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IN THIS ISSUE:

Featured resources, podcasts and webinars

Publication of the Month

Research

In the News

Ways to Get Involved

SEPTEMBER MEETINGS
CLINICIAN MEETING
Wednesday, September 4th at  3pm 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.
 

PROGRAM OPERATIONS DROP-IN MEETINGS
Tuesday, September 17th 12-1pm Eastern. Email Rebecca to join the Program Operators email list.

 
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!

PHARMACIST MEETING: Presentation about CDSA Compliance
Wednesday, September 25th, 3 pm Eastern. Register here.
The presentation by Sue-Jane Sang (Health Canada) will provide an overview of the Pharmacist obligations under the Controlled Drugs and Substances Act and the associated regulations, with a focus on Inventory Control, Loss/Theft Reporting and Security. The presentation will be followed by a discussion and Q&A period.

 
RESOURCES

Community resources

 

Resources related to the Ontario Ministry of Health Announcement about CTS closures, HART Hubs, potential legislation

- NSSCoP spreadsheet includes documents from the Ministry of Health, statements and media releases, letters of support templates and actions underway, a list of media coverage, and key messages (in progress). Note: this is not exhaustive. The spreadsheet permits comments, so please comment with additions. 

 

CATIE. FAQ about Supervised Consumption Sites in Canada

 

CATIE. Safer Supply Statement

 

Association of Municipalities of Ontario. 2024. The Opioid Crisis: A Municipal Perspective. 


Lighthouse Learning Collective. 2024. Gender Affirming Harm Reduction: A toolkit for syringe service programs. New York: National Harm Reduction Coalition.

Solidarity Is. 2024. Ecosystem of Well-being - This tool provides a starting point for networks and organizations to integrate self-care and community-care and sustainability practices with systemic changes.


Online course: CATIE - HIV and Hepatitis C Testing - online course for service providers. Starts September 9th. Register. 

 

Clinical Resources

Saskatchewan Health Authority. Practitioner Order Set. Buprenorphine-Naloxone Macrodosing Initiation - Adults for OUD in the Emergency Department. 

 

Podcasts 

 Woodstein Media: 

Episode 33: Katie Langille draws on healthcare experience to talk Safer Supply and its positive effects on Toronto community

Episode 34: Mish Waraksa draws on experience as a healthcare worker to discuss harm reduction and targeted misinformation surrounding it


CityTV The Big Story: When a DIY approach to safe supply ends in arrests

Webinars

MetaPhi: ABCs of Drug Testing - Understanding what a test can and cannot tell you. Dr. Melissa Snider-Adler. Wed. Sept. 18th, 7-8:30 pm Eastern.  Register here

 

Conference
Addictions and Mental Health Ontario - Stronger Together: Promoting sustainability in mental health and addictions. October 21st and 22nd, Hilton Toronto.
 

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!
RESEARCH PAPERS OF THE MONTH


Rentmeester, Christy A. 2024. Opioid Epidemic Grief and Characterological Harm Reduction | Journal of Ethics | American Medical Association 

This article considers what it might mean to do the moral work of grieving during an opioid epidemic. Becoming callous, bitter, or resentful are harms we can suffer to our characters when grieving losses, especially at epidemic scale. This article suggests how appreciating beauty can play roles in grieving that could help mitigate these harms.



Nyx, E. and Kalicum, J. 2024. A case study of the DULF compassion club and fulfillment centre: A logical step forward in harm reduction. IJDP.  

 

Highlights: 

This intrinsic case study offers a unique perspective on the operation of Drug User Liberation Frontʼs Compassion Club and Fulfillment Centre, delving into its inception, development, implementation, and the challenges it faced in its operation. Ultimately, the insights garnered from the Drug User Liberation Frontʼs Compassion Club and Fulfillment Centre hold significant value for others interested in establishing similar programs or exploring de-medicalized approaches regulating substances in order to prevent overdose deaths.

 
 

Norton, Ivsins, et al. 2024. A qualitative evaluation of a fentanyl patch safer supply program in Vancouver Canada.  IJDP.

 

Highlights: 

- Mixed method evaluation, interviews with 17 fentanyl patch program participants between Feb 2022 and April 2023. 

- 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. 

- Skin irritation and patch adhesion issues were key barriers to program retention.

- Findings show the value of including fentanyl patch safer supply in the substance use continuum of care and offer insights for innovations in delivery of this intervention.
 

RESEARCH

Cuffaro, F., et al. 2024. Contamination of a drug consumption room with drugs and potential risks for social health care workers. Harm Reduction Journal. 

 

Gordon, AH. 2024. Characteristics of Culturally Grounded Harm Reduction Approaches for Indigenous Canadians: A Critical Review - D-Scholarship@Pitt 

 

Antonious, T.; Pajer, K.; et al. 2024. Brief Report: A population-based study of the impact of the COVID-19 pandemic on benzodiazepine use among children and young adults. European Child and Adolescent Psychiatry. ODPRN infographic.

