Just Medicine 1. The Art of Medicine in Mental Health and Substance Use
Jan 12, 2023
Dr. Marcus Greatheart is a family physician and social worker specializing in mental health and addiction, working with marginalized populations. He shares insights on the significance of recognizing privilege in healthcare and the necessity of building trust with underserved patients. Dr. Greatheart discusses the intricate challenges faced by individuals with complex needs and highlights the importance of trauma-informed care and compassionate communication. He also emphasizes the need for practical solutions to barriers that hinder access to care.
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Career Path From Social Work To Addiction Medicine
- Marcus Greatheart recounts moving from social work into medicine and training at McMaster before practicing inner-city medicine in Vancouver.
- He describes now living on Vancouver Island and splitting time between addictions clinic, hospital consults, and outreach teams.
Historical Harm Shapes Patient Trust
- Marcus observes that mistreatment of marginalized groups is embedded in healthcare and affects trust and access.
- He urges clinicians to recognize how colonialism and past abuses shape patients' reluctance to seek care.
Position Patients As The Captain
- Marcus advises clinicians to approach patients humbly and try to reduce power differentials by aligning with their goals.
- He frames the patient as the captain and the clinician as navigator and safety officer during shared care.
