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Ambivalence about supervised injection facilities among community stakeholders
Carol Strike1,2, Tara Marie Watson3, Gillian Kolla4
1Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada. carol.strike@utoronto.ca.
Harm Reduction Journal
|August 22, 2015
Summary
Community stakeholders have mixed feelings about supervised injection facilities (SIFs). Key concerns include understanding evidence, ensuring a comprehensive drug use response, and appropriate SIF siting to avoid negative community impacts.
Area of Science:
- Public Health
- Sociology
- Urban Planning
Background:
- Community opinions on supervised injection facilities (SIFs) vary.
- Understanding stakeholder ambivalence is crucial for SIF implementation.
Purpose of the Study:
- Identify reasons for community stakeholder ambivalence towards SIFs.
- Explore concerns regarding SIFs in two Canadian cities.
Main Methods:
- Purposive sampling recruited 141 stakeholder representatives.
- Data collected through key informant interviews and focus groups.
- Thematic analysis used to interpret qualitative data.
Main Results:
- Seven key reasons for ambivalence identified.
- Concerns include lack of evidence, narrow SIF goals, insufficient drug problem scale, optimal siting, gentrification impacts, resource diversion, and need for evaluation/discontinuation clauses.
Conclusions:
- Stakeholders require context-specific evidence on SIF impacts and harms.
- SIFs should be part of a broader drug use strategy.
- Further research needed on addressing concerns and guiding SIF decision-making.
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