(Providence Healthcare)

Vancouver program provides ‘window of opportunity’ to addiction treatment

Patients get a three-day supply of Suboxone and easy-to-understand instructions from a nurse

A Vancouver emergency department has become the first in Canada to give overdose patients take-away packs of medication aimed at warding off withdrawal symptoms and getting them into treatment to prevent deaths from tainted opioids.

Dr. Andrew Kestler, a co-lead of the program at St. Paul’s Hospital, said patients get a three-day supply of Suboxone and easy-to-understand instructions from a nurse before they’re discharged.

The idea is to prevent barriers to treatment because many patients are unable to get a prescription filled at a pharmacy after they leave the hospital, Kestler said Wednesday, adding severe physical and emotional withdrawal symptoms can make it impossible for people to seek help.

“We know that of people who have died of an overdose in British Columbia, over 50 per cent of those had visited an emergency department in the last year before their death,” he said.

Five women and three men have so far been given the medication in the emergency department, Kestler said.

“We’re hoping to translate our experience at St. Paul’s to the rest of the province and the rest of the country.”

Patients from the hospital can also access a clinic in the same building so they can be connected with services in the community before being followed up by an overdose outreach team that can link them to a doctor.

The two-year pilot project will be evaluated by the BC Centre on Substance Use in the province, which has the highest number of overdose deaths in Canada.

Mark Haggerty, a peer support worker at the Rapid Access Addiction Clinic at St. Paul’s, said he beat an addiction to alcohol and cocaine and understands there’s a small window of opportunity to get people into treatment, often after they’ve had a wake-up call from an overdose.

“If they have the opportunity to get on Suboxone right away that will help. If they have to wait 10 hours to come to a clinic or just to wait to get treatment a lot of things can happen. A lot of things can happen in a couple of hours, when people get another fix.”

Drug users often fear getting treatment because they face stigma as “low-life addicts,” even from medical staff, though that’s been slowly changing as addiction has become better understood, Haggerty said.

Dr. Keith Ahamad, the other co-lead of the program, said the overdose crisis demands a change in emergency-room culture in order to save lives and handing people a prescription is the wrong approach.

“Many places don’t even do that, which is kind of shocking,” said Ahamad, who is also a researcher with the BC Centre on Substance Use.

“We’re in the midle of a public health emergency and it really needs to be all hands on deck. If there were any other health emergency like this emergency departments really would be the beacon of where to get care. They’re open 24/7 and they’re staffed with all sorts of health-care professionals,” he said.

“The culture around addiction treatment in the health-care system for decades has really been one of ignore. And if we do anything the onus is on the patient to try and navigate a system and find care somewhere and maybe we give them a number to call and they’re told on a certain day within a few weeks they can maybe make an appointment somewhere.”

READ MORE: B.C. moves to curb high number of overdose deaths by recent inmates

READ MORE: B.C. centre at forefront of treating mental health and addiction together

Camille Bains, The Canadian Press


Like us on Facebook and follow us on Twitter.

Just Posted

Port Hardy Volleyball club requests funding from Port Hardy council

The sport of Volleyball is alive and well in the North Island,… Continue reading

North Island Seniors Housing Foundation takes the next step towards getting Trustee Road land

Seniors rejoice, Port Hardy council is very much in favour of helping… Continue reading

Should aquaculture programs be offered at North Island College in Port Hardy?

“I think it would be very timely to have an aquaculture program”

Island Health issues press release regarding Port Alice Health Centre service changes

Island Health will be hosting a community meeting in Port Alice Feb. 20 at 6 p.m. in the rec centre.

Vancouver Island Regional Library wants to team up with the Town of Port McNeill to build a new multi-use facility

“A new library for the town, as you know, will quickly become an exciting hub of literacy”

VIDEO: Canada’s flag turns 54 today

The maple leaf design by George Stanley made its first appearance Feb. 15, 1965

Eight cases of measles confirmed in Vancouver outbreak

Coastal Health official say the cases stem from the French-language Ecole Jules Verne Secondary

Plecas won’t run in next election if B.C. legislature oversight reforms pass

B.C. Speaker and Abbotsford South MLA says he feels ‘great sympathy’ for Jody Wilson-Raybould

Workshop with ‘accent reduction’ training cancelled at UBC

The workshop was cancelled the same day as an email was sent out to international students

Former B.C. premier Gordon Campbell accused of sexual touching

Accuser went to police, interviewed by Britian’s Daily Telegraph

Committee member Russell Murray talks Oscar Hickes memorial hockey tournament

Oscar Hickes is taking place in Port Alice at the Doug Bondue Arena March 28-31.

LETTER: Is BC Hydro’s Step Two rate discriminatory?

“This charge is strictly a penalty and has nothing to do with the cost of energy.”

North Island Bantam Eagles hammer Nanaimo Clippers, finish playoffs strong

The Eagles wasted no time coming out and firing on the Clippers in the Feb. 9 game.

North Island Peewee Eagles win back to back games, move on to semi-final showdown

The Eagles are back Feb. 17 in a semi-final matchup against the Peninsula Eagles in Port McNeill.

Most Read