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    Impact on Drug-Use Patterns Reports that the opening of InSite did not adversely affect community drug use, including relapse into injected drug use, stopping injected drug use, and seeking treatment. InSite appears to have improved public order and reduced syringe sharing. A Before and After Study. British Medical Journal The establishment of North America's first state sanctioned supervised injection facility: International Journal of Drug Policy Drug and Alcohol Dependence.

    Evaluation Methodology Lays out the method by which the health and community impacts of InSite will be measured and evaluated. Methodology for Evaluating InSite: Harm Reduction Journal 1: Lancet Infectious Diseases 4: Canadian Medical Association Journal Substance Abuse Treatment, Prevention and Policy 1: American Journal of Preventive Medicine Homelessness, a common factor in public injection drug use, is associated with frequent use of InSite Daily safe injection facility use is associated with several risk behaviors that have been linked to elevated rates of HIV transmission in this community, including frequent cocaine injection.

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    American Journal of Public Health American Journal of Infectious Diseases 1: These findings suggest that SIF can play a role in managing overdoses. More dating sites vancouver Kerr, Mark W. Tyndall, Calvin Lai, Julio S. Montaner, Evan Wooda, et al. Drug-related overdoses within a medically supervised safer injection facility.

    HIV seroprevalence among participants at a medically supervised injection facility in Vancouver, Canada: Implications for prevention, care and treatment. 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.

    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. A micro-environmental intervention to reduce the harms associated with drug-related overdose: Evidence from the evaluation of Vancouver's safer injection facility.

    International Journal of Drug Policy Changing Injecting Practices Consistent SIF use was compared with inconsistent use on a number of self-reported changes in injecting practice variables. Changes in injecting practices associated with the use of a medically supervised safer injection facility. Journal of Public Health SIS Evaluation Review In many cities, infectious disease and overdose epidemics are occurring among illicit injection drug users. Vancouver's safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts.

    These findings should be useful to other cities considering supervised injecting facilities and to governments considering regulating their use. Evan Wood, Mark W. Montaner, Thomas Kerr, Summary of findings from the evaluation of a pilot medically supervised safer injecting facility. Canadian Medical Association Journal Commentary: The need to promote public health in the field of illicit drug use.

    Tyndall, Ruth Zhan, Julio S. 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. International Journal of Drug Policy Neighbourhood residents and businesses view InSite as making a positive contribution to public order 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 change in the rate of crime can be traced to the establishment of the InSite. Boyd et al 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.

    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. PLoS One Vancouver police officers support the efforts of InSite and work in tandem with the facility to improve public order Study examined the role of police in referring injection drug users to InSite 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.

    Kerr Police and Public Health Partnerships: Evidence from the evaluation of Vancouver's supervised injection facility. Substance Abuse Treatment, Prevention and Policy InSite saves the city, government and health care system money This study examines the cost-effectiveness of Vancouver's supervised injection site.

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    Zaric Cost-effectiveness of the Vancouver Safe Injection Facility Canadian Medical Association Journal InSite does not increase rates of overdose These findings show that the proportion of individuals reporting recent non-fatal overdoses did not change as a result of access to InSite. Wood Non-fatal overdose among a cohort of active injection drug users recruited from a supervised injection facility American Journal of Drug and Alcohol Abuse InSite does not promote drug use Responding to concerns that InSite promotes initiation into injection drug use, this study found that InSite users have been injecting for an average of 16 years, and that only 1 participant reported having first injected at the site.

    The report concludes that the benefits of InSite have not been offset by a rise in drug use. American Journal of Public Health InSite reduces strain on the health care system Specialized and relevant onsite care is proven to reduce ER visits and hospitalizations among local injection drug users.

    Nurses well versed in the health challenges facing injection drug users provide wound care, safer injection education, intervene in overdose situations and treat infections. Kerr Drug and Alcohol Dependence Demand for InSite access too high for just one facility to meet This study considers why some injection drug users resist using InSite, and continue to inject publicly. It has been found that injection drug users prefer InSite but more dating sites vancouver deterred by long wait times an limited operating hours.

