“With this you’re not chained down to something”: contrasting experiences of opioid agonist treatment and safer supply program participation among people receiving prescribed safer supply

The findings underscore the benefits of - and urgent need for - collaborative decision-making and comprehensive models of care for substance use, including individualized dosing in both OAT and safer supply programs to improve their public health impact. Participants' experiences provide a window into reorienting to substance use care that offers potential solutions to longstanding challenges within existing OAT models that undermine retention and therapeutic benefit.