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We explored the pre-implementation stage of a supervised consumption services (SCS), to examine how an SCS is made and made differently in relation to the material-discursive context of the hospital.
While most participants indicated they would support the establishment of an SCS at the hospital, multiple enactments of an SCS emerged. An SCS was enacted: as a means to reduce drug-related risks for all people who use drugs, as an opportunity to intervene on patients’ drug use, as a means to centralize drug use, and as a transformative intervention for the hospital. In our findings, harm reduction, abstinence, security, and risk mitigation goals existed closely together, yielding overlaying realities.
We conducted 11 focus groups with 83 staff and clinicians at an inner-city hospital in Toronto, Canada