Rose A. Schmidt
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View article: A sea of need: provider accounts of strategies used to manage admission demands to safer opioid supply programs in Ontario
A sea of need: provider accounts of strategies used to manage admission demands to safer opioid supply programs in Ontario Open
Background Since 2016, over 50,928 people have died of an opioid-related overdose in Canada. The unregulated supply of drugs is increasingly toxic and volatile, and fentanyl from unregulated, street-based markets is driving this epidemic. …
View article: “From an HCV and HIV point of view, it's been remarkable”: A qualitative study about using prescribed safer supply to support people who use drugs along the HIV and HCV prevention and treatment cascades in Ontario, Canada
“From an HCV and HIV point of view, it's been remarkable”: A qualitative study about using prescribed safer supply to support people who use drugs along the HIV and HCV prevention and treatment cascades in Ontario, Canada Open
Introduction Despite advances in HIV and hepatitis C virus (HCV) treatment, people who use drugs (PWUD) face significant barriers along prevention and treatment cascades. Safer supply programmes (SSPs) providing prescribed pharmaceutical a…
View article: Complex decision-making of people's use of opioid agonist therapy during pregnancy: Troubling the concept of ‘non-compliance’
Complex decision-making of people's use of opioid agonist therapy during pregnancy: Troubling the concept of ‘non-compliance’ Open
Clinical guidelines strongly recommend that pregnant people with opioid use disorder be offered Opioid Agonist Therapy (OAT); however, access to and retention in substance use services are influenced by a multitude of factors. We conducted…
View article: Perspectives on Diversion of Medications From Safer Opioid Supply Programs
Perspectives on Diversion of Medications From Safer Opioid Supply Programs Open
Importance Safer supply programs were implemented in Canada to provide pharmaceutical-grade alternatives to the toxic unregulated drug supply. While research shows clinical benefits and reduced overdose mortality among safer supply patient…
View article: Centering autonomy and choice to support oral PrEP utilization among people who inject drugs: qualitative lessons from HPTN 094 INTEGRA
Centering autonomy and choice to support oral PrEP utilization among people who inject drugs: qualitative lessons from HPTN 094 INTEGRA Open
Background Oral Pre-exposure prophylaxis (PrEP) is effective in preventing HIV transmission. However, despite high rates of HIV risk behaviors among people who inject drugs (PWID), this population remains underserved by current HIV prevent…
View article: Safer Opioid Supply programs: Hydromorphone prescribing in Ontario as a harm reduction intervention to combat the drug poisoning crisis
Safer Opioid Supply programs: Hydromorphone prescribing in Ontario as a harm reduction intervention to combat the drug poisoning crisis Open
Setting The crisis of unregulated fentanyl-related overdose deaths presents a significant public health challenge. This article describes the implementation and evaluation of four Safer Opioid Supply programs (SSPs) in Ontario, one in Lond…
View article: Trends in Pregnancy-Associated Opioid Toxicity and Mortality
Trends in Pregnancy-Associated Opioid Toxicity and Mortality Open
ObjectivesTo examine trends in pregnancy-associated non-fatal and fatal opioid toxicity and all-cause mortality, and identify associated factors. ApproachWe conducted a population-based study of 1,555,370 pregnancies in Ontario, Canada, 20…
View article: Current Alcohol Screening and Brief Intervention Practices among Canadian Midwives
Current Alcohol Screening and Brief Intervention Practices among Canadian Midwives Open
Alcohol use during pregnancy is associated with multiple adverse health outcomes for the woman and fetus, including stillbirth, miscarriage, low birth weight, and risk of fetal alcohol spectrum disorder (FASD). Midwives are uniquely situat…
View article: A population‐based time‐series analysis of opioid agonist treatment dispensed during pregnancy
A population‐based time‐series analysis of opioid agonist treatment dispensed during pregnancy Open
Background and aims Identifying effective opioid treatment options during pregnancy is a high priority due to the growing prevalence of opioid use disorder across North America. We assessed the temporal impact of three population‐level int…
View article: High Prevalence of Depression Symptoms Among Bisexual Women: The Association of Sexual Orientation and Gender on Depression Symptoms in a Nationally Representative U.S. Sample
High Prevalence of Depression Symptoms Among Bisexual Women: The Association of Sexual Orientation and Gender on Depression Symptoms in a Nationally Representative U.S. Sample Open
