When we work with the prescribers and they want to do person-centred care, they know that certain clients require an opiate medication that they cannot prescribe because it's not indicated for opioid use. In downtown Vancouver you are going to be an advocacy group and you are going to be able to prescribe off-label, but in other places, you don't have that support. You are alone, so you can prescribe only a few things. You don't have prescribers.
The idea is to have the flexibility that we can have all these medications, that we know are evidence-based, available. Then when you have a client coming to you, you can have a conversation with them and say, don't leave, I have something for you. This is the medication that is going to be the best fit for you.
Maybe that person is not ready for take-home medications, but work with them. Maybe that person is ready for somebody going with them or a family member helping. There are so many ways to work with people who are not supervised or just left on their own.
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