Transcript SAFE PLACES GAME

SAFE PLACES GAME
The SIF's opening was associated
independently with a 30% increase in
detoxification service use, and this
behaviour
associatedsites
with increased
With
safewas
injection
would
rates of long-term addiction treatment
there
be
an
increased
use
of
initiation and reduced injecting at the SIF.
addiction treatment?
Evan Wood, Mark W. Tyndall, Ruth Zhang, Julio S. G. Montaner &
Thomas Kerr, et al. 2007. Rate of detoxification service use and its
impact among a cohort of supervised injecting facility users Society
for the Study of Addiction
Reports that the opening of InSite did not
adversely affect community drug use,
including relapse into injected drug use,
Impact
Drug-Use
Patterns
in a
stoppingon
injected
drug use,
and seeking
treatment. InSite
appears to have
Community
improved public order and reduced syringe
sharing.
Kerr T, Stoltz J, Tyndall M, Li K, Zhang R, et al. 2006. Impact of a Medically
Supervised Safer Injection Facility on Community Drug Use Patterns: A
Before and After Study. British Medical Journal 332:220-2
It was examined, and crime rates in the
neighborhood surrounding InSite
(Vancouver) during the year before versus
Would
there
be
an
Impact
on
the year after InSite opened. It has found
DruginRelated
Crime?
no increases
drug trafficking
or
assaults/robbery, and a decline in vehicle
break-ins/vehicle theft.
Wood E, Tyndall MW, Lai C, Montaner JSG, Kerr T. 2006a. Impact
of a Medically Supervised Safer Injecting Facility on Drug Dealing
and Other Drug- Related Crime. Substance Abuse Treatment,
Prevention and Policy 1:1-4
Reports that InSite did attracted injection
drug users (IDUs) with elevated risks of
blood-borne disease infection and
Would it
Attract
Higher-Risk
overdose,
and
IDUs who
were contributing
to public drug
use and
unsafe syringe
Drug
Users?
disposal problems stemming from public
injection drug use.
Wood E, Tyndall MW, Li K, Lloyd-Smith E, Small W, et al. 2005a. Do
Supervised Injecting Facilities Attract Higher-Risk Injection Drug
Users? American Journal of Preventive Medicine 29:126-30
InSite saves $6 million per year
Through the use of conservative estimates,
InSite
prevents
average 35 new
of HIV
Would
anonInjection
Sitecases
Cost
and 3 deaths each year. After program costs are
Money?
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.
Anderson, Boyd, 2006 International Journal of Drug Policy
This report explored the impact of InSite on
public order in the surrounding neighbourhood.
By detailing various kinds of property crime and
violent crime the researchers found that no
What
Would
the
Community
change in the rate of crime can be traced to the
Be?
establishment Impact
of the InSite.
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 InSite
should be either expanded, retained or modified.
Boyd et al 2008 Vancouver: Health Canada
This study attempted to estimate the number of
overdose deaths potentially averted by the
implementation of InSite. Based on a
conservative estimate of the local ratio of nonfatal to fatal overdoses, the potentially fatal
overdoses
inThere
the supervised
injection facility
Would
be
Overdoses
during the study period could have resulted in
between
8 and
51 deaths
had they occurred
Within
a Safe
Injection
Site?
outside the facility. The authors found that
potentially fatal overdoses at InSite during this
period prevented between 6 and 37% of the total
overdose deaths in the community.
Milloy et al 2008 PLoS
When up to 40 per cent of patients using
emergency room services are there because of
addiction to pain pills, having a methadone clinic
in the city makes perfect sense to Bill Leslie
director of the Central Alberta Methadone
Program.
LETHBRIDGE FACTS
Four months later, there’s little doubt Lethbridge
needed a methadone clinic. Nearly 150 patients
have taken part in the substance abuse
program.
Mabell, D. (2009). Methadone clinic makes an impact. Lethbridge Herald.