Towards caring communities: A community-based qualitative inquiry of family caregiving for people who use drugs in rural settings.

Authors

Holly Mathias, Jennifer McCrindle, Nyal Mirza, Rebecca Haines-Saah, Maria Mayan, Elsie Duff, Em M Pijl, Petra Schulz, Sarah Auger, Antoinette Gravel-Ouellette, Teresa Lockhart, Elaine Hyshka

Published in

The International journal on drug policy. Volume 156. Pages 105450. Aug 01, 2026. Epub Aug 01, 2026.

Abstract

The unregulated toxic drug supply has had a disproportionate impact on rural communities across Canada, yet most health and social interventions target urban settings. Drawing on the Care Collective's (2020) work on universal care, families often provide care within the larger context of "careless" communities and governments that prioritize economic productivity over relational wellbeing. Although there is a growing body of research on care and caregiving experiences, little is known about the experiences of family caregivers of people who use drugs (PWUD) in rural settings.
Using a community-engaged qualitative research design, we conducted semi-structured one-on-one interviews with 31 family members caregiving for a person who uses drugs in rural Prairie communities across Canada. Data were analyzed using reflexive thematic analysis to generate themes.
Families of PWUD in rural settings provide robust care as a result of the increasing "carelessness" of communities and governments. Neoliberal policy decisions on public service funding and delivery, combined with systemic stigma and racism, create conditions that shift care responsibilities to families. Caregiving for family and, at times, the wider community can result in significant personal impacts. Despite this, caregivers are vocal about the need for structural reforms to foster communities and governments that are more "caring" for PWUD.
The unregulated toxic drug supply has deeply impacted rural communities, placing the burden of care on families. An urgent comprehensive response to the crisis is needed; one that includes rural communities and families. This response should focus on structural changes that reduce sole reliance on family care, enhance resources and infrastructure for community care, adequately addresses families' grief and trauma, and ultimately place care as a central organizing principle in society.

PMID:
42542123
Bibliographic data and abstract were imported from PubMed on 02 Aug 2026.

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