According to the researchers, supervision and drug injection facilities model in foreign countries have already shown effect, in opioid crisis continues to overwhelm current under the condition of medical resources, also can make a big change in the country.
Last week in the “international drug policy magazine”, according to a study published in patients without approval of the safe injection site, the report says, using a small medical facilities are a lot of benefits, including accident, and health officials in the United States will consider what aspects.
Unapproved facilities opened in the second half of 2014, providing surveillance and cleaning needles for injection drugs, safe handling of needles and providing various forms of outreach and health referral in an unofficial capacity. The small private space in a highly centralized drug abuse of public urban areas of the United States, by trained volunteers and some neighboring non-profit social service organization operating a small part of the employees.
After more than two years of observation, senior addiction researchers Alex Kral and Peter Davidson found that customers can effectively reduce the risk of drug users of personal and social, even to take steps to restore - all this is thanks to the website the organizers are taking a big risk.
As the researchers earlier this year on the same site explains, in the first study of the American medical experts to explore safe injection site and support groups to reduce drug overdose, the possibility of infectious diseases and other diseases in a high-risk population of the difficulties in the status of the associated with addiction.
In the past ten years, these sites in Europe, Canada and other countries, the number of scale and degree of success are improved, from on-site medical care to coordinate the rehabilitation of choice and important social services.
In the United States, however, safe injection sites have not yet been approved by the federal government, and the pilot programs that researchers and health officials have tried to keep are not even open. In at least one case, Kral and Davidson point out that procedural and perceptive hindrances in the use of safe injection facilities have forced practical experts to go rogue.
Davidson said by telephone, commented that launched unauthorized facilities of nonprofit organization spent more time to debate, in danger of taking this career slump than once a decision is reached, the building site.
“It took the operator a year to think carefully about deciding to do this,” Davidson said. “But it only takes two weeks from this decision to actually provide care, and they have been running since September 2014.”
Even if the small nonprofit’s total budget is below $150,000 a year, it’s cheap to prove that the facility is an informal project. Volunteers are mostly manned, the site contains five stainless steel injection station, for the customer to rest and see a result after giving drugs, and a small area, let employees perform customer advocacy and unofficial is recommended.
Prior to the injection, users could provide information about their outside websites and life experiences anonymously through the tablet computer survey. Due to the site opening, dozens of drug addicts provides feedback about the project this way, shows how it is to allow them to use and indoor the handle of the needle, its effects on their health status, and even the society this sense of “underground” operation has been created.
Davidson explains, while many people don’t feel too happy to say in a hurry, more social responsibility, and at the injection site to see fewer injuries and infection - the result approved website have show in other countries - the research also revealed that “some unexpected positive results” of the legal status of grey area at the scene.
“In fact, it’s unapproved and it has to stay under the radar, which seems to create a better sense of community because injecting drugs is a crime,” Davidson said. “Users are very aware of the operators’ risks and are very grateful.”
Davidson notes that while the site sees some of the benefits of working under the table, it’s clearly not a solution to expect more nonprofits to take on this risk. “It is interesting to note that the drug users are able to each other and the friendship between the staff, because it has not been approved, but due to many reasons, in addition to the practical aspects, legal facilities is still highly desirable.
“First of all, without approval status for you can severely limit the number and type of service, for example, the facility operators to open for service personnel have serious mental health problems are nervous because they are more likely to disclose it,” he said. “Obviously this is a crowd that needs to get into this highly supportive space, and the operators are frustrated that they can’t serve this population.”