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Schweiz. Umgang mit Sucht in Pflegeheimen - Modelle guter Praxis

Am 6. Mai 2019 fand in Bern die gemeinsame Stakeholderkonferenz der beiden nationalen Strategien NCD sowie Sucht zum Thema «gesundes Altern» statt.

(5. Stakeholderkonferenz Nationale Strategie Prävention nichtübertragbarer Krankheiten (NCD) und 3. Stakeholderkonferenz Nationale Strategie Sucht, Schweiz, Präsentationen Workshop 6 - Umgang mit Sucht in Pflegeheimen - Modelle guter Praxis, 08.05.2019) 

https://www.bag.admin.ch/bag/de/home/strategie-und-politik/nationale-gesundheitsstrategien/strategie-nicht-uebertragbare-krankheiten/stakeholderkonferenzen-ncd.html

Non-prescribed use of methadone and buprenorphine prior to opioid substitution treatment: lifetime prevalence, motives, and drug sources among people with opioid dependence in five Swedish cities

Björn Johnson and Torkel Richert

Harm Reduction Journal 2019, 16:31, doi.org/10.1186/s12954-019-0301-y

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0301-y

Buprenorphine Treatment Divide by Race/Ethnicity and Payment.

Lagisetty PA, Ross R, Bohnert A, Clay M, Maust DT.

JAMA Psychiatry. 2019 May 8. doi: 10.1001/jamapsychiatry.2019.0876. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31066881

“Liquid Handcuffs”—A Documentary to Free Methadone (Homepage und Trailer)

Filmed in six countries: Afghanistan, Britain, India, Portugal, Russia, United States

In 2017, the opioid-related overdose crisis killed 70,000 people in the US. Methadone is the most successful treatment for opioid addiction and is proven to cut the death rate by half or more. So why is it easier to get heroin than methadone?

Liquid Handcuffs: A Documentary to Free Methadone, shines a spotlight on the closed world of methadone clinics. An international cast of methadone users, activists, and healthcare providers explain the benefits and the barriers to getting the medication. And drug policy expert Deborah Small provides commentary on the politics of methadone.

Liquid Handcuffs: A Documentary to Free Methadone explores the intersection of methadone with race, class, social control, and stigma. This is the first feature-length documentary that uses the lens of harm reduction to examine the methadone clinic system. (liquidhandcuffsdoc.com, USA, April 2019)

https://www.liquidhandcuffsdoc.com/

Drug deaths could rise if Bristol Mayor’s Office forces people off methadone.

Bristol City Council is consulting on a proposal to cut up to 10% of the budget for GPs and pharmacists to prescribe methadone or buprenorphine (Opiate Substitution Treatment – OST) to people dependent on heroin. This is to be done “by ensuring that client management and prescribing…is focused on a recovery approach (actively supporting clients to become free of a dependency on prescribed drugs as a substitute) rather than a maintenance approach (where clients are on prescriptions long term)”. (Talking Drugs, UK, 02.05.2019)

https://transformdrugs.org/deaths-rise-if-bristol-mayor-forces-people-off-methadone/

Utilization of addiction treatment among U.S. adults with history of incarceration and substance use disorders.

Tsai J, Gu X.

Addict Sci Clin Pract. 2019 Mar 5;14(1):9. doi: 10.1186/s13722-019-0138-4.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402155/

Patient choice as a means of empowerment in opioid substitution treatment: a case from Sweden

Lisa Andersson & Björn Johnson (2019) 

Drugs: Education, Prevention and Policy, DOI: 10.1080/09687637.2019.1591342

https://www.tandfonline.com/doi/full/10.1080/09687637.2019.1591342

Marokko. Morocco celebrates 10 years of opioid agonist treatment

With a regional seminar organised on 22-23 February 2019 in Tangier, the Ministry of Health of the Kingdom of Morocco and the Pompidou Group celebrated 10 years of the introduction of opioid agonist treatment in the country. Taking place within the 2019 MedNET work programme, the seminar brought together addiction treatment centers from across the Kingdom of Morocco, as well as experts from Tunisia, Jordan, Portugal and Switzerland - which just joined MedNET as its 16th member country. (IDPC - International Drug Policy Consortium, 05.04.2019)

https://idpc.net/alerts/2019/04/morocco-celebrates-10-years-of-opioid-agonist-treatment

Uganda. Uganda approves first-ever OST clinic

The decision comes after PITCH embarked on a year of advocacy to convince the Ministry of Health of the need for the clinic. (IDPC - International Drug Policy Consortium, 04.04.2019)

https://idpc.net/alerts/2019/04/uganda-approves-first-ever-ost-clinic

USA. Increasing Access to MAT: What Is the Role of Harm Reduction?

