Health Canada

Pay-for-success: Opioid Use Disorder Treatment

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Exploring the use of a pay-for-success intervention to improve capacity for the treatment of opioid use disorder

The opioid crisis has affected every part of the country and highlights the importance of exploring innovative means to help reduce the prevalence of opioid use disorder (OUD), and to stop death by opioid overdose.

This innovative project is being conducted in collaboration with Health Canada, the Centre for Addiction and Mental Health and the MaRS Discovery District, and seeks to enhance accessibility to evidence-based treatments for OUD. An initial study aims to determine the feasibility of scaling an intervention addressing OUD in Ontario and across Canada, using an outcomes-based contract (e.g. social impact bond). The outcomes-based model has the potential to provide improved evidence for interventions; allow proven interventions to scale more effectively, which can achieve meaningful health outcomes for individuals and; create significant benefits and savings for health systems. The current feasibility study, ending in July 2019, will be critical to determine the viability of scaling an intervention to address OUD in Canada, using an outcomes-based approach.