ArticleHarm reduction journal2024
"Make yourself un-NIMBY-able": stakeholder perspectives on strategies to mobilize public and political support for overdose prevention centers in the United States of America.
Article in Harm reduction journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic evaluation of diversion programs for people with drug-related legal involvement: a systematic review.BMC public health · 2026Pooled it
- Moral foundations and attitudes towards supervised consumption services: a regional moderation study.Harm reduction journal · 2026Article
- Perspectives on harm reduction kit implementation in heterogeneous outpatient clinics.Substance abuse treatment, prevention, and policy · 2026Article
- Overdose Prevention Centers and Neighborhood Commercial Activity in New York City.JAMA network open · 2026Article
- Perspectives on Harm Reduction Kit Implementation in Heterogeneous Outpatient Clinics.Research square · 2026Article
- The Experiences and Attitudes of Rural Black People who Use Drugs.Journal of racial and ethnic health disparities · 2026Article
- An Examination of How People Who Use Drugs Conceptualize the Benefits and Drawbacks of Using Overdose Prevention Centers.Contemporary drug problems · 2025Article
- "Politics Versus Policy": Qualitative Insights on Stigma and Overdose Prevention Center Policymaking in the United States.Substance use & addiction journal · 2024Article
- Envisioning the Evolution of Substance Use Services: Social Work and the Establishment of Overdose Prevention Centers.Journal of social work practice in the addictions · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundOverdose prevention centers (OPCs), also known as supervised injection facilities and safe consumption sites, are evidenced-based interventions for preventing overdose deaths and drug-related morbidities. The pathways to legalizing OPCs in the USA have confronted multiple social, political, and legal obstacles. We conducted a multi-site, qualitative study to explore heterogeneities in these pathways in four jurisdictions, as well as to understand stakeholder perspectives on valuable strategies for galvanizing political and public support for OPCs.
methodsFrom July 2022 to February 2023, we conducted 17 semi-structured, in-depth interviews with OPC policymakers, service providers, advocates, and researchers from California, New York City, Philadelphia, and Rhode Island, where efforts have been undertaken to authorize OPCs. Using inductive thematic analysis, we identified and compared contextually relevant, salient approaches for increasing support for OPCs.
resultsParticipants described several strategies clustering around five distinct domains: (1) embedding OPC advocacy into broader overdose prevention coalitions to shape policy dialogs; (2) building rapport with a plurality of powerbrokers (e.g., lawmakers, health departments, law enforcement) who could amplify the impact of OPC advocacy; (3) emphasizing specific benefits of OPCs to different audiences in different contexts; (4) leveraging relationships with frontline workers (e.g., emergency medicine and substance use treatment providers) to challenge OPC opposition, including 'NIMBY-ism,' and misinformation; and (5) prioritizing transparency in OPC decision-making to foster public trust.
conclusionWhile tailored to the specific socio-political context of each locality, multiple OPC advocacy strategies have been deployed to cultivate support for OPCs in the USA. Advocacy strategies that are multi-pronged, leverage partnerships with stakeholders at multiple levels, and tailor communications to different audiences and settings could yield the greatest impact in increasing support for, and diffusing opposition to, future OPC implementation.
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