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UK. Guidance: Injectable opioid treatment: commissioning and providing services 

Guidance on commissioning and providing injectable opioid treatment for people with opioid dependence who have not responded to oral treatment. (Government UK, Public Health England, 19.03.2021)

https://www.gov.uk/government/publications/injectable-opioid-treatment-commissioning-and-providing-services

UK. Guidance: Injectable opioid treatment: commissioning and providing services 

Guidance on commissioning and providing injectable opioid treatment for people with opioid dependence who have not responded to oral treatment. (Government UK, Public Health England, 19.03.2021)

https://www.gov.uk/government/publications/injectable-opioid-treatment-commissioning-and-providing-services

Service delivery models for injectable opioid agonist treatment in Canada: 2 sequential environmental scans. 

Eydt E, Glegg S, Sutherland C, Meador K, Trew M, Perreault M, Goyer MÈ, Le Foll B, Turnbull J, Fairbairn N. 

CMAJ Open. 2021 Feb 23;9(1):E115-E124. doi: 10.9778/cmajo.20200021. PMID: 33622764.

http://cmajopen.ca/content/9/1/E115.long

Are people with opioid use disorder interested in an innovative treatment option?

Opioid-involved overdose deaths are continuing to rise. A substantial proportion of individuals with opioid use disorder do not receive treatment and, for those that do, retention in treatment is low for those on medications for opioid use disorder with many still using illicit opioids. Innovative approaches are needed to address the opioid crisis. Injectable opioid agonist treatment (e.g., supervised injections of pharmaceutical substances similar to heroin) may be one such approach. In this study, researchers explored the perceptions of injectable opioid agonist treatment among people who regularly use opioids. (Recovery Research Institue, USA, Februar 2021)

https://www.recoveryanswers.org/research-post/people-opioid-use-disorder-innovative-treatment-option/

Schweiz. Grünes Licht für Studie mit Diaphin zur intranasalen Anwendung

https://arud.ch/newsletter/newsletter-februar-2021

UK. John Marks, heroin prescribing and HAT (Audio)

This episode explores the issue of prescribing heroin to people with heroin problems, a practice with a long history and usually today termed Heroin Assisted Treatment or HAT. The episode draws on a recent research project exploring the controversial work of Dr John Marks in the late 1980s and early 1990s. (tobyseddon.com, UK, 25.01.2021, Audio: 30:32)

https://tobyseddon.com/2021/01/25/4-john-marks-heroin-prescribing-and-hat/

DROGENKURIER - magazin des jes-bundesverbands, dez. 2020 nr. 124 -- Wann wird die Diamorphin-substitution zur gleichwertigen Behandlung?

https://www.diamorphin.com/assets/files/Drogenkurier_WDA.pdf

Online Event. Heroin Assisted Treatment 

Wed, 27 January 2021, 14:00 – 15:30 GMT. Middlesbrough has been operating England's only Heroin Assisted Treatment programme for 18mths with some fantastic early findings. The programme has seen dramatic increase in individual participants health and well being and a significant reduction in crime. Come and listen to Daniel describe the programme in detail and talk about the impact its having in the lives of people who use it, their families and communities. (Recovering Justice, UK, 2021)

https://www.eventbrite.co.uk/e/heroin-assisted-treatment-tickets-134672957441

Diamorphingestützte Substitutionsbehandlung: Die tägliche Spritze

Bühring, Petra

Dtsch Arztebl 2020; 117(1-2): A-16 / B-18 / C-18

https://www.aerzteblatt.de/archiv/211759/Diamorphingestuetzte-Substitutionsbehandlung-Die-taegliche-Spritze

Heroin-assisted treatment of heroin-addicted patients normalizes regulatory T cells but does not restore CD4+ T cell proliferation. 

Hansen W, Luppus S, Barthel R, Chang DI, Broemstrup J, Zwarg T, Shibata J, Westendorf AM, Buer J, Scherbaum N. 

