Alcohol drug related to dating abuse
Attendance at Supervised Injecting Facilities and Use of Detoxification Services. Safer Injecting Facility Use and Syringe Sharing Among Injection Drug Users. American Journal of Drug and Alcohol Abuse Supervised injection facilities have a place in comprehensive HIV care models This study explored the concept of integrating supervised injection programming into an HIV focused care facility in Vancouver. The findings show that those most likely to receive care are the individuals engaged with treatment regimens similar to those provided at In Site.
American Journal of Infectious Diseases -4 HIV Education Reports that individuals requiring help injecting - a risk factor previously associated with HIV incidence - are receiving safer injecting education at In Site. International Journal of Drug Policy Preventing HIV/AIDS The purpose of this analysis is to measure the prevalence and correlates of baseline HIV among those who are using the SIF, to determine if In Site could be used as a site for HIV related care and treatment. Substance Abuse Treatment, Prevention and Policy In Site saves the city, government and health care system money This study examines the cost-effectiveness of Vancouver's supervised injection site. Thomas Kerr, Will Small, David Moore, Evan Wood, 2006. Furthermore, 60% of those living/working in the area reported feeling that the site had a positive impact on public order; and more than 80% indicated that In Site should be either expanded, retained or modified. Boyd et al 2008 Vancouver: Health Canada Canada's national police force concludes that supervised injection sites do not increase crime This study, lead by the RCMP, Canada's national police force, analyzed previous research and found that supervised injection sites achieve many of the expected benefits and that there was no evidence that they increased the number of drug users, made drug users more resistant to treatment or decreased public order by expanding drug scenes or attracting drug users and dealers from other locations. Cohen 2006 Potus Consulting, RCMP There has never been a fatal overdose at In Site This study attempted to estimate the number of overdose deaths potentially averted by the implementation of In Site. A micro-environmental intervention to reduce the harms associated with drug-related overdose: Evidence from the evaluation of Vancouver's safer injection facility. Based on a conservative estimate of the local ratio of non-fatal to fatal overdoses, the potentially fatal overdoses in the supervised injection facility during the study period could have resulted in between 8 and 51 deaths had they occurred outside the facility. These findings suggest that SIF can play a role in managing overdoses. Harm Reduction Journal Reducing Harms Associated With Drug-Related Overdose Conventional drug overdose prevention strategies have been criticised for failing to address the macro- and micro-environmental factors that shape drug injecting practices and compromise individual ability to reduce the risks associated with drug-related overdose. After program costs are taken into account, this prevention method is generating a societal benefit in excess of $6 million per year and is an effective and efficient use of public health care resources. International Journal of Drug Policy Neighbourhood residents and businesses view In Site as making a positive contribution to public order This report explored the impact of In Site on public order in the surrounding neighbourhood. Wood 2008 Estimated Drug Overdose Deaths Averted by North America's First medically Supervised Safer Injection Facility. The study also considered the health effect of increased use of safe injection practices, the incremental net savings increased to more than $20 million and the number of life-years gained to 1070. Drug users who use In Site for 75% or more of their injections are less likely to overdose than those who use the site less often. Safer injection facilities (SIFs) constitute one such intervention, although little is known about the impact of such facilities on factors that mediate risk for overdose. By detailing various kinds of property crime and violent crime the researchers found that no change in the rate of crime can be traced to the establishment of the In Site. PLo S One Vancouver police officers support the efforts of In Site and work in tandem with the facility to improve public order Study examined the role of police in referring injection drug users to In Site and found that the supervised injection site provides an opportunity to coordinate policing and public health efforts in a positive manner thereby improving both health and public order. This study suggests that In Site is effective in supporting safer sex practices and preventing the spread of sexually transmitted diseases. This study highlights the ways in which In Site can be further developed to respond effectively with high quality and relevant services that meet the needs of an evolving community.
BMC Public Health While consistent condom use by users of In Site was low at the beginning of 2003, by the end of 2005 condom use had increased by 30% among thoise with regular partners and by 13% among those who were single or casually dating. The authors note that the impact of supervised injection facilities and resulting reductions in HIV transmission is a recurring theme in global research on this topic. This study examined how successful In Site has been at attracting this demographic and found that 57% of those included in the study reported using In Site regularly.
Jo-Anne Stoltz, Evan Wood, Will Small, Kathy Li, Mark Tyndall, Julio Montaner, Thomas Kerr, 2007. Montaner, Evan Wood, 2007 Addictive Behaviors Limiting Hepatitis C Infection The SIF has attracted injection drug users with a high burden of HCV infection and a substantial proportion of uninfected individuals.
Changes in injecting practices associated with the use of a medically supervised safer injection facility. Although crosssectional, this study provides some insight into historical risks for HCV infection among this population, and prospective follow-up of this cohort will be useful to determine if use of the SIF is associated with reduced risk behaviour and HCV incidence.
Journal of Public Health SIS Evaluation Review In many cities, infectious disease and overdose epidemics are occurring among illicit injection drug users. Summary of findings from the evaluation of a pilot medically supervised safer injecting facility. Wainberg, Mc Gill University AIDS Centre, Jewish General Hospital, 2006 Canadian Medical Association Journal Drug Users' Perceptions Regarding In Site This study was undertaken to explore injection drug users' experiences and opinions regarding North America's first SIF in Vancouver, Canada.
Vancouver's safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts. Canadian Medical Association Journal Commentary: The need to promote public health in the field of illicit drug use.
These findings should be useful to other cities considering supervised injecting facilities and to governments considering regulating their use.