Medical cannabis in schools: The experiences of caregivers

Author:

Mansell Holly1ORCID,Zaslawski Zina2,Mbabaali Sophia3,King Patricia M4,Kelly Lauren E56ORCID,Lougheed Taylor78,Anderson Jennifer9,Huntsman Richard J10,Alcorn Jane1ORCID

Affiliation:

1. College of Pharmacy and Nutrition, University of Saskatchewan , Saskatoon, Saskatchewan , Canada

2. Department of Pediatrics and Child Health, University of Manitoba , Winnipeg, Manitoba , Canada

3. Centre for Healthcare Innovation, University of Manitoba , Winnipeg, Manitoba , Canada

4. College of Nursing, University of Saskatchewan , Saskatoon, Saskatchewan , Canada

5. Departments of Pharmacology and Therapeutics and Community Health Sciences, University of Manitoba , Winnipeg, Manitoba , Canada

6. Children’s Hospital Research Institute of Manitoba , Winnipeg, Manitoba , Canada

7. Department of Family Medicine, University of Ottawa , Ottawa, Ontario , Canada

8. Section of Emergency Medicine, Northern Ontario School of Medicine , Sudbury, Ontario , Canada

9. Department of Family Medicine, University of Manitoba , Winnipeg, Manitoba , Canada

10. Department of Pediatrics, College of Medicine, University of Saskatchewan , Saskatoon, Saskatchewan , Canada

Abstract

Abstract Objectives Implementing medical cannabis (MC) into a child’s daily routine can be challenging and there is a lack of guidance for its therapeutic use in schools in Canada. Our objective was to learn about the experiences of caregivers of school-aged children who require MC. Methods Qualitative description was used and caregivers were interviewed about MC in schools and in general. The transcripts were entered into Dedoose software for qualitative analysis and content analysis was performed. Sentences and statements were ascribed line by line into meaning units and labelled with codes, and organized according to categories and subcategories. Results Twelve caregivers of school-aged children who take MC participated. The most common reasons for treatment were drug-resistant epilepsy (DRE), autism, or other developmental disorders. Approximately half of the participants’ children (n = 6) took MC during the school day and most (5/6) perceived their experiences to be positive or neutral but reported a lack of knowledge about MC. While data saturation was not reached regarding MC in schools, rich dialogues were garnered about MC in general and three categories were identified: challenges (subcategories stigma, finding an authorizer, cost, dosing, and supply); parents as advocates (subcategories required knowledge, attitudes, skills, and sources of information); and caregiver relief for positive outcomes. Conclusions Caregivers demonstrate remarkable tenacity despite the many challenges associated with MC use. Education and practice change are needed to ensure that children using MC can benefit from or continue to experience its positive outcomes within the school environment and beyond.

Funder

College of Pharmacy and Nutrition, University of Saskatchewan

Publisher

Oxford University Press (OUP)

Subject

Pediatrics, Perinatology and Child Health

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