Bisexual individuals experience higher rates of depression than heterosexual individuals and women experience higher rates of depression than men; however, few studies have quantified the joint effects of sexual orientation and gender. In …
View article: ‘I don't chase drugs as much anymore, and I'm not dead’: Client reported outcomes associated with safer opioid supply programs in Ontario, Canada
‘I don't chase drugs as much anymore, and I'm not dead’: Client reported outcomes associated with safer opioid supply programs in Ontario, Canada Open
Introduction The ongoing opioid overdose crisis, which has killed over 30,000 people in Canada since 2016, is driven by the volatility of an unregulated opioid drug supply comprised primarily of fentanyl. The Canadian government has recent…
View article: Impact of safer supply programs on injection practices: client and provider experiences in Ontario, Canada
Impact of safer supply programs on injection practices: client and provider experiences in Ontario, Canada Open
View article: A harmonized analysis of five Canadian pregnancy cohort studies: exploring the characteristics and pregnancy outcomes associated with prenatal alcohol exposure
A harmonized analysis of five Canadian pregnancy cohort studies: exploring the characteristics and pregnancy outcomes associated with prenatal alcohol exposure Open
Background As a teratogen, alcohol exposure during pregnancy can impact fetal development and result in adverse birth outcomes. Despite the clinical and social importance of prenatal alcohol use, limited routinely collected information or …
View article: COVID-19 and the opportunity for gender-responsive virtual and remote substance use treatment and harm reduction services
COVID-19 and the opportunity for gender-responsive virtual and remote substance use treatment and harm reduction services Open
View article: The early impact of COVID-19 on the incidence, prevalence, and severity of alcohol use and other drugs: A systematic review
The early impact of COVID-19 on the incidence, prevalence, and severity of alcohol use and other drugs: A systematic review Open
View article: Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework Open
Pregnant women and mothers who use substances often face significant barriers to accessing and engaging with substance use services. A scoping review was conducted in 2019 to understand how stigma impacts access to, retention in and outcom…
View article: Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming
Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming Open
View article: Multi-Service Programs for Pregnant and Parenting Women with Substance Use Concerns: Women’s Perspectives on Why They Seek Help and Their Significant Changes
Multi-Service Programs for Pregnant and Parenting Women with Substance Use Concerns: Women’s Perspectives on Why They Seek Help and Their Significant Changes Open
Within Canada, several specialized multi-service prevention programs work with highly vulnerable pregnant and early parenting women with substance use issues. Experiences of trauma, mental health, poverty, and other factors associated with…
View article: The Potential for Fetal Alcohol Spectrum Disorder Prevention of a Harmonized Approach to Data Collection about Alcohol Use in Pregnancy Cohort Studies
The Potential for Fetal Alcohol Spectrum Disorder Prevention of a Harmonized Approach to Data Collection about Alcohol Use in Pregnancy Cohort Studies Open
Prenatal alcohol exposure is a leading cause of disability, and a major public health concern in Canada. There are well-documented barriers for women and for service providers related to asking about alcohol use in pregnancy. Confidential …
View article: Prevention of Fetal Alcohol Spectrum Disorder: Current Canadian Efforts and Analysis of Gaps
Prevention of Fetal Alcohol Spectrum Disorder: Current Canadian Efforts and Analysis of Gaps Open
Effective prevention of risky alcohol use in pregnancy involves much more than providing information about the risk of potential birth defects and developmental disabilities in children. To categorize the breadth of possible initiatives, C…
View article: Misuse of Prescription Opioid Medication among Women: A Scoping Review
Misuse of Prescription Opioid Medication among Women: A Scoping Review Open
Background . National data from Canada and the United States identify women to be at greater risk than men for the misuse of prescription opioid medications. Various sex- and gender-based factors and patient and physician practices may aff…
View article: Trajectories of women's homelessness in Canada's 3 northern territories
Trajectories of women's homelessness in Canada's 3 northern territories Open
The 4 interconnected systemic challenges identified in the research, coupled with specific ideas for change cited by the resilient homeless women interviewed, offer points of entry to improve service policy and delivery. Implementing traum…