A- A A+

First site will operate beside a two-booth mobile unit will offer a medically supervised space and sterile equipment for people who use drugs intravenously. (The Guardian, UK, 19.06.2017)

https://www.theguardian.com/world/2017/jun/19/montreal-mobile-supervised-injection-clinic-north-america

During the rise of the HIV/AIDS epidemic in the 1980s, injection drug use prompted public health responses to reduce blood borne disease transmission and improperly disposed syringes. In 1986, in Bern, Switzerland, syringe exchange programs expanded services to address rising opioid-related overdose by legally authorizing facilities to supervise injection drug users for signs of overdose. Thus, trained clinical staff began monitoring clients while they injected pre-obtained drugs on the site’s premises where social support services were provided to high need populations.

Supervised Injection Facilities (SIFs; also known as supervised consumption sites, safe injection facilities, and a number of other names) are health care settings that take a harm reduction approach to injection drug use by providing an alternative space for people who would otherwise use drugs in public, solitary, or unhygienic spaces. SIF staff monitor clients for overdose, provide access to sterile injection materials, and offer referrals to social supports, including drug treatment services. Some facilities permit users to smoke or snort substances, in addition to injecting them. (IRETA – Institute for Research, Training and Education in Addictions, USA, 01.06.2017)

http://ireta.org/2017/06/01/safe-injection-spaces-save-lives-and-money-but-will-they-make-it-in-america

Supervised consumption services (SCS) – also called safer injection facilities (SIFs), drug consumption rooms (DCRs) or safer drug use services (SDUS) – are legally sanctioned facilities designed to reduce the health and public order issues often associated with public injection. These facilities provide a space for people to consume pre-obtained drugs in controlled settings, under the supervision of trained staff, and with access to sterile injecting equipment. Participants can also receive health care, counseling, and referrals to health and social services, including drug treatment.

There are approximately 100 SCS currently operating in over 65 cities around the world in ten countries (Switzerland, Germany, the Netherlands, Norway, Luxembourg, Spain, Denmark, France, Australia, and Canada) – but none in the U.S.

There are plans for the opening of SCS in Scotland, Ireland, major cities across Canada, and most recently in Seattle, WA. (DPA – Drug Policy Alliance, USA, März 2017)

http://www.drugpolicy.org/sites/default/files/DPA_Fact%20sheet_Supervised%20Consumption%20Services_2017.pdf

Supervised injection facilities in Canada: past, present, and future

Thomas Kerr, Sanjana Mitra, Mary Clare Kennedy and Ryan McNeil

Harm Reduction Journal 201714:28, DOI: 10.1186/s12954-017-0154-1

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0154-1

Mitigating the heroin crisis in Baltimore, MD, USA: a cost-benefit analysis of a hypothetical supervised injection facility

Amos Irwin, Ehsan Jozaghi, Brian W. Weir, Sean T. Allen, Andrew Lindsay and Susan G. Sherman

Harm Reduction Journal201714:29

DOI: 10.1186/s12954-017-0153-2

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0153-2

A 15-member task force charged with developing a report to the Board of Supervisors on the feasibility and potential costs and benefits of a supervised drug consumption site got to work on Monday. The task force will meet three times over the next three months before issuing its report. The city has bout 22,000 injection drug users and a hundred overdose deaths a year, mostly from heroin and opioids. (Fox, 22.05.2017)

http://www.ktvu.com/news/256280166-story

Minister for Health Simon Harris and Minister of State for Communities and the National Drugs Strategy, Catherine Byrne today welcomed the passing of the Misuse of Drugs (Supervised Injecting Facilities) Bill 2017 through all stages in the Oireachtas. (Department of Health, Dublin, 10.05.2017)

http://health.gov.ie/blog/press-release/irelands-first-supervised-injecting-facility-a-step-closer-as-legislation-passes-all-stages-in-the-oireachtas/

München – Trotz der hohen Zahl von Drogentoten in Bayern lehnt die Staatsregierung die Einrichtung von Drogenkonsumräumen weiter ab. „Bisher hat noch niemand seriös einen Nachweis führen können, dass Drogenkonsumräume die Zahl von Drogentodesfällen senken“, sagte Bayerns Gesundheitsministerin Melanie Huml (CSU) heute im Landtag. (aerzteblatt.de, 10.05.2017)

https://www.aerzteblatt.de/nachrichten/75643/Drogenkonsumraeume-bleiben-in-Bayern-tabu-Modellprojekt-mit-Naloxon

The proposed bill passed all stages of the Oireachtas today.

