This quality standard is underpinned by the principles of respect and equity.
People with opioid use disorder should receive services that are respectful of their rights and dignity and that promote shared decision-making. They should be given the same care and be treated with the same degree of respect and privacy as any other person.
People with opioid use disorder should be provided services that are respectful of their gender, sexual orientation, socioeconomic status, housing, age, background (including self-identified cultural, linguistic, ethnic, and religious backgrounds), and disability. Equitable access to the health system also includes access to culturally safe care. Language, a basic tool for communication, is an essential part of safe care and needs to be considered throughout a person’s health care journey. For example, in predominantly Anglophone settings, services should be actively offered in French and other languages.
Care providers should be aware of the historical context of the lives of Canada’s Indigenous peoples and be sensitive to the impacts of intergenerational trauma and the physical, mental, emotional, and social harms experienced by Indigenous people, families, and communities.
Although not completely understood, addiction appears to be associated with psychological and social factors, particularly adverse childhood experiences such as neglect and abuse.
Care for people with opioid use disorder should be guided by a trauma-informed approach. With this approach, it is not necessary for the person to disclose their trauma; rather, this approach acknowledges how common trauma is among people who use substances and seeks to connect those interested in treatment with appropriate trauma services.
People with opioid use disorder benefit from care provided by a care provider or care team with the knowledge, skill, and judgment to provide evidence-based treatment for opioid use disorder while also receiving care that addresses all of their primary health care needs.
A high-quality health system is one that provides appropriate access, experience, and outcomes for everyone in Ontario no matter where they live, what they have, or who they are.