This guide was drawn from HEALing Communities Study (HCS) learnings to-date and expert insights to provide guidance regarding implementation of ORCCA menu strategies.

SAMHSA’s updated Overdose Prevention and Response Toolkit provides guidance to a wide range of individuals on preventing and responding to an overdose. The toolkit also emphasizes that harm reduction and access to treatment are essential aspects of overdose prevention.

The toolkit, designed to augment overdose prevention and reversal training, provides guidance on the role of opioid overdose reversal medications, including naloxone and nalmefene, and how to respond to an overdose. It also contains appendices for specific audiences, including people who use drugs (PWUD), people who take...

Conducted annually, the National Survey on Drug Use and Health (NSDUH) provides nationally representative data on the use of tobacco, alcohol, and drugs; substance use disorders; mental health issues; and receipt of substance use and mental health treatment among the civilian, noninstitutionalized population aged 12 or older in the United States. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present national estimates from the 2023 National Survey on Drug Use...

Alternatives to Incarceration (ATI) encompass multi-sector approach on strategies and programs designed to divert individuals with substance use disorders away from conventional imprisonment. These alternatives address treatment , support, and supervision, tackling the underlying causes of criminal conduct that is while curbing recidivism rates and fostering effective rehabilitation and societal reintegration.

According to the OAS, the drug treatment court (DTC) model stands out as one of the most renowned and extensively researched Alternatives to Incarceration (ATI). It functions both before...

Background

Since 1996, an urban community-based organisation whose primary mission is to serve diverse94 and emerging community health needs has provided screening, testing, overdose prevention and training, referrals, and access to treatment for substance use disorders (SUD) and communicable diseases such as HIV through its Life Points harm reduction program.

Methods

As a partner in a State survey in 2021, the community organisation recruited a convenience sample of people who use drugs to participate in a survey focused on their substance use, healthcare, and barriers to SUD services...

Background: Over the past decade, drug-related overdoses have seen a significant rise both in North America and globally. The COVID-19 pandemic has further emphasised the urgent need for safer supply programs to replace unregulated substances, reducing toxicity and overdose risks. Service providers play a crucial role in delivering safer supply initiatives, yet there's limited empirical evidence from their perspective on what constitutes effective safer supply programs. This study delves into the initial implementation and impacts of a safer supply program, capturing insights from an...

The Cannabis, Mental Health, and Substance Use Health: Research Knowledge Exchange Event Summary Report presents the findings and themes discussed at an event jointly hosted by CCSA (Canadian Centre on Substance Use and Addiction ) and the Mental Health Commission of Canada. With funding from Health Canada, the two organizations supported approximately 70 research teams in exploring the potential benefits, harms, and risks of cannabis on substance use health and mental health. The event provided a platform for these research teams to share their project results, observations, and experiences...

Background

Lesbian, gay, bisexual, transgender, queer, and other LGBTQ populations (LGBTQ+; e.g., asexual individuals) have higher rates of substance use (SU) and disorders (SUD) compared to heterosexual and cisgender populations. Such disparities can be attributed to minority stress, including stigma and discrimination in healthcare settings. LGBTQ+-affirming SU treatment and related services remain limited. The purpose of this exploratory qualitative descriptive study was to characterise LGBTQ+ people’s experiences in SU services and recommendations for LGBTQ+- affirming care.

Methods

We...

While integrated services for mental health and substance use health have been studied for more than two decades no recent or comprehen­sive reviews exist — particularly with a peer research methodology — on how the people who use these services experience integration.

To address this need, this study explores

• how people with lived and living experience (PWLLE) define service integration,
• what gaps and demands exist in mental health and/or substance use health services,
• why participants do or do not support further service integration,
• which systemic bottlenecks prevent meaningful...

In North America, there's a serious problem with drug overdose deaths, mainly due to users encountering very strong and dangerous illegal opioids like fentanyl. Although various efforts have been made in Canada to address this issue, the death toll remains high. Since existing measures don't directly tackle the problem of toxic drug exposure, some places in Canada are trying a different approach called "safer drug supply." This involves providing users with prescribed, high-quality drugs to reduce the risk of overdose and death. While these measures have faced criticism and misconceptions...