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‘Why would we not want to keep everybody safe?’ The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland

Parkes, Tessa; Price, Tracey; Foster, Rebecca; Trayner, Kirsten M. A.; Sumnall, Harry R.; Livingston, Wulf; Perkins, Andy; Cairns, Beth; Dumbrell, Josh; Nicholls, James


Tessa Parkes

Tracey Price

Kirsten M. A. Trayner

Harry R. Sumnall

Wulf Livingston

Andy Perkins

Beth Cairns

Josh Dumbrell

James Nicholls


People who use drugs in Scotland are currently experiencing disproportionately high rates of drug-related deaths. Drug consumption rooms (DCRs) are harm reduction services that offer a safe, hygienic environment where pre-obtained drugs can be consumed under supervision. The aim of this research was to explore family member perspectives on DCR implementation in Scotland in order to inform national policy.

Scotland-based family members of people who were currently or formerly using drugs were invited to take part in semi-structured interviews to share views on DCRs. An inclusive approach to ‘family’ was taken, and family members were recruited via local and national networks. A convenience sample of 13 family members were recruited and interviews conducted, audio-recorded, transcribed, and analysed thematically using the Structured Framework Technique.

Family members demonstrated varying levels of understanding regarding the existence, role, and function of DCRs. While some expressed concern that DCRs would not prevent continued drug use, all participants were in favour of DCR implementation due to a belief that DCRs could reduce harm, including saving lives, and facilitate future recovery from drug use. Participants highlighted challenges faced by people who use drugs in accessing treatment/services that could meet their needs. They identified that accessible and welcoming DCRs led by trusting and non-judgemental staff could help to meet unmet needs, including signposting to other services. Family members viewed DCRs as safe environments and highlighted how the existence of DCRs could reduce the constant worry that they had of risk of harm to their loved ones. Finally, family members emphasised the challenge of stigma associated with drug use. They believed that introduction of DCRs would help to reduce stigma and provide a signal that people who use drugs deserve safety and care.

Reporting the experience and views of family members makes a novel and valuable contribution to ongoing public debates surrounding DCRs. Their views can be used to inform the implementation of DCRs in Scotland but also relate well to the development of wider responses to drug-related harm and reduction of stigma experienced by people who use drugs in Scotland and beyond.

Journal Article Type Article
Acceptance Date Aug 15, 2022
Online Publication Date Aug 29, 2022
Publication Date 2022
Deposit Date Sep 20, 2022
Publicly Available Date Sep 22, 2022
Journal Harm Reduction Journal
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 19
Issue 1
Article Number 99
Keywords Drug consumption rooms, Safer injection sites, Supervised injection facilities, Harm reduction, Overdose prevention, Lived experience, Problem drug use, Families, Qualitative research, Scotland
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