Hartney, Elizabeth

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https://hdl.handle.net/10613/6165

Dr. Elizabeth Hartney’s work has focused most recently on healthcare policy in British Columbia, specifically in the areas of mental health and substance use, as well as the interconnections with primary care. She took a lead role in the development of a new mental health and substance use system of care, which will be implemented in B.C. over the next few years. She is a strong advocate for client and family-centred care, and was an early adopter of technology in psychological research and teaching. She has authored numerous publications related to stress, mental health, addictions and domestic violence, including two books. Hartney has more than twenty years of professional experience in research, education, policy and frontline healthcare services in the United Kingdom and Canada. Her areas of focus include the treatment of addiction, trauma and chronic pain, and she is board certified in biofeedback and neurofeedback. She is a Registered Psychologist in B.C., and a Chartered Psychologist and Associate Fellow of the British Psychological Society. Most recently, she was the resident psychologist for the B.C. Ministry of Health. She also has a long history of community service, and has served on the Autism Community Training Advisory Council for the past eight years. Hartney holds a Bachelor of Science in Psychology (Hons) from Middlesex University (1992); a Diploma of Information Technology from the Royal Society of Arts (1993); a Master of Science in Cognitive Science from the University of Birmingham (1995); a PhD Psychology from the University of Birmingham (2000) and a Master of Arts in Higher Education from the University of Greenwich (2005).

