Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia
| Autor: | Marianne Jauncey, Mark Bartlett, Julie Latimer, Shelley Cogger, Carolyn Day, Amanda Roxburgh, Suzanne Nielsen, Paul Dietze, Nico Clark |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Narcotic Antagonists
030508 substance abuse Medicine (miscellaneous) 0302 clinical medicine COVID-19 Testing SAFER Pandemic 030212 general & internal medicine Supervised injecting facilities Substance Abuse Intravenous Referral and Consultation Social policy Uncategorized Social work Naloxone lcsh:Public aspects of medicine Masks Needle-Exchange Programs Psychiatry and Mental health Health psychology Community health New South Wales 0305 other medical science People who inject drugs Opinion Victoria Substance-Related Disorders Resuscitation Internet privacy Physical Distancing 03 medical and health sciences Harm Reduction Opiate Substitution Treatment Humans Personal protective equipment Personal Protective Equipment Harm reduction Infection Control business.industry SARS-CoV-2 Public Health Environmental and Occupational Health Australia COVID-19 lcsh:RA1-1270 Opioid-Related Disorders Coronavirus Opiate Overdose Housing Drug consumption rooms Business Drug Overdose Delivery of Health Care |
| Zdroj: | Harm Reduction Journal Harm Reduction Journal, Vol 18, Iss 1, Pp 1-10 (2021) |
| ISSN: | 1477-7517 |
| Popis: | The COVID-19 crisis has had profound impacts on health service provision, particularly those providing client facing services. Supervised injecting facilities and drug consumption rooms across the world have been particularly challenged during the pandemic, as have their client group—people who consume drugs. Several services across Europe and North America closed due to difficulties complying with physical distancing requirements. In contrast, the two supervised injecting facilities in Australia (the Uniting Medically Supervised Injecting Centre—MSIC—in Sydney and the North Richmond Community Health Medically Supervised Injecting Room—MSIR—in Melbourne) remained open (as at the time of writing—December 2020). Both services have implemented a comprehensive range of strategies to continue providing safer injecting spaces as well as communicating crucial health information and facilitating access to ancillary services (such as accommodation) and drug treatment for their clients. This paper documents these strategies and the challenges both services are facing during the pandemic. Remaining open poses potential risks relating to COVID-19 transmission for both staff and clients. However, given the harms associated with closing these services, which include the potential loss of life from injecting in unsafe/unsupervised environments, the public and individual health benefits of remaining open are greater. Both services are deemed ‘essential health services’, and their continued operation has important benefits for people who inject drugs in Sydney and Melbourne. |
| Databáze: | OpenAIRE |
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