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Harm Reduction

Resources that outline efforts to reduce the harms experiences from opioid use, including opioid poisonings.

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Narcotic transition servicesStatement from the government of Alberta about new standards for narcotic transition services.Government of Alberta
Opioids and Benzos or EtizolamInfographic poster with information about how benzodiazepines and benoz-like substances may complicate opioid overdoses and how to respond.Toward the Heart
Get a naloxone kitInformation about naloxone, including links to resources about recognizing and responding to overdoses, and information about naloxone trainingGovernment of British Columbia
Do I Keep Giving Naloxone?
Informational poster about how to administer naloxone and what to do if individuals do not respond to the drug.
Toward the Heart
Xylazine: A frank scope of "tranq-dope"Blog post about xylazine provides responses to FAQs. Responses draw on research, lived experience and data collected by the Vancouver Island Drug Checking project.Vancouver Island Drug Checking Project
Naloxone and opioid resourcesResources including posters, infographics and videos about naloxone training, Q&As and other opioid overdose related topics.University of Waterloo School of Pharmacy
Opioid SurveillanceWebpage that reports local data from Sudbury about opioid-related harms.

Community Drug Strategy (Public Health Sudbury & Districts)

 

Overdose Prevention Site Manual 2022Updated manual with best practices and guides for overdose prevention sites.Vancouver Coastal Health
Escalated drug-poisoning response actionsList of enhanced actions the British Columbia government is taking to respond to the increase in drug poisonings.British Columbia Ministry of Mental Health and Addictions
Community Based Naloxone Program Distribution Site Manual


Practical toolkit to support organizations becoming community-based naloxone distribution sites. Includes information about how to identify trainers, order and distribute kits, and report to Alberta Health Services.

 

Alberta Health Services
Naloxone and the Role of the Licensed Practical Nurse in AlbertaOutlines the roles and responsibilities of licensed practical nurses in helping Albertans understand and respond to opioid overdoses with the administration of naloxone.College of Licensed Practical Nurses of Alberta
Frequently asked questions about naloxone: Myths Part 1Handout on naloxone's effectiveness, with information on storage and expiry considerations, the Good Samaritan Act and the impact of naloxone on opioid use.University of Waterloo
Focus On: Safe Supply: Findings from Focus Groups with People Who Use Unregulated DrugsReport on the findings from focus groups held with people using opioids from the unregulated market. Assesses the concept of safe supply and provides operational design and delivery guidance.Waterloo Region Crime Prevention Council
SOS: Safer Opioid SupplyInfographic on the definition, benefits and target population for safer opioid supply.Canadian Mental Health Association
Opioid Poisoning Response and COVID-19Information sheet on community-based naloxone program recommendations on suspected Opioid poisoning responseAlberta Health Services
Training Manual: Overdose Prevention, Recognition and ResponseEducation for members of the general public and for educators in the Take Home Naloxone program about naloxone use.Government of Manitoba
Safer Opioid Supply ProgramBrochure describing a community-based program for safer opioid supply.London InterCommunity Health Centre
Two Steps to Help Save a Life: Opioid Overdose during COVID-19Information sheet on how to identify an overdose and use naloxone.York Region, Public Health
Naloxone: Responding to Opioid OverdoseHandout for the public on how to identify an overdose and respond with naloxone.Interprofessional Opioid Pain Service
Synthèse de connaissances : réponse rapide - Genre et intervention en dépendance en contexte de pandémie auprès de personnes en situation de précarité sociale (in French only)Knowledge synthesis undertaken to inform those who provide harm reduction or treatment services to individuals in situations of social precarity who have complex health and social needs.Institut universitaire sur les dépendances
Naloxone: Treating Opioid OverdoseInformation sheet on the use of naloxone.HealthLinkBC
Opiate Overdose 2.1Treatment protocol and information about opioids and naloxone administration for healthcare providers.Alberta Health Services
Drug checking with Fentanyl Test StripsHand out describing safe use of Fentanyl Test Strips.Interior Health
Possible benefits of providing safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemicExamines possible benefits of providing a safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemic.Ontario HIV Treatment Network
Buprenorphine/Naloxone (Suboxone) for Opioid Use Disorder: Your Questions AnsweredHand out to help clinicians discuss with patients the use of opioid agonist therapy, and share advice about the risks, benefits and adverse effects of buprenorphine/naloxone.Institute for Safe Medical Practices
Methadone for Opioid Use Disorder: Your Questions AnsweredHand out to help clinicians discuss with patients the use of opioid agonist therapy, and share advice about the risks, benefits and adverse effects of methadone.Institute for Safe Medical Practices
Toronto Overdose Action Plan: Status Report 2020Highlights actions taken to implement the Toronto Overdose Action Plan, including issues related to the COVID-19 pandemic, and recommends additional actions to address the opioid poisoning crisis in the context of the pandemic and the increasingly toxic drug supply.City of Toronto
St. Paul’s Hospital Opioid Stewardship ProgramKey indicators from a program designed to reduce adverse events and long-term dependence, and avoid future opioid misuse, while maintaining pain management for people receiving opioids during their acute admission.British Columbia Centre on Substance Use
CAEP Position Statement: Emergency department management of people with opioid use disorderPosition statement offering recommendations designed to position emergency medicine, emergency health care providers and EDs as key partners in a strategy to address Canada’s opioid crisis.Canadian Association of Emergency Physicians
Submission to Health Canada: Consultation to inform proposed new regulations for supervised consumption sites and servicesComments on Health Canada’s proposal to develop new regulations under the Controlled Drugs and Substances Act for supervised consumption sites and services.Centre for Addiction and Mental Health
What’s in Toronto’s Drug Supply?Provides results of samples from the unregulated drug supply checked by Toronto’s drug checking service between Oct. 2019 and Mar. 2020 and discusses key findings.Centre on Drug Policy Evaluation
Correlates of Naloxone Kit PossessionKnowledge summary outlining the results of a survey describing naloxone kit possession among people who use drugs in British Columbia.B.C. Centre for Disease Control
Carry It ToolkitA toolkit to help post-secondary programs develop a protocol to prevent and respond to opioid overdose.Canadian Mental Health Association
Naloxone Access and Distribution in CanadaAn environmental scan of naloxone access and distribution across Canada, including barriers to use and number of kits reported as used to reverse an overdose.Canadian Research Initiative in Substance Misuse
Naloxone Distribution Across OntarioAnalysis of naloxone distribution from pharmacy and community-based programs in relation to benchmarks.Ontario Drug Policy Research Network
Bevel Up — Drugs, Users and Outreach NursingA 10-chapter video resource for frontline healthcare workers to ensure individuals who use drugs receive non-judgmental, compassionate and trauma-informed care.BC Centre for Disease Control and the National Film Board of Canada
​A one-page summary of the concept and availability of “safe supply” of drugs.​A one-page summary of the concept and availability of “safe supply” of drugs.

