Meeting Summary – August 2021: Supervised Consumption Sites

Nov 3, 2021 | Meeting Summary

Article

Kerman N, Manoni-Millar S, Cormier L, Cahill T, Sylvestre J. “It’s not just injecting drugs”: Supervised consumption sites and the social determinants of health. Drug Alcohol Depend. 2020 May 23;213:108078. doi: 10.1016/j.drugalcdep.2020.108078. Epub ahead of print. PMID: 32485658.

Article Summary

The authors of this article report on interviews with people who inject drugs in Ottawa, Canada, to gain information about their experiences with supervised consumption sites. Supervised consumption sites are defined as sites that prove a safe and hygienic space for people to use previously acquired drugs with sterile injection equipment, and medical intervention when needed. The authors talk about various social factors that negatively impact health outcomes among people who inject drugs. For example homelessness, lack of social support, poor access to healthcare, and lack of access to food are additional social factors negatively affecting this group.

The research project worked with a local consumption site to find individuals that may want to talk about their life. The interviews with participants provided information about experiences with supervised consumption sites and how using supervised consumption sites impacted the other social factors.

In reviewing the comments of participants, the authors found themes related to 1) social connectedness, 2) emotional support, 3) safety, 4) housing status, and 5) access to and use of healthcare services. Supervised consumption sites were reported to have positive changes across these themes. Based on their results, the authors suggest that supervised consumption sites can be central in connecting people who inject drugs to healthcare services, plus shelter and supportive housing options.

Key Themes and Discussion Summary

Social benefits of consumption sites

It was noted in discussion that supervised consumption sites have potential for people who use drugs to get social support from peers and medical providers. The group talked about how supervised consumption sites have potential to normalize drug use and reduce stigma in the community.

Different types of supervised consumption sites

Two main types of supervised consumption sites were discussed in this meeting, one being mobile sites (such as a mobile van that can be moved to different locations), and brick and mortar sites (i.e. site remains at a set building). Both types were thought to have positive and negative features, but would depend on the needs of the community the site is meant to serve.

Supervised consumption sites require community support

Group attendees talked about the need for high support from community members even after changes to the law. Support from a range of individuals—such as local community members, civic leaders medical staff, law enforcement, first responders, researchers—will be needed for supervised consumption sites to be successful.

Stigmatizing language used by medical providers

The language often used by medical providers stigmatizes people who use drugs. This means that many people who use drugs do not use healthcare services because of how they’ve been treated in the past. Group attendees talked about how on-going feedback from community members via focus groups and community advisory boards is one of the most effective solutions for correcting medical provider attitudes.

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