The Evaluation of Vancouvers Medically Supervised Safer Injection Facility - PowerPoint PPT Presentation

1 / 15
About This Presentation
Title:

The Evaluation of Vancouvers Medically Supervised Safer Injection Facility

Description:

... are at heightened risk for HIV infection and overdose ... The SIS is playing a major role in successfully managing overdoses ... Impact on Overdose Fatality ... – PowerPoint PPT presentation

Number of Views:53
Avg rating:3.0/5.0
Slides: 16
Provided by: amyw151
Category:

less

Transcript and Presenter's Notes

Title: The Evaluation of Vancouvers Medically Supervised Safer Injection Facility


1
The Evaluation of Vancouvers Medically
Supervised Safer Injection Facility
  • Thomas Kerr
  • Mark Tyndall
  • Will Small
  • Kathy Li
  • Ruth Zhang
  • Calvin Lai
  • Julio Montaner
  • Evan Wood

2
(No Transcript)
3
(No Transcript)
4
SIS Evaluation Structure
5
Published Findings to Date
  • Two Lines of Inquiry
  • Evidence of positive health and community
    benefits
  • Evidence of adverse health and community impacts
  • All findings are subject to scientific
    peer-review

6
Summary of Findings to Date
  • The SIS has attracted and retained a high risk
    population of IDU who are at heightened risk for
    HIV infection and overdose
  • Wood et al., American Journal of Preventative
    Medicine, 2005
  • Wood et al., American Journal of Public Health,
    2006
  • The SIS supervises 600 injections per day, over
    6500 IDU have used the SIS, and thousands of
    referrals are made each year
  • Tyndall et al., Drug and Alcohol Dependence,
    2006
  • The SIS has been associated with reductions in
    public disorder related to injection drug use
  • Wood et al., Canadian Medical Association
    Journal, 2004

7
Summary of Findings to Date
  • Use of the SIS has been associated with
    reductions in syringe sharing
  • Kerr et al., The Lancet, 2005,
  • Wood et al., American Journal of Infectious
    Diseases, 2005
  • Many individuals at high risk for HIV infection
    are receiving safer injection education at the
    SIS
  • Wood et al., International Journal of Drug
    Policy, 2005
  • Use of the SIS has been associated with increased
    uptake of detoxification services
  • Wood et al., New England Journal of Medicine,
    2006
  • The SIS is playing a major role in successfully
    managing overdoses
  • Kerr et al., International Journal of Drug
    Policy, 2006

8
Summary of Findings to Date
  • The establishment of the SIS has not prompted
    adverse changes in community drug use patterns
  • Kerr et al., British Medical Journal, 2005
  • The establishment of the SIS has not been
    associated with increases in drug-related crime
  • Wood et al., Substance Abuse Treatment
    Prevention and Policy, 2006

9
Changes in Detoxification Service Use among
Injection Drug Users Following the Opening of a
Supervised Injection Site
Evan Wood Mark W. Tyndall Ruth Zhang Calvin
Lai Julio S.G. Montaner Thomas Kerr
10
(No Transcript)
11
Circumstances of first injection amongillicit
drug users accessing a medically supervised safer
injection facility
Thomas Kerr Mark Tyndall Ruth Zhang Calvin
Lai Julio Montaner Evan Wood
12
Table 1. Circumstances of initiation into
injection drug use among users of Vancouvers SIF
(n 1065).
13
The Impact of a Supervised Injection Site on
Overdose Results from a Qualitative Study
Thomas Kerr Will Small Nadia Fairbairn Evan Wood
14
Impact on Overdose Fatality
  • R It was about eleven oclock at night, and I
    had gone in and I actually had gotten a huge
    amount of heroin five papers it was like
    lights outI come to Im laying on my back and
    I dont even know where Im at. Im very scaredI
    just remember seeing the Insite lady talking to
    me, holding my hand, telling me that everything
    was gonna be okay. There was an officer there,
    and there was a paramedic there. Because Im also
    epileptic too, they were also concerned about
    thatIf I had gone home and did that I probably
    wouldnt be here, cause no-one was at home. I
    was by myself, so I definitely would have
    overdosed and I probably would have ended up
    killing myself.

15
Conclusions
  • A great deal of rigorous scientific evidence on
    the impact of InSite has demonstrated significant
    positive impacts and ruled out potential negative
    effects
  • Given the positive public health and community
    impacts of Insite that have been observed, it is
    clear that Insite should remain open
  • The closure of the site could result in a
    deterioration of public order, the potential for
    elevated HIV incidence, and lives lost due to
    fatal overdose
  • The SIS should continue to be rigorously
    evaluated
Write a Comment
User Comments (0)
About PowerShow.com