The Improving Treatment Together (ITT) Project

The Improving Treatment Together (ITT) Project aims to improve the experiences and outcomes of community-based services for young people who use opioids, their families, and service providers, using co-design methods.

Nine stakeholder specific workshops were held in four partnering communities (Kelowna, Prince George, Vancouver, Victoria), where participants explored their experiences and defined specific needs for improving opioid treatment services. They then brainstormed and prototyped solutions to address these needs. Three of these prototyped solutions were chosen for development and co-designed with relevant stakeholder groups.

This project is co-led by the Canadian Centre on Substance Use and Addiction (CCSA)Foundry Central Office, Foundry Kelowna, Foundry Prince George, Foundry Vancouver-Granville and Foundry Victoria. Each community has developed their own resource to support and improve the experiences of young people who use opioids, their families, and/or service providers.

To learn more about these resources, click the sections below.

The Parent Handbook - Foundry Victoria


A group of twelve parents living in Victoria, British Columbia came together to create a Parent Handbook. These parents all have one thing in common: they parent a young person who has a substance use disorder.  

What is this handbook about?

This handbook is a collection of shared experiences and stories to help other parents and caregivers find refuge, support and courage to reach out for help. Whether your young person is experimenting with substances or has developed a substance use disorder, this handbook may help you feel connected with other parents and caregivers going through similar experiences. This journey is a marathon, not a sprint, and knowing that there are others who understand what you are going through can be a lifesaver. 

Click the image to read Parents like us. The unofficial survival guide to parenting a young person with a substance use disorder.

For more information about the ITT project, contact: 


Youth Service Assessment Tool - Foundry Prince George


This tool has been developed with 12 youth who have lived and/or living experience of substance use living in Prince George, British Columbia, to support service environments that are accessible, inclusive, safe, and appropriate for youth who use substances.

Who can use the assessment tool

This assessment tool can be used by any health and social services and programs that serve young people, including substance use services, mental health services, youth treatment services, harm reduction services, youth shelters, community health centres, social services, hospitals, emergency departments, etc.

What the assessment tool can provide

This tool can help your organization or program identify:

  • strengths and opportunities for improvement
  • youth-informed recommendations to improve youth service experiences, including
    • relevant training opportunities and toolkits,
    • resources,
    • opportunities to collaborate with youth and other service organizations and,
    • considerations when working with youth who use substances.

The tool consists of 4 main areas of assessment to improve youth service experiences:


What to expect from the assessment tool

  • Instructions for completing the assessment
  • An assessment form to identify your organizations strengths and weaknesses
  • A worksheet to support the development of an action plan
  • Youth-informed recommendations for each assessment questions

Click the boxes to access the following links:

*We’ve also developed a list of Youth Services in Prince George to better support youth and young adults who use substances.

For more information about the ITT project, contact:

Virtual Opioid Agonist Treatment (OAT) Guide - Foundry Kelowna & Foundry Vancouver-Granville


This project is in progress. Find updates on Twitter @FoundryBC and @skye_barbic or email us at for more information.

Publications and Reports



  • Marchand, K., Tallon, C., Katan, C., Fairbank, J., Fogarty, O., Pellatt, K. M., Turuba, R., Mathias, S., & Barbic, S. (2021). Improving Treatment Together: A protocol for a multi-phase, community-based participatory, and co-design project to improve youth opioid treatment service experiences in British Columbia. Addiction Science & Clinical Practice, 16(1), 53.
  • Marchand, K., Fogarty, O., Pellatt, K.M. et al. “We need to build a better bridge”: findings from a multi-site qualitative analysis of opportunities for improving opioid treatment services for youth. Harm Reduct J 19, 37 (2022).
  • Marchand, K., Turuba, R., Katan, C., Brasset, C., Fogarty, O., Tallon, C., Fairbank, J., Mathias, S., & Barbic, S. (2022). Becoming our young people’s case managers: caregivers’ experiences, needs, and ideas for improving opioid use treatments for young people using opioids. Substance abuse treatment, prevention, and policy, 17(1), 34.

Community Workshop Reports



Keywords: Foundry BC, foundry, Victoria BC, Victoria, parents like us, guide, parent handbook, substance use disorder, ITT, improving treatment together, parents, caregivers, Foundry Victoria, Canadian Centre on Substance Use and AddictionCCSA