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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

Effect of heroin on right ventricular cardiac performance.

Selcuk M, Yildirim E, Saylik F, Deniz O, Mutluer FO.

Cardiovasc J Afr. 2020 Mar 5;31:1-4. doi: 10.5830/CVJA-2020-002. 

http://www.cvja.co.za/onlinefirst/DOI-10-5830-CVJA-2020-002.pdf

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