There are moves—important and funded ones—to support the expansion of medication-assisted treatment (MAT), but those moves apply mostly to office-based opioid treatment (OBOT) providers, not to opioid treatment programs (OTPs). (Addiction Treatment Forum, USA, 07.04.2019)

http://atforum.com/2019/04/increasing-access-mat-harm-reduction/

Schweiz. Immer mehr Pflegebedürftige bei Heroinabgabe

Die Patienten der Heroinabgabe in Bern werden immer älter - und sie sind zusehends pflegebedürftig. Das geht aus dem Jahresbericht hervor, den die Heroingestützte Behandlung KODA publiziert hat. (nau.ch, Schweiz, 10.04.2019)

https://www.nau.ch/ort/bern/immer-mehr-pflegebedurftige-bei-heroinabgabe-65506809

USA. As overdoses rise, New Jersey removes a barrier to treatment for opioid addiction

Starting this week, Medicaid recipients in New Jersey no longer have to wait for approval from an insurance company before a doctor can prescribe them opioid-addiction medication.

The state’s Human Services commissioner announced that New Jersey is ending so-called prior authorizations for medication-assisted treatments (MAT), which research shows gives patients a better shot at lasting recovery. (The Philadelphia Inquirer, USA, 02.04.2019)

https://www.philly.com/health/new-jersey-opioid-addiction-medication-assisted-treatment-barriers-20190402.html

END OF LIFE CARE FOR PEOPLE WITH PROBLEMATIC SUBSTANCE USE AND THEIR FAMILIES

People with alcohol and other drug (AOD) problems, and their families,deserve the same respect and dignity at the end of their lives as people without AOD problems. (drinkanddrugsnews.com, UK, April 2019)

https://drinkanddrugsnews.com/wp-content/uploads/2019/03/End-of-Life-Care_Supplement_FINAL.pdf

Provider and patient perspectives on barriers to buprenorphine adherence and the acceptability of video directly observed therapy to enhance adherence.

Godersky ME, Saxon AJ, Merrill JO, Samet JH, Simoni JM, Tsui JI.

Addict Sci Clin Pract. 2019 Mar 13;14(1):11. doi: 10.1186/s13722-019-0139-3.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417248/

Applying Behavioural Incentives to Increase Adherence to Maintenance Treatment.

Komasi S, Saeidi M, Sariaslani P, Soroush A.

Malays J Med Sci. 2018 Nov;25(6):137-140. doi: 10.21315/mjms2018.25.6.14. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422568/

Association of Methadone Treatment With Substance-Related Hospital Admissions Among a Population in Canada With a History of Criminal Convictions.

Russolillo A, Moniruzzaman A, Somers JM.

JAMA Netw Open. 2019 Mar 1;2(3):e190595. doi: 10.1001/jamanetworkopen.2019.0595.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2728000

Evaluating the Integrated Methadone and Anti-Retroviral Therapy Strategy in Tanzania Using the RE-AIM Framework.

Hassan S, Cooke A, Saleem H, Mushi D, Mbwambo J, Lambdin BH.

Int J Environ Res Public Health. 2019 Feb 28;16(5). pii: E728. doi: 10.3390/ijerph16050728.

https://www.mdpi.com/1660-4601/16/5/728

Irland. Twenty years of the Methadone Treatment Protocol

In recognition of the 20-year anniversary of the Methadone Treatment Protocol in 2018, the Irish College of General Practitioners (ICGP) has brought together a series of reflections of their Substance Misuse Programme.1 This comprises articles and extracts from Forum, the journal of ICGP, summaries of ICGP publications, pictures, and personal reflections from doctors and patients. (drugnet Ireland, The newsletter of Ireland’s focal point to the EMCDDA, Issue 68, Winter 2019)

https://www.drugsandalcohol.ie/30387/1/Drugnet68%20web%20version.pdf

USA. Medications to Treat Opioid Addiction Are Effective and Save Lives, But Barriers Prevent Broad Access and Use, Says New Report

