A sea of need: provider accounts of strategies used to manage admission demands to safer opioid supply programs in Ontario
The implementation of SSPs in Ontario highlights the challenges of addressing intersecting public health emergencies in a resource-constrained healthcare system. SSPs, were adaptive and evolved in real time; while these adaptations addressed significant equity gaps, they also underscored the limitations of operating within an under-funded primary care model. The narrowing of admission criteria, necessitated by overwhelming demand and limited resources, ultimately constrained their reach and potential population-level impact.
Authors
- Rose A. Schmidt (ORCID: https://orcid.org/0000-0002-0307-8482)
- Katherine Rudzinski (ORCID: https://orcid.org/0000-0001-8501-9891)
- Carol Strıke (ORCID: https://orcid.org/0000-0002-2716-3681)
- Gillian Kolla (ORCID: https://orcid.org/0000-0002-5743-7153)
- Adrian Guţă (ORCID: https://orcid.org/0000-0002-1380-2016)
- Melissa Perri (ORCID: https://orcid.org/0000-0002-8279-0442)
- Nat Kaminski
- David Kryszajits
Institutions
- Memorial University of Newfoundland (CA)
- University of Toronto (CA)
- Public Health Ontario (CA)
- University of Windsor (CA)
Publication Details
- Journal
- Harm Reduction Journal
- Published
- 2025-11-26
- DOI
- https://doi.org/10.1186/s12954-025-01344-3
- Citations
- 1
- Primary Topic
- HIV, Drug Use, Sexual Risk
- Type
- article
- Field-Weighted Citation Impact
- 1.35