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HIV Treatment Initiation and Retention Among Individuals Initiated on Injectable Opioid Agonist Therapy for Severe Opioid Use Disorder: A Case Series.

Giang V, Brar R, Sutherland C, Nolan S.

J Addict Med. 2020 Jan 31. doi: 10.1097/ADM.0000000000000609.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/32011407

Efficacy of Heroin-assisted Treatment In Belgium: A Randomised Controlled Trial.

Demaret I, Quertemont E, Litran G, Magoga C, Deblire C, Dubois N, De Roubaix J, Charlier C, Lemaître A, Ansseau M.

Eur Addict Res. 2015;21(4):179-87. doi: 10.1159/000369337.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/25832522

Kanada. Observational Prospective Study of Injectable Opioid Agonist Treatment - The iOAT Study (Evaluation)

Baseline Interview Results

BC Centre on Substance Use (BCCSU), Kanada, Februar 2020

https://www.bccsu.ca/wp-content/uploads/2020/02/BC-iOAT-Short-Cycle-Brief-Summary-February-2020.pdf

Building healthcare provider relationships for patient-centered care: A qualitative study of the experiences of people receiving injectable opioid agonist treatment.

Marchand K, Foreman J, MacDonald S, Harrison S, Schechter MT, Oviedo-Joekes E.

Subst Abuse Treat Prev Policy. 2020 Jan 20;15(1):7. doi: 10.1186/s13011-020-0253-y.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971856/

Trauma Severity in Early Childhood Correlates with Stress and Satiety Hormone Levels in a Pilot Cohort Receiving Diamorphine Maintenance Treatment.

Groh A, Rhein M, Roy M, Gessner C, Lichtinghagen R, Heberlein A, Hillemacher T, Bleich S, Walter M, Frieling H.

Eur Addict Res. 2020 Jan 15:1-6. doi: 10.1159/000505293. [

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31940647

"Die Knochen schmerzen. Ich schwitze Bäche" - Aus dem Alltag eines Schweizer Heroinabhängigen 

Die progressive Schweizer Drogenpolitik brachte nicht nur die offene Drogenszene zum Verschwinden, sondern rettete zahlreichen Süchtigen das Leben. Inzwischen sind Heroinabhängige aus der öffentlichen Wahrnehmung verschwunden. Wie leben sie heute? Ein Buch gibt Einblick in den Alltag eines Drogensüchtigen. (swissinfo.ch, Schweiz, 13.12.2019)

http://www.swissinfo.ch/ger/-die-knochen-schmerzen--ich-schwitze-baeche-_aus-dem-alltag-eines-schweizer-heroinabhaengigen-/45397486

Initiation of injectable opioid agonist treatment in hospital: A case report.

McAdam M, Brar R, Young S.

Drug Alcohol Rev. 2019 Dec 9. doi: 10.1111/dar.13020.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31814186

Schottland. 'Heroin-assisted treatment - New service, new hope' with Danny Ahmed and Dr Carole Hunter (Podcast)

The new 'Enhanced Drug Treatment Service' in Glasgow has opened it's doors and offers Heroin-Assisted Treatment (HAT) - the prescribing and distribution of injectable diamorphine - as one of it's main provisions.In this episode, we talk about the merits of the new service and hear from two key individuals in the delivery of HAT in England and Scotland.We speak to Danny Ahmed of Foundations Teeside and Dr Carole Hunter of NHS Greater Glasgow and Clyde to find out about how the services operate, what challenges have been overcome and how the services will aim to make a difference in people's lives. (Drugs Uncut, Schottland, 19.12.2019, Podcast, 01:00:38)

https://drugsuncut.podbean.com/e/heroin-assisted-treatment-new-service-new-hope-with-danny-ahmed-and-dr-carole-hunter/

Heroin on trial: systematic review and meta-analysis of randomised trials of diamorphine-prescribing as treatment for refractory heroin addiction. (FINDINGS: Review Analysis)