 

Jegede, et al. 2024. What Would Equitable Harm Reduction Look Like? | Journal of Ethics 

 

Seo, et al. 2024. Perspectives of key interest groups regarding supervised Consumption sites (SCS) and novel virtual harm reduction services / overdose response hotlines and applications: a qualitative Canadian study Harm Reduction Journal

 

Baines, et al. 2024. Low-barrier harm reduction and housing for older people in Vancouver’s opiate crisis: meeting people where they are in Critical and Radical Social Work 

 

Thakarar, et al. 2024. Frame Shift: Focusing on Harm Reduction and Shared Decision Making for People Who Use Drugs Hospitalized With Infections | Clinical Infectious Diseases | Oxford Academic Clinical Infectious Diseases.

 

Bolshakova, M., et al. 2024. “The fentanyl made me feel like I needed more methadone”: Changes in the role and use of medication for opioid use disorder due to fentanyl. Harm Reduction Journal. 

 

Ninnemann, et al. 2024. Direct effects of heroin and methadone on T cell function - ScienceDirect 

 

Banara, Byrne, and Berman. 2024. Harm Reduction and Treatment Among People at High Risk of Overdose | Health Policy | JAMA Network Open 

 

Domzaridou, et al. 2024. Healthcare utilisation and associated costs for methadone versus buprenorphine recipients: Examination of interlinked primary and secondary care electronic health records in England 

 

Walters, et al. 2024. Strategies used to reduce harms associated with fentanyl exposure among rural people who use drugs: multi-site qualitative findings from the rural opioid initiative. Harm Reduction Journal.

 

O’Brien, et al. 2024. Community pharmacists’ attitudes toward and practice of pharmacy-based harm reduction services in Pittsburgh, PA: a descriptive survey  Harm Reduction Journal

 

Englander, H. et al. 2024. Comparing methadone policy and practice in France and the US: Implications for US policy reform - ScienceDirect IJDP 

 

Braun, HM; Taylor, JL; and Axelrath, S. 2024. Buprenorphine / Naloxone - one formulation doesn’t fit all: a case report. Harm Reduction Journal. 

 

Otiashvili, et al. 2024. Integrating substance use disorder screening in primary healthcare in Georgia: online survey of providers’ attitudes, knowledge, practice, and perceived barriers Journal of Substance Use. 

 

Potik, et al. 2024. Characteristics of Patients in Methadone Maintenance Treatment (MMT) Who Have Difficulties in Emotion Regulation  Journal of Rational Emotive Cognitive Behaviour Therapy


 
FROM THE HEADLINES - NEWS MEDIA

International

Drug consumption space prevents 16,000 drug intakes on Brussels' streets 

Insights from the Drug-Prep Project 

New Research Sheds Light on Treatment and Harm Reduction Gaps Among Drug Users | Johns Hopkins

Xylazine: The Emerging Threat in the U.S. Drug Supply and Policy Responses | Johns Hopkins | Bloomberg School of Public Health

 

National

From the US Border to Whalley & the Downtown Eastside: Drug Bust Stories Should Never be One-Sided Celebrations

Opioid overdose crisis prompts calls for education and broader access to life-saving medications - The Globe and Mail  

 

BC

2 families sue province, federal government over safe supply | CBC News  

Safe supply drugs lead to Nanaimo dial-a-dope investigation | CBC News 

B.C. orders review of machine dispensing harm-reduction supplies 

Harm reduction projects in Nelson are fraying the city's social fabric, residents say

Free harm reduction supplies removed from Fraser Health website - BC | Globalnews.ca  

Drug user advocate slams Fraser Health's removal of harm reduction supplies | CBC.ca

'Buying time until it's the right time': Penticton drug-checking technician speaks on importance for access to services to keep people alive 
 

AB

Alberta’s New ‘Recovery Community’ Pushes Profit-based Treatment | The Tyee 

Advocacy groups remember those “Gone too Soon” on overdose awareness day | rdnewsnow.com 

Airdrie Overdose Awareness group says mental health support needs improvement
 

SK 

Opinion: Saskatchewan shift on deadly addiction crisis lacks evidence | Regina Leader Post  

Saskatchewan MP blames federal government for crime, homelessness and addiction problems | Globalnews.ca 
 

MB
’Rippling effect’: drug overdose deaths rise in Manitoba – Winnipeg Free Press

 

ON - for media coverage of the Ontario CTS closures and HART hubs - please see this document

Ontario moves to ban safe consumption sites near schools, limit new locations | Globalnews.ca (more here)

Mayors say Ontario needs more funding to tackle homelessness, opioid crisis - The Globe and Mail 

Homeless Torontonians are dying younger than the general population — and it's getting worse 

Cambridge mayor calls for provincial wide reform for involuntary addictions treatment - CambridgeToday.ca 

In Wake Of Increase In Drug Overdoses The OPP Is Reminding Residents About The Good Samaritan Act – Kawartha 411 

Families gather to remember loved ones lost to drug poisoning - CambridgeToday.ca 

 

QC

Maison Benoît Labre | Montréal demande le déménagement du centre de jour | La Presse possession cases away from the courts | CBC News

 

YK/NWT/NVT

Reduction in Yukon illicit drug deaths suggests harm reduction is working, advocate says | CBC News
 

Atlantic

PEERS can now test street drugs for cautious users, in absence of supervised site | CBC News 

Plan to monitor prescriptions won't lower overdoses, harm-reduction workers say | CBC News

WAYS TO GET INVOLVED

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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