CURA2 Conference 2015 Lamplighter Inn London ON Team Dr Abe Oudshoorn Western University Ken Kirkwood Western University John Fleming City of London Gregg Barrett City of London ID: 788939
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Slide1
The Scope of Methadone Maintenance Treatment in London, Ontario
CURA2 Conference, 2015
Lamplighter Inn, London, ON
Slide2Team
Dr. Abe Oudshoorn, Western University
Ken Kirkwood, Western
University
John
Fleming, City of
London
Gregg
Barrett, City of
London
Jacquie
Carr
, Addiction Services Thames
Valley
Donna
Baxter, City of
London
Jan
Richardson, City of London
Slide3Purpose
The purpose of this quantitative descriptive study
was
to better understand the geographic spread of those currently accessing MMT within a medium sized urban
area
Hypothesis: Individuals accessing MMT reside in all residential neighbourhoods of London
Slide4Background
Opioid addiction and morbidity
HCV and HIV
Opioid addiction and mortality
Community costs
$243,000,000 law enforcement costs in Canada
Social and family costs
Slide5Methadone Maintenance Treatment (MMT)
What it is
How it works
Short term goals
Long term goals
Slide6Demographics of Opioid Addiction
Link to:
Poverty
Low education
Poly-substance use
Mental health challenges
But…
A more diverse group addicted to prescription opioids
Slide7Result?
Proliferation of MMT clinics
Clashes with
neighbourhoods
Questions regarding municipal policy
Slide8Literature Review
Stigmas:
Disorder
Contagion
Crime
Harm to children
Not needed in our
neighbourhood
Slide9Literature Review
Reality
Many treatment
centres
go unnoticed
Treatment
centres
are low on the list of causes for a person to spend significant time in a particular area
Treatment
centres
reflect those seeking treatment
Presence of treatment
centres
reduces community-wide crime
Variety stores much more related to geographic crime than treatment
centres
Low rate of critical incidents around treatment
centres
Slide10Gap in the Literature
?? Persons seeking treatment geographically dispersed ??
We do know that lack of rural clinics brings people to urban clinics
Slide11Local Policy Context
Interim control by-law
Zoning by-law
On transit
Separation between clinics and from schools
Adequate parking
Licensing by-law ($700)
Slide12Methodology
5 clinics and 1 pharmacy approached
796 unique individuals representing 581 data points from 1 clinic and 1 pharmacy
Mapped over 26 residential
neighbourhoods
in London
Slide13Findings
Slide14Hypothesis Supported
Individuals accessing MMT reside in all residential neighbourhoods of London
Slide15Discussion
Confronting NIMBYism with evidence
It’s not that clinics attract people with addictions, it’s that people with addictions already live in all
neighbourhoods
Zoning implications
Beware overly restrictive zoning
Respect public opinion, but not where it stands counter to best evidence
Slide16Questions