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IN THIS ISSUE
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  • Resources
  • Research Papers of the Month
  • Research Publications
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FEBRUARY MEETINGS



CLINICIAN MEETING
Wednesday, February 5th at 3 pm Eastern Register here
For: NPs, MDs, PAs, RNs, and Pharmacists
Goals: (1) Connecting safer supply clinicians; (2) Discussing case studies; (3) Asking questions; and, (4) Sharing clinical experiences.
 
This month, Dr. Charles Breau (Recovery Care, Ottawa) will be present to speak about Safer Stimulant prescribing.


 
INTERDISCIPLINARY DROP-IN MEETING
Every Thursday - 9 am PT / 10 am MT / 11 am CT / 12 pm ET / 1 pm AT / 1:30 NL
Zoom link
Community facilitation, skills sharing, book club, community presentations, and more! Would you like to talk about your work or share a skill? Contact Rebecca to sign up!
RESOURCES

Community resources, webinars, and podcasts

 

AVI. 2025. Expanding Prescribed Alternatives on Vancouver Island: Practice Brief

This practice brief highlights the early implementation of AVIʼs Regulated Access to Drugs and Enhanced Harm Reduction  programs including perspectives from program staff on program facilitators and barriers, and areas of future growth related to prescribed alternatives as an important strategy to mitigate the harms of drug prohibition.

 

Drug Policy Alliance. 2025. Safer Supply Toolkit. 

  • Key strategies for Advancing Safer Supply
  • Discussion guides
  • Media Guide
  • Further reading
  • Register for the Feb 26th Webinar about the Toolkit
CCSA. Drug Checking Office Hours. For more info and to register, Click here.
 

CAPSA. Substance Use Medical Emergency

Recommends replacing the word “overdose” with “Substance Use Medical Emergency” aka “SUME”


CATIE and ODPRN Webinar (past - January 2025). Healthcare access prior to drug toxicity deaths in Ontario

 

Upcoming Webinars
 

NSSCoP Research Spotlight Webinar: Repurposing Medications in Safer Supply Programs - a discussion about the research

When: Thurs Feb 20th at 12 pm Eastern

Presenters: Michelle Olding, Lucas Martingetti, Dr. Andrew Patterson, more to be determined

For more info and to register: Click here

 

ODPRN Webinar: What We Heard at the Community Substance Use Forum

When: Mon Feb 10th at 12:30 pm

About: This webinar will share recommendations, supported by evidence and community knowledge, on program and service needs related to substance use and related harms across the province.

For more info and to register: Click here

 

Drug Policy Alliance: Safer Supply Toolkit Webinar 

When: Wed Feb 26th at 4 pm Eastern  

For more info and to register: Click here

BC ECHO on Substance Use: Considerations for Providing Care to People with Cannabis Use Disorder
When: Thursday, February 20, 12:00 - 1:00 p.m. Pacific Time
Presenter: Dr. Anees Bahji
For more info and to register: Click here

Casey House and HIVe/OHTN: Working with Transgender and Non-Binary Patients/Clients: A Guide for Front Line Workers and Healthcare Providers

When: Feb 20, 10:30 a.m. Eastern

Presenter: Dr. Kate Greenaway

For more info and to register: Click here
 

Podcasts

BCCSU ECHO: Addictions Practice Pod - Person-centred perinatal substance use care

Chemical World: January 2025 episode
NSSCoP YouTube Page -  SUBSCRIBE NOW

Have you subscribed to the NSSCoP YouTube Channel? We have 65 videos of presentations, workshops, and webinars  - and we add more each month! If you miss a webinar, you can find it here (and on our website).
 



          Join the      
      discussion!


    Register here




Related research:

Olding et al. 2024. Perspectives on Diversion of Medications from Safer Supply Programs.

