Service utilization patterns and characteristics among clients of integrated supervised consumption sites in Toronto, Canada

Original research
by
Nassau, Tanner et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

We describe and compare access to and uptake of co-located and external services among clients accessing harm reduction-embedded (HR-embedded) and community health center-embedded (CHC-embedded) SCS models.

Findings/Key points

Among 469 SCS clients, 305 (65.0%) primarily used HR-embedded SCS and 164 (35.0%) primarily used CHC-embedded SCS. Compared to clients accessing CHC-embedded SCS, clients accessing HR-embedded SCS were somewhat younger, more likely to report fentanyl as their primary injected drug, and visited SCS more often. HR-embedded SCS clients were more likely to access harm reduction services onsite compared to CHC-embedded SCS clients, while CHC-embedded SCS clients were more likely to access non-harm reduction services onsite. For external services, HR-embedded SCS clients were more likely to receive a referral but less likely to report referral uptake.

Design/methods

Data from 1 HR-embedded and 2 CHC-embedded SCS

Keywords

Harm reduction
Wrap-around services
About PWUD
SCS/OPS
Illegal drugs