Addict Biol. 2020 Dec 17:e12998. doi: 10.1111/adb.12998. Epub ahead of print. PMID: 33336491.

https://onlinelibrary.wiley.com/doi/10.1111/adb.12998

Schweiz. Heroingestützte Behandlung in der Schweiz

Seit 2001 gibt es ein regelmässiges Monitoring der heroingestützten Behandlung (HeGeBe) in der Schweiz. Dieser Bericht (pdf, 39S.) präsentiert die Ergebnisse der Erhebung 2019. Der Name HeGeBe ist historisch begründet, obschon die Bezeichnung diacetylmorphingestützte Behandlung korrekter ist. Im Jahr 2019 hatten 22 Institutionen in 13 Kantonen die Berechtigung Diacetylmorphin zu verabreichen. (Infodrog/Infoset, Schweiz, Newsletter Dezember 2020)

https://www.bag.admin.ch/dam/bag/de/dokumente/npp/sucht/hegebe/hegebe_schweiz_2019.pdf.download.pdf/HeGeBe-Jahresbericht_2019.pdf

NRW/Holzwickede: Kontrollierte Heroinabgabe an Schwerstabhängige 

200 Suchtpatienten sollen künftig in einer Arztpraxis in Holzwickede im Kreis Unna kontrolliert mit Heroin versorgt werden. (WDR, 27.10.2020)

https://www1.wdr.de/nachrichten/ruhrgebiet/heroin-abgabe-holzwickede-rauschgift-therapie-praxis-100.html

UK. Middlesbrough heroin injection scheme hailed a success

A pilot scheme which gives supervised diamorphine injections to heroin addicts has been hailed as a success by those behind it, one year on. The programme, based in Middlesbrough, focuses on high-risk addicts who are committing crimes to pay for drugs and for whom other treatments have failed. (BBC, UK, 09.11.2020)

https://www.bbc.com/news/uk-england-tees-54877539

Barriers and facilitators to a novel low-barrier hydromorphone distribution program in Vancouver, Canada: a qualitative study. 

Ivsins A, Boyd J, Mayer S, Collins A, Sutherland C, Kerr T, McNeil R. 

Drug Alcohol Depend. 2020 Nov 1;216:108202. doi: 10.1016/j.drugalcdep.2020.108202. Epub 2020 Sep 15. PMID: 32948372; PMCID: PMC7490624.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490624/

NRW/Unna. Diamorphinambulanz in Holzwickede: Stellungnahme der Aidshilfe im Kreis Unna

Die Aidshilfe im Kreis Unna begrüßt die Pläne zur Eröffnung einer Diamorphin-Ambulanz in Holzwickede ausdrücklich. Mit dem Angebot wird in der Region eine wichtige Lücke im Versorgungssystem der suchtmedizinischen Hilfen geschlossen. (Aids-Hilfe Unna, 10.09.2020)

https://www.saferuse-nrw.de/Saferuse-NRW/front_content.php?idcat=2417&idart=7552

NRW/Unna. Geplante Diamorphin-Ambulanz für Süchtige sorgt für Diskussionen in Howi

Drogensüchtige sollen in Holzwickede über ein Diamorphin-Programm versorgt werden. Die geplante Praxis war gestern Gegenstand eines Informationsabends. (Rundblick-Unna, 07.10.2020)

https://rundblick-unna.de/2020/10/07/geplante-diamorphin-ambulanz-fuer-suechtige-sorgt-fuer-diskussionen-in-howi/

NRW/Holzwickede: Pläne für Heroin-Ambulanz

In Holzwickede sind die Pläne für eine so genannte Heroin-Ambulanz vorgestellt worden. Die Gemeinde hatte zu dem Infoabend eingeladen, zu dem rund 40 Leute kamen. Die Ambulanz soll bis zu 200 Patienten am Tag mit Diamorphin versorgen. (Antenne, Unna, 07.10.2020)

https://www.antenneunna.de/artikel/holzwickede-plaene-fuer-heroin-ambulanz-740508.html

Fifteen years of heroin-assisted treatment in a Swiss prison—a retrospective cohort study. 

Liebrenz, M., Gamma, A., Buadze, A. et al.

Harm Reduct J 17, 67 (2020). doi.org/10.1186/s12954-020-00412-0

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-020-00412-0

Diamorphingestützte Behandlung in Deutschland – Stand 2020

Christian Plattner 

7. Alternativer Drogen- und Suchtbericht 2020, Seiten 47-49, Hrsg.: akzept e.V., Deutsche Aidshilfe, Berlin im Oktober 2020

https://alternativer-drogenbericht.de/wp-content/uploads/2020/10/akzeptADSB2020web.pdf

 

UK. ‘Very promising’: UK’s first full heroin-prescribing scheme extended after reductions in crime and homelessness

‘Prison, increased sentencing, police crackdowns and all other efforts to break that cycle have failed,’ says police and crime commissioner. (Independent, UK, 24.08.2020)

https://www.independent.co.uk/news/uk/home-news/heroin-prescription-treatment-middlesbrough-hat-results-crime-homelessness-drugs-a9680551.html

 

Hospital Initiated Injectable Opioid Agonist Therapy for the Treatment of Severe Opioid Use Disorder: A Case Series

Brar R, Fairbairn N, Colizza K, Ryan A, Nolan S. 

