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Public Health and Public Order Outcomes Associated with Supervised Drug Consumption Facilities: a Systematic Review

  • The Science of Prevention (JD Stekler and J Baeten, Section Editors)
  • Published:
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Abstract

Purpose of Review

Supervised drug consumption facilities (SCFs) have increasingly been implemented in response to public health and public order concerns associated with illicit drug use. We systematically reviewed the literature investigating the health and community impacts of SCFs.

Recent Findings

Consistent evidence demonstrates that SCFs mitigate overdose-related harms and unsafe drug use behaviours, as well as facilitate uptake of addiction treatment and other health services among people who use drugs (PWUD). Further, SCFs have been associated with improvements in public order without increasing drug-related crime. SCFs have also been shown to be cost-effective.

Summary

This systematic review suggests that SCFs are effectively meeting their primary public health and order objectives and therefore supports their role within a continuum of services for PWUD. Additional studies are needed to better understand the potential long-term health impacts of SCFs and how innovations in SCF programming may help to optimize the effectiveness of this intervention.

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Acknowledgements

We would like to thank Tricia Collingham and Deborah Graham for their research and administrative assistance. Mary Clare Kennedy is supported by a Social Sciences and Humanities Research Council (SSHRC) Doctoral Fellowship and a Mitacs Accelerate Award from Mitacs Canada. Mohammad Karamouzian is supported by a Vanier Canada Graduate Scholarship. Thomas Kerr is supported by a Canadian Institutes of Health Research (CIHR) Foundation Grant (20R74326).

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Authors and Affiliations

  1. British Columbia Centre on Substance Use, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada

    Mary Clare Kennedy, Mohammad Karamouzian & Thomas Kerr

  2. School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada

    Mary Clare Kennedy

  3. HIV/STI Surveillance Research Center and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

    Mohammad Karamouzian

  4. Department of Medicine, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada

    Thomas Kerr

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  1. Mary Clare Kennedy
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Correspondence to Thomas Kerr.

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All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards and international/national/institutional guidelines).

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Kennedy, M.C., Karamouzian, M. & Kerr, T. Public Health and Public Order Outcomes Associated with Supervised Drug Consumption Facilities: a Systematic Review. Curr HIV/AIDS Rep 14, 161–183 (2017). https://doi.org/10.1007/s11904-017-0363-y

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