SENATORS HAVE APPROVED legislation to set up supervised injecting centres – the latest in a polarising debate on how addiction should be handled in Ireland. (The Journal, Irland, 10.05.2017)

http://www.thejournal.ie/supervised-injection-centres-2-3382276-May2017/

More than 100 New York City healthcare professionals release an open letter supporting safer consumption spaces as a proven public health tool to reduce overdose and risk of HIV and hepatitis C. (DPA – Drug Policy Alliance, 26.04.2017)

http://www.drugpolicy.org/news/2017/04/safe-shape-tour-across-new-york-state-calls-safer-consumption-spaces-combat-skyrocket

Amid an opioid crisis, the city is considering launching sites where users can consume drugs under medical supervision. (Al Jazeera, 11.04.2017)

http://www.aljazeera.com/indepth/features/2017/03/seattle-plans-safe-drug-injection-sites-170329085008446.html

Der Berner Kocherpark war Heimat der zweitgrössten Drogenszene Europas und Schauplatz einer menschlichen Tragödie. Vor genau 25 Jahren wurde der Park geräumt. (Der Bund, Schweiz, Interaktive Reportage, 02.04.2017)

http://webspecial.derbund.ch/longform/kocherpark/kocherparktext/

In 2016, approximately 1,300 New Yorkers died of preventable drug overdoses — 80 percent of those deaths were linked to opiate use. (Washington Square News editorial, USA, 03.04.2017)

https://www.nyunews.com/2017/04/03/new-yorks-imminent-need-for-a-supervised-injection-facility/

Another Senseless Death — The Case for Supervised Injection Facilities

Sarah E. Wakeman, M.D.

N Engl J Med 2017; 376:1011-1013, March 16, 2017DOI: 10.1056/NEJMp1613651

Abstract

http://www.nejm.org/doi/full/10.1056/NEJMp1613651

Force will be first in England to implement radical approach that has achieved positive results in a number of European countries. (The Guardian, UK, 05.03.2017)

https://www.theguardian.com/society/2017/mar/05/durham-police-heroin-addicts-treatment-shooting-galleries

(...)The most significant and progressive move made by the Board in this year’s Report is its changing position with respect to Drug Consumption Rooms (DCRs). In the past, the INCB has repeatedly – and often in strident terms – criticised these facilities as counter to the provisions of the international drug control conventions. While continuing to express its reservations regarding the consumption of drugs purchased outside the DCRs, the INCB acknowledges the dialogue it has shared with the Government of Denmark, which has introduced national legislation that forms the foundation for DCRs. Similar measures have been taken in France. The Board observes that: ‘“Drug consumption rooms” must be operated within a framework that offers treatment and rehabilitation services as well as social reintegration measures, either directly or by active referral for access, and must not be a substitute for demand reduction programmes, in particular prevention and treatment activities.’ (International Drug Policy Consortium (IDPC), 02.03.2017)

http://idpc.net/incb-watch/updates/2017/03/the-incb-annual-report-2016-a-significant-shift-on-drug-consumption-rooms

Bill entitled an Act to provide for the establishment, licensing, operation and regulations of supervised injecting facilities for the purposes of reducing harm to people who inject drugs; to enhance the dignity, health and well-being of people who inject drugs in public places; to reduce the incidence of drug injection and drug-related litter in public places and thereby to enhance the public amenity for the wider community; and to provide for matters related thereto.