Martignetti et al. 2025. Motivations for & perspectives of medication diversion among clients of a safer opioid supply program in Toronto, Canada
 
NSS-CoP Resource Library: Did you know we have a resource library with OVER 1,800 resources on safer supply? You can access it for FREE anytime. It features academic journal articles, grey literature, knowledge translation materials, clinical practice guidelines, and more!
PUBLICATIONS OF THE MONTH

Schmidt, R., Guta, A., et al. (2024). Safer Opioid Supply programs: Hydromorphone prescribing in Ontario as a harm reduction intervention to combat the drug poisoning crisis | Canadian Journal of Public Health 


Our findings suggest that the combination of safer supply, wrap-around support, and harm reduction within primary care settings can lead to increased healthcare engagement, HIV/HCV prevention, testing, and treatment uptake, reducing the burden of infectious diseases and overdose risk. SSPs have the potential to meaningfully reduce overdose rates, address the ongoing overdose crisis, and if scaled up, influence population-level outcomes.


Bowles, J., Nyx, E., Kalicum, J., Kerr, T. (2024). Qualitative findings from North America’s first drug compassion club. PLoS ONE

From August 2022 until October 2023, the Drug User Liberation Front [DULF] operated a drug compassion club [CC], which sells drugs of known composition and purity without medical oversight. The present study is a qualitative evaluation of this project.

Participants spoke positively of their experiences with the CC, which ranged from lower overdose risk, health improvements, preference for the drug purchasing process, and mutual respect and trust among CC members, founders, and staff. No participants reported overdosing on CC-sourced drugs, and drugs were described as safe and reliable. For opioid users, the tolerance developed for opioid-potent fentanyl hampered the transition to CC heroin.

Despite political backlash to the project, the CC appears to be a novel and promising approach to reducing overdose morbidity in high needs communities.


Michaud, L. (2025). Prosecuting Overdose: Manslaughter Charges Against People Who Use, Share, and Sell Drugs in Canada | Canadian Journal of Law and Society  

This study examines the recent proliferation of manslaughter charges and subsequent prosecutions brought against people who have shared, sold, or provided drugs that have led to overdose death in Canada. It presents a documentary analysis of news media coverage, court decisions, and Access-to-Information and Freedom-of-Information requests of materials from criminal legal institutions. The analysis finds that the vast majority of those who face manslaughter charges are engaged in the lowest tiers of the drug trade, are themselves people who use drugs, and are often intimately known to the deceased. Messaging by police, prosecutors and the courts mobilize the overdose crisis as rationale for these charges and prosecutions, positioning them as a form of redress to impacted communities. This phenomenon illustrates how punitive criminal legal responses to the overdose crisis have deepened alongside the retreat of criminal law in other circumstances, contradicting claims of a therapeutic turn in Canadian drug policies.

 

RESEARCH

Haines, M. and O’Byrne, P. 2025. Safer Stimulant Supply: Program Outcomes. Canadian Journal of Nursing Research.

Young, S., et al. 2025. Examining the association between fentanyl use and perceived adequacy of methadone dose: A retrospective cohort study Drug and Alcohol Dependence. 

Thornton, et al. 2025. Factors Influencing Attitudes Towards Safer Supply Programs for People Who Use Drugs: Findings From an Atlantic Canadian Province. Journal of Drug Issues. 

Friedman, J. and Ciccarone, D. 2025. The public health risks of counterfeit pills. The Lancet Public Health.

Boyd, J. 2025. “Basically every safety protocol we have in place to protect against overdose, parents can't access”: Mothers who use unregulated drugs’ experiences of dual public health emergencies IJDP. 

Lozano, P. et al. 2025. Persistent pain, long-term opioids, and restoring trust in the patient-clinician relationship. The Journal of Pain

Kim, JJ., et al. 2025. Chronic pain among primary fentanyl users: The concept of self‐medication. European Journal of Pain. 

Humphrey, J. et al. 2025. Overdose as a complex contagion: modelling the community spread of overdose events following law enforcement efforts to disrupt the drug market. Journal of Epidemiology and Community Health. 

Suen, L. et al. 2025. Outpatient Low-Dose Initiation of Buprenorphine for People Using Fentanyl Clinical Pharmacy and Pharmacology

Berk, J., Rose, M., Thakar, AP. 2025. Low-Dose Initiations of Buprenorphine in the Fentanyl Era—A Search for Evidence-Based Approaches to an Evolving Crisis. Clinical Pharmacy and Pharmacology.  

