(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

Keremeos interactive business map now online

The map features a variety of businesses and services within the Keremeos area

Now hiring: cannabis consultants in Penticton

The BC Liquor Distribution Branch fair is on July 2 at the Penticton Lakeside Resort and Conference

B.C. premier says Greyhound replacement news could come shortly

Province is working with the private sector to find a solution, says premier

Okanagan-Shuswap weather: mix of sun and clouds

Environment Canada is calling for a chance of rain and risk of thunderstorms across the Okanagan tonight

Mellalieu running for Greens again in Central-Okanagan-Similkameen-Nicola

Robert Mellalieu ran for federal Green Party in 2015 election and provincial Greens in 2017

VIDEO: Killer whale steals fisherman’s catch off North Coast

Fishing duel results in eager orca snagging salmon in Prince Rupert

Shots fired at metal sign in Central Okanagan

A road sign was shot at and damaged, but nobody was hurt

Okanagan marathoner bests former Canucks at Vancouver race

Vik Bains raced Daniel and Henrik Sedin and finished just ahead at the 2019 Scotiabank Half Marathon

Rain delays repair of Shuswap road damaged in mudslide

Seymour Arm forest service road not expected to reopen until early next week

Okanagan RCMP net traffickers in undercover op

The Kelowna RCMP reported dozens of arrests in the investigation

Opera Kelowna presents Opera in the Vines at Mission Hill Winery

The show will provide a “rare opportunity to get up close with Opera Kelowna’s most gifted singers”

Child killed after being hit in driveway on Vancouver Island

The driver of the vehicle remained at the crash scene and is fully cooperating

Eating sandwiches, putting on makeup behind the wheel could land you a fine

RCMP say if you cause an accident while eating you could be penalized

Delta cat severely injured in animal trap was likely stuck for days, owner says

Blu, a three-year-old house cat, suffered severe damage to his hind leg after being stuck in trap for days

Most Read