General practitioner centred scheme for treatment of opiate dependent drug injectors in Glasgow

A comparison of community pharmacy methadone services between Dublin and Glasgow: (1) Extent of service provision in 1997/1998 and views of pharmacists on existing provision and future service developments

“…Overall, 68% (76/112) of Glasgow respondents supervised methadone consumption. This figure is the same as that reported by Roberts et al in 1998 for the total number of pharmacies in Glasgow providing a supervised methadone service (Gruer et al, 1997). The structured methadone scheme in Glasgow is entirely funded by the NHS; therefore, we conclude that the findings are generalizable to Glasgow.…”

“…The level of supervised consumption of methadone in the community pharmacy was found to be much higher in Glasgow than in Dublin. In 1996, an area pharmacy specialist for drug misuse was appointed in Glasgow, with responsibilities including the coordination and facilitation of community pharmacists concerned with methadone dispensing and supervision (Gruer et al, 1997;Roberts et al, 1998). Under the programme in operation in Glasgow, pharmacists are encouraged to provide an area suitable for the supervision of methadone consumption by patients and many pharmacists have adapted their premises in this manner.…”

“…In April 1995, the Glasgow Health Board began paying a small quarterly fee to community pharmacists who agreed to provide supervision, report every month on all methadone dispensing, undertake training (Mackie, 1996) and participate in audit. By April 1996, 59% of all the community pharmacies in Glasgow had agreed to supervise consumption of methadone on their premises (Gruer et al, 1997). This scheme included formal notification by the GP, pharmacists having the freedom to accept or reject new patients, prescriptions limited to 14 days supply and a central drug programme service to support and stabilize chaotic users, including shared-care protocols.…”

“…An established and well-run scheme with tight controls had been in operation in Glasgow since May 1994 (Gruer et al, 1997;Roberts et al, 1998;Scott et al, 1994;Scott et al, 1998). In 1994, 45% of all community pharmacists in Glasgow were either already supervising the consumption of methadone or were prepared to do so (Scott et al, 1994).…”

Traitement de la dépendance aux opioïdes : évaluation d’un projet montréalais de transfert d’usagers stabilisés vers des soins de santé généraux

“…Le traitement de substitution aux opioïdes a fait l'objet de très nombreuses évaluations et son efficacité a pu être démon-trée dans plusieurs contextes culturels différents (Fiellin & al., 2001 ;Gruer & al., 1997 ;Harris & al., 2006 ;Langendam & al., 1998 ;McMurphy, Shea, Switzer, & Turner, 2006 ;Merrill & al., 2004 ;Plomp, Van Der Hek, & Herman, 1996 ;Sheridan, Goodyear-Smith, Butler, Wheeler, & Gohns, 2008 ;Wittchen & al., 2008). Ce traitement consiste à proposer un produit de remplacement qui pénètre progressivement dans l'organisme, qui ne produit pas de sensation euphorisante et qui maintient le consommateur dans un état fonctionnel (Paquin, 2003).…”