young people and families,” says Dr. Skye Barbic, Director of Research, Foundry and 3x Health Research BC awardee.

The Health Research BC’s C2 program promotes knowledge exchange and meaningful collaboration by supporting researchers, trainees and research users (those with lived experience) in co-developing research that can have a direct impact on patients and the public.  

Learn more about their project below: 

Sharing the podium: identifying solutions to meaningfully collaborate with youth in mental health and substance use research 

Mental health and substance use (MHSU) are key health concerns for youth in British Columbia. Involving youth in research for these topics improves the development of MHSU interventions and solutions. However, youth may not want to engage in MHSU research due to concerns around confidentiality, stigma, and other barriers. Researchers may also perceive barriers in finding and working with youth researchers. 

The main goal of this project is to identify barriers for youth engagement in MHSU research and recommend solutions for these issues. Two key activities – a small-group discussion (utilizing nominal group technique) and a World Café in-person (March-May 2022, pending COVID-19 restrictions) – will be used to bring youth and researchers together to identify the perceived barriers for each group and how these barriers can be overcome.    

From these findings, Foundry’s research team will synthesize results and outline a list of recommendations for youth engagement in MHSU research, and pursue additional funding for a pilot study using these recommendations. The pilot study will measure changes in youth research engagement and research outcomes due to the recommendations. 

Foundry’s second award recognition in 2021 

Youth engagement, research collaborations and co-design is central to our work at Foundry. We are deeply grateful to Health Research BC for their continuous support in enabling our researchers to lead this innovative work. 

Congratulations to Dan Nixon, Dr. Kirsten Marchand, Dr. Krista Glowacki, Dr. Nikki Ow, Dr. Skye Barbic and their team on this award!  

Special thanks to our partner and host institutions for making this possible: BC Centre for Disease Control (BCCDC), Centre for Health Evaluation & Outcome Sciences (CHÉOS), Center for Gender and Sexual Health Equity (CGSHE), Foundry BC, Human Early Learning Partnership – UBC Research Network (HELP), Simon Fraser University (SFU)’s Faculty of Health Sciences, University of British Columbia (UBC)’s Doctorate of Medicine and of Philosophy (MD-PhD) program, UBC Department of Occupational Science and Occupational Therapy, UBC Faculty of Medicine, UBC School of Population and Public Health, and the UBC Mental Health Youth and Family Research Advisory Panels (YRAP/FRAP). 

About the project team 

Project Lead: Dr. Skye Barbic, Director of Research, Foundry and 3x Health Research BC awardee

Research co-investigators: 

Research users:  

Research trainees:  

About Michael Smith Health Research BC and Foundry’s partnership 

Since our inception in 2015, Health Research BC was one of several organizations who provided critical funding to Foundry. This year, in celebration and honour of Health Research BC’s 20th anniversary, Foundry extends our deep gratitude and appreciation for our continued partnership with the Foundation. 

Learn more about Health Research BC’s Convening & Collaborating (C2) program. 

 

 

Keywords: health research BC, michael smith health research bc, health research, foundry, foundry BC, youth, youth research, British Columbia, mental health, substance use, health services, youth services, health care, research, researchers, the 2021 Convening and Collaborating award, C2 program, youth engagement, group discussion, announcement, Kirsten Marchand, Krista Glowacki, Skye Barbic, Nikki Ow, Dan Nixon 

Research in the online space: What is important to youth in a mental health app?

Smartphones and devices provide a unique opportunity to make mental health knowledge and support widely accessible, especially among young people. One way to establish the quality of mental health apps is to use an evaluation tool; however, currently widely available tools are either developed by experts or are based on popularity or user rankings. 

In 2019, researchers from BC Children’s and Women’s Hospital and the University of British Columbia set out to develop an app rating platform to help youth navigate the vast landscape of available apps. Focus groups were conducted with a total of 47 participants aged 15-24. The results of this study provides a basis of criteria that young people use when they select mental health applications and the relative importance of these criteria.

Conclusions from this study identified specific criteria young people had for app evaluation models. This will help with future development of an app evaluation tool on the foundrybc.ca website that is based on users’ values and priorities.

The following infographic shows the top 10 priorities for young people when using a mobile mental health app.

Dr. Skye Pamela Barbic: Young people are not the COVID-19 problem, they are the solution