Qualitative findings from North America’s first drug compassion club

Original research
by
Bowles, Jeanette et al

Release Date

2024

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

From August 2022 until October 2023, the Drug User Liberation Front [DULF] operated a drug compassion club [CC], which sells drugs of known composition and purity without medical oversight. The present study is a qualitative evaluation of this project.

Findings/Key points

The CC appears to be a novel and promising approach to reducing overdose motality in high needs communities. By promoting participant autonomy, regulating an unstable drug supply, and creating community, this intervention has reduced self-reported overdose risk and improved the health and social wellbeing of members. No overdoses reported from CC-sourced drugs suggests that authorizing, expanding and continually evaluating the CC model is warranted.

Design/methods

From December 2022 to February 2023, 16 CC members were interviewed about their experiences with DULF’s CC. Semi-structured interviews were conducted with these participants. Thematic analysis was used to code for a priori and unexpected themes. 

Keywords

About PWUD
Advocacy
Barriers and enablers
Drug checking
Harm reduction
Illegal drugs
Mortality
Opioids
Overdose
Peer/PWLLE program involvement
Safer supply
Stimulants