Titre : | Lowering the threshold: models of accessible methadone and buprenorphine treatment |
Auteurs : | E. KEENEY ; R. SAUCIER |
Type de document : | Rapport |
Editeur : | New York, NY : Open Society Institute, 2010 |
Format : | 34 p. |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus géographique HONG KONG ; FRANCE ; SLOVENIE ; CROATIE ; PAYS-BAS ; CANADAThésaurus mots-clés METHADONE ; BUPRENORPHINE ; PRODUIT DE SUBSTITUTION ; SUBSTITUTION ; TRAITEMENT DE MAINTENANCE ; PROGRAMME |
Résumé : |
From Canada to Croatia, countries throughout the world offer innovative models for methadone and buprenorphine provision. Accessibility is the cornerstone of methadone treatment in Hong Kong, where individuals can start treatment on demand, usually receiving their first dose the day they sign up at the clinic. In France, patients receive their methadone or buprenorphine through a prescription, as they would any other medication, which has the effect of destigmatizing medication-assisted treatment and mainstreaming the practice.
Early and comprehensive implementation of harm reduction services in Slovenia is credited with keeping HIV prevalence among injecting drug users below one percent. Slovenia also offers slow-release morphine as a third treatment option to those dependent on opiates. Croatia’s progressive model of medication provision, linked with comprehensive services and referrals, was established to be widespread and uncontroversial. In the Netherlands, the use of a bus to distribute methadone is part of the "methadone dispensing circuit" intended to reach a broad number of at-risk clients and to give clients incentives to progress through low, medium, and high-threshold medication provision. Vancouver, Canada’s model includes pharmacy dispensing and comprehensive "woman-centered, harm reduction-based" health and social support services for pregnant opiate users, including methadone provision. Each of these programs offers new insights for how countries can make methadone and buprenorphine treatment accessable and oriented to meet the needs of people dependent on opiates, and in doing so, achieve progress in HIV and overdose prevention. (Extract of the document) |
Note de contenu : |
SOMMAIRE
Introduction - Detoxification vs. Maintenance - Low-threshold Programs - Innovative Programs Methadone on Demand: The Hong Kong Model Treatment by Prescription in France Slovenia: High Coverage, Low HIV Prevalence Widespread and Uncontroversial: Methadone and Buprenorphine in Croatia Methadone by Bus in Amsterdam Vancouver: Integrated Low-threshold Models of Care |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 88 |
Lien : | http://www.soros.org/initiatives/health/focus/ihrd/articles_publications/publications/lowering-the-threshold-20100311 |
Exemplaires
Disponibilité |
---|
aucun exemplaire |
Accueil