“It's just not the same”: Exploring PWUD’ perceptions of and experiences with drug policy and SCS services change in a Canadian City

Original research
by
Greene, Carolyn, Katharina Maier & Marta-Marika Urbanik

Release Date

2023

Geography

Canada

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

The purpose of this study was to explore how shifts in provincial drug policy approaches, specifically the replacement of a Safe Consumption Site (SCS) with a smaller mobile Overdose Prevention Site (OPS) in Lethbridge, Alberta Canada, impacted PWUD’ access to and experiences with harm reduction services.

Findings/Key points

Participants reported regular and frequent access and overall positive experiences with the SCS, despite also noting certain operational barriers (e.g., long wait times). By contrast, participants reported more limited use of the new OPS compared to the SCS because of three main reasons: (1) concerns about location; (2) smoking room elimination; and (3) lack of social space and activities. Overall, changes to SCS provision produced a range of negative consequences for PWUD in Lethbridge. These relate to perceived increases in drug-related harms (e.g., increased overdoses) as well as negative social impacts (e.g., lack of place to meet other people).

Design/methods

Semi-structured interviews with 50 PWUD

Keywords

Harm reduction
Policy/Regulatory
About PWUD
SCS/OPS
Barriers and enablers