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Evidence Library

A curated, source-verified library of the strongest available research on harm reduction, treatment outcomes, overdose prevention, and the comparative effectiveness of voluntary versus coercive addictions care. Every entry links to a peer-reviewed journal, government report, university source, or major public-health agency.

Cost Effectiveness

Economic evaluations, return-on-investment analyses, and healthcare-system cost studies.

Evidence
Region

Showing 10 of 10 entries

  • Economic AnalysisCanada2010

    Cost-effectiveness analysis of Insite, Vancouver's supervised injection facility

    International Journal of Drug Policy · Andresen MA, Boyd N

    Economic evaluation finds Insite produces a net societal benefit, primarily by averting HIV infections and overdose deaths.

    Benefit-cost ratio of 5.12 ($5 in savings per $1 spent).

  • Economic AnalysisCanada2010

    How many HIV infections are prevented by Vancouver Canada's supervised injection facility?

    International Journal of Drug Policy · Pinkerton SD

    Models the HIV infections averted by Insite each year; converts to lifetime treatment-cost savings.

    ~35 HIV infections averted/year → ~$6M+ lifetime treatment savings.

  • Economic AnalysisCanada2023

    Canadian Substance Use Costs and Harms 2007–2020

    CCSA / CISUR

    Most current national accounting of healthcare, lost-productivity, criminal justice, and other societal costs attributable to substance use, with provincial breakdowns.

    $49.1B/year total; opioids alone accounted for $7.1B in 2020.

  • Economic AnalysisInternational2021

    Cost-effectiveness of treatments for opioid use disorder

    JAMA Psychiatry · Fairley M, Humphreys K, Joyce VR, et al.

    Decision-analytic model: methadone, buprenorphine, and naltrexone are all cost-effective vs. no treatment; methadone has the lowest incremental cost-effectiveness ratio.

  • Economic AnalysisInternational2013

    Cost-effectiveness of large-scale naloxone distribution

    American Journal of Public Health · Coffin PO, Sullivan SD

    Naloxone distribution to people who use opioids is cost-effective at $438 per QALY gained — well below standard thresholds.

  • Economic AnalysisCanada2017

    Costs of services for homeless people with mental illness in 5 Canadian cities

    CMAJ Open · Latimer EA, Rabouin D, Cao Z, et al.

    At Home/Chez Soi cost analysis: every $10 invested in Housing First saved $9.60 for high-needs participants and $3.42 for moderate-needs participants.

    Up to $0.96 returned per $1 invested in Housing First for high-needs.

  • Economic AnalysisCanada2012

    Cost-effectiveness of diacetylmorphine vs methadone for chronic opioid dependence refractory to treatment

    CMAJ · Nosyk B, Guh DP, Bansback NJ, et al.

    Economic analysis of NAOMI: prescribed diacetylmorphine is cost-effective compared with methadone for treatment-refractory opioid dependence.

  • Economic AnalysisCanada2019

    Modelling the combined impact of interventions in averting deaths during a synthetic-opioid overdose epidemic

    Addiction · Irvine MA, Kuo M, Buxton JA, et al.

    BC modelling: take-home naloxone, SCS, and OAT scale-up averted an estimated 3,030 deaths between 2012–2017.

  • Economic AnalysisInternational2017

    The costs of crime during and after publicly funded treatment for opioid use disorder

    Addiction · Krebs E, Urada D, Evans E, et al.

    Publicly funded OUD treatment substantially reduces criminal-justice costs during and after care.

  • Economic AnalysisSaskatchewan

    Substance Use Disorders in Saskatchewan: A Health System Perspective

    Canadian Centre on Substance Use and Addiction

    CCSA / CISUR Saskatchewan provincial brief on the healthcare and broader costs of substance-use disorders.

Curated and maintained by Voluntary Treatment First Saskatchewan. Every entry links to a peer-reviewed journal, government report, university, or major public-health agency. Spot a broken link or missing study? Let us know.

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