Strang J., Groshkova T., Uchtenhagen A. et al. 
The British Journal of Psychiatry: 2015, 207, p. 5–14.

https://findings.org.uk/PHP/dl.php?file=Strang_J_30.txt&s=dy

UK. Five drop out of 'free heroin' trial but early success could mean scheme rolled out to Stockton

Efforts to bring Middlesbrough's Heroin Assisted Treatment (HAT) scheme to Stockton have received early backing. (Teessidelive, UK, 21.12.2019)

https://www.gazettelive.co.uk/news/teesside-news/five-drop-out-free-heroin-17444846

Schottland. Scotland's first heroin treatment clinic for addicts to open

Scotland's first scheme for giving drug addicts pharmaceutical grade heroin is to open in Glasgow city centre.

The £1.2m Enhanced Drug Treatment Service (EDTS) is the first in Scotland and the second in the UK. (BBC, UK, 26.11.2019)

https://www.bbc.co.uk/news/uk-scotland-glasgow-west-50563163

Hitting Heroin and Crack Markets: Funding Heroin Assisted Treatment through increased Proceeds of Crime Act Money

Senior members of the police up and down the UK would like to introduce Heroin Assisted Treatment, but feel they don't have the funds to do so. A growing number of police are exploring using money seized from organised crime gangs to fund HAT. (Transform, UK, November 2019)

https://transformdrugs.org/hitting-heroin-and-crack-markets-funding-heroin-assisted-treatment-through-increased-proceeds-of-crime-act-money/

Schweiz. Heroingestützte Behandlung: Ein Film räumt auf mit Vorurteilen (Video)

Seit 25 Jahren behandeln die UPK Basel im Janus Opioidabhängige. Der Film zum Jubiläum gibt einen doppelten Einblick in die kontrollierte Heroinverschreibung: In die Arbeit des Behandlungszentrums und in die Biografien einzelner Patientinnen und Patienten. «Wir sind nicht nur überzeugt, sondern können das auch belegen, dass es sich bei einer Heroinabhängigkeit um eine Erkrankung handelt», sagt Hannes Strasser, ärztlicher Leiter von Janus. Der Film thematisiert gängige Vorurteile und konfrontiert diese mit den Fakten aus langjähriger Behandlungserfahrung. (Universitäre Psychiatrische Kliniken Basel, Schweiz, Video, 08:16)

https://www.youtube.com/watch?v=qQxAorm7j1U&t=19s

Middlesbrough Heroin Assisted Treatment (HAT) programme: New approach to tackling drug addiction in Middlesbrough unveiled

A pioneering treatment and recovery programme aimed at freeing the most entrenched heroin users from addiction is launched next week. (official site of the POLICE & CRIME COMMISSIONER FOR CLEVELAND, UK, 09.10.2019)

https://www.cleveland.pcc.police.uk/News-and-Events/News-Archive/2019/New-approach-to-tackling-drug-addiction-in-Middlesbrough-unveiled.aspx

Heroin Assisted Treatment (HAT) – A NEW GROUND-BREAKING TREATMENT FOR LONG-TERM HEROIN USERS IN MIDDLESBROUGH

What is Heroin Assisted Treatment?
Heroin Assisted Treatment, or HAT, is a medical treatment for people with a long-term dependency on heroin, who have failed to respond to any other drug treatment. (official site of the POLICE & CRIME COMMISSIONER FOR CLEVELAND, UK, 09.10.2019)

https://www.cleveland.pcc.police.uk/News-and-Events/Heroin-Assisted-Treatment.aspx

Kanada. Injectable opioid agonist treatment for opioid use disorder: a national clinical guideline

Nadia Fairbairn, Josey Ross, Michael Trew, Karine Meador, Jeff Turnbull, Scott MacDonald, Eugenia Oviedo-Joekes, Bernard Le Foll, Marie-Ève Goyer, Michel Perreault and Christy Sutherland

CMAJ September 23, 2019 191 (38) E1049-E1056; doi.org/10.1503/cmaj.190344 

http://www.cmaj.ca/content/191/38/E1049

Kanada. CRISM National Injectable Opioid Agonist Treatment Guideline

CRISM developed the first national injectable opioid agonist treatment (iOAT) guideline in the world. This guideline includes two companion documents: a clinical guideline and an operational guidance document.

https://crism.ca/projects/ioat-guideline/

Dortmund. Diskussion um Diamorphin-Ambulanz: Hilfe für Süchtige- aber mit welchem Konzept? 

