A qualitative evaluation of a fentanyl patch safer supply program in Vancouver, Canada

Original research
by
Norton, Alexa et al.

Release Date

2024

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

We sought to qualitatively evaluate the effectiveness of the SAFER fentanyl patch program in meeting its intended aims, including reducing risk of overdose by decreasing reliance on the unregulated drug supply.

 

Findings/Key points

The flexible program structure, including lack of need for daily dispensation, the extended missed dose protocol, and community pharmacy patch distribution fostered engagement and enhanced autonomy. Improved management of withdrawal symptoms and cravings due to steady transdermal dosing led to reduced unregulated drug use and overdose risk. Participants also experienced economic benefits and improvements in overall health and quality of life. However, skin irritation and patch adhesion issues were key barriers to program retention.

Design/methods

Semi-structured qualitative interviews were conducted with 17 fentanyl patch program participants between February 2022 and April 2023.

 

Keywords

About PWUD
Carries/take-home doses
Evidence base
Harm reduction
Youth