Supervised injection rooms are legally sanctioned facilities where people who use intravenous drugs can inject pre-obtained drugs under medical supervision. Supervised injection facilities are designed to reduce the health and societal problems associated with injection drug use. These facilities now operate in dozens of cities abroad and in Canada and have been shown to reduce injection-related risks and harms like vein damage, overdose, and transmission of diseases like HIV/AIDS and hepatitis C. No such facilities currently exist in the United States, but the Drug Policy Alliance is advocating for supervised injection pilot programs in San Francisco and New York City. We are working to expand the national dialogue on drug control to include policies and programs that mitigate the harms of drug use without mandating abstinence.
David Brodrick is 40 years old. He is from Toronto. He was adopted, and at the age of 12 he ran away from home. He started injecting drugs after he found out he was HIV positive in 1990. Dave was the first peer counselor for inmates with HIV in a federal penitentiary in Ontario.
What should be done about the millions of people in the United States and around the world who inject heroin and other drugs? For 30-plus years, the U.S. has pushed a "war on drugs" that is more accurately a war on drug users. This war on drugs has not delivered on its promise to keep drugs off our streets or to prevent people from using, but it has filled our prisons beyond capacity and led to far too many cases of HIV/AIDS related to sharing contaminated needles.
Substance Abuse Treatment, Prevention, and Policy
In various settings, drug market policing strategies have been found to have unintended negative effects on health service use among injection drug users (IDU). This has prompted calls for more effective coordination of policing and public health efforts. In Vancouver, Canada, a supervised injection facility (SIF) was established in 2003. We sought to determine if local police impacted utilization of the SIF.
In 2003, the regional health authority in Vancouver, Canada successfully applied to the federal government for a legal operating exemption to pilot North America’s first medically supervised injection facility (SIF) – Insite. This report provides a lay person’s description of the scientific evaluation of Insite, as well as summaries of the research findings related to its impact.
Since opening its doors in 2003, Insite has been a safe, health-focused place where people inject drugs and connect to health care services – from primary care to treat disease and infection, to addiction counselling and treatment.
Insite is North America’s first legal supervised injection site. The BC Ministry of Health Services provides operational funding for Insite through Vancouver Coastal Health, which operates the facility.
The Sydney Medically Supervised Injecting Centre (MSIC) recognises that drug addiction is a chronic, relapsing condition and that it is complex and difficult to treat. MSIC does not support or promote drug use; it simply acknowledges that it is a fact of life.
SIF Allow People to Consume Their Drugs with Sterile Equipment in Presence of Medically-Trained Staff; Reduce HIV, Overdose Deaths and Public Drug Use, While Not Increasing Drug Use
SF Elected Officials Need to Embrace Science and Public Health Approach
This volume includes a variety of perspectives on harm reduction approaches, together with an analysis of the concept's role within drug policies, both in Europe and beyond. Readers may not necessarily agree with all of the arguments made or the conclusiondrawn, but we hope it is perceived as a valuable contribution to the ongoing debate on how to respond to contemporary drug problems in Europe.
The International Centre for Science in Drug Policy (ICSDP) is an international network of scientists, academics, and health practitioners committed to improving the health and safety of communities and individuals affected by illicit drugs.
Youth R.I.S.E. (Resource. Information. Support. Education) is an international, youth-led network of young people committed to confronting the reality that young people today live in a world where drugs are more accessible on the street than the education and resources needed to reduce their harm.