Challenges of methadone maintenance treatment during the COVID-19 epidemic in China: Policy and service recommendations

Jiang, Haifeng; Su, Hang; Zhang, Changchun; Liu, Xuebing; Li, Ruihua; Zhong, Na; Zhao, Min

doi:10.1016/j.euroneuro.2020.03.018

Cited by 22 publications

(24 citation statements)

References 4 publications

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“…Developing a communications plan, at individual service level, is suggested in the literature [ 15 ]. Other authors stress that HR information materials should be made inclusive by ensuring they are suitable for various cultures, available in different languages/formats [ 16 ] and distributed through multiple new channels of communication, such as mobile apps, peer networks and social media sites [ 16 , 23 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Flexibility for services to relax supervision and increase take home doses has also been suggested [8,12,13,15,21]. Many authors state that these changes should be based on the stability of the patient, with highest risk patients still able to access the clinic [9,16,[26][27][28]. Clearly there are inherent risks in this approach but methods, such as the use of technology (e.g., "smart" pill bottles/lock boxes that dispense doses on a remotely set timescale), would mitigate them [29].…”

Section: Ostmentioning

confidence: 99%

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Rapid evidence review of harm reduction interventions and messaging for people who inject drugs during pandemic events: implications for the ongoing COVID-19 response

et al. 2020

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Background People who inject drugs are at increased health risk in a pandemic due to their greater susceptibility to severe disease and as a consequence of the restrictions put in place to halt the spread of infection. Harm reduction (HR) services, which aim to reduce the negative effects of drug use on health, are likely to be diminished in a pandemic. However, innovative HR interventions and messaging may also develop in response to such a crisis. It is vital to understand the most effective ways to deliver HR in pandemic situations so that guidance can be provided for current and future disruptions to service provision. Methods A rapid evidence review was conducted with the aim of exploring what HR interventions and messaging are most effective during a pandemic-type situation. Ten health databases were systematically searched using terms relevant to the research aim. A search was also made of grey literature, including a targeted search of HR messaging from key national and service provider websites. Results In the initial search, 121 pieces of evidence were identified which, after screening and de-duplication, resulted in 60 for inclusion. The included evidence consists mainly of non-peer reviewed, pre-publication or expert opinion pieces. The rapid findings suggest that HR services should be deemed essential during a pandemic, with staff supported to work safely and social distancing adaptations implemented. Services should be encouraged to operate more flexibly; for instance, in deciding the amounts of take-home supplies of injecting equipment and medications. The evidence on HR communication was very limited but key messages on infection control, uncertain drug supply and accessing services were identified. Conclusions This rapid evidence review identifies implications for national policy makers, commissioners and HR service providers. A person-centred rather than disease-centred approach to HR delivered by collaborating partners, as well as prioritizing tailored HR messaging, is recommended. Further research evaluating the delivery of HR services and messaging, particularly focusing on health inequalities, is urgently needed.

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Section: Resultsmentioning

confidence: 99%

Section: Ostmentioning

confidence: 99%

Rapid evidence review of harm reduction interventions and messaging for people who inject drugs during pandemic events: implications for the ongoing COVID-19 response

et al. 2020

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“…Most of the private clinics and detox centers have been being closed now for over months pending pandemic's containment, and forced the disinclined patients to attend government hospitals only [44]. Hospitals being already overburdened to manage this health disaster, community of addicts is being pushed further afar even if they come with symptoms of COVID-19 and alike illnesses [79,82]. Albeit, extended tele-health facilities are somewhat to quell and palliate the misery, condition of developing and under-developed countries like India are afflicting [44].…”

Section: Difficulties Faced By Patients Undergoing Deaddiction Therapymentioning

confidence: 99%

COVID-19 and addiction

Dubey¹,

Ghosh

Chatterjee

et al. 2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

321

259

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Background and aims: 2019-coronavirus disease (COVID-19) is causing insurmountable psychosocial impact on the whole mankind. Marginalized community, particularly those with substance use disorders (SUD), are particularly vulnerable to contract the infection and also likely to suffer from greater psychosocial burden. This article analyses the intricate bi-directional relationship between COVID-19 and addiction.

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“…Flexibility for services to relax supervision and increase take home doses has also been suggested (8,12,13,15,21). Many authors state that these changes should be based on the stability of the patient, with highest risk patients still able to access the clinic (9,16,(26)(27)(28). Clearly there are inherent risks in this approach but methods, such as the use of technology (e.g.…”

Section: Ostmentioning

confidence: 99%

“…Overall, in the available evidence, there was little consideration of sub-groups within the population who inject drugs; one Ukrainian study considered older people as a sub-group of PWID nding that they need social support to engage in care (46) whilst another piece of evidence suggested needles/syringes should be provided by home delivery for PWID living in non-urban areas (7). (16,23,26).…”

Section: Inequalitiesmentioning

confidence: 99%

Rapid Evidence Review of Harm Reduction Interventions and Messaging for People Who Inject Drugs During Pandemic Events: Implications for the On-Going COVID-19 Response

Wilkinson

Hines

Holland

et al. 2020

Preprint

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Background People who inject drugs (PWID) are at increased health risk in a pandemic due to their greater susceptibility to severe disease and as a consequence of the restrictions put in place to halt the spread of infection. Harm reduction (HR) services, which aim to reduce the negative effects of drug use on health, are likely to be diminished in a pandemic. However, innovative HR interventions and messaging may also develop in response to such a crisis. It is vital to understand the most effective ways to deliver HR in pandemic situations so that guidance can be provided for current and future disruptions to service provision. Methods A rapid evidence review was conducted with the aim of exploring what HR interventions and messaging are most effective during a pandemic type situation. Ten health databases were systematically searched using terms relevant to the research aim. A search was also made of grey literature, including a targeted search of HR messaging from key national and service provider websites. Results In the initial search, 121 pieces of evidence were identified which, after screening and de-duplication, resulted in 60 for inclusion. The included evidence consists mainly of non-peer reviewed, pre-publication or expert opinion pieces. The rapid findings suggest that HR services should be deemed essential during a pandemic, with staff supported to work safely and social distancing adaptations implemented. Services should be encouraged to operate more flexibly; for instance, in deciding the amounts of take-home supplies of injecting equipment and medications. The evidence on HR communication was very limited but key messages on infection control, uncertain drug supply and accessing services were identified.Conclusions This rapid evidence review identifies implications for national policy makers, commissioners and HR service providers. A person-centred rather than disease-centred approach to HR delivered by collaborating partners, as well as prioritizing tailored HR messaging, is recommended. Further research evaluating the delivery of HR services and messaging, particularly focusing on health inequalities, is urgently needed.

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Challenges of methadone maintenance treatment during the COVID-19 epidemic in China: Policy and service recommendations

Cited by 22 publications

References 4 publications

Rapid evidence review of harm reduction interventions and messaging for people who inject drugs during pandemic events: implications for the ongoing COVID-19 response

Rapid evidence review of harm reduction interventions and messaging for people who inject drugs during pandemic events: implications for the ongoing COVID-19 response

COVID-19 and addiction

Rapid Evidence Review of Harm Reduction Interventions and Messaging for People Who Inject Drugs During Pandemic Events: Implications for the On-Going COVID-19 Response

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