Resources

Welcome to our searchable resource and literature collection on safer supply and related topics.

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Characterizing stimulant overdose: A qualitative study on perceptions and experiences of “overamping”

This study explores how PWUS understand, experience, and respond to overamping.
Original research | 2022
Overdose, About PWUD, Illegal drugs, Stimulants

Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder

The study examined trends in use of tele-buprenorphine and compared demographic and clinical characteristics in patients who received tele-buprenorphine versus those who received in-person treatment o
Original research | 2022
About prescribers, Rural/remote, Substitution/OAT, Digital health

Connecting: A Guide to Using Harm Reduction Supplies as Engagement Tools

Connecting - A Guide to Using Harm Reduction Supplies as Engagement Tools was developed to support frontline workers in their day to day work.

Guide or handbook | 2020
Harm reduction, Wrap-around services, About prescribers, Social services, Illegal drugs, Stimulants, Injecting drugs

Disparities by Sex and Race and Ethnicity in Death Rates Due to Opioid Overdose Among Adults 55 Years or Older, 1999 to 2019

Is there variation by sex and by racial and ethnic subgroups in rates of opioid overdose deaths among older adults over time?
Original research | 2022
Overdose, Mortality, Equity, About PWUD, Illegal drugs, Sex/Gender

Imprisonment, community sanctions and mortality by cause of death among patients with substance use disorder – a 28-year follow-up using Finnish register data

Using data on Finnish individuals who had sought treatment for substance use, we studied the association between criminal sanctions with cause-specific mortality.
Original research | 2022
Mortality, About PWUD, Outcomes, Legal system/law enforcement

Mortality involving New Psychoactive Substances across Europe, 2016-2017

This study aims to estimate the mortality related to new psychoactive substances (NPS) in Europe in 2016 and 2017.
Original research | 2022
Overdose, Mortality, About PWUD, Illegal drugs

Navigating conflicting value systems: a grounded theory of the process of public health equity work in the context of mental health promotion and prevention of harms of substance use

The aim of the study was to explore how public health providers identified and navigated ethical issues and their management related to promoting health equity within services focused on mental health
Original research | 2022
Equity, About prescribers, Social services, Workplace, Mental health

Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery

Although substance use disorder (SUD) is frequently complicated by pain, the prevalence and correlates of persistent pain and dysfunction following SUD remission have not been studied.
Original research | 2022
About PWUD, Illegal drugs, Chronic pain

Potential barriers to filling buprenorphine and naltrexone prescriptions among a retrospective cohort of individuals with opioid use disorder

For individuals desiring MOUD, the final step in the cascade is filling a written prescription, and fill rates have not been described.
Original research | 2022
About PWUD, Barriers and enablers, Outcomes, Substitution/OAT, Transitions in care/treatment

Reduced Emergency Department Visits and Hospitalisation with Use of an Unsanctioned Safe Consumption Site for Injection Drug Use in the United States

To evaluate whether use of the unsanctioned SCS affected medical outcomes.
Original research | 2022
Overdose, Harm reduction, About PWUD, Outcomes, Illegal drugs, SCS/OPS

Rural opioid treatment program patient perspectives on take-home methadone policy changes during COVID-19: a qualitative thematic analysis

We explored patient perspectives at three opioid treatment programs serving rural communities on how take-home policy changes were received and implemented and how these changes impacted their addi

Original research | 2021
Policy/Regulatory, About PWUD, Barriers and enablers, Outcomes, Rural/remote, Substitution/OAT, Social benefits, Diversion, Carries/take-home doses

The dangerous use of inhalants among teens: A case report

In this article we provide an overview of this new drug trend and present a case report of a 14-year-old girl, who was admitted at our Addiction Treatment Unit (Ser.D) in Trento (Italy) after inh
Case study | 2021
About PWUD, Illegal drugs, Youth, Mental health

The effect of a methadone reformulation on opioid agonist treatment outcomes: A population-based study in British Columbia, Canada, 2013–14

The province of British Columbia, Canada, changed the existing oral anhydrous methadone solution to a 10-times more concentrated pre-mixed solution, Methadose®, on February 1, 2014.
Original research | 2021
Policy/Regulatory, About PWUD, Outcomes, Substitution/OAT

The killing of social leaders: An unintended effect of Colombia's illicit crop substitution program

This paper illustrates an unintended effect of the largest crop substitution program in the world, namely increased violence against social leaders.
Original research | 2022
Policy/Regulatory, Crime, Illegal drugs, Substitution/OAT, Social benefits

Trauma Informed Practice and the Opioid Crisis: A Discussion Guide for Health Care and Social Service Providers

Research has shown that the vast majority of individuals who experience problems with opioid misuse and addiction have current or past experiences of trauma and violence.
Guide or handbook | 2018
Clinical guidance, Harm reduction, Sex/Gender , Mental health

Trends, Patterns, and Maternal Characteristics of Opioid Prescribing During Pregnancy in a Large Population-based Cohort Study

We linked statewide PDMP and birth certificate data in Tennessee (TN) to determine patterns of prescription opioid and benzodiazepine use during pregnancy.

Original research | 2022
About prescribers, Sex/Gender , Parents/caregivers

«One prick and then it´s done»: a mixed-methods exploratory study on intramuscular injection in heroin-assisted treatment

Intramuscular (IM) injection of drugs is associated with high rates of injecting-related injuries and diseases.
Original research | 2021
Harm reduction, Safer supply, About PWUD, Outcomes

“I’m Not a Good Drug Dealer”: Styles of Buprenorphine Diversion in a Multisite Qualitative Study

Little is known about the circumstances and motivations that surround buprenorphine diversion, particularly within the context of treatment expansion.
Original research | 2022
Policy/Regulatory, Substitution/OAT, Diversion

A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk.

Hydromorphone controlled-release (Hydromorphone-CR) requires a complex technique for injection and therefore provides multiple opportunities for contamination.
Original research | 2019
Harm reduction, Safer supply, Injecting drugs

A qualitative study of service engagement and unmet needs among unstably housed people who inject drugs in Massachusetts

In 2018, the Massachusetts Department of Public Health (MDPH) and the Centers for Disease Control and Prevention (CDC) investigated an increase in HIV diagnoses primarily among unstably housed PWID in
Original research | 2022
Wrap-around services, About PWUD, Social services, Barriers and enablers, Poverty, Housing, Substitution/OAT, Mental health

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