Program | Hours* | Core onsite staff† | iOAT‡ | Capacity (no. of clients); scan | No. of available daily doses; scan | Dose access structure;§ scan | |||
---|---|---|---|---|---|---|---|---|---|
Scan 1 (Sept. 2018) | Scan 2 (Mar. 2019) | Scan 1 (Sept. 2018) | Scan 2 (Mar. 2019) | Scan 1 (Sept. 2018) | Scan 2 (Mar. 2019) | ||||
A: PHS Housing | 6–7 | Nurses, mental health workers (depending on housing unit) | HDM | 6 | 6 | 2 | 2 | Open | Open |
B: Columbia Street Community Clinic | 6.75¶ | Nurses, peer support workers, pharmacists, pharmacist technicians | HDM | 65¶ | – | 2 | – | Open | – |
C: Molson iOAT Clinic | 7 | Nurses, mental health workers, peer support workers | HDM | 30 | 60 | 2 | 2 | Open | Open |
D: Molson Tablet iOAT Program | 9 | Nurses, mental health workers, peer support workers | tHDM | – | 60 | – | 5 | – | Open |
E: St. Paul’s Hospital | 24 | All inpatient service staff | HDM | No limit | No limit | ** | ** | ** | ** |
F: Crosstown Clinic | 13.5 | Nurses, clinic assistants | HDM DAM | 130–145 | 130–145 | 3 | 3 | Group | Open |
G: Vancouver Native Health Clinic | 6.75¶ | Nurses, peer support workers, pharmacists, pharmacist technicians | HDM | 65¶ | – | 2 | – | Open | – |
H: Downtown Community Health Centre | 7 | Nurses, physicians, nurse practitioners, community liaison workers, pharmacists, pharmacist technicians | HDM | 14 | 14 | 2 | 2 | Open | Open |
I: Lookout iOAT Clinic | 10 | Nurses, harm reduction workers, clinic coordinators | HDM | 50 | 50 | 2 | 2 | Group | Open |
J: Shepherds of Good Hope Shelter | 24 | Client care workers | HDM | 6 | 6 | 7 | 4–5 | Open | Open |
K: Ottawa Mission Hospice | 24 | Nurse coordinators | HDM | 8 | 8 | 7 | 4–5 | Open | Open |
L: John Howard Housing | 24 | Nurse coordinators | HDM | 21 | 21 | 7 | 4–5 | Open | Open |
M: Sheldon M. Chumir Health Centre | 10.5 | Nurses, peer support workers, clinic managers, office assistants | HDM | – | 35 | – | 3 | – | Group |
N: Royal Alexandra Hospital | 9 | Nurses, physicians, peer support workers, addiction counsellors, office assistant | HDM | – | 15 | – | 3 | – | Booking |
Note: DAM = diacetylmorphine, HDM = hydromorphone, iOAT = injectable opioid agonist treatment, tHDM = tablet hydromorphone.
↵* The approximate amount of time the program was available for clients per day (may include closure for staff breaks or handover sessions).
↵† Staff available during all opening hours and providing the foundation for day-to-day operations. Other staff (e.g., physician, psychiatrist, dietitian) were available at varying times.
↵‡ Available iOAT medications: liquid HDM, liquid DAM (medical heroin) and tHDM.
↵§ Several dose access structures were in use: open = clients attended any time, group = clients were allocated to a treatment group with specified times, booking = clients received individual appointments.
↵¶ The Columbia Street Community Clinic and the Vancouver Native Health Clinic shared a single community pharmacy partner for maintenance doses; these data represent the pharmacy characteristics only.
↵** As clinically indicated during acute care admission; iOAT dose administered directly by nursing staff.