Health and Community Services


Opioids and Naloxone

Opioid Use Disorder Treatment

Opioid Agonist Treatment (OAT) is also known as medication-assisted treatment. It involves the use of prescribed medications such as Suboxone® or methadone to treat opioid addiction to decrease withdrawal and help with cravings.

  • Opioid agonist treatment is evidence-based, recommended treatment for opioid use disorder.
  • OAT is the best predictor of improved outcomes for people with opioid addiction.

Opioid dependence treatment is available to you and your family. Research and experience tells us that most people cannot just walk away from opioid addiction. Medication-assisted treatment can help individuals to 'feel normal again' and live healthy lives by controlling withdrawal and cravings. Suboxone or methadone is started and maintained under medical supervision. Counselling, education, other supports and follow-up are also important and available.

Services available may include:

  • ongoing support and monitoring (e.g. prescription management, medical follow up, urine testing, counselling and treatment planning)
  • health, safety and risk reduction teaching and management
  • links to community pharmacists
  • links to other addictions treatment services
  • links to social and health supports

Services are voluntary and confidential.

Where can I get help?

Opioid Treatment Centres

Regional Opioid Treatment Centres will provide rapid access to medication-assisted treatment (Suboxone or methadone). Services can also include peer support, counselling and links to other services. These Centres are not live-in. Telehealth is an option. As well, the regional Opioid Treatment Centres can support community-based physicians, nurse practitioners, nurses, pharmacists and counsellors upon request.

The following regional Opioid Treatment Centres are part of the new provincial Hub and Spoke model that is being implemented to improve access to opioid dependence treatment throughout the province. Referral is not needed. Call directly or discuss with your healthcare provider:

St.John's
Building 532, 80 Charter Avenue (Pleasantville)
Please call us at (709) 752-4478, or fax: 752-4012
 
Gander
50 Memorial Drive East
Please call us at (709) 256-1356, or fax: 256-1357
 
Corner Brook
35 Boones Road
Please call us at (709) 634-4506, or fax: 634-0160
 
Stephenville
127 Montana Drive
Please call us at (709) 643-8740, or fax: 643-9054
 
Happy Valley-Goose Bay
Please call us at (709) 897-2344, or fax: 896-4900

Family Physicians and Nurse Practitioners:

Many physicians and nurse practitioners can prescribe medication-assisted treatment (Suboxone or methadone) and they are located throughout the province. Counsellors are also available. Feel free to discuss any opioid-related concerns with your healthcare provider.

  • If you do not have a physician or healthcare provider, please call 811 and a HealthLine nurse will give you contact information for your area.

To learn more about treatment:

Opioid Agonist Therapy: Information for Clients (CAMH, 2016)

Problematic Drug Use and Recovery: Testimonial Videos, Government of Canada

Take Home Naloxone Kits

Call 911 right away if you think that someone is having an overdose.

  • Naloxone is a temporary medication that can save a life in the event of a fentanyl or other opioid overdose.
  • Naloxone Kits and instruction are free.

Get a Kit
If you are at risk of an opioid overdose or you might witness an overdose, please find a Naloxone Kit near you:

Hub and Spoke Model for Opioid Dependence Treatment

As a part of Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador, the Opioid Dependence Treatment Working Group was established in fall 2017. Under the direction of the Working Group, a new provincial Hub and Spoke model for Opioid Dependence Treatment (ODT) was developed and is currently being implemented across many regions in our province.

The goal is to deliver rapid access to evidence-informed, comprehensive and coordinated ODT services throughout Newfoundland and Labrador.

The model also included the establishment of a Provincial ODT Centre of Excellence. Health Canada has provided funding to Eastern Health over three years under the Substance Use and Addiction Program (SUAP) for this important initiative. The Centre of Excellence is located in Eastern Health and is provincial in scope and mandate.

Goals of the Opioid Dependence Treatment Centre of Excellence include:

  • Supporting the implementation of the provincial ODT Hub and Spoke Model
  • Supporting the implementation of evidence informed ODT practices
  • Strengthening ODT performance monitoring and evaluation
  • Increasing opportunities for stakeholder collaboration
  • Increasing opportunities for knowledge exchange and care provider development
ODT - Centre of Excellence Contacts:
Wayne Bishop Manager   wayne.bishop@easternhealth.ca 631-9377
Sara Warren Administrative Support   sara.warren@easternhealth.ca 752-4298
Jane Henderson Harm Reduction Consultant jane.henderson@easternhealth.ca 752-4292
Leigh Thorne Knowledge Exchange Facilitator leigh.thorne@easternhealth.ca 752-3573

To learn more:

Opioid Overdose and Naloxone, Information Sheet (pdf, 2018)

Opioid Overdose - Prevent, Signs, Respond, Information Sheet (pdf, 2018)

Opioid Overdose Toolkit, Government of Canada:
https://www.canada.ca/en/health-canada/services/substance-use/problematic-prescription-drug-use/opioids/resources-toolkit.html

Opioids and the Health Risks - Government of Canada information and resources

Opioid Information for Teachers, Parents and Caregivers - Department of Health and Community Services NL (pdf, 2017)

 
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