{"id":7939,"date":"2019-01-28T14:07:28","date_gmt":"2019-01-28T21:07:28","guid":{"rendered":"https:\/\/crism.ca\/?page_id=7939"},"modified":"2026-07-06T06:21:24","modified_gmt":"2026-07-06T12:21:24","slug":"detoxification-and-withdrawal-management","status":"publish","type":"page","link":"https:\/\/crism.ca\/fr\/detoxification-and-withdrawal-management\/","title":{"rendered":"D\u00e9sintoxication et gestion du sevrage"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"7939\" class=\"elementor elementor-7939\" wpc-filter-elementor-widget=\"1\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5653a88b elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"5653a88b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4123cb3c\" data-id=\"4123cb3c\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-14922127 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"14922127\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7e2b1f63\" data-id=\"7e2b1f63\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ab377c5 elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget elementor-widget-heading\" data-id=\"2ab377c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00e9sintoxication et gestion du sevrage\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b65d00d elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"7b65d00d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-590d9b37\" data-id=\"590d9b37\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5359fd97 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"5359fd97\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-12d5e08a\" data-id=\"12d5e08a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b49c67f elementor-align-right elementor-widget elementor-widget-button\" data-id=\"1b49c67f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Chercheur principal<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-29ded028\" data-id=\"29ded028\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d80239 elementor-widget elementor-widget-text-editor\" data-id=\"2d80239\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Brian Rush &amp; Jurgen Rehm (Institute of Mental Health Policy Research\/CAMH, ON)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-6cda1565 elementor-widget elementor-widget-spacer\" data-id=\"6cda1565\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3556a4b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"3556a4b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-224f830\" data-id=\"224f830\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69676ac9 elementor-align-right elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"69676ac9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Groupe de leadership<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-2ec374e8\" data-id=\"2ec374e8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a98e6d9 elementor-widget elementor-widget-text-editor\" data-id=\"a98e6d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Nikki Bozinoff &amp; Tara Elton-Marshall (CAMH, ON);<\/li><li>Keith Ahamad (BCCSU, BC);<\/li><li>Annie Talbot (University of Montreal, QC);<\/li><li>Samuel Hickcox (Nova Scotia Health Authority, NS);<\/li><li>Helen Bouman (Albert Health Services, AB)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-321e748b elementor-hidden-tablet elementor-hidden-mobile\" data-id=\"321e748b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-34949fc7 elementor-widget elementor-widget-image\" data-id=\"34949fc7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"5333\" height=\"7999\" src=\"https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/hands-holding-pills-gradient-background.jpg\" class=\"attachment-full size-full wp-image-14539\" alt=\"\" srcset=\"https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/hands-holding-pills-gradient-background.jpg 5333w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/hands-holding-pills-gradient-background-200x300.jpg 200w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/hands-holding-pills-gradient-background-768x1152.jpg 768w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/hands-holding-pills-gradient-background-1024x1536.jpg 1024w\" sizes=\"(max-width: 5333px) 100vw, 5333px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-417db60b elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"417db60b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-48fd8678\" data-id=\"48fd8678\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-19a13715 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"19a13715\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-59b3d90\" data-id=\"59b3d90\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2560fdc elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"2560fdc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Background<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-400fd9c0 elementor-widget elementor-widget-spacer\" data-id=\"400fd9c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fccb06e elementor-widget elementor-widget-text-editor\" data-id=\"5fccb06e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Given the extensive population sizes with opioid use disorders and related harms forming a core part of the \u2018opioid crisis\u2019, the comprehensive and effective delivery of evidence-based treatment interventions constitutes a key element of the required interventions strategy. Treatment interventions for opioid use disorder consist mainly of long-term, e.g., opioid pharmacotherapy, treatment as a \u2018first-line response\u2019 option. There are, however, other therapeutic interventions which, for various reasons (e.g., limited OAT infrastructure, resources or expertise), are offered or practiced in Canada, including so-called \u2018detoxification\/withdrawal management\u2019 approaches. Some of these, as currently practiced, are based on a minimal evidence base. Still, also relatively diversified practices across Canada, and include considerable risk for harm (e.g., overdose due to lowered tolerance) to the patient, while for others (e.g., opioid tapering, naltrexone provision), evidence is only slowly emerging. Overall, minimal evidence-based guidance on these approaches currently prevails, which this project aims to address and improve.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3c97a739 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"3c97a739\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-679d019b\" data-id=\"679d019b\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-68a4ad00 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"68a4ad00\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6d8720dc\" data-id=\"6d8720dc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-77e5fd2 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"77e5fd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Project Components<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-27ec70b8 elementor-widget elementor-widget-spacer\" data-id=\"27ec70b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4988fda6 elementor-widget elementor-widget-heading\" data-id=\"4988fda6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Environmental Scan of Detoxification\/Withdrawal Management Practice and Needs Across Canada<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-423fcb4c elementor-widget elementor-widget-text-editor\" data-id=\"423fcb4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Detoxification and\/or withdrawal management approaches to opioid use disorders are provided and practiced in a sizeable number of institutions or facilities across Canada; many of these practices occur based on non-existent and\/or questionable evidence-based and with considerable risk to acute harm (e.g., accidental overdose death) to patients. At the same time, there appears to be a need for evidence-based guidance or support for opioid detoxification\/withdrawal management approaches, as driven either by patient and or system\/infrastructure needs or demands (e.g., where patients prefer to be off opioids or environments where capacity or skills for OAT do not exist).