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Heroingestützte Behandlung (HeGeBe)

FOSUMOS – Forum Suchtmedizin Ostschweiz, Themenseite

https://www.fosumos.ch/fosumos/index.php/de/heroin/diacetylmorphin-heroin/heroingestuetzte-behandlung

Diamorphingestützte Behandlung in Deutschland

Adressen der Ambulanzen und Praxen, in denen die diamorphingestützte Behandlung angeboten wird

http://www.diamorphin-behandlung.de/

Die diamorphingestützte Substitutionsbehandlung in Deutschland - Ein Überblick über die gegenwärtige Entwicklung des stark diskutierten Behandlungskonzeptes

Von Stud. iur. Christopher Bendek, Tübingen

HRRS - Onlinezeitschrift für Höchstrichterliche Rechtsprechung zum Strafrecht, Dezember 2016, 17. Jahrgang

https://www.hrr-strafrecht.de/hrr/archiv/16-12/index.php?sz=8

Understanding Heroin Overdose: A Study of the Acute Respiratory Depressant Effects of Injected Pharmaceutical Heroin.

Jolley CJ, Bell J, Rafferty GF, Moxham J, Strang J (2015)

PLoS ONE 10(10): e0140995. https://doi.org/10.1371/journal.pone.0140995

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0140995

Supervised Injectable Heroin: A Clinical Perspective.

Bell J, Waal RV, Strang J.

Can J Psychiatry. 2017 Jul;62(7):451-456. doi: 10.1177/0706743716673966.

Abstract

http://journals.sagepub.com/doi/abs/10.1177/0706743716673966

Oral heroin in opioid-dependent patients: pharmacokinetic comparison of immediate and extended release tablets.

Perger L, Rentsch KM, Kullak-Ublick GA, Verotta D, Fattinger K.

Eur J Pharm Sci. 2009 Mar 2;36(4-5):421-32. doi: 10.1016/j.ejps.2008.11.008.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2753514/

Synthetisches Heroin für Schwerstabhängige - das gibt es in Stuttgart seit drei Jahren. Ein Angebot, von dem die Stadt sagt, es sei "wichtig und sinnvoll". Zum Beispiel für Sina Vogtländer. Sie hat eine 20jährige Drogenkarriere hinter sich - mit vielen Abstürzen, mit Aufenthalten in der Psychiatrie, mit vergeblichen Versuchen, vom Heroin wegzukommen. Ihr Arzt, der Suchtmediziner Andreas Zslonai, leitet die Stuttgarter Einrichtung und sagt über Sina und seine anderen Patienten: "Das schaffen nur Leute, die auch was ändern wollen in ihrem Leben!" (SWR, 22.06.2017, Audio, 31:00)

https://www.swr.de/swr1/bw/programm/leute/vogtlaender-sina-und-dr/-/id=1895042/did=19698914/nid=1895042/9jibkx/index.html

Treatment effectiveness of injectable hydromorphone and diacetylmorphine for severe opioid use disorder and its relationship with gender in the SALOME clinical trial

Heather Palis, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6833/11H00_2_Heather Palis.pptx

Men's and women's response to treatment and perceptions of outcomes in a randomized controlled trial of injectable opioid assisted treatment for severe opioid use disorder.

Palis H, Marchand K, Guh D, Brissette S, Lock K, MacDonald S, Harrison S, Anis AH, Krausz M, Marsh DC, Schechter MT, Oviedo-Joekes E.

Subst Abuse Treat Prev Policy. 2017 May 19;12(1):25. doi: 10.1186/s13011-017-0110-9.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437624/

Schweiz. Heroingestützte Behandlung in der Schweiz - Resultate der Erhebung 2016

Hiltebrand, Damian; Dey, Michelle; Bolliger, Heidi; Schaub, Michael P

Zurich Open Repository and Archive, University of Zurich (ZORA), doi.org/10.5167/uzh-140487

http://www.zora.uzh.ch/id/eprint/140487/1/HeGeBe_2016_FINAL03082017.pdf

Heroin on trial: systematic review and meta-analysis of randomised trials of diamorphine-prescribing as treatment for refractory heroin addiction†.

Strang J, Groshkova T, Uchtenhagen A, van den Brink W, Haasen C, Schechter MT, Lintzeris N, Bell J, Pirona A, Oviedo-Joekes E, Simon R, Metrebian N.

Br J Psychiatry. 2015 Jul;207(1):5-14. doi: 10.1192/bjp.bp.114.149195. Review.

http://bjp.rcpsych.org/content/207/1/5.long

Heroin Assisted Treatment: the case for expanding uptake - Dr Alex Wodak puts forward the case to increase uptake of Heroin Assisted Treatment (“HAT”). 

HAT has now been evaluated in trials involving a combined total of over 1,500 subjects in seven countries (Switzerland, the Netherlands, Spain, Germany, Canada, the United Kingdom and Belgium).

The modern era HAT of began in Switzerland in 1994. HAT evolved from heroin maintenance, which had been developed in England decades earlier.  Heroin maintenance was evaluated in a trial compared to methadone maintenance with mixed results and published by Hartnoll, Mitcheson and colleagues in 1980. But HAT differed from heroin maintenance in a number of very important ways. HAT involves much higher doses of heroin, patients are involved in selecting their dose, intensive psychosocial assistance is provided, all doses are supervised by health professionals and only treatment refractory, severely heroin dependent subjects are included. (IDHDP, 30.10.2017)

http://idhdp.com/en/resources/news/august-2017/heroin-assisted-treatment-the-case-for-expanding-uptake.aspx

Bonn. Die Bonner Drogenambulanz, oder genauer Diamorphin-Ambulanz, gibt es seit 15 Jahren. Das Modell habe sich in der Praxis eingespielt und bewährt, sind die Betreiber - die Caritas, das Diakonische Werk und die Uniklinik - überzeugt. (General-Anzeiger, 23.06.2017)

http://www.general-anzeiger-bonn.de/bonn/stadt-bonn/Striktes-Reglement-f%C3%BCr-Patienten-der-Bonner-Drogenambulanz-article3586930.html

Kanada. Guidance for Injectable Opioid Agonist Treatment for Opioid Use Disorder

British Columbia, Ministry of Health and British Columbia Centre on Substance Abuse, 2101

http://www.bccsu.ca/wp-content/uploads/2017/10/BC-iOAT-Guidelines-10.2017.pdf

Telling our stories: heroin-assisted treatment and SNAP activism in the Downtown Eastside of Vancouver

Susan Boyd, Dave Murray, SNAP and Donald MacPherson

Harm Reduction Journal 2017 14:27, DOI: 10.1186/s12954-017-0152-3

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0152-3

Why Australia should provide Heroin Assisted Treatment to severely dependent heroin users after all other treatment options haven’t worked.

Heroin Assisted Treatment involves supervising prescribed pharmaceutical heroin self-administration with intensive psycho-social help to a minority of people with severe heroin dependence who have not benefitted from multiple other treatments.

The signatories of this letter include senior clinicians and researchers, major health organisations , peer based organisations and people with long standing experience and expertise in the fields of law enforcement, drug policy and drug treatment. (Harm Reduction Australia, August 2017)

http://www.harmreductionaustralia.org.au/wp-content/uploads/2017/08/Heroin-Assisted-Treatment-Statement.pdf