Supervised Tablet Injectable Opioid Agonist Therapy (TiOAT): A Strategy to Address Safer Supply for Individuals With an Opioid Use Disorder?. Weng, J., Fairbairn, N., Sutherland, C., Johnson, C., & Nolan, S. Journal of Addiction Medicine, 16(3):258–260, June, 2022. Place: Baltimore, Maryland Publisher: Lippincott Williams & Wilkinsdoi abstract bibtex North America is in the midst of an overdose crisis, with up to 130 Americans dying daily from a preventable drug overdose. Opioids account for 70% of overdose deaths. Despite government efforts to improve access to opioid use disorder (OUD) treatment and the implementation of various harm reduction initiatives, overdose mortality remains unacceptably high. Although effective treatments exist for OUD (eg, opioid agonist therapies like buprenorphine/naloxone and methadone), many individuals do not achieve stabilization with these medications. Tablet injectable opioid agonist therapy (TiOAT) is an initiative being piloted in British Columbia to provide witnessed access to a safer opioid supply for individuals with treatment-refractory OUD. The program offers participants a safer opioid supply through physician-prescribed pharmaceutical-grade hydromorphone tablets. TiOAT is suitable for individuals with severe OUD who are actively injecting opioids and are refractory to conventional OUD treatment. As such, a scale-up of the TiOAT program may be a feasible alternative to address persistent opioid-related deaths in North America, while minimizing potential harms associated with unwitnessed safer supply opioid prescribing (eg, diversion and overdose). Although a comprehensive evaluation of TiOAT is of critical importance (including an assessment of the program's adverse events), completion of the evaluation should not preclude scale-up of the program in the interim as a strategy to reduce opioid-related harms.
@article{weng_supervised_2022,
title = {Supervised {Tablet} {Injectable} {Opioid} {Agonist} {Therapy} ({TiOAT}): {A} {Strategy} to {Address} {Safer} {Supply} for {Individuals} {With} an {Opioid} {Use} {Disorder}?},
volume = {16},
issn = {1932-0620},
shorttitle = {Supervised {Tablet} {Injectable} {Opioid} {Agonist} {Therapy} ({TiOAT})},
doi = {10.1097/ADM.0000000000000887},
abstract = {North America is in the midst of an overdose crisis, with up to 130 Americans dying daily from a preventable drug overdose. Opioids account for 70\% of overdose deaths. Despite government efforts to improve access to opioid use disorder (OUD) treatment and the implementation of various harm reduction initiatives, overdose mortality remains unacceptably high. Although effective treatments exist for OUD (eg, opioid agonist therapies like buprenorphine/naloxone and methadone), many individuals do not achieve stabilization with these medications. Tablet injectable opioid agonist therapy (TiOAT) is an initiative being piloted in British Columbia to provide witnessed access to a safer opioid supply for individuals with treatment-refractory OUD. The program offers participants a safer opioid supply through physician-prescribed pharmaceutical-grade hydromorphone tablets. TiOAT is suitable for individuals with severe OUD who are actively injecting opioids and are refractory to conventional OUD treatment. As such, a scale-up of the TiOAT program may be a feasible alternative to address persistent opioid-related deaths in North America, while minimizing potential harms associated with unwitnessed safer supply opioid prescribing (eg, diversion and overdose). Although a comprehensive evaluation of TiOAT is of critical importance (including an assessment of the program's adverse events), completion of the evaluation should not preclude scale-up of the program in the interim as a strategy to reduce opioid-related harms.},
number = {3},
journal = {Journal of Addiction Medicine},
author = {Weng, Jian and Fairbairn, Nadia and Sutherland, Christy and Johnson, Cheyenne and Nolan, Seonaid},
month = jun,
