Expand Number of Safe Injection Sites - Revision history

Charliekapinos: /* Available Tools and Resources */

2024-10-23T19:31:13Z

Available Tools and Resources

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	= Available Tools and Resources =		= Available Tools and Resources =

			*'''SAFE Project:'''
			**'''"Have A Safety Plan"''' is a SAFE Project resource that instructs drug users on how to create a safety plan to prevent overdoses.<ref>https://www.safeproject.us/safety-plan/</ref>
			**See the wiki titled "The Linkage Between Syringe Use and Infectious Disease" for more detailed information on drug use and the concern for those with an SUD catching or spreading infectious diseases.<ref>https://www.yoursafesolutions.us/wiki/The_Linkage_Between_Syringe_Use_and_Infectious_Disease/</ref>

	*'''The Canadian Centre on Substance Abuse''' provides a FAQ-sheet on supervised injection facilities. <ref>https://www.ccsa.ca/sites/default/files/2019-04/ccsa-010657-2004.pdf</ref>		*'''The Canadian Centre on Substance Abuse''' provides a FAQ-sheet on supervised injection facilities. <ref>https://www.ccsa.ca/sites/default/files/2019-04/ccsa-010657-2004.pdf</ref>

BasilSavitsky: /* Key Information */

2024-06-21T22:32:58Z

Key Information

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	= Key Information =		= Key Information =

	~~A key part for communities to be able to expand safe~~ injection sites in the ~~United States is~~ to ~~continue to remove the stigma of addiction. Many individuals still believe that~~ those with substance ~~abuse disorders can just stop~~. ~~We do not expect people with autoimmune disorders or~~ other ~~diseases~~ to ~~stop or figure it out on their own, and we should~~ provide ~~the same care~~ and ~~understanding~~ to ~~those~~ with substance ~~abuse disorders~~. ~~Educating~~ individuals ~~on substance abuse disorders and how this disease~~ can ~~affect people is an important part of being able to~~ get ~~more legislation to open sites nationwide~~. <ref>https://www.~~nytimes~~.com/~~2021~~/11/~~30/nyregion~~/supervised-injection-sites-~~nyc.html~~</ref>		Safe injection sites are important because they can lower the rate of overdoses in a community by having trained individuals at the site to assist and monitor those with substance use disorder while they inject. Safe injection sites also provide clean needles and other supplies to reduce risks. These sites are important because they can provide a safe and sterile environment for users to learn about proper injection and hygienic methods. This may lower infections which can easily be transmitted. Further, these sites may be the first place that someone with substance use disorder decides that they want help. Having individuals working at these sites who are trained in knowing the resources available can help a person get the help they need. <ref>https://www.infectiousdiseaseadvisor.com/home/advisor-channels/hiv-aids-advisor/supervised-injection-sites-pros-and-cons/</ref>

	Safe injection sites are important because they can lower the rate of overdoses in a community by having trained individuals at the site to assist and monitor those with substance abuse disorder while they inject. Safe injection sites also provide clean needles and other supplies to reduce risks. These sites are also important because they can provide a safe and sterile environment for substance abuse users to learn about proper injection and hygienic methods, which may lower infections that can easily be transmitted among those with this disorder. Further, these sites may be the first place that someone with substance abuse disorder decides that they want help, and having individuals working at these sites who are trained in knowing the resources available can help a person get the help they need. <ref>https://www.infectiousdiseaseadvisor.com/home/advisor-channels/hiv-aids-advisor/supervised-injection-sites-pros-and-cons/</ref>		Injection sites are more than just a place for individuals to inject illicit drugs safely. These sites can provide classes, resources, therapy options, and programs. Class topics offered range from proper hygiene to product preparation. Having these classes and programs available helps to reduce overdose and the spread of infectious diseases. These sites also provide referral options for treatment and recovery. <ref>https://www.health.harvard.edu/blog/safe-injection-sites-reducing-stigma-addiction-2017060211826</ref>

	~~Safe injection~~ sites are more than just a place for individuals to inject illicit drugs safely. These sites can provide classes, resources, therapy options, and programs. ~~Some of the classes~~ offered ~~can simply be on~~ proper hygiene ~~use~~ to ~~proper~~ product preparation. Having these classes and programs available ~~can also help~~ to reduce overdose and the spread of infectious diseases ~~among those that are using~~. ~~Other resources that these~~ sites ~~can~~ provide ~~are therapy~~ options and ~~resources on where to go to help get control of the disorder~~. <ref>https://www.health.harvard.edu/blog/safe-injection-sites-reducing-stigma-addiction-2017060211826</ref>

