TY - JOUR
KW - Canada/epidemiology
KW - Drug Overdose/epidemiology/prevention & control
KW - Epidemics/prevention & control
KW - Humans
KW - Needs Assessment
KW - Opioid-Related Disorders/epidemiology/prevention & control
KW - policy
KW - Public Health Practice
KW - Research
KW - opioid agonist therapy
KW - Opioid overdose prevention
KW - Rural Health
KW - Smaller settings
KW - Supervised consumption services
AU - G. Bardwell
AU - L. Lappalainen
A1 - 
AB - The majority of research and policy directives targeting opioid use and overdose prevention are based in larger urban settings and not easily adaptable to smaller Canadian settings (i.e., small- to mid-sized cities and rural areas). We identify a variety of research and policy gaps in smaller settings, including limited access to supervised consumption services, safer supply and novel opioid agonist therapy programs, as well as housing-based services and supports. Additionally, we identify the need for novel strategies to improve healthcare access and health outcomes in a more equitable way for people who use drugs, including virtual opioid agonist therapy clinics, episodic overdose prevention services, and housing-based harm reduction programs that are better suited for smaller settings. These programs should be coupled with rigorous evaluation, in order to understand the unique factors that shape overdose risk, opioid use, and service uptake in smaller Canadian settings.
AD - Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. geoff.bardwell@bccsu.ubc.ca.; British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada. geoff.bardwell@bccsu.ubc.ca.; Department of Family Medicine, Kelowna General Hospital, 2268 Pandosy Street, Kelowna, BC, V1Y 1T2, Canada.; Interior Health Authority, Mental Health and Substance Use, 505 Doyle Ave, Kelowna, BC, V1Y 6V8, Canada.
BT - Canadian journal of public health = Revue canadienne de sante publique
C5 - Opioids & Substance Use
CP - 4
DO - 10.17269/s41997-021-00504-9
IS - 4
JF - Canadian journal of public health = Revue canadienne de sante publique
LA - eng
M1 - Journal Article
N2 - The majority of research and policy directives targeting opioid use and overdose prevention are based in larger urban settings and not easily adaptable to smaller Canadian settings (i.e., small- to mid-sized cities and rural areas). We identify a variety of research and policy gaps in smaller settings, including limited access to supervised consumption services, safer supply and novel opioid agonist therapy programs, as well as housing-based services and supports. Additionally, we identify the need for novel strategies to improve healthcare access and health outcomes in a more equitable way for people who use drugs, including virtual opioid agonist therapy clinics, episodic overdose prevention services, and housing-based harm reduction programs that are better suited for smaller settings. These programs should be coupled with rigorous evaluation, in order to understand the unique factors that shape overdose risk, opioid use, and service uptake in smaller Canadian settings.
PY - 2021
SN - 1920-7476; 0008-4263; 0008-4263
SP - 733
EP - 736
EP - 
T1 - The need to prioritize research, policy, and practice to address the overdose epidemic in smaller settings in Canada
T2 - Canadian journal of public health = Revue canadienne de sante publique
TI - The need to prioritize research, policy, and practice to address the overdose epidemic in smaller settings in Canada
U1 - Opioids & Substance Use
U2 - 33782915
U3 - 10.17269/s41997-021-00504-9
VL - 112
VO - 1920-7476; 0008-4263; 0008-4263
Y1 - 2021
Y2 - Aug
ER -