year = {2022},
note = {Place: Baltimore, Maryland
Publisher: Lippincott Williams \& Wilkins},
keywords = {Dihydromorphinone -- Therapeutic Use, Harm Reduction, Health Services Accessibility, Intravenous Drug Users, Narcotic Antagonists -- Administration and Dosage, Narcotic Antagonists -- Supply and Distribution, North America, Opiate Overdose -- Prevention and Control -- North America, Program Implementation, Quality Improvement, Substance Use Disorders -- Drug Therapy},
pages = {258--260},
}
Downloads: 0
{"_id":"PPWGDnNSx4nEnYDLE","bibbaseid":"weng-fairbairn-sutherland-johnson-nolan-supervisedtabletinjectableopioidagonisttherapytioatastrategytoaddresssafersupplyforindividualswithanopioidusedisorder-2022","author_short":["Weng, J.","Fairbairn, N.","Sutherland, C.","Johnson, C.","Nolan, S."],"bibdata":{"bibtype":"article","type":"article","title":"Supervised Tablet Injectable Opioid Agonist Therapy (TiOAT): A Strategy to Address Safer Supply for Individuals With an Opioid Use Disorder?","volume":"16","issn":"1932-0620","shorttitle":"Supervised Tablet Injectable Opioid Agonist Therapy (TiOAT)","doi":"10.1097/ADM.0000000000000887","abstract":"North America is in the midst of an overdose crisis, with up to 130 Americans dying daily from a preventable drug overdose. Opioids account for 70% of overdose deaths. Despite government efforts to improve access to opioid use disorder (OUD) treatment and the implementation of various harm reduction initiatives, overdose mortality remains unacceptably high. Although effective treatments exist for OUD (eg, opioid agonist therapies like buprenorphine/naloxone and methadone), many individuals do not achieve stabilization with these medications. Tablet injectable opioid agonist therapy (TiOAT) is an initiative being piloted in British Columbia to provide witnessed access to a safer opioid supply for individuals with treatment-refractory OUD. The program offers participants a safer opioid supply through physician-prescribed pharmaceutical-grade hydromorphone tablets. TiOAT is suitable for individuals with severe OUD who are actively injecting opioids and are refractory to conventional OUD treatment. As such, a scale-up of the TiOAT program may be a feasible alternative to address persistent opioid-related deaths in North America, while minimizing potential harms associated with unwitnessed safer supply opioid prescribing (eg, diversion and overdose). Although a comprehensive evaluation of TiOAT is of critical importance (including an assessment of the program's adverse events), completion of the evaluation should not preclude scale-up of the program in the interim as a strategy to reduce opioid-related harms.","number":"3","journal":"Journal of Addiction Medicine","author":[{"propositions":[],"lastnames":["Weng"],"firstnames":["Jian"],"suffixes":[]},{"propositions":[],"lastnames":["Fairbairn"],"firstnames":["Nadia"],"suffixes":[]},{"propositions":[],"lastnames":["Sutherland"],"firstnames":["Christy"],"suffixes":[]},{"propositions":[],"lastnames":["Johnson"],"firstnames":["Cheyenne"],"suffixes":[]},{"propositions":[],"lastnames":["Nolan"],"firstnames":["Seonaid"],"suffixes":[]}],"month":"June","year":"2022","note":"Place: Baltimore, Maryland Publisher: Lippincott Williams & Wilkins","keywords":"Dihydromorphinone – Therapeutic Use, Harm Reduction, Health Services Accessibility, Intravenous Drug Users, Narcotic Antagonists – Administration and Dosage, Narcotic Antagonists – Supply and Distribution, North America, Opiate Overdose – Prevention and Control – North America, Program Implementation, Quality Improvement, Substance Use Disorders – Drug Therapy","pages":"258–260","bibtex":"@article{weng_supervised_2022,\n\ttitle = {Supervised {Tablet} {Injectable} {Opioid} {Agonist} {Therapy} ({TiOAT}): {A} {Strategy} to {Address} {Safer} {Supply} for {Individuals} {With} an {Opioid} {Use} {Disorder}?