The increase in medication-assisted therapy comes as San Francisco and other cities across the state are grappling with an opioid overdose epidemic — and challenging legal frameworks to deal with the crisis.
As San Francisco looks to implement a variety of overdose prevention strategies — such as supervised injection sites — The City is increasingly turning to medication-based opioid addiction treatment to reach people who are homeless and struggling with substance abuse.
Gov. Gavin Newsom vetoed legislation last week that would have allowed San Francisco, Oakland and Los Angeles to pilot supervised drug consumption facilities, which have shown success in preventing overdoses in places such as New York City and Vancouver, British Columbia.
Other medications in this category include Naltrexone and Suboxone, which is a combination of buprenorphine and naloxone, an overdose reversal medication. The SFDPH launched a buprenorphine pilot program targeting the homeless population in 2015, the same year the department also declared injection of drugs in public in San Francisco a public health priority. The program aimed to reduce barriers to substance use disorder treatment, such as the inability to regularly make appointments or not being enrolled in health care.
The study also revealed real challenges to getting participants into formal substance use disorder treatment. And those who co-use opioids with stimulants such as methamphetamine — which together contribute to the vast majority of overdose deaths in The City — have been difficult to treat.
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