ArticleHarm reduction journal2019
Mobile supervised consumption services in Rural British Columbia: lessons learned.
Article in Harm reduction journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Willingness to use a mobile syringe service program among people who inject drugs in rural Appalachia.Harm reduction journal · 2026Article
- Spike on a bike: mobile harm reduction in action.Harm reduction journal · 2026Article
- An Examination of How People Who Use Drugs Conceptualize the Benefits and Drawbacks of Using Overdose Prevention Centers.Contemporary drug problems · 2025Article
- Mapping the overdose crisis in Ontario: geographic disparities in opioid-related harms and services.BMC public health · 2025Article
- Expanding supervised consumption services in rural Canada: Bridging gaps.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Defining terminology and outcome measures for evaluating overdose response technology: An international Delphi study.Drug and alcohol review · 2025Article
- Implementing community drug checking in smaller urban communities: a qualitative study exploring contextual factors to consider.Harm reduction journal · 2025Article
- Four decades of overdose prevention centres: lessons for the future from a realist review.Harm reduction journal · 2025Review
- Opioid agonist therapy discontinuation in British Columbia: a cross-sectional study of people who access harm reduction services.BMJ open · 2025Article
- Overdose prevention centres as spaces of safety, trust and inclusion: A causal pathway based on a realist review.Drug and alcohol review · 2024Review
- Perspectives of key interest groups regarding supervised Consumption sites (SCS) and novel virtual harm reduction services / overdose response hotlines and applications: a qualitative Canadian study.Harm reduction journal · 2024Article
- A data-driven approach to implementing the HPTN 094 complex intervention INTEGRA in local communities.Implementation science : IS · 2024Article
- Implementing Canada's first national virtual phone based overdose prevention service: lessons learned from creating the National Overdose Response Service (NORS).Harm reduction journal · 2024Article
- Navigating the nexus between British Columbia's public consumption and decriminalization policies of illegal drugs.Health research policy and systems · 2024Article
- Supervised Inhalation Sites: Preventing Overdose and Reducing Health Inequities among People Who Use Drugs.Substance use & misuse · 2024Article
- The "goldfish bowl": a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting.Harm reduction journal · 2022Article
- Pediatric Mobile Health Care Delivery During COVID-19.Academic pediatrics · 2022Article
- Dealing with low access to harm reduction: a qualitative study of the strategies and risk environments of people who use drugs in a small Swedish city.Harm reduction journal · 2022Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn 2016, a public health emergency was declared in British Columbia due to an unprecedented number of illicit drug overdose deaths. Injection drug use was implicated in approximately one third of overdose deaths. An innovative delivery model using mobile supervised consumption services (SCS) was piloted in a rural health authority in BC with the goals of preventing overdose deaths, reducing public drug use, and connecting clients to health services.
methodsTwo mobile SCS created from retrofitted recreational vehicles were used to serve the populations of two mid-sized cities: Kelowna and Kamloops. Service utilization was tracked, and surveys and interviews were completed to capture clients', service providers', and community stakeholders' attitudes towards the mobile SCS.
resultsOver 90% of surveyed clients reported positive experiences in terms of access to services and physical safety of the mobile SCS. However, hours of operation met the needs of less than half of clients. Service providers were generally dissatisfied with the size of the space on the mobile SCS, noting constraints in the ability to respond to overdose events and meaningfully engage with clients in private conversations. Additional challenges included frequent operational interruptions as well as poor temperature control inside the mobile units. Winter weather conditions resulted in cancelled shifts and disrupted services. Among community members, there was variable support of the mobile SCS.
conclusionsOverall, the mobile SCS were a viable alternative to a permanent site but presented many challenges that undermined the continuity and quality of the service. A mobile site may be best suited to temporarily provide services while bridging towards a permanent location. A needs assessment should guide the stop locations, hours of operation, and scope of services provided. Finally, the importance of community engagement for successful implementation should not be overlooked.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.