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«One prick and then it´s done»: a mixed-methods exploratory study on intramuscular injection in heroin-assisted treatment. 

Meyer M, Eichenberger R, Strasser J, Dürsteler KM, Vogel M. 

Harm Reduct J. 2021 Dec 18;18(1):134. doi: 10.1186/s12954-021-00584-3. PMID: 34922561; PMCID: PMC8684658.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684658/

Kanada. B.C. doctors upset their ‘safe supply' of heroin going unprescribed during overdose crisis 

The doctors are asking the Ministry of Health to fund heroin-assisted treatment for 200 British Columbians at an average cost of $25 a day. (Vancouver Sun, Kanada, 15.12.2021)

https://vancouversun.com/news/b-c-doctors-upset-their-safe-supply-of-heroin-going-unprescribed-during-overdose-crisis

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

Liebrenz M, Gamma A, Buadze A, Schleifer R, Baggio S, Schwartz B, Schneeberger A, Uchtenhagen A. 

Harm Reduct J. 2020 Oct 13;17(1):67. doi: 10.1186/s12954-020-00412-0. PMID: 33046103; PMCID: PMC7552491.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7552491/

Australien. The case for an Australian heroin trial: strong then, even stronger now

By Alex Wodak, Bob Douglas and David McDonald

Pearls and Irritations, 08.11.2021

https://johnmenadue.com/the-case-for-an-australian-heroin-trial-strong-then-even-stronger-now/

Köln. Tagesthemen-Reportage aus der Kölner Diamorphin-Ambulanz

(Tagesthemen, Mittendrin-Reportage, ARD, 11.10.2021, Video, 25:52 – 31:07)

https://www.ardmediathek.de/video/tagesthemen/das-erste/Y3JpZDovL2Rhc2Vyc3RlLmRlL3RhZ2VzdGhlbWVuLzNjOGE2ODY4LTFmMzctNGZhMS1hYjJjLTU0MmFhNDc5OTRkZg/

The suitability of oral diacetylmorphine in treatment-refractory patients with heroin dependence: A scoping review. 

F Martins ML, Wilthagen EA, Oviedo-Joekes E, Beijnen JH, de Grave N, Uchtenhagen A, Beck T, Van den Brink W, Schinkel AH. 

Drug Alcohol Depend. 2021 Oct 1;227:108984. doi: 10.1016/j.drugalcdep.2021.108984. Epub 2021 Aug 28. PMID: 34482044.

Abstract

https://pubmed.ncbi.nlm.nih.gov/34482044/

Kanada. Vancouver clinic revokes 11 patients’ access to take-home heroin doses

Eleven patients who were permitted to take home doses of medical-grade heroin from a Vancouver clinic have had the permission abruptly revoked.

The patients were told last week that they can continue ingesting the drug (diacetylmorphine) under medical supervision at the Providence Crosstown Clinic, but would no longer be able to carry a daily supply off-site, according to four patients who spoke with The Globe and Mail. They were cut off from receiving take-home doses – called “carries” – by weeks’ end and were not given a reason for the discontinuation. (Globe and Mail, Kanada, 27.09.2021)

https://www.theglobeandmail.com/canada/article-vancouver-clinic-revokes-11-patients-access-to-take-home-heroin-doses/

Kanada/British Columbia. Vancouver clinic first in North America to offer take-home medical-grade heroin

A safe supply of medical-grade heroin can be a lifeline for those battling opioid addiction. (CBC Canada, Kanada, 16.09.2021)

https://www.cbc.ca/news/canada/british-columbia/take-home-medical-heroin-1.6179280

Kanada. Prescription Inhalable Heroin Is Coming to BC. Will the Province Embrace It?

Experts say it’s past time to expand life-saving therapy for drug users. (The Tyee, Kanada, 17.09.2021)

https://thetyee.ca/News/2021/09/17/Prescription-Inhalable-Heroin-BC/

Nasal Opioid Agonist Treatment in Patients with Severe Opioid Dependence: A Case Series. 

Vogel M, Köck P, Strasser J, Kalbermatten C, Binder H, Dürsteler KM, Walter M, Falcato L, Krausz M, Kormann A. 

Eur Addict Res. 2021 Jul 26:1-6. doi: 10.1159/000516431. Epub ahead of print. PMID: 34311466.

Abstract

https://www.karger.com/Article/Abstract/516431

Heroin-Assisted Treatment and the United Nations international drug control apparatus

GDPO Working Paper Series Working Paper No. 7 (July 2021) - Christopher Hallam

https://www.swansea.ac.uk/media/GDPO_Working_Paper_on-HAT_FINAL.pdf

Heroin auf Rezept (Audio)

(WDR 5 Quarks - Topthemen aus der Wissenschaft. 18.09.2019. 06:32, verfügbar bis 17.09.2024.)

https://wdrmedien-a.akamaihd.net/medp/podcast/weltweit/fsk0/200/2005599/wdr5quarkstopthemenausderwissenschaft_2019-09-18_heroinaufrezept_wdr5.mp3

UK. Middlesbrough heroin addiction clinic secures funding until March

A scheme which gives supervised diamorphine injections to heroin addicts is to be extended after securing new funding. (BBC, UK, 08.2021)

https://www.bbc.com/news/uk-scotland-57748725

Schottland. Developing Heroin Assisted Treatment in Scotland – learning from current practice - SDF Webinar (Video)

The Scottish Government has made its intentions clear regarding the provision of Heroin Assisted Treatment across Scotland. This will add another important intervention in our response to the on-going public health emergency which is Scotland’s drug related deaths crisis. (SDF – Scottish Drugs Forum, Schottland, 28.06.2021, Video, 01:25:41)

https://www.youtube.com/watch?v=HWxpNwyIp2k

'Apprentissage de l’élargissement des modalités de prescription de l’héroïne médicale avec le Covid-19', 

Calzada, G., Giustiniani, J., Gois, T., Kuntz, A., Khazaal, Y., Zullino, D. (2021). 

Rev Med Suisse 2021; volume 7. no. 742, 1111 - 1114 doi: 

https://www.revmed.ch/revue-medicale-suisse/2021/revue-medicale-suisse-742/apprentissage-de-l-elargissement-des-modalites-de-prescription-de-l-heroine-medicale-avec-le-covid-19

Does Heroin-Assisted Treatment Reduce Crime? A Review of Randomized-Controlled Trials. 

Smart, R., and Reuter, P. (2021) 

Addiction, doi.org/10.1111/add.15601 

Abstract

https://onlinelibrary.wiley.com/doi/abs/10.1111/add.15601

Advocating for diamorphine: Cosmopolitical care and collective action in the ruins of the 'old British system'. 

Dennis F. 

Crit Public Health. 2021;31(2):144-155. doi: 10.1080/09581596.2020.1772463. Epub 2020 Jun 4. PMID: 34079177; PMCID: PMC7610880.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610880/

UK. Cleveland's new Police and Crime Commissioner says he won't continue funding Middlesbrough's Heroin Assisted Treatment

Cleveland's new Police and Crime Commissioner Steve Turner has been told he is "making a mistake" by ending funding from his office for a trailblazing heroin addiction treatment (HAT) scheme. (ITV, 18.05.2021)

https://www.itv.com/news/tyne-tees/2021-05-18/clevelands-new-police-and-crime-commissioner-says-he-wont-continue-funding-middlesbroughs-heroin-assisted-treatment

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