Standards for opioid use disorder care : An assessment of Nordic approaches

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dc.contributor.author Gedeon, Charlotte
dc.contributor.author Sandell, Mikael
dc.contributor.author Birkemose, Inge
dc.contributor.author Kakko, Johan
dc.contributor.author Runarsdottir, Valgerdur
dc.contributor.author Simojoki, Kaarlo
dc.contributor.author Clausen, Thomas
dc.contributor.author Nyberg, Fred
dc.contributor.author Littlewood, Richard
dc.contributor.author Alho, Hannu
dc.date.accessioned 2020-02-18T09:38:01Z
dc.date.available 2020-02-18T09:38:01Z
dc.date.issued 2019-06
dc.identifier.citation Gedeon , C , Sandell , M , Birkemose , I , Kakko , J , Runarsdottir , V , Simojoki , K , Clausen , T , Nyberg , F , Littlewood , R & Alho , H 2019 , ' Standards for opioid use disorder care : An assessment of Nordic approaches ' , Nordisk alkohol- & narkotikatidskrift , vol. 36 , no. 3 , pp. 286-298 . https://doi.org/10.1177/1455072518815322
dc.identifier.other PURE: 132258544
dc.identifier.other PURE UUID: 414a5e6d-1b4d-4bd0-9219-eac28e25505f
dc.identifier.other WOS: 000471689700006
dc.identifier.uri http://hdl.handle.net/10138/311852
dc.description.abstract Aims: Outcomes in opioid use disorder (OUD) in Nordic countries have improved with integrated treatment and harm-reduction programmes. Approaches and the standard of care are different across the region. Evidence of treatment needs and current approaches are defined from evidence to inform development of a common standard. Method: Evidence of population sizes and treatment approach collected. Common standards for care (harm reduction, pharmacotherapy, psychology/social therapy) defined for each country. Results: Evidence defines number in treatment; potential population needing treatment not defined for all countries. Populations sizes, treatment access (ratio in treatment programme compared to total country population) defined: Sweden 4,000 in OUD care (access ratio 40); Finland 3,000 (55); Norway 8,000 (154); Denmark 7,500 (132). Approach to treatment similar: integrated treatment programmes standard. Care provided by specialists in outpatient clinics/primary care; secondary care/inpatient services are available. Harm reduction is limited in Sweden but available and more accessible elsewhere. Treatment entry criteria: access relatively unlimited in Norway and Denmark, more limited in Finland and Sweden. Standards of care defined: easy access to high-quality services, individual planning, care not limited by time, management of relapse, education for patients, continuous engagement, holistic approach including management of comorbidities, needle equipment programmes without limit, treatment in prisons as community. Conclusion: There are opportunities to improve OUD care in the Nordics. Policy makers and clinicians can advance OUD care and share common success factors. Collaborative work across the Nordic countries is valuable. Further research in clinical practice development can yield important results for the benefit of patients with OUD. en
dc.format.extent 13
dc.language.iso eng
dc.relation.ispartof Nordisk alkohol- & narkotikatidskrift
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject comparison
dc.subject Denmark
dc.subject Finland
dc.subject Iceland
dc.subject Norway
dc.subject opioid use disorder
dc.subject Sweden
dc.subject SUBSTITUTION TREATMENT
dc.subject THERAPY
dc.subject NEEDLE
dc.subject 3124 Neurology and psychiatry
dc.title Standards for opioid use disorder care : An assessment of Nordic approaches en
dc.type Article
dc.contributor.organization Department of Psychiatry
dc.contributor.organization HUS Psychiatry
dc.contributor.organization University of Helsinki
dc.contributor.organization Department of Medicine
dc.contributor.organization HUS Abdominal Center
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1177/1455072518815322
dc.relation.issn 1455-0725
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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