Resources

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

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“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”

In the present study, we piloted an adapted model of Housing First plus prevention services that was tailored to the needs of young adults (18–24 years) experiencing homelessness in the USA.
Original research | 2021
Harm reduction, Wrap-around services, Social services, Outcomes, Poverty, Housing, Illegal drugs, Youth, Social benefits

"It's Helped Me a Lot, Just Like to Stay Alive": a Qualitative Analysis of Outcomes of a Novel Hydromorphone Tablet Distribution Program in Vancouver, Canada

This study examined outcomes of a hydromorphone tablet distribution program intended to prevent overdose events among people who use drugs (PWUD) at high risk of fatal overdose.
Original research | 2020
Wrap-around services, Safer supply, Equity, About PWUD, Barriers and enablers, Outcomes, Illegal drugs, Transitions in care/treatment

A Descriptive Comparison of Substance Use Services in Recovery and Isolation Sites for People Experiencing Homelessness During the COVID-19 Pandemic, Boston and Toronto

In this commentary, we examine the experiences in Boston and Toronto in addressing substance use in COVID-19 isolation and recovery settings.
Commentary | 2021
Overdose, Harm reduction, Policy/Regulatory, Safer supply, Decriminalization/legalization, Advocacy, Housing, Illegal drugs, Injecting drugs, SCS/OPS, Hospitals

Barriers and facilitators to a novel low-barrier hydromorphone distribution program in Vancouver, Canada: a qualitative study

To examine barriers and facilitators to uptake of, and engagement with, a novel opioid distribution program operating in Vancouver, Canada’s Downtown Eastside neighborhood involving the distribution o
Original research | 2020
Safer supply, About PWUD, Barriers and enablers

Cannabis education resources for parents: an environmental scan and critical content analysis in the context of legalization

This paper presents findings of an environmental scan, mapping and critically analyzing the present landscape of cannabis resources for parents/caregivers.
Lit review | 2021
About PWUD, Youth, Peer/PWLLE program involvement

Changing the Narrative

Changing The Narrative is a network of reporters, researchers, academics, and advocates concerned about the way  media represents drug use and addiction.
Webpage | 2021
Policy/Regulatory, Equity, Advocacy, Social services, Crime, Legal system/law enforcement, Illegal drugs, Stigma

Characteristics of Adults Reporting Illicitly Manufactured Fentanyl or Heroin Use or Prescription Opioid Misuse in The United States, 2019

This study aims to explore the characteristics of US adults who used illicitly manufactured fentanyl (IMF), heroin, or misused prescription opioids and examine the associations between demographic, cl
Original research | 2021
Overdose, Evidence base, Equity, Illegal drugs

Correlations between Changes in Medical Opioid Dispensing and Contributions of Fentanyl to Opioid-Related Overdose Fatalities: Exploratory Analyses from Canada

The present study examined whether differential provincial reductions in medical opioid dispensing following restrictive regulations (post-2010) were associated with differential contributions of fent
Original research | 2021
Mortality, Evidence base, Harm reduction, Policy/Regulatory, Hesitancy of prescribers , Advocacy

Evaluation of heroin maintenance in controlled trial

Assess injectable heroin vs. oral methadone

Original research | 1980
Evidence base, Outcomes, Legal system/law enforcement, Substitution/OAT, Social benefits

Implementing treatment of opioid use disorder in rural settings: A focus on HIV and Hepatitis C prevention and treatment

To describe the epidemiology opioid use disorder in the rural United States as it pertains to HIV and hepatitis C transmission and treatment resources.
Lit review | 2018
Overdose, Equity, Barriers and enablers, Rural/remote, Substitution/OAT

It is time for us all to embrace person-centred language for people in prison and people who were formerly in prison

Commentary | 2022
Legal system/law enforcement, Stigma

Long-term follow-up assessment of opioid use outcomes among individuals with comorbid mental disorders and opioid use disorder treated with buprenorphine or methadone in a randomized clinical trial

To investigate whether reduction in opioid use differs when treated by either buprenorphine–naloxone (BUP) or methadone (MET) among adults with comorbid opioid use disorder (OUD) and mental disorders.
Original research | 2021
About prescribers, Outcomes, Illegal drugs, Substitution/OAT, Mental health

Methadone diversion as a protective strategy: The harm reduction potential of ‘generous constraints’

Explore how people using methadone self-regulate and reasons for diversion
Original research | 2013
Harm reduction, Policy/Regulatory, About PWUD, Illegal drugs, Substitution/OAT, Social benefits, Diversion

Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies

How do public health emergencies impact PWOUD? How can health systems respond to novel public health emergencies to serve PWOUD?
Scoping review | 2021
Policy/Regulatory

Outcomes of Ottawa, Canada's Managed Opioid Program (MOP) where supervised injectable hydromorphone was paired with assisted housing

The Ottawa Inner City Health's Managed Opioid Program is the first, to our knowledge, to pair injectable opioid agonist hydromorphone treatment with assisted housing for people experiencing homelessne
Original research | 2021
Evidence base, Wrap-around services, Social services, Outcomes, Housing, Social benefits

Provision of Lower Barrier, Patient-Centred Care and Safer Supply of Substances in the Time of Dual Crises

Commentary | 2021
Policy/Regulatory, Safer supply, Advocacy, About pharmacists, About prescribers, Social services, Injecting drugs, Carries/take-home doses

Tackling the overdose crisis: The role of safe supply

Commentary | 2020
Overdose, Mortality, Policy/Regulatory, Safer supply, Advocacy, Barriers and enablers, Illegal drugs, Injecting drugs

Telehealth-Delivered Opioid Agonist Therapy for the Treatment of Adults with Opioid Use Disorder: Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

This Rapid Response report aims to review the effectiveness of the use of telehealth-delivered OAT compared to standard OAT.
Lit review | 2018
Clinical guidance, Evidence base, Policy/Regulatory, Safer supply, About prescribers

The Global Drug Policy Index 2021 - Analytical report

The Global Drug Policy Index is a unique tool that documents, measures and compares national-level drug policies, providing each country with a score and ranking that shows how much their drug policie
Report | 2021
Policy/Regulatory, Equity

The impact of the novel coronavirus disease (COVID-19) pandemic on drug overdose-related deaths in the United States and Canada: a systematic review of observational studies and analysis of public health surveillance data

The impact of COVID-19 on drug overdose-related deaths was examined through a systematic review of the literature and percentage change analyses of surveillance data.
Original research | 2021
Overdose, Mortality, Policy/Regulatory, Safer supply, Decriminalization/legalization, Advocacy, Illegal drugs

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