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Positionspapier der Deutschen Hauptstelle für Suchtfragen e.V. (DHS): Reduzierung der Risiken des Cannabiskonsums

Von einer Arbeitsgruppe (unter Mitarbeit von G. Bischof, S. Eckhard, B. Fischer, D. Hermann, E. Hoch, D. Kratz, L. Krüger-Rosenke, K. Liel, U. Preuß, N. Scherbaum, E. Strüber, S. Willer, N. Wodarz, C. Kreider und P. Raiser) erarbeitet und vom Vorstand der DHS am 20.06.2023 beschlossen.

https://www.dhs.de/fileadmin/user_upload/pdf/dhs-stellungnahmen/2023-08-03_Positionspapier_Reduzierung_der_Risiken_des_Cannabiskonsums-web.pdf

Virtual overdose monitoring services and overdose prevention technologies: Opportunities, limitations, and future directions. 

Rioux W, Marshall T, Ghosh SM. 

Int J Drug Policy. 2023 Jul 13;119:104121. doi: 10.1016/j.drugpo.2023.104121. Epub ahead of print. PMID: 37453373.

https://www.sciencedirect.com/science/article/pii/S0955395923001688

A qualitative study of professionals' perspectives on the ethics of medically-delivered safer injection education for people who inject drugs. 

Demina A, Desprès C, Mamzer MF. 

BMC Med Ethics. 2023 Aug 11;24(1):63. doi: 10.1186/s12910-023-00939-4. PMID: 37568123; PMCID: PMC10422818.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10422818/

Schadensminderung in der Suchtmedizin

Olivier Simon, Daniele Zullino, David Stojanovc, Lukas Brülisauer, Jean-Félix Savary, Cheryl Dickson 

Schweiz Ärzteztg. 2023;104(33):32-34, Veröffentlichung: 16.08.2023, DOI: doi.org/10.4414/saez.2023.21182

https://saez.ch/article/doi/saez.2023.21182

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. 

National Academy of Medicine. 2017. Washington, DC: The National Academies Press. doi.org/10.17226/27116.

https://nap.nationalacademies.org/catalog/27116/first-do-no-harm-marshaling-clinician-leadership-to-counter-the

People Who Inject Drugs and Harm Reduction: a Global Perspective

Our research examined distribution, harms and harm reduction for the estimated 15 million people who inject drugs worldwide. (Filter, USA, 17.08.2023)

https://filtermag.org/inject-drugs-harm-reduction-world/

USA. Remarkable Photos Show What Harm Reduction Actually Looks Like

Don’t believe the conservative fear mongering.

Text by Taylor Sisk; Photography by Stacy Kranitz

(Mother Jones, USA, November+December 2022 Issue)

https://www.motherjones.com/politics/2022/11/harm-reduction-opioid-overdose-naloxone-epidemic-biden/

Kanada. Imagine safe supply - Summary of findings

As of 2022, the drug toxicity crisis killed approximately 20 people a day in Canada, with rates remaining high (Government of Canada, 2023). This crisis is the result of over a century of prohibition-based policies that have made the current drug supply highly unpredictable and deadly. Safe supply seeks to reduce the risks of drug use and overdose by ensuring people can access or purchase legally regulated drugs that are of known content and strength. The goals of safe supply include increased health, stability, autonomy, and quality of life (CAPUD, 2019). Canadian Drug Policy Coalition, 12.07.2023)

https://idpc.net/publications/2023/7/imagine-safe-supply-summary-of-findings

Jörg Gölz: What HR means to me

J.Goelz_WhatHRmeanstome.pdf

Impact of safer supply programs on injection practices: client and provider experiences in Ontario, Canada. 

Gagnon M, Rudzinski K, Guta A, Schmidt RA, Kryszajtys DT, Kolla G, Strike C. 

Harm Reduct J. 2023 Jun 28;20(1):81. doi: 10.1186/s12954-023-00817-7. PMID: 37380995; PMCID: PMC10303300.

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-023-00817-7

Estimated Reductions in Opioid Overdose Deaths With Sustainment of Public Health Interventions in 4 US States. 

Chhatwal J, Mueller PP, Chen Q, Kulkarni N, Adee M, Zarkin G, LaRochelle MR, Knudsen AB, Barbosa C. 

JAMA Netw Open. 2023 Jun 1;6(6):e2314925. doi: 10.1001/jamanetworkopen.2023.14925. PMID: 37294571; PMCID: PMC10257094.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257094/

"I don't want to die": a qualitative study of coping strategies to prevent fentanyl-related overdose deaths among people who inject drugs and its implications for harm reduction policies. 

