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OR14-3OPIOID SUBSTITUTION TREATMENT: FROM LAW TO CLINICAL PRACTICE AND VICE VERSA

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ISAM 2014

16TH INTERNATIONAL SOCIETY OF ADDICTION MEDICINE ANNUAL MEETING

2

–6 OCTOBER 2014

YOKOHAMA, JAPAN

OR14-3

OPIOID SUBSTITUTION TREATMENT: FROM LAW TO CLINICAL PRACTICE AND VICE VERSA

O. Simon1and R. Stamm2

1Section d’addictologie, Service de psychiatrie communautaire, CHUV,

Lausanne, Switzerland and2Federal Office of Public Health

Background. On the edge of the «Third Francophone Conference on the Treatment of Opioid Addiction», the Neuchatel Institute of Health Law com-pared regulations for opioid substitution treatment (OST) in Switzerland, France, Canada, Belgium and Tunisia. Most standards described appear to be linked to a historic repressive framework. Reference to the right to health as defined by the Committee on Economic, Social and Cultural Rights (general comment 14), appear to be absent or unclear. We present the rational for creat-ing an interdisciplinary panel from the concerned countries, in order to

prepare recommendations about how a regulative system of OST should be based on scientific evidence and right to health.

Method.Following a literature review identifying barriers to best practice from an addiction medicine point of view, a DELFI technique will identify the domains requiring removal or implementation of regulations, as a priority. Results and Conclusion.Based on the report of comparative law cited above, following areas need to be considered: access to care and free choice to treat-ment; the articulation of different laws; conditions for authorisation; concerned substances and products; personal conditions posed to patients and profes-sionals; requirements and limitations surrounding substitution treatment itself; the terms of ending or interruption; the protection of personal data.

Alcohol and Alcoholism Vol. 49, No. S1, pp. i1–i69, 2014

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