Grant: Science Policy Fellowships

Opioid dependence is a substance use disorder characterized by chronic and repeated self- administration of opioids (e.g., heroin, prescription and over-the-counter medications), resulting in profound physical, psychological, and social problems. Effective treatment involves addressing the three components of the disorder: physical dependence, psychological dependence, and the related social problems. BC has responded to this opioid physical dependence issue by implementing the Opioid Substitution Treatment (OST) program. This program is designed to address physical dependence with Methadone and/or suboxone as maintenance medications then taper off medication when clients are ready psychologically and socially. However, how the BC physicians integrated their drug substitution strategy with the psychological and social support (psychosocial support) component remains to be clarified. This project "Understanding Physician Resources and Capacity in Treating Opioid Dependent Clients" will assist the BC Ministry of Health (Healthy Minds, Healthy People), Health Services Policy and Quality Assurance Division with three key deliverables: 1) mapping and analysis of physician training related to OST, 2) mapping of treatment services and supports for opioid-dependent clients, and 3) development of a report that outlines recommendations for next steps towards enhancement of the OST system within a broader psychosocial recovery model. This project will identify the current strengths and limitations within the OST program, especially regarding the psychosocial support component, and make evidence-based recommendations on steps to overcome current limitations and enhance current strengths. This project will also impact the effectiveness and support for the treatment and recovery of one of the most vulnerable mental health and substance use populations.