Experiences with take-home dosing in heroin-assisted treatment in Switzerland during the COVID-19 pandemic – is an update of legal restrictions warranted?

Original research
par
Meyer, Maximilian

Date de publication

2021

Géographie

Switzerland

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Oui

Évalué par des pairs

Yes

L’objectif

In light of the COVID-19 pandemic, the Swiss Federal Council provisionally adapted its policy, allowing for longer prescriptions of take-home diacetylmorphine. Before the beginning of the pandemic, take-home doses only occurred in exceptional circumstances and under strict criteria for patient eligibility.

Constatations/points à retenir

While some patients wished to return to their previous treatment regimen, most patients managed their medication well and showed good adherence. We also noticed an increase of treatment admissions that are likely related to the relaxed regulations. Previously, the strict therapeutic framework of visiting a HAT centre twice a day for supervised dispensing seemed to have discouraged these individuals from seeking medical treatment. From a medical point of view, the politically driven restrictions on take-home doses in heroin-assisted treatment are questionable and do not support the goal of harm reduction.

La conception ou méthodologie de recherche

An additional 45 patients received take-home doses following the first lockdown.

Mots clés

Evidence base
Policy/Regulatory
Safer supply
About prescribers
About PWUD
Barriers and enablers
Carries/take-home doses