Lowenstein, M. et al. 2025. Real-world access to buprenorphine treatment in Philadelphia: A secret shopper study 

Famiglietti, N. and Bratberg, J. 2025. Take care of the patient: Pharmacists should advocate for overdose prevention centers as harm reduction. Journal of American Pharmacists Association.

Zaragoza, S. Developing a comprehensive inventory to define harm reduction housing. Harm Reduction Journal.  

Zu-In, S. 2025. Integrative Management of Chronic Pain and OUD for Whole Recovery (IMPOWR) Research Network.  Substance Use and Addiction.

Conrod, et al. 2025. Five-Year Outcomes of a School-Based Personality-Focused Prevention Program on Adolescent Substance Use Disorder: A Cluster Randomized Trial. American Journal of Psychiatry.

Slemon, et al. 2025. Social justice as nursing resistance: a foucauldian discourse analysis within emergency departments. Nursing Philosophy. 

Block, S., et al. 2025. “We can't change that while they're in the hospital”: Unveiling the manifestations of infrastructural violence and wound care for people who inject drugs IJDP. 

Wang, EY, et al. 2025. Characterization of Xylazine-Related Overdose Deaths in Maryland (2020-2023) Drug and Alcohol Dependence. 

Pacheco Bufanda, L. et al. 2025. Managing xylazine-involved overdoses in a community harm reduction setting: lessons from Tijuana, Mexico. Harm Reduction Journal. 

Barrios, K., et al. 2025. Ketamine use in a large global sample: Characteristics, patterns of use and emergency medical treatment. Journal of Psychopharmacology. 

ter Laak, T., et al. 2025.  Mapping consumptions and market size of cocaine, amphetamine and MDMA through wastewater analysis: A Dutch case study. Addiction.

Melis, F., et al. 2025. Patient Characteristics From Norway’s First Heroin-Assisted Treatment Clinics. Substance Use and Addiction.

Hall, E., et al. 2025. Estimating Hep C prevalence in the United States 2017-2020. Hepatology. 

Lindfield, Z. et al. 2025. Examining the Relationship Between Local Governmental Expenditures on the Social Determinants of Health and County-Level Overdose Deaths, 2017-2020. Journal of Public Health Management and Practice.
 

Doonan, S., et al. 2025. How do restrictions on opioid prescribing, harm reduction, and treatment coverage policies relate to opioid overdose deaths in the United States in 2013–2020? An application of a new state opioid policy scale. IJDP.
 
FROM THE HEADLINES - NEWS MEDIA

International

Shared genetic factors uncovered between ADHD and cannabis addiction 

RFK Jr. says he'll fix the overdose crisis. Critics say his plan is risky

Criminologist fact-checks Trump nominee's claims about fentanyl crossing border 

Canada launches fentanyl crackdown to convince Trump tariffs aren't necessary 

How drug overdose deaths have plagued one generation of Black men for decades  

Activist Judy Chang Talks Narcofeminism and Drug-User Rights 

Unveiling the Hidden Impact of California Wildfires on Substance Abuse

‘One of the last taboos’: breaking the stigma of substance-use disorders in academia

Sedative, Hypnotic Drug Misuse in Young Adults Up 5x

Addiction treatment often overlooks trauma. That's a major hurdle in stopping the overdose crisis   

Under Trump, Future Of Harm Reduction Policies To Curb Drug Overdoses Is Unclear 


National
 

Harm reduction advocates hope high court will 'clarify' Canada's 'Good Samaritan' law  

Provinces are underspending on addiction and mental health care, new report says

 


British Columbia

B.C. Supreme Court certifies Canada-wide class-action lawsuit against opioid makers  

‘Number one killer’: Expert panel delves into Island's toxic opioid crisis - Comox Valley Record 

Eby wants involuntary secure-care sites ‘across the province’   
 

Unsanctioned Island hospital overdose prevention site provides support, awareness  
 


Alberta

Judge grants injunction restoring 24-hour access at Red Deer overdose prevention site  

