TY - JOUR KW - American Native Continental Ancestry Group KW - Counseling KW - Cultural Competency KW - Female KW - Health Services, Indigenous/standards KW - Hospitalization KW - Humans KW - Male KW - Narcotic Antagonists/therapeutic use KW - Ontario KW - Opiate Substitution Treatment/methods KW - Opioid-Related Disorders/ethnology/rehabilitation/therapy KW - Patient Acceptance of Health Care/ethnology/psychology/statistics & numerical data KW - Pregnancy KW - Rural Health Services KW - Substance Withdrawal Syndrome/ethnology KW - Urban Population AU - N. Kiepek AU - L. Hancock AU - D. Toppozini AU - H. Cromarty AU - A. Morgan AU - L. Kelly A1 - AB - CONTEXT: The abuse of oxycodone in Northwestern Ontario, Canada, has escalated at alarming rates raising concerns that opiate use has reached epidemic proportions, particularly among the First Nations communities. The authors were involved in establishing Ontario's first rural inpatient medical withdrawal unit to serve patients seeking abstinence. ISSUES: The development of the medical withdrawal support services (MWSS) required creative and adaptive strategies to respond to the geographical, cultural and institutional circumstances. LESSONS LEARNED: Key factors to support program efficacy and successful outcomes for clients during the inaugural eight months of operation are interprofessional and collaborative approaches with a cultural awareness.Key words: addiction, Canada, First Nation, medical withdrawal. BT - Rural and remote health C5 - Opioids & Substance Use; Healthcare Disparities CY - Australia JF - Rural and remote health N2 - CONTEXT: The abuse of oxycodone in Northwestern Ontario, Canada, has escalated at alarming rates raising concerns that opiate use has reached epidemic proportions, particularly among the First Nations communities. The authors were involved in establishing Ontario's first rural inpatient medical withdrawal unit to serve patients seeking abstinence. ISSUES: The development of the medical withdrawal support services (MWSS) required creative and adaptive strategies to respond to the geographical, cultural and institutional circumstances. LESSONS LEARNED: Key factors to support program efficacy and successful outcomes for clients during the inaugural eight months of operation are interprofessional and collaborative approaches with a cultural awareness.Key words: addiction, Canada, First Nation, medical withdrawal. PP - Australia PY - 2012 SN - 1445-6354; 1445-6354 SP - 2193 T1 - Facilitating medical withdrawal from opiates in rural Ontario T2 - Rural and remote health TI - Facilitating medical withdrawal from opiates in rural Ontario U1 - Opioids & Substance Use; Healthcare Disparities U2 - 23094953 VL - 12 VO - 1445-6354; 1445-6354 Y1 - 2012 ER -