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Thomas Kerr, Will Small, David Moore, Evan Wood, 2006. Furthermore, 60% of those living/working in the area reported feeling that the site had a positive impact on public order; and more than 80% indicated that In Site should be either expanded, retained or modified. Boyd et al 2008 Vancouver: Health Canada Canada's national police force concludes that supervised injection sites do not increase crime This study, lead by the RCMP, Canada's national police force, analyzed previous research and found that supervised injection sites achieve many of the expected benefits and that there was no evidence that they increased the number of drug users, made drug users more resistant to treatment or decreased public order by expanding drug scenes or attracting drug users and dealers from other locations. Cohen 2006 Potus Consulting, RCMP There has never been a fatal overdose at In Site This study attempted to estimate the number of overdose deaths potentially averted by the implementation of In Site.

Safer injection facilities (SIFs) constitute one such intervention, although little is known about the impact of such facilities on factors that mediate risk for overdose. By detailing various kinds of property crime and violent crime the researchers found that no change in the rate of crime can be traced to the establishment of the In Site. PLo S One Vancouver police officers support the efforts of In Site and work in tandem with the facility to improve public order Study examined the role of police in referring injection drug users to In Site and found that the supervised injection site provides an opportunity to coordinate policing and public health efforts in a positive manner thereby improving both health and public order.

Annals of Epidemiology In Site does not impede employment opportunities for injection drug users Critics of In Site argue that the program impedes drugs users ability to obtain meaningful employment and reintegrate into mainstream society.

Kerr 2009 Determinants of Cutaneous Injection-Related Infection Care at a Supervised Injecting Facility.

Small 2008 Incarceration experiences in a cohort of active injection drug users. Kerr 2008 Illicit drug addiction, infectious disease spread, and the need for an evidence-based response. Wood 2008 Supervised injecting facilities: Time for scale-up? Harm Reduction Journal In Site reduces mortality rates from injection-related infection This report identifies and summarizes the risks of infection associated with injection drug use.

Kerr 2008 The perspectives of injection drug users regarding safer injecting education delivered through a supervised injecting facility. Areas of focus include HIV testing, HIV disease monitoring, directly observed therapy, and substitution therapies.

De Beck K, Kerr T, Zhang R, Marsh D, Tyndall M, Montaner J, Wood E. Injection drug use cessation and use of North America's first medically supervised safer injecting facility. Increased Use of Addiction Treatment The Safe Injection Facility's opening was associated independently with a 30% increase in detoxification service use, and this behaviour was associated with increased rates of long-term addiction treatment initiation and reduced injecting at the SIF. Wood E, Kerr T, Montaner JS, Strathdee S, Kerr T, et al. Rationale For Evaluating North America's First Medically Supervised Injecting Facility. Changes In Public Order After The Opening of a Medically Supervised Safer Injection Facility for Injection Drug Users. Wood 2007 Circumstances of First Injection Among Illicit Drug Users Accessing a Medically Supervised Safer Injecting Facility. The study concludes that an expansion of services would decrease public injecting.

Tyndall MW, Kerr T, Zhang R, King E, Montaner JG, Wood E. Attendance, Drug Use Patterns, and Referrals Made From North America's First Supervised Injection Facility. Evaluation Methodology Lays out the method by which the health and community impacts of In Site will be measured and evaluated.

It finds no increases in drug trafficking or assaults/robbery, and a decline in vehicle break-ins/vehicle theft. Substance Abuse Treatment, Prevention and Policy 1:1-4 Attraction of Higher-Risk Injection Users Reports that In Site attracted injection drug users (IDUs) with elevated risks of blood-borne disease infection and overdose, and IDUs who were contributing to public drug use and unsafe syringe disposal problems stemming from public injection drug use. Nurses well versed in the health challenges facing injection drug users provide wound care, safer injection education, intervene in overdose situations and treat infections.