Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of COVID-19 and toxic drug deaths in British Columbia, Canada

Our study builds on the importance of evaluating problem representations in the process of policymaking. The RMG illustrates how crisis-driven policymaking shapes problem representations, enabling rapid intervention through the COVID-19 response while constraining responses to the toxic drug emergency. As a medicalized emergency response, the RMG addressed contagion but failed to confront the structural drivers of toxic drug deaths. Our study highlights the needs for prescribed safer supply models to directly address the unregulated toxic drug supply.

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Publication Details

Journal
International Journal of Drug Policy
Published
2025-12-11
DOI
https://doi.org/10.1016/j.drugpo.2025.105102
Primary Topic
Policy Transfer and Learning
Type
article
Field-Weighted Citation Impact
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article

Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of COVID-19 and toxic drug deaths in British Columbia, Canada

Brittany Barker, Alexa Norton, Bernie Pauly, Amanda Slaunwhite et al.
International Journal of Drug Policy
Policy Transfer and Learning
article

Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of COVID-19 and toxic drug deaths in British Columbia, Canada

Brittany Barker, Alexa Norton, Bernie Pauly, Amanda Slaunwhite, Phoenix Beck-McGreevy, Karen Urbanoski, Celeste Macevicius, Marion Selfridge, Jaime Arredondo, Bruce Wallace, Jeremy Kalicum, Daniel Gudiño Pérez
article en

Abstract

Our study builds on the importance of evaluating problem representations in the process of policymaking. The RMG illustrates how crisis-driven policymaking shapes problem representations, enabling rapid intervention through the COVID-19 response while constraining responses to the toxic drug emergency. As a medicalized emergency response, the RMG addressed contagion but failed to confront the structural drivers of toxic drug deaths. Our study highlights the needs for prescribed safer supply models to directly address the unregulated toxic drug supply.

International Journal of Drug PolicyVol. 147
University of British Columbia (CA), Simon Fraser University (CA), University of Victoria (CA), British Columbia Centre on Substance Use (CA)
Openalex Percentile: Top 56%
Policy Transfer and Learning
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Problem representation of the Risk Mitigation Guidance (RMG) within the context of dual public health emergencies of COVID-19 and toxic drug deaths in British Columbia, Canada — Brittany Barker, Alexa Norton, et al. · International Journal of Drug Policy (2025) | TGRS Research Map | TGRS