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Educational leadership development in the Greater Victoria School District using generative dialogue: Final report
(Hartney et al. (2020). Educational leadership development in the Greater Victoria School District using generative dialogue: Final report. Royal Roads University and Greater Victoria School District., 2020) Hartney, Elizabeth; Axe, Jo; Borkowsky, Keith
This report documents the recorded experiences of principals and vice principals in the Greater Victoria School District, who voluntarily participated in the study of the first year of a new mandated approach to their professional development or “professional growth,” generative dialogue. A small sample participated in follow up interviews, two years later.
Developing elders support for trauma informed emergency departments (DESTINED): Final report.
(Centre for Health Leadership and Research, Royal Roads University, 2020) Hartney, Elizabeth; DESTINED Project Team
Engagement with physicians to enhance cultural safety in primary care for people who use substances: Final report
(Centre for Health Leadership and Research, Royal Roads University, 2019) Hartney, Elizabeth
This report describes the development of best practice guidelines for primary care physicians working with people who use, or have used, substances. These patients often lack trust in, and access to primary care, and while some may be further marginalized and stigmatized through segregation in safer spaces associated with substance use (MacNeil & Pauly, 2011), others may opt out of discussing substance use with their doctor (Hartney et al, 2003). As primary care physicians are the gatekeepers of access to specialized services, it is imperative that cultural safety addresses discrimination faced by people who use substances in obtaining referrals to necessary specialized services. The purpose of the project was to develop a plan of action to improve cultural safety for people who use substances who are seeking primary care services. There were three aims to the action plan: first, to improve cultural safety in primary care; second, to co-create mutually agreed upon best practice guidelines for primary care physicians to provide care to this population of patients; and third, to develop an implementation plan. The objectives of the project were to develop collaborative relationships with people with lived experience of substance use, physicians, researchers and research users to enhance knowledge and further research in substance use treatment, cultural safety in primary care, and access to appropriate healthcare for people who use substances; to engage with physicians on their key concerns pertaining to lived experiences of primary care among people who use substances; to increase awareness and knowledge in understanding substance use specific cultural safety; to use findings from our research with people who use substances as the basis of knowledge for workshop discussions, and to validate the study recommendations; to develop a mutually agreed plan of action to collaboratively address improving primary care and promoting access to culturally safe healthcare for people who use substances, within and through primary care settings; to build capacity within primary care by mentoring research trainees with academic and community experts. Our recent research with people who use(d) substances has provided an understanding of what is needed for people who use substances to feel safe using primary care services (Urbanoski et al, 2018; Pauly et al, in press). The findings of this research was used as the basis for developing key questions for discussion in order to develop best practices in four key areas: primary care environment and management; interpersonal skills; medication and prescribing, and holistic healthcare. We held three days of workshops: an initial workshop to provide Peer Research Associates, who were patients who were trained to lead the workshops, to develop cultural safety within the workshop; a dialogue day with Peer Research Associates, researchers, physicians, and health systems partners, which used a world café to develop best practices; and a follow up day with Peer Research Associates, researchers, physicians, and health systems partners to validate the resources that were developed. We developed three key resources to disseminate the best practices: a one page summary of actions that can be taken to improve supportive primary care for people who use substances; a checklist for primary care practices; and a website compiling the best practice resources for download, providing background information on the project, and providing links to community resources. This website is available at www.SuportingPatientsWhoUse.net. The implementation plan comprised the development of the resources, dissemination through the website and through presentations, and distributing online and printed resources through the Victoria Division of Family Practice, and the Patients as Partners team within the Ministry of Health, and by embedding the resources on Pathways, an online resource for physicians. Future development of the guidelines will focus on explicitly addressing cultural safety in Indigenous patients who use substances. Additional research is needed to better understand and address trauma-informed care and transdisciplinary primary care. Further collaboration is also needed with physician, nurse practitioner, and medical office assistant training programs and organizations who may provide related services and supports, such as Pain BC. These additional collaborations are beyond the scope of this project, and will require further funding.
Indigenous mental health & substance use leadership research planning initiative: Final report
(Centre for Health Leadership and Research, Royal Roads University, 2019) Hartney, Elizabeth
Promoting reconciliation through research collaboration between Xaaynangaa Naay and Northern Health Authority: Beginning the dialogue
(Royal Roads University, 2019) Hartney, Elizabeth; Gladstone, Susan
This project was supported by the Government of Canada through a SSHRC Connection Grant, and builds on a previous project supported by a CIHR Planning and Dissemination Grant. The first project was focused on developing Indigenous leadership through facilitating collaboration between First Nations and Indigenous peoples and regional health authorities in British Columbia. A detailed report is available (Hartney, 2018). Through the previous project, and earlier work conducted by members of the project team in Haida Gwaii, this project was conceived. A series of Elders dinners had been held in the community, to facilitate the leadership of Elders in mental health services in the Skidegate community. This project expands on the successful approach used previously, by bringing together Elders from the ten clans of the Haida Nation, with leadership from Northern Heath Authority, with the intention to build trusting relationships. The project will support Indigenous talent and research careers by employing a knowledge keeper from within the community, and engaging with Elders as project participants, thereby demonstrating their strengths as advisors to the health authority. The data collection method used will be talking circles. The work will further develop the Indigenous research career of the Health Director, Lauren Brown, building on her masters research developing a model of Haida governance for the health centre. The project is focused on engaging Indigenous knowledge through involving Elders in talking circles. The activities of the project will directly address the barriers which exist for Elders to have input into the health system, specifically, the remoteness of Haida Gwaii, and the lack of opportunity for relationship building at the senior leadership level. It will directly address the perceived lack of engagement from the health authority in the lives of the Haida people, though engaging in relationship building in a culturally appropriate way. We are mobilizing knowledge and partnerships for reconciliation through building on the past relationships between the Haida Nation and Royal Roads University, and developing and strengthening the partnership between the Health Centre, known as Xaaynangaa Naay (House of Life), in Skidegate, Haida Gwaii, with the Northern Health Authority. This will be facilitated by the First Nations Health Authority, who have strong relationships with all partners. The central concept of the project is to foster mutually respectful relationships, particularly between senior leadership in Northern Health Authority, and the Skidegate Elders. Using our own collaborative partnerships between Indigenous leaders and non-Indigenous allies, we are creating a safe, trauma-informed space for the leadership of Elders to be recognized and respected. As an Ownership, Control, Access and Possession (OCAP)-compliant project, knowledge will be generated, gathered, analyzed, and retained in the Skidegate community in Haida Gwaii.

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