[published online ahead of print, 2020, Aug 4]. J Addict Med. 2020;10.1097/ADM.0000000000000713. doi:10.1097/ADM.0000000000000713

Abstract

https://pubmed.ncbi.nlm.nih.gov/32769776/

Online-Fachtag "Diamorphin, Substitution, Versorgung“ 16.09.2020

Der Online-Fachtag findet über das Videokonferenzsystem ZOOM statt. Uhrzeit13:45 Uhr -16.30 Uhr,

Veranstalter: Landesverband akzept NRW e.V. in Kooperation mit der Stiftung Stegerwald Köln.

Das Programm und weitere Details: 

https://www.akzept.eu/wp-content/uploads/2020/08/Einladung-Online-Fachtag-16.09..pdf

UK. Middlesbrough heroin injection scheme to be extended

A pilot scheme which gives supervised heroin injections to addicts has been extended for a further year following "promising results".

The heroin assisted treatment programme, based in Middlesbrough, focuses on high risk addicts who are committing crimes to pay for drugs and for whom other treatments have failed. (BBC, UK, 20.08.2020)

https://www.bbc.co.uk/news/uk-england-tees-53845431

Kanada. A Domestic Safe Supply of Injectable Heroin Would Save Lives

And a new BC company has just formed to produce it. It’s up to the province now. (The Tyee, Kanada, 10.08.2020)

Kanada. A Domestic Safe Supply of Injectable Heroin Would Save Lives

Kanada. Prof, former public health officer launch company to produce legal heroin for treatment

Long before fentanyl transformed the illicit drug market, researchers in Vancouver embarked on a study that would open the door in Canada to a new form of treatment for opioid addiction.

The study found that, for the small number of people who did not benefit from common oral medications such as methadone, injectable pharmaceutical-grade heroin was safe and effective. Participants, stabilized on a regulated opioid, reduced illicit drug use and criminal activity, improving their physical and mental health. Employment and economic situations also got better. (The Globe and Mail, Kanada, 12.07.2020)

https://www.theglobeandmail.com/canada/british-columbia/article-prof-former-public-health-officer-launch-company-to-produce-legal/

Kanada. Injectable opioid agonist treatment for patients with opioid dependence: a review of clinical and cost-effectiveness. Ottawa: CADTH; 2020 May. 

(CADTH rapid response report: summary with critical appraisal). 

https://cadth.ca/sites/default/files/pdf/htis/2020/RC1277-iOAT%20Final.pdf

Wuppertal. NEUE DIAMORPHINAMBULANZ IN WUPPERTAL

Der JES Bundesverband gratuliert der Elterngruppe Wuppertal sowie den kommunalen Trägern der Drogenhilfe, dass ihre langjährigen Bemühungen für eine Heroinvergabe nun endlich umgesetzt wurden. (JES Bundesverband, 08.06.2020)

https://www.jes-bundesverband.de/2020/06/neue-diamorphinambulanz-in-wuppertal/

Berlin. „Kombinat Neubau“ - Weiterer Standort für eine diamorphingestützte Behandlung in Berlin

Am 1. April 2020 eröffnete der Drogennotdienst in Kooperation mit vier Ärzt_innen in der Ru- schestraße 103 eine neue Am- bulanz für Integrierte Drogenhilfe (AID Lichtenberg). Dort erhalten Drogengebraucher_innen umfas- sende medizinische Behandlung, Substitution und Psychosoziale Betreuung unter einem Dach. Die Besonderheit der neuen Ambu- lanz in Lichtenberg ist die zusätz- liche Originalstoffvergabe, also die Substitution mit Diamorphin. Das Ärzt_innenteam besteht aus Beate Münchow, Hans-Tilmann Kinkel, Fabian Danger und Daniel Winkelmann. 

Interview mit Hans-Tilman Kinkel in Drogenkurier 122, Seite 28-29)

https://www.jes-bundesverband.de/wp-content/uploads/2020/05/Kurier-122-Internet.pdf

Expanding access to diacetylmorphine and hydromorphone for people who use opioids in Canada.

Maghsoudi N, Bowles J, Werb D.

Can J Public Health. 2020 Mar 27. doi: 10.17269/s41997-020-00315-4. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/32221867

Prescribing heroin: John Marks, the Merseyside clinics, and lessons from history.

Seddon T.

Int J Drug Policy. 2020 Mar 24;78:102730. doi: 10.1016/j.drugpo.2020.102730.

Abstract

https://www.sciencedirect.com/science/article/abs/pii/S0955395920300712?via%3Dihub