    The study concludes that an expansion of services would decrease public injecting. 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 study indentified mechanisms through which integrated supervised injection programs may better facilitate access to comprehensive care for HIV-positive injection drug users.

    Kerr An integrated supervised injecting program within a care facility for HIV-positive individuals: AIDS Care InSite provides a variety of integrated health care services This study examined the factors associated with receiving care for cutnaeous injection-related infections among InSite users.

    The findings show that those most likely to receive care are the individuals engaged with treatment regimens similar to those provided at InSite. Annals of Epidemiology InSite does not impede employment opportunities for injection drug users Critics of InSite argue that the program impedes drugs users ability to obtain meaningful employment and reintegrate into mainstream society.

    This study explores the rate of employment among InSite users. The findings suggest that InSite is not having an adverse effect on efforts to seek employment. Kerr Employment among users of a medically supervised safer injection facility.

    The American Journal of Drug and Alcohol Abuse Harm reduction programming essential to reducing spread of disease in Canadian Penal System This study found that incarceration and more dating sites vancouver while incarcerated were independently associated with syringe sharing and highlights the need to expand appropriate harm-reduction measures in Canada's prisons. Small Incarceration experiences in a cohort of active injection drug users. Drug and Alcohol Review Critical thinking, critical to the survival of InSite This article makes the case for harm reduction approach to public health and drug use while also noting that policy is being increasingly influenced by lobby groups and opinion pieces as opposed to evidence-based health policy.

    The author argues that policy makers must rely on evidence-based research when drafting policy, all of which supports a harm reduction model to drug policy.

    Kerr Illicit drug addiction, infectious disease spread, and the need for an evidence-based response. The Lancet Harm reduction needs to be a global initiative This report summarizes the historical political setting within which the development of progressive drug policy is nested. The authors make the case that the ongoing harms associated with drug dependency warrant a global 'scale-up' of evidence-based public health initiatives such as supervised injection facilities. Wood Supervised injecting facilities: The Lancet Through regular access to nursing staff, InSite is successful in educating injection drug users on safer injection practices Study participants notes that the overall environment at the facility encouraged them to adopt the safer practices and to make a habit of using them both within and outside the facility.

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    Additionally, participants reported feeling safe, secure and empowered to ask questions and seek assistance. Kerr The more dating sites vancouver of injection drug users regarding safer injecting education delivered through a supervised injecting facility. Harm Reduction Journal InSite reduces mortality rates from injection-related infection This report identifies and summarizes the risks of infection associated with injection drug use.

    The report outlines the effectiveness of InSite in reducing serious complications from skin infections such as abscess and cellulitis. This study suggests that InSite is effective in supporting safer sex practices and preventing the spread of sexually transmitted diseases.

    B D L Marshall, E. Sexually Transmitted Infections Outdated ideology and the 'War on Drugs' endangers the future of InSite This article outlines how the politicization of science by corporations and lobby groups skews the research on harm reduction. The authors argue that the HIV pandemic is among the world's greatest public health challenges and necessitates an increase in access to prevention programs such as InSite.

    An important component in the battle against HIV transmissions This article reviews the emerging literature regarding supervised injection sites in Europe, North America and Australia. 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. Addiction InSite is committed to the community it serves This study highlights the ways in which InSite can be further developed to respond effectively with high quality and relevant services that meet the needs of an evolving community.

    The authors urge the public to engage in greater public scrutiny of the Canadian government's handling of addiction research and drug policy. Inside the more dating sites vancouver of North America's first supervised injecting facility. International Journal of Drug Policy I nSite nurses reaching high risk female injection users This report demonstrates that relationship building and one-on-one support between clients and nurses is proving to be a successful delivery of care model.

    Younger and female injection drug users are notoriously difficult to reach, but have been particularly responsive to the initiative. Kerr Nurse-delivered safer injection education among a cohort of injection drug users: Addiction Research and Theory InSite addresses street-based violence against women and survival sex trade workers Women who are entrenched in the street-level drug scene live with the constant threat of arrest, robbery, physical abuse, sexual assault and murder.

    The research demonstrates that InSite is meeting its goal to reduce harms associated with injection drugs by offering a safe environment that serves as a temporary refuge for women. Women's experiences in North America's first supervised injection facility.

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