},\n\tvolume = {16},\n\tissn = {1932-0620},\n\tshorttitle = {Supervised {Tablet} {Injectable} {Opioid} {Agonist} {Therapy} ({TiOAT})},\n\tdoi = {10.1097/ADM.0000000000000887},\n\tabstract = {North America is in the midst of an overdose crisis, with up to 130 Americans dying daily from a preventable drug overdose. Opioids account for 70\\% of overdose deaths. Despite government efforts to improve access to opioid use disorder (OUD) treatment and the implementation of various harm reduction initiatives, overdose mortality remains unacceptably high. Although effective treatments exist for OUD (eg, opioid agonist therapies like buprenorphine/naloxone and methadone), many individuals do not achieve stabilization with these medications. Tablet injectable opioid agonist therapy (TiOAT) is an initiative being piloted in British Columbia to provide witnessed access to a safer opioid supply for individuals with treatment-refractory OUD. The program offers participants a safer opioid supply through physician-prescribed pharmaceutical-grade hydromorphone tablets. TiOAT is suitable for individuals with severe OUD who are actively injecting opioids and are refractory to conventional OUD treatment. As such, a scale-up of the TiOAT program may be a feasible alternative to address persistent opioid-related deaths in North America, while minimizing potential harms associated with unwitnessed safer supply opioid prescribing (eg, diversion and overdose). Although a comprehensive evaluation of TiOAT is of critical importance (including an assessment of the program's adverse events), completion of the evaluation should not preclude scale-up of the program in the interim as a strategy to reduce opioid-related harms.},\n\tnumber = {3},\n\tjournal = {Journal of Addiction Medicine},\n\tauthor = {Weng, Jian and Fairbairn, Nadia and Sutherland, Christy and Johnson, Cheyenne and Nolan, Seonaid},\n\tmonth = jun,\n\tyear = {2022},\n\tnote = {Place: Baltimore, Maryland\nPublisher: Lippincott Williams \\& Wilkins},\n\tkeywords = {Dihydromorphinone -- Therapeutic Use, Harm Reduction, Health Services Accessibility, Intravenous Drug Users, Narcotic Antagonists -- Administration and Dosage, Narcotic Antagonists -- Supply and Distribution, North America, Opiate Overdose -- Prevention and Control -- North America, Program Implementation, Quality Improvement, Substance Use Disorders -- Drug Therapy},\n\tpages = {258--260},\n}\n\n","author_short":["Weng, J.","Fairbairn, N.","Sutherland, C.","Johnson, C.","Nolan, S."],"key":"weng_supervised_2022","id":"weng_supervised_2022","bibbaseid":"weng-fairbairn-sutherland-johnson-nolan-supervisedtabletinjectableopioidagonisttherapytioatastrategytoaddresssafersupplyforindividualswithanopioidusedisorder-2022","role":"author","urls":{},"keyword":["Dihydromorphinone – Therapeutic Use","Harm Reduction","Health Services Accessibility","Intravenous Drug Users","Narcotic Antagonists – Administration and Dosage","Narcotic Antagonists – Supply and Distribution","North America","Opiate Overdose – Prevention and Control – North America","Program Implementation","Quality Improvement","Substance Use Disorders – Drug Therapy"],"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/f/A5QqTgyzt6xMGsfLu/export-data (2).bib","dataSources":["kRP2GSJ2YQiSr6jK7"],"keywords":["dihydromorphinone – therapeutic use","harm reduction","health services accessibility","intravenous drug users","narcotic antagonists – administration and dosage","narcotic antagonists – supply and distribution","north america","opiate overdose – prevention and control – north america","program implementation","quality improvement","substance use disorders – drug therapy"],"search_terms":["supervised","tablet","injectable","opioid","agonist","therapy","tioat","strategy","address","safer","supply","individuals","opioid","use","disorder","weng","fairbairn","sutherland","johnson","nolan"],"title":"Supervised Tablet Injectable Opioid Agonist Therapy (TiOAT): A Strategy to Address Safer Supply for Individuals With an Opioid Use Disorder?","year":2022}