WASHINGTON – Although three U.S. Food and Drug Administration-approved medications to treat opioid use disorder (OUD) are safe and effective, most people who could benefit from these treatments do not receive them, and access is inequitable, especially among certain subpopulations, says a new report from the National Academies of Sciences, Engineering, and Medicine.  Medications for Opioid Use Disorder Save Lives says that withholding or failing to have available these medications for the treatment of OUD in any care or criminal justice setting is denying appropriate medical treatment. (The National Academies of Sciences, Engineering, and Medicine, USA, 20.03.2019)

http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=25310

Medications for Opioid Use Disorder Save Lives

National Academies of Sciences, Engineering, and Medicine 2019. Washington, DC: The National Academies Press. doi.org/10.17226/25310.

https://www.nap.edu/download/25310

Schottland. Frontline GP insists methadone is still best way to tackle drugs crisis

'Deep End' Edinburgh GP Carey Lunan says methadone has kept many people from heroin overdoses and allowed them to live a better life, even if the numbers who get off it remain low. (Daily Record, UK, 18.03.2019)

https://www.dailyrecord.co.uk/news/scottish-news/frontline-gp-insists-methadone-still-14150836

Management of opioid use disorder in the USA: present status and future directions

Blanco, Carlos et al.

The Lancet , Volume 0 , Issue 0 , Published:March 13, 2019, doi.org/10.1016/S0140-6736(18)33078-2

Abstract

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)33078-2/fulltext

App: Buprenorphine Home Induction

This app is only available on the App Store for iOS devices.

https://itunes.apple.com/us/app/buprenorphine-home-induction/id1449302173

USA. Yale experts develop new free app to tackle opioid addiction

As the opioid overdose epidemic continues to take its toll, causing 47,600 deaths in 2017, researchers continue to seek innovative solutions to the crisis. At Yale, a team of medical experts and students have come up with a tool that could help individual opioid users with one of the most important strategies to fight addiction: medication treatment. (Yale News, USA, 06.03.2019)

https://news.yale.edu/2019/03/06/yale-experts-develop-new-free-app-tackle-opioid-addiction

Computerized Clinical Decision Support System for Emergency Department-Initiated Buprenorphine for Opioid Use Disorder: User-Centered Design.

Ray JM, Ahmed OM, Solad Y, Maleska M, Martel S, Jeffery MM, Platts-Mills TF, Hess EP, D'Onofrio G, Melnick ER.

JMIR Hum Factors. 2019 Feb 27;6(1):e13121. doi: 10.2196/13121.

https://humanfactors.jmir.org/2019/1/e13121/

Community Forums to Address the Opioid Crisis: An Effective Grassroots Approach to Rural Community Engagement.

Palombi L, Olivarez M, Bennett L, Hawthorne AN.

Subst Abuse. 2019 Feb 17;13:1178221819827595. doi: 10.1177/1178221819827595. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378421/

Comparing Canadian and United States opioid agonist therapy policies.

Priest KC, Gorfinkel L, Klimas J, Jones AA, Fairbairn N, McCarty D.

Int J Drug Policy. 2019 Feb 11. pii: S0955-3959(19)30028-3. doi: 10.1016/j.drugpo.2019.01.020.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/30765118

Drug treatment systems in the Western Balkans: outcomes of a joint EMCDDA-UNODC survey of drug treatment facilities

Summary

This report presents a summary of the key findings from drug treatment facility surveys carried out in 2017 in Albania, Bosnia and Herzegovina, Serbia and the territory of Kosovo. The results provide insight into the characteristics and capacity of the treatment systems, as well as the availability and provision of treatment interventions. The report also considers the implications for practice and policy. (EMCDDA,UNODC,Lissabon,Februar 2019 )

http://www.emcdda.europa.eu/publications/joint-publications/drug-treatment-systems-western-balkans_en

USA. Many Rural Americans Have No Access to Buprenorphine

Nearly a third of rural Americans live in a county without access to buprenorphine—the gold standard for treating opioid use disorder, according to a new Pew fact sheet. (Filter, USA, 11.02.2019)

https://filtermag.org/2019/02/11/rural-america-access-to-buprenorphine-mat-medication-assisted-treatment/

USA. Opioid Use Disorder: Challenges and Opportunities in Rural Communities 

Thoughtful strategies can improve access to high-quality care. (Pew Trusts, USA, 07.02.2019)

https://www.pewtrusts.org/research-and-analysis/fact-sheets/2019/02/opioid-use-disorder-challenges-and-opportunities-in-rural-communities