Eine kontrollierte Diamorphin-Abgabe für Dortmund bringt die CDU-Sozialfraktion in die Diskussion. Es geht dabei um synthetisch hergestelltes Heroin, welches seit zehn Jahren als verschreibungspflichtiges Medikament gesetzlich zugelassen ist. (lokalkompass.de, 23.08.2019)

https://www.lokalkompass.de/dortmund-city/c-politik/hilfe-fuer-suechtige-aber-mit-welchem-konzept_a1195293

UK. ‘Saved from a horrible fate’: Legal heroin prescribed to hundreds of UK drug users, figures reveal

‘Vital’ treatment threatened by cuts to addiction services, risking ‘untold damage’, expert warns. (The Independent, UK, 17.08.2019)

https://www.independent.co.uk/news/uk/home-news/heroin-addiction-diamorphine-treatment-british-system-hat-leap-harm-reduction-a9061556.html

UK. 'Heroin assisted treatment scheme a chance to finally turn the tide against drugs'

AS official figures reveal drugs deaths have soared to record levels, Police and Crime Commissioner for Cleveland, Barry Coppinger, outlines a scheme being piloted in Middlesbrough. (The Northern Echo, UK, 23.08.2019)

https://www.thenorthernecho.co.uk/news/17851680.39-heroin-assisted-treatment-scheme-chance-finally-turn-tide-drugs-39/

Berlin. Suchtbehandlung: Stoff vom Staat

Seit zehn Jahren gibt es in Deutschland Heroin als Kassenleistung. Berliner Süchtige erhalten ihre Dosis in der Praxis Patrida. Der Bedarf ist groß. (Zitty, Berlin, 12.08.2019)

https://www.zitty.de/stoff-vom-staat/

Kanada. British Columbia: Injectable opioid treatment comes to Vancouver Island for first time

The treatment delivers pharmaceutical-grade opioids via a syringe, rather than pills. (CBC News, Kanada, 14.08.2019)

https://www.cbc.ca/news/canada/british-columbia/injectable-opioid-treatment-comes-to-vancouver-island-for-first-time-1.5245798

Supervised injectable opioid agonist therapy in a supported housing setting for the treatment of severe opioid use disorder.

Brar R, Sutherland C, Nolan S.

BMJ Case Rep. 2019 Aug 1;12(7). pii: e229456. doi: 10.1136/bcr-2019-229456.

Abstract

https://casereports.bmj.com/content/12/7/e229456

Kanada. Free heroin? Unusual clinic offers 'chance at being human again' 

Low-dose drug program provides an alternative to potentially deadly street narcotics. (CBC, Kanada, 09.06.2019)

https://www.cbc.ca/news/health/national-heroin-treatment-program-crosstown-clinic-1.5137551

Baden-Württemberg. Ministerium prüft Bedarf weiterer Diamorphin-Ambulanzen

Zehn Jahre nach dem Start für den flächendeckenden Einsatz künstlichen Heroins auf Kassenkosten prüft das Landessozialministerium Bedarf und Möglichkeiten für weitere Praxen im Südwesten. (rtl.de, 26.05.2019)

https://www.rtl.de/cms/ministerium-prueft-bedarf-weiterer-diamorphin-ambulanzen-4345434.html

