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2. Having a voice and saving lives: a qualitative survey on employment impacts of people with lived experience of drug use working in harm reduction.
- Author
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People with Lived Expertise of Drug Use National Working Group, Abele, Brandi, Bowser, Jennifer, Brown, Loretta, Carette, Julien, Crichlow, Frank, de Kiewit, Alexandra, Lampkin, Hugh, Lavand, Dawn, LeBlanc, Sean, Sherstobitoff, Alex, Sproule, Rick, Touesnard, Natasha, Turner, Karen, Wilson, Dean, Van Pelt, Kelsey, Austin, Tamar, and Boyd, Jade
- Subjects
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HARM reduction , *RACISM , *EMPLOYMENT , *EMOTIONAL labor , *PAY equity , *DISCRIMINATION in medical care - Abstract
Background: Ongoing legal and social discrimination, and stigmatization of people with lived experience of drug use (PWLE) continues to contribute to overdose-related deaths in Canada. The involvement of PWLE working in harm reduction services has proven effective in decreasing drug-related harms among PWLE; however, there exist unintended negative impacts. PWLE working in harm reduction services risk overextending themselves beyond employment parameters (e.g., emotional labor) with few systems in place (e.g., employment advocacy) for support. While meaningful participation of PWLE in harm reduction programs is critical to addressing the overdose crisis, their labor in Canada's overdose response commands further investigation and recognition. This paper examines some of the benefits and negative aspects of working in harm reduction among PWLE. Methods: Fifty qualitative surveys were completed by PWLE working in harm reduction services from across Canada at the National 2018 Stimulus conference held in Edmonton, Alberta. The surveys focused on the benefits and negatives of 'peer' employment and recommendations for organizational transformation through short answer written sections. Surveys were analyzed thematically using NVivo, informed by critical perspectives on substance use, with attention to key re-occurring themes on employment equity. Results: While participants described multiple benefits of working in harm reduction services, such as the valuing of their expertise by fellow 'peers,' growing skill sets, countering stigma, and preventing overdose deaths, issues of workplace equity were significantly identified. Stigma, tokenism, workplace discrimination, including power and pay inequities, as well as lack of worker compensation and benefits were identified as key factors persisting in the everyday experiences of participants. Conclusion: Continued exposure to stigma, workplace discrimination, and/or power imbalances, combined with the impact of high stakes employment (e.g., dealing with overdose deaths), can have significant consequences for PWLE working in harm reduction, including burn out. Policy recommendations include large-scale structural changes that address inequities of hierarchical 'peer' employment for PWLE, including increased leadership roles for diverse PWLE, pay equity and benefits, unionization, as well as more supportive working environments attentive to the intersecting social-structural factors (poverty, criminalization, racism, gendered violence) impacting the everyday lives of PWLE working in harm reduction. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. A dynamic location-arc routing optimization model for electric waste collection vehicles.
- Author
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Moazzeni, Sahar, Tavana, Madjid, and Mostafayi Darmian, Sobhan
- Subjects
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WOLVES , *GENETIC algorithms , *ELECTRIC vehicles , *NP-hard problems , *WASTE management , *METAHEURISTIC algorithms - Abstract
Waste collection management plays a crucial role in controlling pandemic outbreaks. Electric waste collection systems and vehicles can improve the efficiency and effectiveness of sanitary processes in municipalities worldwide. The waste collection routing optimization involves designing routes to serve all customers with the least number of vehicles, total traveling distance, and time considering the vehicle capacity. This paper proposes a dynamic location-arc routing optimization model for electric waste collection vehicles. The proposed model suggests an optimal routing plan for the waste collection vehicles and determines the optimal locations of the charging stations, dynamic charging arcs, and waste collection centers. A genetic algorithm and grey wolf optimizer are used to solve the large-sized random generated NP-hard location-arc routing problems. We present a case study for the city of Edmonton in Canada and show the grey wolf optimizer outperforms the genetic algorithm. We further demonstrate the total number of waste collection centers, charging stations, and arcs for dynamic charging needed to ensure a minimum required service for electric vehicles throughout Edmonton's entire waste collection system. [Display omitted] • The waste collection routing optimization optimizes routes serving customers. • Optimized routes use minimum vehicles, distance, and time with capacitated vehicles. • A dynamic location-arc routing optimization is proposed for electric waste collection vehicles. • Genetic algorithms and grey wolf algorithms solve the large NP-hard problem. • A case study in Canada shows grey wolf algorithm outperforms the genetic algorithm. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
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