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Mobile supervised consumption services in Rural British Columbia: lessons learned.
Silvina C Mema1,2, Gillian Frosst3, Jessica Bridgeman3
1Interior Health Authority, Kelowna, British Columbia, Canada. silvina.mema@interiorhealth.ca.
Harm Reduction Journal
|January 13, 2019
Summary
Mobile supervised consumption services (SCS) offer a viable alternative for reducing overdose deaths and public drug use. However, operational challenges like limited hours and space constraints require careful planning and community engagement for successful implementation.
Area of Science:
- Public Health
- Addiction Medicine
- Mobile Health Services
Background:
- British Columbia declared a public health emergency in 2016 due to a surge in illicit drug overdose deaths.
- Injection drug use contributed to approximately one-third of these overdose fatalities.
- Mobile supervised consumption services (SCS) were piloted in a rural BC health authority to combat overdose deaths, reduce public drug use, and link individuals to health services.
Purpose of the Study:
- To evaluate the effectiveness and client satisfaction of mobile supervised consumption services (SCS) in a rural health authority.
- To identify challenges and successes associated with the implementation of mobile SCS.
- To gather perspectives from clients, service providers, and community stakeholders on the mobile SCS model.
Main Methods:
- Two mobile SCS units, repurposed from recreational vehicles, were deployed in Kelowna and Kamloops.
- Service utilization data was collected.
- Surveys and interviews were conducted with clients, service providers, and community stakeholders.
Main Results:
- Over 90% of clients reported positive experiences regarding access and safety.
- Less than half of clients' needs were met by the operating hours.
- Service providers cited space limitations, operational interruptions, and temperature control issues as significant challenges.
- Community support for the mobile SCS was variable.
Conclusions:
- Mobile SCS are a feasible option but face challenges impacting service continuity and quality.
- Mobile sites may serve as temporary solutions while permanent facilities are established.
- Needs assessments are crucial for determining optimal locations, hours, and services.
- Community engagement is vital for the successful integration of mobile SCS.
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