Could Supervised Consumption Sites Help Fight The Overdose Epidemic?

By Adryan Corcione 


Young folks are dying before they ever have a chance to recover from opioid addiction. A 2018 survey from the Substance Abuse and Mental Health Services Administration shows that approximately 1.9 million young adults aged 18 to 25 misused opioids in 2018. While use is relatively low among teenagers, overdose rates among young folks are still concerning: The National Institute on Drug Abuse for Teens says that in 2017, at least 4,400 people aged 15-24 died from opioid overdose-related deaths.


And what would do in the event you do desire to receive treatment? Traditional recovery techniques often don’t work, and if you’re a minor, you can would be disqualified from medically-assisted treatment (MAT) altogether — you must be 18 to receive methadone treatment and 16 to receive buprenorphine treatment, in part because testing for young people specifically doesn’t exist nevertheless. All of that assumes you get tapped into a program at all. Stigma, lack of general knowledge about recovery, and in general inaccess all contribute to disenfranchising people from getting professional help.


Yet, there’s a (not-so-new) plan of action to help drug users get access to care that’s gaining political support in the U.S.: In August, presidential hopeful Bernie Sanders advocated for legalizing safe consumption sites additionally to supporting pilot programs and other overdose prevention initiatives. The endorsement was segment of his criminal justice plan, which included a pragmatic approach to drug policy that struck a chord with several people concerned with the war on opioids. Shortly soon after, fellow Democratic candidate Elizabeth Warren also called for legalizing safe consumption sites in her own criminal justice plan.


Safe consumption sites — otherwise referred to as safe injection sites, supervised injection sites, supervised consumption sites, or overdose prevention sites — supply a space for drug users to take drugs under medical supervision. That way, if an overdose occurs, personnel are obtainable to respond. While SCSs never facilitate or actively encourage drug use, they do supply wound care, referrals to primary care, and other help. A SCS in Vancouver, Canada, for instance, also advocates for Housing First, citing the correlation between drug abuse and homelessness.


Their plan of action also demands medical professionals — including recovery specialists and social workers — building compassionate relationships with drug users, so they are more likely to seek out treatment. According to the Drug Policy Alliance, there really are 120 SCSs operating in 12 different countries, including Australia, Denmark, France, Germany, Luxembourg, the Netherlands, Norway, Spain, and Switzerland.


The SCS model is rooted in harm reduction, a framework which Harm Loss International describes as “grounded in justice and human rights” as it focuses on “working with people without judgement, coercion, [or] discrimination,” and doesn’t require anyone to stop using illegal narcotics. The HRI argues that if we accept drug use is piece of society and not a solitary failure, we can eliminate some of the stigma that aids in averting drug users from seeking treatment to start with.


“The stigma around drug use is a massive distribute that is causing damage to real people,” Roo Parkhe, a SOL Collective outreach organizer and student at Temple University, told MTV News. “When you think of drug users as ordinary people, it makes it much more painful to imagine the things that they are forced to endure. It also permits people to imagine rehabilitation in a much more realistic light.”


In back of fighting stigma, these community centers have been proven to greatly decrease drug overdoses in the areas they’ve been installed. According to a 2019 academic paper, a facility in Sydney, Australia, announced no deaths among 5,925 overdoses from 965,000 supervised injections from 2001 to 2015. Furthermore, in Barcelona, Spain, a facility announced a 50 percent drop in overdose-related deaths between 1991 and 2008 right after it introduced SCSs.


Ryan Marino, an emergency physician and medical toxicologist, told MTV News that SCSs would have the same result if implemented in the U.S. “These centers are equipped to give people who use illegal substances the resources to aid them recover any time while they are ready,” he mentioned. “Nobody can recover if they overdose by themselves, and it's much more challenging to recover without any resources in place.”


And while Residents of the United States might not directly have quite the same public affection for the sites as other nations, that could also be a matter of location, and of how close folks are to the overdose epidemic. A 2018 study by Johns Hopkins University showed that only 29 percent of respondents supported legalizing SCSs in their communities and 39 percent supported legalizing syringe services programs in their communities. Meanwhile, 2019 studies by Drexel University noticed that 90 percent of residents in Kensington, a North Philadelphia neighborhood disproportionately impacted by drug use, said they favored a SCS beginning in their area.


Another regular criticism to SCSs is about public funds being used towards drug use. The reality is that taxpayers are already paying for needle-exchange programs and emergency medicine are also massive public expenses, though some insurances do cover both basic naloxone and Narcan. Yet these programs are also ultimately worth their cost: Research has shown that needle exchanges have produced an in general more healthful society by significantly reducing the spread of HIV and other blood-transmitted diseases, USA Today reported, and the WHO posits that 20,000 people might be kept alive every year if Narcan and naloxone were more readily available.


Studies has shown that needle exchanges significantly reducing the spread of HIV and other blood-transmitted diseases, USA Today announced, and the WHO posits that 20,000 people might be kept alive every year if Narcan and naloxone were more readily available.


And however a legal SCS has however to open in the U.S., That doesn’t mean folks haven’t tried: The mayor of Somerville, Massachusetts, plans to open a safe injection site next year, Utah lawmakers are planning to file expenses to make SCSs, and in 2018, a nonprofit called Safehouse was planning to open a SCS in Philadelphia before facing legal issues including a lawsuit by the federal government.


Medical support might not serve as an immediate recovery fix, yet as Marino mentioned, “the option to a safe or supervised consumption site is a unsafe and unsupervised site.” If he still recommends that people carry and be trained in administering naloxone, he adds that “a much better solution could be making people safe before they overdose rather than attempting to reverse the danger afterwards whenever it is often already also late.”


While the fight to legalize SCSs is still ongoing, it’s powerful that presidential candidates have taken stances in support of those. Not only does this help increase awareness of sensible drug policy, however it gives those living with opioid addiction a chance to recover.


“Right right now, the [government’s] plan of action is: make illegal substances against the law, clear camps out, and hope the drug users magically go away — this isn't working,” Parkhe added. According to the Harvard Medical School, only 25 percent of methadone patients eventually abstain from opioid use; data like those propose that perhaps it’s time to invest in option treatments, if the old way just isn’t working. “SCSs are a step in the correct direction as far as treating addiction like an infection, treating drug users like humans, and making communities a safer place.”