	Individuals who want to get involved and have a say on these programs can:		Individuals who want to get involved and have a say on these programs can:
	*Contact their local, state and federal legislature		*Contact their local, state and federal legislature
	*Watch for and vote on legislation that will allow these sites to operate		*Watch for and vote on legislation that will allow these sites to operate
	*Educate individuals on substance ~~abuse~~ disorder to remove stigma		*Educate individuals on substance use disorder to remove stigma
	*Once sites are opened, individuals can ~~help to~~ support the site and get word out that these programs are available in the community		*Once sites are opened, individuals can support the site and get word out that these programs are available in the community

	= Relevant Research =		= Relevant Research =

BasilSavitsky: /* Impactful Federal, State, and Local Policies */

2024-06-21T22:24:50Z

Impactful Federal, State, and Local Policies

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	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =

	* In January of 2021, the Third Circuit Appellate Court in the United States Department of Justice ruled that safe injection sites were illegal under federal law. <ref>https://www.justice.gov/opa/pr/appellate-court-agrees-government-supervised-injection-sites-are-illegal-under-federal-law</ref> This overturned a decision by the district court on the matter.<ref>https://www.boston25news.com/news/local/federal-development-safe-injection-sites-leaves-massachusetts-advocates-optimistic/YFZWESC22JDRRHWBYPWX7U6HKA/</ref> However, in February of 2022 the Department of Justice released a statement stating that they are evaluating such facilities. <ref>https://www.justice.gov/opa/pr/appellate-court-agrees-government-supervised-injection-sites-are-illegal-under-federal-law</ref>		*'''Federal Law.''' In January of 2021, the Third Circuit Appellate Court in the United States Department of Justice ruled that safe injection sites were illegal under federal law. <ref>https://www.justice.gov/opa/pr/appellate-court-agrees-government-supervised-injection-sites-are-illegal-under-federal-law</ref> This overturned a decision by the district court on the matter.<ref>https://www.boston25news.com/news/local/federal-development-safe-injection-sites-leaves-massachusetts-advocates-optimistic/YFZWESC22JDRRHWBYPWX7U6HKA/</ref> However, in February of 2022 the Department of Justice released a statement stating that they are evaluating such facilities. <ref>https://www.justice.gov/opa/pr/appellate-court-agrees-government-supervised-injection-sites-are-illegal-under-federal-law</ref>

	* In November of 2021, New York ~~began operating~~ two safe injection sites in Manhattan. New York currently has a proposal for the Safer Consumption Services Act. If this act passes into law it would allow New York to open more sites statewide. <ref>https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html</ref> As of 10/27/23, this bill is still in committee.		*'''New York.''' In November of 2021, New York two safe injection sites began operating in Manhattan. New York currently has a proposal for the Safer Consumption Services Act. If this act passes into law it would allow New York to open more sites statewide. <ref>https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html</ref> As of 10/27/23, this bill is still in committee.

			* '''Advocacy.''' A key part for communities to be able to expand safe injection sites in the United States is to continue to remove the stigma of addiction. Many individuals still believe that those with substance abuse disorders can just stop. We do not expect people with autoimmune disorders or other diseases to stop or figure it out on their own, and we should provide the same care and understanding to those with substance abuse disorders. Educating individuals on substance abuse disorders and how this disease can affect people is an important part of being able to get more legislation to open sites nationwide. <ref>https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html</ref>

	= Available Tools and Resources =		= Available Tools and Resources =

BasilSavitsky: /* Promising Practices */

2024-06-21T22:14:02Z

Promising Practices

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	*'''The Transform Drug Policy Foundation''' documents ~~that there are~~ almost 200 safe injection sites in operation across the world in fourteen countries including Canada, Germany, Switzerland, France, Portugal, Ukraine, Norway, the Netherlands, Australia, Belgium, Spain, Denmark, Iceland and the US. <ref>https://transformdrugs.org/drug-policy/uk-drug-policy/overdose-prevention-centres</ref>		*'''The Transform Drug Policy Foundation''' documents almost 200 safe injection sites in operation across the world in fourteen countries including Canada, Germany, Switzerland, France, Portugal, Ukraine, Norway, the Netherlands, Australia, Belgium, Spain, Denmark, Iceland and the US. <ref>https://transformdrugs.org/drug-policy/uk-drug-policy/overdose-prevention-centres</ref>

