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A continuum of disconnection: the impacts of safer supply program closures on continuity of care, transition, and total loss of service access.

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Title: A continuum of disconnection: the impacts of safer supply program closures on continuity of care, transition, and total loss of service access.
Authors: Ali F; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada. farihah.ontcrism@gmail.com.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada. farihah.ontcrism@gmail.com.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. farihah.ontcrism@gmail.com.; Faculty of Applied Health and Community Studies, School of Applied Health, Clinical Research, Sheridan College, 7899 McLaughlin Rd, Brampton, ON, L6Y 0P8, Canada. farihah.ontcrism@gmail.com., Sprakes A; Faculty of Health and Behavioural Sciences, School of Social Work, Lakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada., Mende-Gibson J; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada., Karamouzian M; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.; Centre on Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada., Kolla G; Faculty of Medicine, Memorial University, St. John's, NL, Canada., Shaw A; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada., Celinski A; Workers for Ethical Substance Use Policy (WESUP), Vancouver, BC, Canada.; RECLAIM Collective, Toronto, ON, Canada., Kaminski N; Moyo Health & Community Services, 7700 Hurontario St #601, Brampton, ON, L6Y 5B5, Canada.; Peel Drug Users Network (PDUN), Brampton, ON, Canada., Chandresekera U; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, M5S1V4, Canada., Rehm J; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 250 College St, Toronto, ON, M5T 1R8, Canada.; PAHO/WHO Collaborating Centre at Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, M5T 1R8 15, Canada.; Department of Psychiatry, Faculty of Medicine, University of Toronto, 250 College Street, Toronto, ON, M5T 1R8, Canada.; Faculty of Medicine, Institute of Medical Science, University of Toronto, Medical Sciences Building, 1 King's College Circle, Room 2374, Toronto, ON, M5S 1A8 17, Canada.; Department of Psychiatry and Psychotherapy, Center for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf (UKE), Martinistraße 52, 20246, Hamburg, Germany.; Program on Substance Abuse & WHO European Region Collaboration Centre, Public Health Agency of Catalonia, 330 Aragó Street, 08009, Barcelona, Catalonia, Spain.
Source: Harm reduction journal [Harm Reduct J] 2026 May 09; Vol. 23 (1). Date of Electronic Publication: 2026 May 09.
Publication Type: Journal Article
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101153624 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7517 (Electronic) Linking ISSN: 14777517 NLM ISO Abbreviation: Harm Reduct J Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: A continuum of disconnection: the impacts of safer supply program closures on continuity of care, transition, and total loss of service access.
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  Data: <searchLink fieldCode="AU" term="%22Ali+F%22">Ali F</searchLink>; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada. farihah.ontcrism@gmail.com.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada. farihah.ontcrism@gmail.com.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. farihah.ontcrism@gmail.com.; Faculty of Applied Health and Community Studies, School of Applied Health, Clinical Research, Sheridan College, 7899 McLaughlin Rd, Brampton, ON, L6Y 0P8, Canada. farihah.ontcrism@gmail.com.<br /><searchLink fieldCode="AU" term="%22Sprakes+A%22">Sprakes A</searchLink>; Faculty of Health and Behavioural Sciences, School of Social Work, Lakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada.<br /><searchLink fieldCode="AU" term="%22Mende-Gibson+J%22">Mende-Gibson J</searchLink>; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada.<br /><searchLink fieldCode="AU" term="%22Karamouzian+M%22">Karamouzian M</searchLink>; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.; Centre on Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Kolla+G%22">Kolla G</searchLink>; Faculty of Medicine, Memorial University, St. John's, NL, Canada.<br /><searchLink fieldCode="AU" term="%22Shaw+A%22">Shaw A</searchLink>; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada.<br /><searchLink fieldCode="AU" term="%22Celinski+A%22">Celinski A</searchLink>; Workers for Ethical Substance Use Policy (WESUP), Vancouver, BC, Canada.; RECLAIM Collective, Toronto, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Kaminski+N%22">Kaminski N</searchLink>; Moyo Health & Community Services, 7700 Hurontario St #601, Brampton, ON, L6Y 5B5, Canada.; Peel Drug Users Network (PDUN), Brampton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Chandresekera+U%22">Chandresekera U</searchLink>; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, M5S1V4, Canada.<br /><searchLink fieldCode="AU" term="%22Rehm+J%22">Rehm J</searchLink>; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Ontario Node, Canadian Research Initiative in Substance Matters (CRISM), 250 College Street, Toronto, ON, M5S 2S1, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 250 College St, Toronto, ON, M5T 1R8, Canada.; PAHO/WHO Collaborating Centre at Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, M5T 1R8 15, Canada.; Department of Psychiatry, Faculty of Medicine, University of Toronto, 250 College Street, Toronto, ON, M5T 1R8, Canada.; Faculty of Medicine, Institute of Medical Science, University of Toronto, Medical Sciences Building, 1 King's College Circle, Room 2374, Toronto, ON, M5S 1A8 17, Canada.; Department of Psychiatry and Psychotherapy, Center for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf (UKE), Martinistraße 52, 20246, Hamburg, Germany.; Program on Substance Abuse & WHO European Region Collaboration Centre, Public Health Agency of Catalonia, 330 Aragó Street, 08009, Barcelona, Catalonia, Spain.
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  Data: <searchLink fieldCode="JN" term="%22101153624%22">Harm reduction journal</searchLink> [Harm Reduct J] 2026 May 09; Vol. 23 (1). <i>Date of Electronic Publication: </i>2026 May 09.
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        Value: 10.1186/s12954-026-01469-z
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        Text: English
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              Text: 2026 May 09
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