Bille dá ngairtear Acht do dhéanamh socrú maidir le bunú, ceadúnú, oibriú agus rialáil saoráidí insteallta maoirsithe d’fhonn laghdú a dhéanamh ar dhíobháil do dhaoine a dhéanann drugaí a instealladh; d’fheabhsú dínit, sláinte agus leas daoine a dhéanann drugaí a instealladh in áiteanna poiblí; do laghdú líon na gcásanna insteallta drugaí agus bruscar a bhaineann le drugaí in áiteanna poiblí agus ar an tslí sin d’fheabhsú na taitneamhachta poiblí don phobal i gcoitinne; agus do dhéanamh socrú i dtaobh nithe a bhaineann leis sin. (08.02.2017)

http://www.oireachtas.ie/viewdoc.asp?DocID=34520&&CatID=59

In Nordrhein-Westfalen gibt es derzeit zehn Drogenkonsumräume. Die Inanspruchnahme und Nutzung der 96 Konsumplätze wird entsprechend der gültigen Rechtsverordnung dokumentiert und evaluiert. Die Landesstelle Sucht NRW unterstützt im Auftrag des Ministeriums für Gesundheit, Emanzipation, Pflege und Alter des Landes NRW die Drogenkonsumraum*betreiberinnen bei der Erhebung und Auswertung der Daten. Der Jahresbericht 2015 stellt die  Ausstattung der Standorte sowie die Inanspruchnahme in 2015 dar. Darüber hinaus wurden Jahresvergleiche mit den Auswertungsjahren 2013 und 2014 durchgeführt. (Landesstelle Sucht NRW, 2017)

http://www.landesstellesucht-nrw.de/neues/items/veroeffentlichung-die-arbeit-der-drogenkonsumraeume-in-nrw-in-2015.html

It's official: Seattle plans to be the first city in the United States to open a site for users to inject illegal drugs – without police intervention. (kuow.org, 27.01.2017)

http://kuow.org/post/seattle-will-be-first-nation-site-legal-heroin-use

The draft, full business case for Glasgow Health and Social Care Partnership’s (HSCP) proposed safer consumption facility for heroin users has found that public injecting of drugs places considerable financial costs on the health, social care and criminal justice systems

The conclusions are based on the assessment that a safer consumption facility would reduce the spread of blood-borne viruses, reduce drug-related deaths, reduce the use of unscheduled care and crisis services and reduce drug-related offending as well as improving service engagement with drug users with complex needs. (sdf – Scottish Drugs Forum, Februar 2017)

http://www.sdf.org.uk/news-and-media/general-news/safer-consumption-facility-could-provide-substantial-financial-gain-for-services/?utm

Minister for Health Simon Harris and Minister of State for Communities and the National Drugs Strategy, Catherine Byrne today (Tuesday) welcomed the Government’s decision to approve the publication of the Misuse of Drugs (Supervised Injecting Facilities) Bill 2017. (Department of Health, Ireland, 07.02.2017)

http://health.gov.ie/blog/press-release/irelands-first-supervised-injecting-facility-to-provide-safe-harbour-and-medical-help-for-chronic-drug-users/

Officials in Seattle on Friday approved the nation’s first “safe-injection” sites for users of heroin and other illegal drugs, calling the move a drastic but necessary response to an epidemic of addiction that is claiming tens of thousands of lives each year. (Washington Post, 27.01.2017)

https://www.washingtonpost.com/politics/awash-in-overdoses-seattle-creates-safe-sites-for-addicts-to-inject-illegal-drugs/2017/01/27/ddc58842-e415-11e6-ba11-63c4b4fb5a63_story.html

A qualitative study of how Danish drug consumption rooms influence health and well-being among people who use drugs

Nanna Kappel, Eva Toth, Jette Tegner and Sigurd Lauridsen

Harm Reduction Journal201613:20

DOI: 10.1186/s12954-016-0109-y

http://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-016-0109-y

Ottawa’s first supervised injection site could include a machine that instantly checks street drugs for deadly hidden substances, such as fentanyl. (Ottawa Sun, 20.01.2017)

http://www.ottawasun.com/2017/01/20/injection-site-could-house-machine-to-test-for-tainted-drugs

It has been nearly 30 years since the first needle exchange program opened in the United States, in Takoma, Wash., in 1988.  (…) Today the evidence is overwhelming that needle exchange prevents disease, increases use of drug treatment by winning users’ trust and bringing them into the health system, and does not increase drug use. (…) Needle exchange saved New York City from a generalized H.I.V. epidemic... (NYT, 18.01.2017)

https://www.nytimes.com/2017/01/18/opinion/injecting-drugs-under-a-watchful-eye.html