Resources

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

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Persons from racial and ethnic minority groups receiving medication for opioid use disorder experienced increased difficulty accessing harm reduction services during COVID-19

We tested the hypothesis that persons receiving medication for opioid use disorder (MOUD) who self-identify as from racial/ethnic minority groups would experience more disruptions in access to harm re
Original research | 2021
Equity, About PWUD

Privileged background protects against drug charges: A long-term population-based longitudinal study

We investigated the importance of indicators of parental socio-economic status (SES) for getting an official drug charge, while we controlled for self-reported drug law infractions (use of illegal dru
Original research | 2022
Equity, Illegal drugs

Reducing Drug Users' Risk of Overdose

Research project looking at ways of reducing drug users’ risk of overdose, conducted on behalf of the Scottish Government.
Report | 2008
Overdose, Harm reduction, About pharmacists, About prescribers, Social services, Legal system/law enforcement

Research led by people who use drugs: centering the expertise of lived experience

PWUD play a critical role in identifying emerging issues in the drug market, as well as associated health behaviors and outcomes.
Commentary | 2021
About PWUD, Peer/PWLLE program involvement

Risk factors associated with drug use: the importance of ‘risk environment’

This paper discusses research findings on non-biological risk factors associated with illicit drug use
Original research | 2003
Harm reduction, Illegal drugs

The opioid crisis is driving mortality among under-served people living with HIV in British Columbia, Canada

To illuminate persistent threats to the health and longevity of under-served PLWH in BC
Original research | 2021
Overdose, Mortality, Equity, Outcomes, Poverty, Sex/Gender

Using TikTok in recovery from substance use disorder

Given the rising popularity of TikTok and need to foster innovative means through which to attract and engage individuals with SUD with treatment, we sought to characterize how TikTok users in SUD rec
Original research | 2021
About PWUD, Illegal drugs, Transitions in care/treatment, Digital health

Wearable biosensors have the potential to monitor physiological changes associated with opioid overdose among people who use drugs: A proof-of-concept study in a real-world setting

Wearable biosensors have the potential to monitor physiological change associated with opioid overdose among people who use drugs.
Original research | 2021
Harm reduction, About PWUD, Illegal drugs, Digital health

‘Small communities, large oversight’: The impact of recent legislative changes concerning supervised consumption services on small communities in Ontario, Canada

Commentary | 2020
Policy/Regulatory, Equity, Advocacy, Small/medium cities, SCS/OPS

2019 Opioid Mortality in Ontario and preliminary 2020 trends

Slide deck | 2020
Mortality, Evidence base, Advocacy, Illegal drugs, Indigenous, Stimulants, Sex/Gender

5 Things You Should Know About Safer Opioid Supply Programs

Commentary | 2021
Clinical guidance, Harm reduction, Hesitancy of prescribers , Safer supply, About pharmacists

Adapting a Low-threshold Buprenorphine Program for Vulnerable Populations During the COVID-19 Pandemic

This paper examines patient characteristics and initial outcomes of patients served during a rapid protocol shift to telehealth that allowed buprenorphine initiation without an in-person encounter fol
Original research | 2021
Policy/Regulatory, About prescribers, Outcomes, Substitution/OAT, Digital health

Adverse Events During Treatment Induction With Injectable Diacetylmorphine and Hydromorphone for Opioid Use Disorder

Describes a 3-day induction protocol for injectable hydromorphone (HDM) and diacetylmorphine (DAM) used in 3 Canadian studies and examine rates of opioid-related overdose and somnolence during this in
Original research | 2019
Clinical guidance, Evidence base, Harm reduction, Safer supply, About prescribers, Outcomes, Substitution/OAT, Injecting drugs

Characterization of deceased drug users in Denmark based on treatment status: A nationwide retrospective autopsy study

Looked at characteristics of deceased drug users in treatment and not in treatment
Original research | 2021
Overdose, Mortality, Illegal drugs, Substitution/OAT

Community-based Naloxone Coverage Equity for the Prevention of Opioid Overdose Fatalities in Racial/Ethnic Minority Communities in Massachusetts and Rhode Island

Our objective was to determine if US municipalities with high percentages of non-white residents have equitable access to the overdose antidote naloxone distributed by community-based organizations.
Original research | 2021
Overdose, Harm reduction, Equity

Convenience and comfort: reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada

This study aimed to assess prevalence and reasons for using drugs alone among people accessing harm reduction services in BC.
Original research | 2020
Overdose, Harm reduction, Policy/Regulatory, Safer supply, About PWUD, Sex/Gender , Stigma

Diacetylmorphine versus Methadone for the Treatment of Opioid Addiction

We compared injectable diacetylmorphine with oral methadone maintenance therapy in patients with opioid dependence that was refractory to treatment
Original research | 2009
Evidence base, Policy/Regulatory, Safer supply, About prescribers, Outcomes, Illegal drugs, Substitution/OAT

Examining prevalence and correlates of smoking opioids in British Columbia: opioids are more often smoked than injected

The study objectives are to identify the prevalence and correlates associated with smoking opioids.
Original research | 2021
Overdose, Policy/Regulatory, Decriminalization/legalization, Illegal drugs, Small/medium cities, Sex/Gender

Hydromorphone Compared With Diacetylmorphine for Long-term Opioid Dependence: A Randomized Clinical Trial (SALOME)

To test if injectable hydromorphone hydrochloride is noninferior to injectable diacetylmorphine in reducing illicit heroin use for chronic injection opioid users after 6 months of intervention.
Original research | 2016
Evidence base, Policy/Regulatory, Safer supply, Advocacy, About prescribers, Outcomes, Illegal drugs, Substitution/OAT

Impact of overdose prevention sites during a public health emergency in Victoria, Canada

The primary objective of this study was to examine the impacts associated with implementation of overdose preventions sites (OPSs) in Victoria, Canada during a declared provincial public health ove

Original research | 2020
Overdose, Harm reduction, Policy/Regulatory, Outcomes, Illegal drugs, Transitions in care/treatment, Stigma

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