Titre : | The effectiveness and efficacy of prescribed diacetylmorphine (heroin) in reducing drug-related harm |
in : | |
Auteurs : | J. BOWLES ; N. MAGHSOUDI ; S. YOUNG ; S. GRIFFITHS ; G. KOLLA |
Type de document : | Chapitre |
Année de publication : | 2023 |
ISBN/ISSN/EAN : | 978-981-5079-25-8 |
Format : | 48-62 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés HEROINE ; EFFICACITE ; DISTRIBUTION CONTROLEE ; PRESCRIPTION MEDICALE ; REDUCTION DES RISQUES ET DES DOMMAGES ; TRAITEMENT DE MAINTENANCE ; INJECTION ; SURDOSE |
Résumé : | Opioid overdoses have dramatically increased throughout the past 20 years. Overdoses and other harms associated with the use of the unregulated opioid supply have resulted in a consortium of approaches to reduce drug-related harms, which for decades has included heroin-assisted treatment, although there remains widespread reticence to implement this approach in spite of ample evidence to support its effectiveness. Heroin-assisted treatment is often reserved for persons who have attempted standard opioid agonist treatments - such as methadone - unsuccessfully in order to be eligible for heroin-assisted treatment in countries and regions where available. To date, heroin-assisted treatment is only available in nine countries, mostly in Europe. Heroin-assisted treatment has higher retention rates than other forms of opioid agonist treatments, is cost-effective, reduces overdose morbidity and mortality, and improves public order. Nonetheless, regulatory structures impede its implementation. The present chapter herein presents further details of the evidence on heroin-assisted treatment and newer treatment modality iterations, such as injectable opioid agonist treatment and safe opioid supply programs. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 70 |
Affiliation : | Centre on Drug Policy Evaluation, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada |
Cote : | L02257 |
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