<\/p><p>To respond to this need, the team completed a comprehensive environmental scan of current institutional practices and information\/evidence needs related to detoxification and withdrawal management services for OUD in Canada.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df9592a elementor-align-left elementor-widget elementor-widget-button\" data-id=\"df9592a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/crism.ca\/wp-content\/uploads\/2021\/06\/WMSFINALReportJune2021.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Access the Environmental Scan<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69cda1a elementor-widget elementor-widget-spacer\" data-id=\"69cda1a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99831b9 elementor-widget elementor-widget-heading\" data-id=\"99831b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Development of Opioid Detoxification\/withdrawal Management review and \u2018Best Practice\u2019 Document\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd5234e elementor-widget elementor-widget-text-editor\" data-id=\"dd5234e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"list-17\" class=\"mk-list-styles mk-align-none jupiter-donut- jupiter-donut-clear\" data-charcode=\"mk-icon-check\" data-family=\"\"><p>Opioid-related detoxification and withdrawal management approaches have their place in the continuum or spectrum of therapeutic interventions. There are several different approaches to opioid-related detoxification\/withdrawal management. While these include or are supported by limited, mixed, or controversial evidence bases at best, actual delivery and practice often occurs in a non-evidence-based fashion (e.g., drug-free opioid detoxification). For other elements, e.g. opioid tapering and or naltrexone provision (e.g., as detoxification aftercare), the evidence base is limited but evolving, also since relevant therapeutic practices and\/or medications are relatively new. Objectives include:<\/p><ul><li>Conduct a scoping\/narrative review of the current evidence on opioid disorder-related detoxification and withdrawal management (including opioid tapering, naltrexone provisions) practices, safety issues, and outcomes, i.e. focusing on therapeutic approaches to opioid disorders that are not geared towards long-term opioid pharmacotherapy treatment.<\/li><li>Create an evidence-based best practice document on opioid disorder-related detoxification and withdrawal management.<\/li><li>Develop various knowledge translation tools and strategies to engage relevant providers and stakeholders.<\/li><\/ul><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac985f5 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"ac985f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/crism.ca\/wp-content\/uploads\/2023\/01\/CRISM-Withdrawal-Management-Guidance-Final.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Access the Guidance Document<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Detoxification and Withdrawal Management Principal Investigator Brian Rush &amp; Jurgen Rehm (Institute of Mental Health Policy Research\/CAMH, ON) Leadership Group Nikki Bozinoff &amp; Tara Elton-Marshall (CAMH, ON); Keith Ahamad (BCCSU, BC); Annie Talbot (University of Montreal, QC); Samuel Hickcox (Nova Scotia Health Authority, NS); Helen Bouman (Albert Health Services, AB) Background Given the extensive population sizes with opioid use disorders and related harms forming a core part of the \u2018opioid crisis\u2019, the comprehensive and effective delivery of evidence-based treatment interventions constitutes a key element of the required interventions strategy. Treatment interventions for opioid use disorder consist mainly of long-term, e.g., opioid pharmacotherapy, treatment as a \u2018first-line response\u2019 option. There are, however, other therapeutic interventions which, for various reasons (e.g., limited OAT infrastructure, resources or expertise), are offered or practiced in Canada, including so-called \u2018detoxification\/withdrawal management\u2019 approaches. Some of these, as currently practiced, are based on a minimal evidence base. Still, also relatively diversified practices across Canada, and include considerable risk for harm (e.g., overdose due to lowered tolerance) to the patient, while for others (e.g., opioid tapering, naltrexone provision), evidence is only slowly emerging. Overall, minimal evidence-based guidance on these approaches currently prevails, which this project aims to address and improve. Project Components Environmental Scan of Detoxification\/Withdrawal Management Practice and Needs Across Canada Detoxification and\/or withdrawal management approaches to opioid use disorders are provided and practiced in a sizeable number of institutions or facilities across Canada; many of these practices occur based on non-existent and\/or questionable evidence-based and with considerable risk to acute harm (e.g., accidental overdose death) to patients. At the same time, there appears to be a need for evidence-based guidance or support for opioid detoxification\/withdrawal management approaches, as driven either by patient and or system\/infrastructure needs or demands (e.g., where patients prefer to be off opioids or environments where capacity or skills for OAT do not exist). To respond to this need, the team completed a comprehensive environmental scan of current institutional practices and information\/evidence needs related to detoxification and withdrawal management services for OUD in Canada.\u00a0 Access the Environmental Scan Development of Opioid Detoxification\/withdrawal Management review and \u2018Best Practice\u2019 Document Opioid-related detoxification and withdrawal management approaches have their place in the continuum or spectrum of therapeutic interventions. There are several different approaches to opioid-related detoxification\/withdrawal management. While these include or are supported by limited, mixed, or controversial evidence bases at best, actual delivery and practice often occurs in a non-evidence-based fashion (e.g., drug-free opioid detoxification). For other elements, e.g. opioid tapering and or naltrexone provision (e.g., as detoxification aftercare), the evidence base is limited but evolving, also since relevant therapeutic practices and\/or medications are relatively new. Objectives include: Conduct a scoping\/narrative review of the current evidence on opioid disorder-related detoxification and withdrawal management (including opioid tapering, naltrexone provisions) practices, safety issues, and outcomes, i.e. focusing on therapeutic approaches to opioid disorders that are not geared towards long-term opioid pharmacotherapy treatment. Create an evidence-based best practice document on opioid disorder-related detoxification and withdrawal management. Develop various knowledge translation tools and strategies to engage relevant providers and stakeholders. Access the Guidance Document<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"folder":[],"wf_page_folders":[368],"class_list":["post-7939","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Detoxification and Withdrawal Management - CRISM<\/title>\n<meta name=\"description\" content=\"Explore CRISM guidance on opioid detoxification and withdrawal management, including evidence review, best practices, and clinical implementation tools.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crism.ca\/fr\/detoxification-and-withdrawal-management\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Detoxification and Withdrawal Management - 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