Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients

Vincent Tran,1 Sharon E Reid,2,3 Amanda Roxburgh,1,4– 6 Carolyn A Day1,2 1Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; 2Edith Collins Centre (Translational Research in Alcohol, Drugs and Toxicology), Sydney Local Health Dist...

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Autores principales:	Tran V, Reid SE, Roxburgh A, Day CA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	safe injecting facilities intravenous injecting harm reduction Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/00f66b265b474a46b6aff728cb45e85e
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spelling	oai:doaj.org-article:00f66b265b474a46b6aff728cb45e85e2021-11-16T18:47:50ZAssessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients1179-1594https://doaj.org/article/00f66b265b474a46b6aff728cb45e85e2021-11-01T00:00:00Zhttps://www.dovepress.com/assessing-drug-consumption-rooms-and-longer-term-5-year-impacts-on-com-peer-reviewed-fulltext-article-RMHPhttps://doaj.org/toc/1179-1594Vincent Tran,1 Sharon E Reid,2,3 Amanda Roxburgh,1,4– 6 Carolyn A Day1,2 1Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; 2Edith Collins Centre (Translational Research in Alcohol, Drugs and Toxicology), Sydney Local Health District, Sydney, New South Wales, Australia; 3Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; 4Health Risks Program, Burnet Institute, Melbourne, Victoria, Australia; 5National Drug and Alcohol Research Centre, UNSW, Randwick, New South Wales, Australia; 6Monash Addiction Research Centre, Monash University, Clayton, Victoria, AustraliaCorrespondence: Carolyn A Day Tel +61 2 95191446Email carolyn.day@sydney.edu.auBackground: Drug consumption rooms (DCRs) and supervised injecting facilities (SIFs) provide a safe environment in which people who inject drugs (PWIDs) can inject under hygienic and supervised conditions. Numerous reviews have documented the benefits of these facilities; however, there is a lack of clarity surrounding their long-term effects.Purpose: To conduct, with a systematic approach, a literature review, of published peer-reviewed literature assessing the long-term impacts of DCRs/SIFs.Methods: A systematic search of the PubMed and Embase database was performed using the keywords: (“SUPERVISED” OR “SAFE&ast;”) AND (“CONSUMPTION” OR “INJECT&ast;” OR “SHOOTING”) AND (“FACILITY&ast;” OR “ROOM&ast;” OR “GALLERY&ast;” OR “CENTRE&ast;” OR “CENTER&ast;” OR “SITE&ast;”). Included studies were original articles reporting outcomes for five or more years and addressed at least one of the following client or community outcomes; (i) drug-related harms; (ii) access to substance use treatment and other health services; (iii) impact on local PWID population; (iv) impact on public drug use, drug-related crime and violence; and (v) local community attitudes to DCRs.Results: Four publications met our inclusion criteria, addressing four of the five outcomes. Long-term data suggested that while the health of PWID naturally declined over time, DCRs/SIFs helped reduce injecting-related harms. The studies showed that DCRs/SIFs facilitate drug treatment, access to health services and cessation of drug injecting. Local residents and business owners reported less public drug use and public syringe disposal following the opening of a DCR/SIF.Conclusion: Long-term evidence on DCRs/SIFs is consistent with established short-term research demonstrating the benefits of these facilities. A relative paucity of studies was identified, with most evidence originating from Sydney and Vancouver. The overall body of evidence would be improved by future studies following outcomes over longer periods and being undertaken in a variety of jurisdictions and models of DCRs/SIFs.Keywords: safe injecting facilities, intravenous, Injecting, harm reductionTran VReid SERoxburgh ADay CADove Medical Pressarticlesafe injecting facilitiesintravenousinjectingharm reductionPublic aspects of medicineRA1-1270ENRisk Management and Healthcare Policy, Vol Volume 14, Pp 4639-4647 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	safe injecting facilities intravenous injecting harm reduction Public aspects of medicine RA1-1270
spellingShingle	safe injecting facilities intravenous injecting harm reduction Public aspects of medicine RA1-1270 Tran V Reid SE Roxburgh A Day CA Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
description	Vincent Tran,1 Sharon E Reid,2,3 Amanda Roxburgh,1,4– 6 Carolyn A Day1,2 1Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; 2Edith Collins Centre (Translational Research in Alcohol, Drugs and Toxicology), Sydney Local Health District, Sydney, New South Wales, Australia; 3Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; 4Health Risks Program, Burnet Institute, Melbourne, Victoria, Australia; 5National Drug and Alcohol Research Centre, UNSW, Randwick, New South Wales, Australia; 6Monash Addiction Research Centre, Monash University, Clayton, Victoria, AustraliaCorrespondence: Carolyn A Day Tel +61 2 95191446Email carolyn.day@sydney.edu.auBackground: Drug consumption rooms (DCRs) and supervised injecting facilities (SIFs) provide a safe environment in which people who inject drugs (PWIDs) can inject under hygienic and supervised conditions. Numerous reviews have documented the benefits of these facilities; however, there is a lack of clarity surrounding their long-term effects.Purpose: To conduct, with a systematic approach, a literature review, of published peer-reviewed literature assessing the long-term impacts of DCRs/SIFs.Methods: A systematic search of the PubMed and Embase database was performed using the keywords: (“SUPERVISED” OR “SAFE&ast;”) AND (“CONSUMPTION” OR “INJECT&ast;” OR “SHOOTING”) AND (“FACILITY&ast;” OR “ROOM&ast;” OR “GALLERY&ast;” OR “CENTRE&ast;” OR “CENTER&ast;” OR “SITE&ast;”). Included studies were original articles reporting outcomes for five or more years and addressed at least one of the following client or community outcomes; (i) drug-related harms; (ii) access to substance use treatment and other health services; (iii) impact on local PWID population; (iv) impact on public drug use, drug-related crime and violence; and (v) local community attitudes to DCRs.Results: Four publications met our inclusion criteria, addressing four of the five outcomes. Long-term data suggested that while the health of PWID naturally declined over time, DCRs/SIFs helped reduce injecting-related harms. The studies showed that DCRs/SIFs facilitate drug treatment, access to health services and cessation of drug injecting. Local residents and business owners reported less public drug use and public syringe disposal following the opening of a DCR/SIF.Conclusion: Long-term evidence on DCRs/SIFs is consistent with established short-term research demonstrating the benefits of these facilities. A relative paucity of studies was identified, with most evidence originating from Sydney and Vancouver. The overall body of evidence would be improved by future studies following outcomes over longer periods and being undertaken in a variety of jurisdictions and models of DCRs/SIFs.Keywords: safe injecting facilities, intravenous, Injecting, harm reduction
format	article
author	Tran V Reid SE Roxburgh A Day CA
author_facet	Tran V Reid SE Roxburgh A Day CA
author_sort	Tran V
title	Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
title_short	Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
title_full	Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
title_fullStr	Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
title_full_unstemmed	Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients
title_sort	assessing drug consumption rooms and longer term (5 year) impacts on community and clients
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/00f66b265b474a46b6aff728cb45e85e
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Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients

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