	*'''United States.''' A grant of more than $5 million over 4 years will go to New York University and Brown University in Providence, RI, to study 1,000 people at New York’s two sites, along with one set to open in Providence next year. <ref>https://www.~~webmd~~.~~com~~/~~mental-~~health/~~addiction/news/20230517/us-will-fund-study~~-of-safe-injection-sites-~~despite~~-~~pushback~~</ref>		*'''United States.''' A grant of more than $5 million over 4 years will go to New York University and Brown University in Providence, RI, to study 1,000 people at New York’s two sites, along with one set to open in Providence next year. <ref>https://www.pbs.org/newshour/health/effectiveness-of-safe-injection-sites-to-be-evaluated-in-government-backed-study</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Relevant Research */

2024-06-21T22:09:30Z

Relevant Research

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	* A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. It found that using proper methods helps to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>		* A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. It found that using proper methods helps to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>

	* This ~~report~~ indicates that best evidence from cohort and modeling studies suggests safe injection sites are associated with lower overdose mortality, 67% fewer ambulance calls for treating overdoses, and a decrease in HIV infections. <ref>Ng J, Sutherland C, Kolber MR. Does evidence support supervised injection sites? Can Fam Physician. 2017 Nov;63(11):866. Retrieved at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685449/</ref>		* This article indicates that best evidence from cohort and modeling studies suggests safe injection sites are associated with lower overdose mortality, 67% fewer ambulance calls for treating overdoses, and a decrease in HIV infections. <ref>Ng J, Sutherland C, Kolber MR. Does evidence support supervised injection sites? Can Fam Physician. 2017 Nov;63(11):866. Retrieved at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685449/</ref>

	* This report provides a literature review on safe consumption facilities. <ref>https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf</ref>		* This report provides a literature review on safe consumption facilities. <ref>https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf</ref>

	* ~~A report made by Kral and Davidson~~ documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>		* This article documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>

	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =

BasilSavitsky: /* Relevant Research */

2024-06-21T22:08:31Z

Relevant Research

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	= Relevant Research =		= Relevant Research =

	* This report indicates that best evidence from cohort and modeling studies suggests ~~that~~ safe injection sites s are associated with lower overdose mortality, 67% fewer ambulance calls for treating overdoses, and a decrease in HIV infections. <ref>Ng J, Sutherland C, Kolber MR. Does evidence support supervised injection sites? Can Fam Physician. 2017 Nov;63(11):866. Retrieved at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685449/</ref>		* A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. It found that using proper methods helps to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>

			* This report indicates that best evidence from cohort and modeling studies suggests safe injection sites are associated with lower overdose mortality, 67% fewer ambulance calls for treating overdoses, and a decrease in HIV infections. <ref>Ng J, Sutherland C, Kolber MR. Does evidence support supervised injection sites? Can Fam Physician. 2017 Nov;63(11):866. Retrieved at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685449/</ref>

	* This report provides a literature review on safe consumption facilities. <ref>https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf</ref>		* This report provides a literature review on safe consumption facilities. <ref>https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf</ref>

	* A report made by Kral and Davidson documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>		* A report made by Kral and Davidson documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>

	* A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. Using proper methods can help to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>

	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =

BasilSavitsky: /* Available Tools and Resources */

2024-06-21T22:05:46Z

Available Tools and Resources

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	= Available Tools and Resources =		= Available Tools and Resources =

	*'''The ~~British Columbia Ministry of Health~~''' ~~has published a Community guidebook that~~ provides ~~an overview of harm reduction and various actions that can be taken at the municipal level to develop~~ a ~~strategy for mobilizing communities around harm reduction. It focuses~~ on ~~supporting the development of a community response using the traditional authority of municipal jurisdictions~~. <ref>https://www.~~health.gov.bc~~.ca/~~library~~/~~publications~~/~~year~~/~~2005~~/~~hrcommunityguide~~.pdf</ref>		*'''The Canadian Centre on Substance Abuse''' provides a FAQ-sheet on supervised injection facilities. <ref>https://www.ccsa.ca/sites/default/files/2019-04/ccsa-010657-2004.pdf</ref>

