Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia
journal contributionposted on 30.03.2021, 00:55 by A Roxburgh, M Jauncey, C Day, M Bartlett, S Cogger, Paul DietzePaul Dietze, S Nielsen, J Latimer, N Clark
© 2021, The Author(s). The COVID-19 crisis has had profound impacts on health service provision, particularly those providing client facing services. Supervised injecting facilities and drug consumption rooms across the world have been particularly challenged during the pandemic, as have their client group—people who consume drugs. Several services across Europe and North America closed due to difficulties complying with physical distancing requirements. In contrast, the two supervised injecting facilities in Australia (the Uniting Medically Supervised Injecting Centre—MSIC—in Sydney and the North Richmond Community Health Medically Supervised Injecting Room—MSIR—in Melbourne) remained open (as at the time of writing—December 2020). Both services have implemented a comprehensive range of strategies to continue providing safer injecting spaces as well as communicating crucial health information and facilitating access to ancillary services (such as accommodation) and drug treatment for their clients. This paper documents these strategies and the challenges both services are facing during the pandemic. Remaining open poses potential risks relating to COVID-19 transmission for both staff and clients. However, given the harms associated with closing these services, which include the potential loss of life from injecting in unsafe/unsupervised environments, the public and individual health benefits of remaining open are greater. Both services are deemed ‘essential health services’, and their continued operation has important benefits for people who inject drugs in Sydney and Melbourne.
This paper and the programme of work is funded by a National Health and Medical Research Council (NHMRC) Investigator Grant (APP1173505). The NHMRC had no role in the design of this study.
JournalHarm Reduction Journal
Article NumberARTN 20
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Science & TechnologyLife Sciences & BiomedicineSubstance AbuseHarm reductionSupervised injecting facilitiesDrug consumption roomsCOVID-19People who inject drugsHumansSubstance-Related DisordersOpioid-Related DisordersSubstance Abuse, IntravenousNaloxoneNarcotic AntagonistsResuscitationMasksHarm ReductionHousingInfection ControlNeedle-Exchange ProgramsReferral and ConsultationDelivery of Health CareAustraliaNew South WalesVictoriaOpiate Substitution TreatmentDrug OverdosePersonal Protective EquipmentSARS-CoV-2COVID-19 TestingOpiate OverdosePhysical Distancing