Abadie R. 

Harm Reduct J. 2023 Jun 14;20(1):75. doi: 10.1186/s12954-023-00805-x. PMID: 37316884; PMCID: PMC10264884.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10264884/

Europa. Harm reduction – the current situation in Europe (European Drug Report 2023) 

Harm reduction encompasses interventions, programmes and policies that seek to reduce the health, social and economic harms of drug use to individuals, communities and societies. On this page, you can find the latest analysis of harm reduction interventions in Europe, including key data on opioid agonist treatment, naloxone programmes, drug consumption rooms and more. (EMCDDA, Lissabon, 16.06.2023)

https://www.emcdda.europa.eu/publications/european-drug-report/2023/harm-reduction_en

"We do it ourselves": strengths and opportunities for improving the practice of harm reduction. 

Claborn K, Samora J, McCormick K, Whittfield Q, Courtois F, Lozada K, Sledge D, Burwell A, Chavez S, Bailey J, Bailey C, Pederson CD, Zagorski C, Hill L, Conway FN, Steiker LH, Cance J, Potter J. 

Harm Reduct J. 2023 Jun 9;20(1):70. doi: 10.1186/s12954-023-00809-7. PMID: 37296459; PMCID: PMC10250854.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250854/

Schadensminderung in der Schwiz im Jahr 2022 . Einbezug von Peers und Zugang für Jugendliche

DerBericht«GlobalStateofHarmReduction2022»zeigtauf,wieweltweitaufdrogenbedingte Gesundheitsschäden, einschliesslich HIV und virale Hepatitis, reagiert wird.Ein Kapitelgibt einen Überblick über die aktuellen Angebote zur Schadensminderungin der Schweiz. Der Zugang zusterilem Materialfür den Konsum vonDrogensowie zu Drogenkonsumräumen bleibt eine Herausforderung. Zudem bestehen immer noch Hindernisse bei der Bereitstellung von schadensmindernden Angeboten für Jugendliche. (Bundesamt für Gesundheit BAG Abteilung Prävention nichtübertragbarer Krankheiten, Sektion wissenschaftliche Grundlagen, Diese E-Mail-Adresse ist vor Spambots geschützt! Zur Anzeige muss JavaScript eingeschaltet sein!, Mai2023)

https://www.bag.admin.ch/dam/bag/de/dokumente/npp/faktenblaetter/faktenblaetter-drogen/faktenblatt_schadensminderung_ch_2022.pdf.download.pdf/230508_FactSheetHRI_DE.pdf

Lost lives and opportunities for the legacy of harm reduction in Scotland, UK

Comiskey, Catherine Maria

The Lancet Public Health, Volume 0, Issue 0 

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00102-0/fulltext

Field Testing the "Avoid the Needle" Intervention for Persons at Risk for Transitioning to Injecting Drug Use in Tallinn, Estonia and New York City, USA.

Jarlais DCD, McKnight C, Weng CA, Feelemyer J, Tross S, Raag M, Org G, Talu A, Uuskula A. 

AIDS Behav. 2023 May 30:1–13. doi: 10.1007/s10461-023-04094-0. Epub ahead of print. PMID: 37249805; PMCID: PMC10227783.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10227783/

High levels of interest in access to free safer smoking equipment to reduce injection frequency among people who inject drugs in Seattle, Washington. 

Reid MC, Oliphant-Wells T, Moreno C, Ketchum J, Fitzpatrick T, McMahan VM, Glick SN.

Drug Alcohol Depend Rep. 2023 May 2;7:100163. doi: 10.1016/j.dadr.2023.100163. PMID: 37214756; PMCID: PMC10193167.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193167/

USA. Fentanyl Patches Are Saving My Life. We Need to Make Them Accessible.

True safe supply means a legal and regulated supply of the same drugs people access through the unregulated market. In Canada, what we have instead—for the few who are lucky enough to access it—is safer supply. That amounts to a short list of pharmaceutical alternatives that aren’t necessarily the substances we want, in the quantities we need, but are vaguely in the neighborhood. (Filter, USA, 01.06.2023)

https://filtermag.org/fentanyl-patch-safe-supply/

Kanada. Machine-Based Opioid Dispensing Reduced Drug-Related Harms

A British Columbia program that uses biometric dispensing machines to supply pharmaceutical-grade opioids to patients with opioid use disorder reduced drug-related harms and could potentially overcome barriers that hamper other safer supply strategies, an analysis has found. (Medscape, USA, 30.05.2023)

https://www.medscape.com/viewarticle/992548

Safer opioid supply via a biometric dispensing machine: a qualitative study of barriers, facilitators and associated outcomes

