The opioid crisis: past, present and future policy climate in Ontario, Canada

Substance Abuse Treatment, Prevention, and Policy
Kristen A MorinDavid C Marsh

Abstract

Addressing opioid use disorder has become a priority in Ontario, Canada, because of its high economic, social and health burden. There continues to be stigma and criticism relating to opioid use disorder and treatment options. The result has been unsystematic, partial, reactive policies and programs developed based on divergent points of view. The aim of this manuscript is to describe how past and present understandings, narratives, ideologies and discourse of opioid use, have impacted policies over the course of the growing opioid crisis. Assessing the impact of policy is complex. It involves consideration of conceptual issues of what impacts policy change. In this manuscript we argue that the development of polices and initiatives regarding opioids, opioid use disorder and opioid agonist treatment in the last decade, have been more strongly associated with the evolution of ideas, narratives and discourses rather than research relating to opioids. We formulate our argument using a framework by Sumner, Crichton, Theobald, Zulu, and Parkhurs. We use examples from the Canadian context to outline our argument such as: the anti- drug legislation from the Canadian Federal Conservative government in 2007; the removal of OxyContin™ fr...Continue Reading

References

Oct 1, 1993·Drug and Alcohol Dependence·D M NovickM J Kreek
Sep 30, 1998·Recent Developments in Alcoholism : an Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism·R E Drake, M F Brunette
Oct 24, 2002·Journal of Substance Abuse Treatment·Christian J HopferSabrina Hooks
Jan 10, 2003·The Cochrane Database of Systematic Reviews·R P MattickM Davoli
Jun 14, 2003·The Cochrane Database of Systematic Reviews·R P MattickM Davoli
Oct 21, 2004·The Cochrane Database of Systematic Reviews·L GowingR Ali
Nov 23, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Evan WoodThomas Kerr
Mar 20, 2008·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Gregory S ZaricDouglas K Owens
Jan 23, 2009·Harm Reduction Journal·Candice C GartryMartin T Schechter
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Richard P MattickMarina Davoli
Dec 9, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Irfan A DhallaDavid N Juurlink
Jan 6, 2010·International Journal of Environmental Research and Public Health·Mònica AstalsMarta Torrens
Sep 2, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kathleen Dooling, Michael Rachlis
Dec 24, 2010·The Clinical Journal of Pain·Ryan N HansenSean D Sullivan
Jul 13, 2012·The New England Journal of Medicine·Theodore J CiceroHilary L Surratt
Aug 10, 2012·Journal of Addictive Diseases·Gavin Bart
Jun 26, 2013·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Kathie Lynas
Jul 22, 2014·Addiction·Tara GomesDavid N Juurlink
Jan 15, 2015·The New England Journal of Medicine·Richard C DartJody L Green
Jul 1, 2015·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Pamela LeeceMeldon Kahan
Mar 10, 2016·Substance Abuse Treatment, Prevention, and Policy·Benedikt FischerJürgen Rehm
Sep 21, 2016·Substance Abuse Treatment, Prevention, and Policy·Joseph K EiblDavid C Marsh

❮ Previous
Next ❯

Citations

Apr 16, 2019·Hand : Official Journal of the American Association for Hand Surgery·Yehuda ChocronStephanie Thibaudeau
Jun 13, 2019·Systematic Reviews·Lindsay Victoria ShawCorinne M Hohl
Aug 8, 2019·Current Pain and Headache Reports·Luisa M BigalStephanie Dunbar
Aug 21, 2019·Substance Abuse Treatment, Prevention, and Policy·Sheena TahaJane Buxton
Nov 23, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Samah HassanKieran Cooley
Aug 23, 2019·Brazilian Oral Research·Patrícia Azevedo LinoMauro Henrique Nogueira Guimarães de Abreu
Nov 17, 2020·Forensic Science, Medicine, and Pathology·Filbert Yung, Jayantha Herath

❮ Previous
Next ❯

Software Mentioned

Insite

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista Panamericana De Salud Pública = Pan American Journal of Public Health
Adolfo Martínez ValleFernando Alvarez
Journal of the National Medical Association
P A Newton
Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De L'Académie Canadienne De Psychiatrie De L'enfant Et De L'adolescent
Joanna HendersonJoseph Beitchman
Health Policy and Planning
L B Lerer
© 2022 Meta ULC. All rights reserved