The State of Opioid Agonist Therapy in Canada 20 Years after Federal Oversight

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Joseph K EiblDavid C Marsh

Abstract

Opioid agonist therapy was introduced in Canada in 1959 with the use of methadone for the treatment of opioid dependence. The regulation of methadone was the responsibility of Health Canada until 1995, when oversight was transferred to the provincial health systems. During the more than 20 years since the federal health authority transferred oversight of methadone to the provincial level, methadone programming has evolved differently in every province. The landscape of opioid dependence treatment is varied across the country, with generally increasing treatment capacity in all provinces and dramatic increases in some. Each province has an independent methadone program with differing policies, contingency management strategies, laboratory monitoring policies, and delivery methods. Treatment options have increased, with buprenorphine- and heroin-assisted treatment becoming available to limited degrees. Despite this, access remains a challenge in many parts of the country (particularly rural and remote areas) because the demand for treatment has increased even more rapidly than the capacity. Although treatment access remains a priority in many jurisdictions, there is also a need to attend to treatment quality as treatment access e...Continue Reading

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Citations

Jul 7, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Eugenia Oviedo-Joekes
Sep 25, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Bennett AllenDenise Paone
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May 18, 2020·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Lillian MacNeillEnrico DiTommaso
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Sep 5, 2021·Pediatrics·Micah PiskeBohdan Nosyk

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