-People who use drugs

Health outcomes of and interventions to reduce methamphetamine use among men who have sex with men

-+*What health risks and health outcomes are associated with methamphetamine use among gay, bisexual and other men who have sex with men? What interventions have proven effective at preventing or reducing the amount and frequency of methamphetamine use among gay, bisexual and other men who have sex with men?

Illustration of three supervised consumption booths

The impact of supervised drug consumption services (SCS)

-+*Download pdf Questions  Key take-home messages The issue and why it’s important Supervised drug consumption sites or services (SCS) refer to spaces where individuals can use pre-obtained illicit substances in the presence of trained health professionals (19, 20). A model of care based on harm reduction, SCS are an evidence-based intervention (21–24) aiming to reduce …

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Comparing the effectiveness and adverse events of intranasal and intramuscular naloxone formulations for opioid overdose reversal

-+*Download pdf Questions  Key take-home messages The issue and why it’s important Since 2016, opioid-related deaths have been rapidly rising in Canada (7). In 2021, the Public Health Agency of Canada reported 20.9 opioid-related deaths per 100,000 individuals (n=8,006), rising from 7.8 opioid-related deaths per 100,000 individuals (n=2,830) in 2016 (7). At the time of …

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A liver, pills, and a close-up of the HCV virus

Best practices to increase engagement and retention in hepatitis C care among people who use drugs

-+*Download pdf Question  Key take-home messages The issue and why it’s important Hepatitis C virus (HCV) is transmitted when the blood of an infected person comes into contact with the blood of an uninfected person (23). Approximately 25% of individuals spontaneously clear the virus after infection; however, the majority of individuals go on to develop …

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A review of supervised inhalation services in Canada

-+*Download pdf Questions What supervised inhalation services are available in Canada and what are their characteristics? What are the best practices that provide evidence supporting supervised inhalation services as a harm reduction approach?  Key take-home messages Reports from different Canadian provinces (British Columbia, Ontario, and Alberta) indicate that more individuals overdose by inhaling opioids (including …

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Best practices to increase the uptake of HIV and HCV testing among people who use drugs

-+*Download pdf Questions What are best practices to increase the uptake of HIV and HCV testing among people who use drugs?  Key take-home messages Interventions that provide HIV and/or HCV testing have been offered in a variety of settings. These include community settings such as outpatient drug treatment clinics (1–5), mobile clinics (6), harm reduction …

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Close-up black-and-white photography of crystal methamphetamine

Factors associated with methamphetamine use among men who have sex with men

-+*Download pdf Questions What are the predictors of methamphetamine use among men who have sex with men?  Key take-home messages An abundance of literature details problematic sexualized drug use among men who have sex with men (1–3); additionally, several interventions attempt to address methamphetamine dependence in this population (4, 5). Several factors are associated with …

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A syringe and pills beside a tag labelled 'Hepatitis C'

Effectiveness of and best practices for using contingency management and incentives in hepatitis C infection among people who use drugs

-+*Download pdf Questions What is the effectiveness of and what are the best practices for using contingency management and incentives to support linkage to care and treatment for hepatitis C infection among people who use drugs?  Key take-home messages Recent studies in Canada have indicated that hepatitis C virus (HCV) treatment uptake among individuals who …

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Person using syringe on yellow substance

A review of structural, process, and outcome measures for supervised consumption services

-+*Download pdf Questions What structural, process, and outcome measures are used to monitor and evaluate the impact of supervised consumption services (SCS)?  Key take-home messages A 2019 systematic review identified several types of outcomes from scientific literature that guide assessment of SCS, including: usage by high-risk individuals, safe injection practice, overdose management, uptake of treatment …

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Picture of NARCAN box and spray

Effectiveness of take-home naloxone programs and availability of naloxone nasal spray in different jurisdictions

-+*Download pdf Questions What is the evidence of the effectiveness of take-home naloxone programs and administration of naloxone by laypeople? Which jurisdictions provide take-home naloxone programs? What is the current availability of naloxone nasal spray in different jurisdictions?  Key take-home messages There is wide support of take-home naloxone programs as they are associated with decreased …

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