	*'''The ~~Canadian Centre on Substance Abuse~~''' ~~provides~~ a ~~FAQ-sheet~~ on ~~supervised injection facilities~~.<ref>https://www.~~ccsa~~.ca/~~sites~~/~~default~~/~~files~~/~~2019-04~~/~~ccsa-010657-2004~~.pdf</ref>		*'''The British Columbia Ministry of Health''' has published a community guidebook providing an overview of harm reduction and various actions which can be taken at the municipal level to develop a strategy for mobilizing communities around harm reduction. It focuses on supporting the development of a community response using the traditional authority of municipal jurisdictions. <ref>https://www.health.gov.bc.ca/library/publications/year/2005/hrcommunityguide.pdf</ref>

	= Promising Practices =		= Promising Practices =

BasilSavitsky: /* Introductory Paragraph */

2024-06-21T22:03:08Z

Introductory Paragraph

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	= Introductory Paragraph =		= Introductory Paragraph =

	~~In the United States there is still much debate on the use of safe injection sites and whether states and the federal government should allow these sites to exist.~~ A safe injection site is a specific location where people can safely inject an illicit drug under a medical professional's supervision. Everyday there are more than 100 people who overdose~~. The~~ objective of these sites is to provide a safe and clean environment to decrease the number of overdoses. These sites ~~can also~~ help to stop the spread of life-threatening infections, such as HIV or Hepatitis C. ~~Although they~~ have been in use in Europe, Australia, and Canada for decades~~, the use of these sites is relatively new to the United States~~. <ref>https://nursing.usc.edu/blog/supervised-injection-sites/</ref>		A safe injection site is a specific location where people can safely inject an illicit drug under a medical professional's supervision. Everyday there are more than 100 people who overdose, and the objective of these sites is to provide a safe and clean environment to decrease the number of overdoses. These sites help to stop the spread of life-threatening infections, such as HIV or Hepatitis C. Safe injection sites have been in use in Europe, Australia, and Canada for decades. <ref>https://nursing.usc.edu/blog/supervised-injection-sites/</ref> However, the use of these sites is relatively new to the United States and there is still much debate on their use and whether states or the federal government should allow these sites to exist.

	= Key Information =		= Key Information =

BasilSavitsky: /* Relevant Research */

2023-10-31T23:48:10Z

Relevant Research

← Older revision		Revision as of 16:48, 31 October 2023
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	* A report made by Kral and Davidson documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>		* A report made by Kral and Davidson documents the benefit of an unsanctioned supervised injection site in the U.S. <ref>Kral AH, Davidson PJ. Addressing the nation’s opioid epidemic: lessons from an unsanctioned supervised injection site in the U.S. Am J Prev Med 2017;53:919-922.</ref>

			* A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. Using proper methods can help to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>

	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =

BasilSavitsky: /* Promising Practices */

2023-10-31T23:47:25Z

Promising Practices

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	= Promising Practices =		= Promising Practices =

			*'''The Transform Drug Policy Foundation''' documents that there are almost 200 safe injection sites in operation across the world in fourteen countries including Canada, Germany, Switzerland, France, Portugal, Ukraine, Norway, the Netherlands, Australia, Belgium, Spain, Denmark, Iceland and the US. <ref>https://transformdrugs.org/drug-policy/uk-drug-policy/overdose-prevention-centres</ref>

	*'''United States.''' A grant of more than $5 million over 4 years will go to New York University and Brown University in Providence, RI, to study 1,000 people at New York’s two sites, along with one set to open in Providence next year. <ref>https://www.webmd.com/mental-health/addiction/news/20230517/us-will-fund-study-of-safe-injection-sites-despite-pushback</ref>		*'''United States.''' A grant of more than $5 million over 4 years will go to New York University and Brown University in Providence, RI, to study 1,000 people at New York’s two sites, along with one set to open in Providence next year. <ref>https://www.webmd.com/mental-health/addiction/news/20230517/us-will-fund-study-of-safe-injection-sites-despite-pushback</ref>

	*'''France.''' A longitudinal study done in France on the practice of community-based safe injection sites had promising results. This study focused on providing education on safely injecting and safe hygiene practices at the sites. Using proper methods can help to reduce the risk of overdose and the risk of spreading infectious diseases. <ref>https://www.sciencedirect.com/science/article/abs/pii/S0376871618305003</ref>

	*'''Transform Drug Policy Foundation''' ''What is an Overdose Prevention Centre'' There are currently approaching 200 OPCs in operation across the world in fourteen countries including Canada, Germany, Switzerland, France, Portugal, Ukraine, Norway, the Netherlands, Australia, Belgium, Spain, Denmark, Iceland and the US. <ref>https://transformdrugs.org/drug-policy/uk-drug-policy/overdose-prevention-centres</ref>

	= Sources =		= Sources =