First responder perspectives on supervised consumption site implementation to prevent fatal opioid overdose

Abstract

This project used in-depth interviews with 22 first responders and mobile integrated healthprofessionals to address two research aims: assess perceptions regarding the implementation of supervised consumption sites for people who use drugs, and to solicit program design and implementation-related concerns and suggestions. Using a thematic analytic approach, this study identified three main themes from interviews: the importance of a perception of safety in responding to emergency calls, SCS as an alternative to the emergency department, and ensuring the appropriate use of 911. Findings suggest that support for the SCS model may be conditional on perception among first responders and mobile integrated health staff that the program is adequately performing in these areas. These themes are also relevant to SCS implementation because they impact emergency service response times, as well as perceptions of and interactions with SCS program staff and participants. Participants also provided suggestions on potential areas of collaboration between their agencies and an SCS.