Supervised Injectable Opioid Agonist Treatment

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18/02/2025

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https://journals.lww.com/journaladdictionmedicine/fulltext/9900/prescribing_psychostimulants_for_the_treatment_of.440.as...
03/02/2025

https://journals.lww.com/journaladdictionmedicine/fulltext/9900/prescribing_psychostimulants_for_the_treatment_of.440.aspx

"Professional organizations, addiction clinicians, and researchers can reinforce this practice through publishing expert recommendations, developing clinician education materials, and disseminating their real-world experiences and well-documented treatment plans."

t controlled prescription psychostimulants such as dextroamphetamine, methylphenidate, and modafinil are associated with reductions in self-reported stimulant use, craving, and depressive symptoms. Despite this positive initial evidence, prescribing rates of these medications for StUD treatment rema...

20/01/2025

The so-called war on drugs has failed. In the last century, countries have increasingly attempted absolute prohibition of drug use, often via penal measures. Despite global action, these policies have not deterred drug use: we have reached record levels of “abuse, illicit cultivation and productio...

17/12/2024

“Take-home iOAT is a more accessible treatment approach that addresses the fluctuating needs ofclients, especially those with additional disabilities. Expanding access to take-home iOAT aligns with human rights-based healthcare and uplifts economic, social, and cultural rights of people who need this care”

25/11/2024

Patient Characteristics From Norway's First Heroin-Assisted Treatment Clinics: "reveals a cohort experiencing societal marginalization, including unstable housing, unsatisfactory prior OUD treatment, high-risk behaviors, and frequent interactions with criminal activities, predominantly as victims."

https://pubmed.ncbi.nlm.nih.gov/39308161/ #:~:text=Results%3A%20The%20majority%20of%20the,housing%20within%20the%20preceding%20month.

Some ideas to improve retention and engagement."iOAT clients surveyed in Vancouver, Canada, appear to prefer greater aut...
18/11/2024

Some ideas to improve retention and engagement.
"iOAT clients surveyed in Vancouver, Canada, appear to prefer greater autonomy than they currently have in choosing OAT medication type, dosage and treatment schedule. "

https://doi.org/10.1111/add.16620

From the findings:

Most participants were current iOAT clients. Latent class analysis identified two distinct groups of client preferences: (1) autonomous decision-makers (n = 73; 59%) and (2) shared decision-makers (n = 51; 41%). These groups had different preferences for how medication type and dosage were selected. Both groups prioritized access to take-home medication (i.e. carries), the ability to set their own schedule, receiving iOAT in a space they like and having other services available at iOAT clinics. Compared with shared decision-makers, fewer autonomous decision-makers identified as a cis-male/man and reported flexible preferences.

In my view, there is a group, amenable to interventions recommended by health care providers including treatment.
However, there is another group that wants the power to make decisions autonomously. and this group has identifiable characteristics including less likely to identify as a cis-male/man. Clients prioritize attributes of iOAT that empower them with greater autonomy in their addiction care.

Background and Aims Clinical trials support injectable opioid agonist treatment (iOAT) for individuals with opioid use disorder (OUD) for whom other pharmacological management approaches are not wel...

iOAT & experience of people with disabilities
11/11/2024

iOAT & experience of people with disabilities

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