Supervised injection site: Difference between revisions

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'''Supervised injection site''' (also known as '''drug consumption rooms''' (DCRs), '''safe injection sites''', '''fix rooms''', and '''supervised injection facilities''' (SIFs)) are legally sanctioned, medically supervised facilities designed to address public health issues associated with drug use. They are part of a harm reduction approach towards drug problems. The facilities provide sterile injection equipment, information about drugs and basic health care, treatment referrals, and access to medical staff. Some offer counseling, hygienic amenities, and other services.
== Supervised Injection Site ==
 
[[File:SCMR_Argos_Strasbourg_novembre_2016-4.jpg|thumb|right|A supervised injection site in Strasbourg, France.]]
 
A '''supervised injection site''' (SIS), also known as a '''safe injection site''', '''drug consumption room''', or '''overdose prevention center''', is a legally sanctioned, medically supervised facility designed to provide a hygienic and safe environment for individuals to consume pre-obtained drugs. These sites aim to reduce the health risks associated with drug use, such as [[HIV]] transmission and [[drug overdose|overdose]] deaths, while also connecting users with health and social services.


== History ==
== History ==
The first supervised drug consumption room was opened in Berne, Switzerland in June 1986. Other cities and states in Europe have followed suit and a number of supervised injection sites are now operating in Denmark, Germany, the Netherlands, Spain, Norway, Luxembourg, and France. In Australia, a supervised injection site trial in the Sydney suburb of Kings Cross was launched in 2001. In North America, San Francisco has been considering opening a supervised injection site for years and in Canada, Vancouver's Insite was the first facility in North America to be granted an exemption to federal drug laws, allowing it to operate.
The first supervised injection site was established in [[Switzerland]] in the 1980s as a response to the growing [[HIV/AIDS]] epidemic and increasing drug-related deaths. Since then, many countries, including [[Canada]], [[Australia]], and several European nations, have adopted similar models.
 
== Objectives ==
Supervised injection sites aim to:
* Reduce the transmission of infectious diseases such as [[HIV]] and [[hepatitis C]].
* Decrease the number of drug-related deaths by providing immediate medical assistance in the event of an overdose.
* Connect individuals with addiction treatment and other health services.
* Reduce public drug use and associated litter, such as discarded needles.


== Effectiveness ==
== Services Provided ==
Research has shown that the use of supervised injection sites results in a decrease in public drug use, public injecting, and discarded needles. It also leads to an increase in the use of detoxification services and addiction treatment among users. A 2014 review found evidence of a decrease in drug-related harms, but stated that more high-quality research is needed.
Supervised injection sites typically offer:
* Clean injecting equipment, such as needles and syringes.
* Supervision by trained medical staff who can intervene in case of an overdose.
* Access to [[naloxone]], a medication used to reverse opioid overdoses.
* Referrals to addiction treatment programs, mental health services, and social support.


== Criticism ==
== Controversy and Criticism ==
Critics of supervised injection sites argue that these facilities condone illicit drug use and can increase drug-related crime rates in the areas where they are located. They also argue that these sites may put the surrounding community at risk and that they divert resources that could be better spent on other forms of treatment.
[[File:Controversial_Safe_Injection_Site.jpg|thumb|right|A controversial safe injection site.]]


== See also ==
Despite their benefits, supervised injection sites are often controversial. Critics argue that they may encourage drug use and undermine drug prevention efforts. There are also legal challenges in some countries where drug use is criminalized. However, supporters argue that these sites save lives and provide a pathway to recovery for many users.
 
== Legal Status ==
The legal status of supervised injection sites varies by country and region. In some places, they operate under special legal exemptions, while in others, they face significant legal hurdles. For example, in the [[United States]], federal law prohibits the operation of such sites, although some cities are exploring ways to establish them legally.
 
== Related Pages ==
* [[Harm reduction]]
* [[Harm reduction]]
* [[Drug liberalization]]
* [[Needle exchange programme]]
* [[Drug policy reform]]
* [[Opioid epidemic]]
* [[Drug policy of the Netherlands]]
* [[Drug policy]]
* [[Drug policy of Portugal]]
* [[Insite]]
* [[War on Drugs]]


== References ==
[[File:NaloxoneKit.jpg|thumb|left|A naloxone kit used to reverse opioid overdoses.]]
<references />
 
== See Also ==
* [[Public health]]
* [[Addiction]]
* [[Substance abuse treatment]]


[[Category:Drug policy]]
[[Category:Drug policy]]
[[Category:Harm reduction]]
[[Category:Harm reduction]]
[[Category:Health care quality]]
[[Category:Public health]]
[[Category:Public health]]
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{{dictionary-stub1}}

Latest revision as of 14:39, 22 February 2025

Supervised Injection Site[edit]

File:SCMR Argos Strasbourg novembre 2016-4.jpg
A supervised injection site in Strasbourg, France.

A supervised injection site (SIS), also known as a safe injection site, drug consumption room, or overdose prevention center, is a legally sanctioned, medically supervised facility designed to provide a hygienic and safe environment for individuals to consume pre-obtained drugs. These sites aim to reduce the health risks associated with drug use, such as HIV transmission and overdose deaths, while also connecting users with health and social services.

History[edit]

The first supervised injection site was established in Switzerland in the 1980s as a response to the growing HIV/AIDS epidemic and increasing drug-related deaths. Since then, many countries, including Canada, Australia, and several European nations, have adopted similar models.

Objectives[edit]

Supervised injection sites aim to:

  • Reduce the transmission of infectious diseases such as HIV and hepatitis C.
  • Decrease the number of drug-related deaths by providing immediate medical assistance in the event of an overdose.
  • Connect individuals with addiction treatment and other health services.
  • Reduce public drug use and associated litter, such as discarded needles.

Services Provided[edit]

Supervised injection sites typically offer:

  • Clean injecting equipment, such as needles and syringes.
  • Supervision by trained medical staff who can intervene in case of an overdose.
  • Access to naloxone, a medication used to reverse opioid overdoses.
  • Referrals to addiction treatment programs, mental health services, and social support.

Controversy and Criticism[edit]

File:Controversial Safe Injection Site.jpg
A controversial safe injection site.

Despite their benefits, supervised injection sites are often controversial. Critics argue that they may encourage drug use and undermine drug prevention efforts. There are also legal challenges in some countries where drug use is criminalized. However, supporters argue that these sites save lives and provide a pathway to recovery for many users.

Legal Status[edit]

The legal status of supervised injection sites varies by country and region. In some places, they operate under special legal exemptions, while in others, they face significant legal hurdles. For example, in the United States, federal law prohibits the operation of such sites, although some cities are exploring ways to establish them legally.

Related Pages[edit]

File:NaloxoneKit.jpg
A naloxone kit used to reverse opioid overdoses.

See Also[edit]