Niederlande. Verkenning toekomstscenario’s medische heroïnebehandeling Nijmegen

Sinds 2011 kent de gemeente Nijmegen een unit voor Medische Heroïne Behandeling (MHB), dit in navolging van effectief gebleken experimenten elders in het land. Uit eerder landelijk onderzoek blijkt dat de effecten van deelname aan het programma in het algemeen positief zijn. In 2018 zijn er landelijk zeventien units voor Medische Heroïne Behandeling in zestien steden. In totaal zijn er 642 behandelplaatsen.
Overall neemt het aantal chronisch opiaatverslaafden in Nederland al jaren gestaag af: de gemiddelde leeftijd neemt toe, er is nauwelijks nieuwe aanwas en ook weinig uitstroom. Behandeling met medische heroïne is beperkt tot een zeer kleine deelgroep van langdurig chronisch verslaafden met multiple problemen bij wie andere behandelmethoden zijn geprobeerd, maar niet aanslaan. De heroïnebehandeling wordt ingezet als ‘laatste therapeutische optie’.

De gemeente Nijmegen verzocht het Trimbos-instituut een onderzoek uit te voeren dat de pro’s en contra’s van de Medische Heroïne Behandeling in de huidige opzet voor nu en voor de toekomst tegen elkaar afzet. (Trimbos Instituut, Niederlande, 2019)

https://www.trimbos.nl/docs/f5014ca1-54fa-4b85-a883-2cfbcffb8828.pdf

Learning from the past, looking to the future - Is there a place for injectable opioid treatment among Australia's responses to opioid misuse?

Belackova V, Salmon AM, Jauncey M, Bell J.

Int J Drug Policy. 2019 Apr 8. pii: S0955-3959(19)30094-5. doi: 10.1016/j.drugpo.2019.01.026. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/30975592

Chronic High-Dose Buprenorphine Does Not Block Subjective High from Diacetylmorphine in a Patient in Heroin-Assisted Treatment.

Vogel M, Köck P, Strasser J, Wiesbeck G, Walter M, Dürsteler KM.

J Psychoactive Drugs. 2019 May 2:1-6. doi: 10.1080/02791072.2019.1610200. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31046631

Kanada. Addressing the opioid crisis through innovative treatment options and investments in frontline projects and research

Backgrounder

New evidence-based treatments available for opioid use disorder

On May 1, Health Canada approved a new indication for injectable hydromorphone for use by qualified healthcare professionals as part of injectable opioid agonist therapy in adults with severe opioid use disorder. This is the first approval of injectable hydromorphone for this purpose in the world.

On April 25, the Minister of Health also added diacetylmorphine (prescription heroin) to the federal government’s List of Drugs for an Urgent Public Health Need, on the recommendation of Canada’s Chief Public Health Officer, Dr. Theresa Tam. This list enables qualified healthcare professionals access to drugs to address an urgent public health need that are authorized for sale in certain other countries, but not yet authorized in Canada. Diacetylmorphine can now be imported and supplied in any province or territory in Canada to address the opioid crisis. (Health Canada, Kanada, 15.05.2019)

https://www.canada.ca/en/health-canada/news/2019/05/backgrounder-addressing-the-opioid-crisis-through-innovative-treatment-options-and-investments-in-frontline-projects-and-research.html

Deutscher Bundestag. Zehn Jahre diamorphingestützte Substitutionsbehandlung – Erfolge und Weiterentwicklungsbedarf 

Kleine Anfrage der Abgeordneten Dr. Kirsten Kappert-Gonther, Kordula Schulz-Asche, Maria Klein-Schmeink, Dr. Bettina Hoffmann, Katja Dörner, Dr. Anna Christmann, Kai Gehring, Erhard Grundl, Ulle Schauws, Margit Stumpp, Beate Walter-Rosenheimer, Corinna Rüffer und der Fraktion BÜNDNIS 90/DIE GRÜNEN 

Deutscher Bundestag, Drucksache19/9003, 19.Wahlperiode, 03.04.2019 

http://dipbt.bundestag.de/doc/btd/19/090/1909003.pdf