Geoff Bardwell, Andrew Ivsins, Manal Mansoor, Seonaid Nolan, Thomas Kerr

CMAJ May 2023, 195 (19) E668-E676; DOI: 10.1503/cmaj.221550 

https://www.cmaj.ca/content/195/19/E668

USA. An innovative strategy to access harm reduction resources

Increasing access to empirically supported harm reduction resources, including naloxone, safer injection kits, and fentanyl test strips, could help prevent overdose deaths and other drug use related harms. This study evaluated the impact of an automated harm reduction resource machine on the accessibility of harm reduction supplies and the local incidence of fatal overdoses and HIV during its first year in operation. (RRI – Recovery Research Institute, USA, 26.05.2023)

https://www.recoveryanswers.org/research-post/innovative-simple-strategy-increase-access-harm-reduction-resources/

Expanding the accessibility of harm reduction services in the United States: Measuring the impact of an automated harm reduction dispensing machine. 

Arendt D. 

J Am Pharm Assoc (2003). 2023 Jan-Feb;63(1):309-316. doi: 10.1016/j.japh.2022.10.027. Epub 2022 Nov 12. PMID: 36549931; PMCID: PMC9870941.

https://www.sciencedirect.com/science/article/pii/S1544319122003752

Drug Overdose Prevention: An Exercise in Optimism. 

Connery HS, Weiss RD. 

Am J Psychiatry. 2023 May 1;180(5):337-339. doi: 10.1176/appi.ajp.20230170. PMID: 37122270.

https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.20230170

Schweiz. Einblicke in das Leben Sucht- und Armutsbetroffener - Die Luzerner «Gasseziitig» feiert Jubiläum

Seit 25 Jahren gibt es in Luzern die «Gasseziitig». Am Samstag wurden zur Feier Verkäufer und Käuferinnen zusammengebracht. (Zentral plus für Luzern und Zug, Schweiz, 134.05.2023)

https://www.zentralplus.ch/gesellschaft/die-luzerner-gasseziitig-feiert-jubilaeum-2545375/

Harm reduction and recovery services support (HRRSS) to mitigate the opioid overdose epidemic in a rural community. 

Heo M, Beachler T, Sivaraj LB, Tsai HL, Chea A, Patel A, Litwin AH, Zeller TA. 

Subst Abuse Treat Prev Policy. 2023 Apr 19;18(1):23. doi: 10.1186/s13011-023-00532-3. PMID: 37076898; PMCID: PMC10114389.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10114389/

Women who use drugs: engagement in practices of harm reduction care. 

Austin T, Lavalley J, Parusel S, Collins AB, Olding M, Boyd J. 

Harm Reduct J. 2023 Apr 13;20(1):49. doi: 10.1186/s12954-023-00775-0. PMID: 37055805; PMCID: PMC10100181.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100181/

Schottland. Rapid evidence review on interventions to reduce drug-related harm during transitions of care

This review describes the types of interventions used to reduce risk of drug harms, including death, among adults during transition of care and between services. (Public Health Scotland, UK, 03.04.2023)

https://www.publichealthscotland.scot/publications/rapid-evidence-review-on-interventions-to-reduce-drug-related-harm-during-transitions-of-care/

Harm Reduction School - Mainline

The Harm Reduction School offers e-courses on harm reduction for everyone – from peer workers to programme coordinators – anywhere in the world. (Mainline, Niederlande, April 2023)

https://vimeo.com/815364763

New data confirm lack of progress in harm reduction after three decades of proven evidence of effectiveness. 

Macdonald, V., Mathers, B., Sabin, K., Me, A., Carpentier, C., Niaz, K., Mozalevskis, A., Luhmann, N., Ciupagea, M., Soltani, F. and Verster, A. (2023), 

Addiction. doi.org/10.1111/add.16193

https://onlinelibrary.wiley.com/doi/full/10.1111/add.16193

  1. The acceptability of overdose alert and response technologies: introducing the TPOM-ODART framework. 
  2. Start des Projektes Suchthilfe UND Wohnungsnotfallhilfe - SuWoKo 
  3. USA. Safety First!
  4. Harm reduction interventions for people who inject drugs
  5. Epidemiology of injecting drug use, prevalence of injecting-related harm, and exposure to behavioural and environmental risks among people who inject drugs: a systematic review