Home > Considering heroin-assisted treatment and supervised drug consumption sites in the United States.

Kilmer, Beau and Taylor, Jirka and Caulkins, Jonathan P and Mueller, Pam A and Ober, Allison J and Pardo, Bryce and Smart, Rosanna and Strang, Lucy and Reuter, Peter (2018) Considering heroin-assisted treatment and supervised drug consumption sites in the United States. Santa Monica, CA: RAND Corporation.

URL: https://www.rand.org/pubs/research_reports/RR2693....

Current levels of opioid-related morbidity and mortality in the United States are staggering. Data for 2017 indicate that there were more than 47,000 opioid-involved overdose deaths, and one in eight adults now reports having had a family member or close friend die from opioids. Increasing the availability and reducing the costs of approved medications for those with an opioid use disorder (OUD) is imperative; however, jurisdictions addressing OUDs and overdose may wish to consider additional interventions. Two interventions that are implemented in some other countries but not in the United States are heroin-assisted treatment (HAT; sometimes referred to as supervised injectable heroin treatment) and supervised consumption sites (SCSs; sometimes referred to as overdose prevention sites). Given the severity of the opioid crisis, there is urgency to evaluate tools that might reduce its impact and save lives. In this mixed-methods report, the authors assess evidence on and arguments made about HAT and SCSs and examine some of the issues associated with implementing them in the United States.


Date:December 2018
Pages:93 p.
Publisher:RAND Corporation
Place of Publication:Santa Monica, CA
EndNote:View
Subjects:B Substances > Opioids (opiates)
B Substances > Opioids (opiates) > Heroin
HJ Treatment method > Substance disorder treatment method > Substance disorder drug therapy
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution)
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
L Social psychology and related concepts > Physical context or place > Safe spaces for drug users (injecting centre / consumption rooms)
T Demographic characteristics > Intravenous / injecting drug user
VA Geographic area > United States

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