{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:17:32Z","timestamp":1760645852455},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,9,20]],"date-time":"2011-09-20T00:00:00Z","timestamp":1316476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec><jats:title>Accessible summary<\/jats:title><jats:p><jats:list list-type=\"explicit-label\">\n<jats:list-item><jats:p>For some heron addicts, heroin\u2010assisted treatment is more efficacious than methadone treatment.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Seven European countries have implemented outpatient centres where patients self\u2010administer pharmaceutical heroin under close supervision.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Nurses deliver pharmaceutical heroin and supervise administration. The two main concerns are overdosing and smuggling.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Nurses are convinced of the utility of this treatment for severe heroin addicts.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Heroin\u2010assisted treatment (HAT) is a solution for improving the condition of treatment\u2010resistant heroin addicts. Since 1994, six randomized controlled trials have concluded that HAT is more efficacious than oral methadone for severe heroin addicts. We visited seven HAT treatment centres in four countries in order to observe diacetylmorphine (DAM) administration and to study the main concerns of the staff. Nurses were concerned by the risk taken if a previously intoxicated patient received his dose of DAM. Another concern was the smuggling of DAM doses. The HAT centres face a dilemma: treating patients while at the same time allowing their risky street habits in the centre.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1365-2850.2011.01810.x","type":"journal-article","created":{"date-parts":[[2011,9,21]],"date-time":"2011-09-21T02:17:39Z","timestamp":1316571459000},"page":"563-567","source":"Crossref","is-referenced-by-count":17,"title":["Staff concerns in heroin\u2010assisted treatment centres"],"prefix":"10.1111","volume":"19","author":[{"given":"I.","family":"DEMARET","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"LEMA\u00ceTRE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"ANSSEAU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,9,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7410.310"},{"key":"e_1_2_6_3_1","volume-title":"Medical Co\u2010Prescription of Heroin: Two Randomized Controlled Trials","author":"Central Committee on the Treatment of Heroin Addicts","year":"2002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(00)00161-7"},{"key":"e_1_2_6_5_1","unstructured":"European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)(2009)Responding to drug problems \u2013 an overview. Available at:http:\/\/www.emcdda.europa.eu\/situation\/responding\/3(accessed 14 October 2010). (Archived by WebCite\u00ae at:http:\/\/www.webcitation.org\/5tT5RXq0z)."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.309.6960.997"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2005.09.003"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-007-9198-y"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01569.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7517-6-2"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.026112"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2009.02.007"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-977X(01)00091-8"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.278.5335.45"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2165\/00023210-200923060-00002"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7517-3-28"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7517-2-6"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2006.04.007"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.13.1689"},{"key":"e_1_2_6_20_1","volume-title":"The German Model Project for Heroin Assisted Treatment of Opioid Dependend Patients: A Multi\u2010Centre, Randomised, Controlled Treatment Study","author":"Naber D.","year":"2006"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0810635"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1740774509105222"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2009.00100.x"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7150.13"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06529-1"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3439"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.2174\/157488406775268219"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60349-2"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370605101003"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000141646"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2850.2011.01810.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2850.2011.01810.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T09:33:34Z","timestamp":1698658414000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2850.2011.01810.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,20]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1111\/j.1365-2850.2011.01810.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2850.2011.01810.x","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,20]]}}}