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Bridging the evidence and the politics

Implementation trial of supervised injectable opioid treatment (Siot) in Australia

Dados Bibliográficos

ID14906751
AutoresA Ritter (0000-0001-9540-1920, UNSW Sydney, autor correspondente), James Bell (0000-0002-5117-0216, UNSW Sydney), John Strang (0000-0001-9142-210X), Nadine Ezard (0000-0002-7495-8305, National Centre for Clinical Research on Emerging Drugs), Craig Rodgers (0009-0005-1777-2941, Alcohol and Drug Foundation), Vendula Belackova (0000-0002-1334-5425), Marianne Jauncey (0000-0001-9712-5579), Krista J Siefried (0000-0002-6534-3325, National Centre for Clinical Research on Emerging Drugs), Darren M Roberts (0000-0001-9101-7577, Royal Prince Alfred Hospital), Wim Van Den Brink (0000-0001-8301-0121, Amsterdam University Medical Centers), Nicholas Lintzeris (0000-0001-5229-8257, New South Wales Department of Health), Adrian J Dunlop (0000-0003-2394-5966, Hunter New England Local Health District), Adrian Dunlop, Eugenia Oviedo‐Joekes (0000-0002-3566-7097, University of British Columbia), Carla Treloar (0000-0002-8230-0386, UNSW Sydney)
Ano2025
Volume138
Páginas104749
Data de publicação2025-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Drug Policy (JOURNAL)
Identificadores do periódicoISSN: 0955-3959 • E-ISSN: 1873-4758
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.drugpo.2025.104749
PMID40037105
OpenAlexW4408107997
IdiomaEN
Referências citadas63

Supervised Injectable Opioid Treatment (SIOT) targets people experiencing opioid dependence who have not benefited from existing treatments. In this population, SIOT has been demonstrated to be efficacious and effective, yet this modality of treatment has only been taken up in a few countries. In this commentary we describe the socio-political context and history to the recent establishment of an implementation trial of injectable hydromorphone in Sydney, Australia. These factors influenced choices about the trial design, including integration of SIOT within an existing opioid agonist treatment program, time-limited treatment, and an assessment of feasibility, acceptability, safety and cost. While all new drug policy initiatives occur within a specific socio-political and historical context, we hope this commentary provides reflections for other places considering the introduction of SIOT

Bridging (networking · Computer security · Opioid · Political science · Politics · Computer Science · Health Policy Implementation Science · Law · Medicine · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes · Internal Medicine

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