Alberta government offers blueprint to help businesses support workers dealing with addiction 

Edmonton remains top city for opioid-related deaths despite downward-trending numbers in Alberta  
 

Opinion: Listen to those impacted by toxic drugs to end the crisis  

 

Saskatchewan 

Saskatchewan's new drug treatment centre not providing answers

Ex-employee says people dying while on wait list for Lumsden addictions centre  

New recovery & wellness centre to combat addiction crisis on the Ochapowace Nation  

Drug overdoses remain a conundrum in Saskatchewan despite fewer fatalities  

Fourth annual memorial smudge walk honours victims of toxic drugs in Regina 
 

Largest Addictions Treatment Centre in Saskatchewan Opens its Doors to Inpatients   
 


Manitoba

Toxic drugs blamed for 'cascade' of overdoses within 45 minutes in downtown Winnipeg  

Province hears from Point Douglas residents on proposed supervised consumption site 
 

Winnipeg Fire Paramedic Service chief wants to help thwart 'uncontrolled' opioid crisis   

 

Ontario

Ontarians’ Support for Harm Reduction Outweighs Opposition, New Survey Reveals

As opioids tighten deadly grip on Chatham-Kent, suffering families share their stories

Ontario hires PI firm to survey supervised consumption site neighbours  

Closure of supervised consumption sites could lead to more overdoses, paramedic stress: TPH report  

Closure of supervised consumption sites could become Ontario election issue, former mayor says 

Does crime increase around supervised consumption sites?  

Toronto health board votes to intervene in supervised consumption site legal challenge against province   

“I was struggling with addiction when I found out I was pregnant. The perinatal addictions clinic at St. Michael’s Hospital saved me” 

New addiction recovery beds offer 'true chance' to improve relapse rate, says Sarnia hospital CEO   

4 more homelessness and addiction hubs announced for eastern Ontario

Sudbury, Sault Ste. Marie to get Homelessness and Addiction Recovery Treatment hubs 

Timmins turned down for addiction treatment centre funding  

CMHA Thames Valley to open new HART hub location in London with 60 beds in spring  Ontario Government Providing $6.2 In Funding For Homelessness and Addiction Recovery Treatment Hub In Peterborough    

‘Restore safety and order’: Ontario spending $75M to remove public encampments   

Increasing homelessness and addiction issues prompt summit in Nipissing First Nation   

 


Quebec

Montreal teen’s overdose death was accidental, schools need to step up prevention programs: Coroner 

More drug prevention needed in schools after Montreal teen's overdose death: coroner 
 

A Montreal drag artist ties clowning and harm reduction into their sensual performances  
 


Yukon, Northwest Territories, Nunavut

Year in review 2024: Substance use's continued toll on the Yukon 

Nunavut to spend $3.3M to fund suicide and substance abuse prevention programs   
 

Dry January arrives with conflicting recommendations on alcohol consumption  

 

Atlantic Provinces - New Brunswick, Nova Scotia, Prince Edward Island, and Newfoundland and Labrador

P.E.I. government pauses supervised injection site plans  

Cocaine leading rise in accidental overdose deaths in N.L.   

Leadership changes in N.B. harm reduction sector  

Mental health intervention program can help prevent substance‑use disorders in teens, study shows

WAYS TO GET INVOLVED


Come to the drop-in meeting! Listening is participation! Hang out and learn from others.

Share your skills:

We’d like to create opportunities for skills sharing. Let us know if you would like to offer a workshop or present to the membership.

Share your successes:

Share your success stories, your reports, and safer supply resources that you develop with the NSS-CoP membership through:

How can we help? Let us know what you need! Our goal is to support you!

Want to provide us with anonymous feedback, suggestions, and/or comments? Fill out this anonymous feedback survey - it is completely anonymous and confidential.

Have a question that you’d like to ask? Email us: info@nss-aps.ca or send a message via Twitter, Instagram, Facebook, and LinkedIn.
CONTACT US

https://www.substanceusehealth.ca
info@nss-aps.ca
(519) 660-0875 ext. 1264

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