Canadian Association of People Who Use Drugs

 

Health Canada reminds Canadians of the limitations of fentanyl test strips being used to check street drugs before consumptionAn alert outlining the limitations of fentanyl test strips.Health Canada
Suite of Educational Videos​Videos that outline pharmacists’ role in the opioid crisis and how to administer nasal and injectable naloxone.Canadian Pharmacists Association
Supervised Consumption Services: Operational Guidance​Recommendations and guidance for various models to offer safe consumption services.British Columbia Centre on Substance Use
Naloxone Costing ToolAn excel template to help jurisdictions evaluate making naloxone more accessibleCanadian Centre on Substance Use and Addiction
Access to Naloxone across CanadaAn environmental scan outlining naloxone availability as of November 2017Canadian Pharmacists Association
Reducing Harms: Recognizing and Responding to Opioid Overdoses in Your OrganizationA guide that provides an overview of Ontario’s current situation regarding opioids, and content for organizations to develop an overdose protocolCanadian Mental Health Association Ontario
Save a Life – Get a Naloxone Kit to Treat and Opioid Overdose​Safe medication use newsletter with suggestions for questions to ask your healthcare provider or doctorInstitute for Safe Medication Practices Canada
A Public Health Guide to Developing a Community Overdose Response PlanA guide that outlines four key elements of a public health overdose response and suggests a process for implementing a community overdose response planUniversity of Victoria, Centre for Addictions Research of BC
Safer Supply ChecklistElements of effective safer supply based on feedback from people who use drugs.University of Victoria
Providing naloxone as an unscheduled drug Guidelines for pharmacy teamsGuidelines for the distribution of naloxone for pharmacists.Alberta College of Pharmacy
Clinician’s Guide to Naloxone TrainingChecklist for naloxone provision for clinicians.

University of Waterloo

Fentanyl Quantification and MessagingGuidance for the delivery of Fentanyl testing services.BCCSU
Report of an Evaluation of Manitoba Harm Reduction Network Services in the Context of the COVID-19 PandemicExamination of the impact of the pandemic on harm reduction services in Manitoba and identify best practices for harm reduction providers.

NCCID