Overdose Prevention Centers

 

 

Overdose prevention centers (OPCs) (sometimes called safe consumption sites, safe injection sites or drug consumption rooms) are safe, monitored spaces where trained staff can intervene in the event of an overdose.

 

In 2021, 435 Rhode Islanders lost their lives due to an accidental drug overdose. Many overdoses happen when people are alone. When people are alone, no one can call 911 or administer naloxone, a drug that can reverse an overdose. We need more ways to stop these deadly overdoses. In OPCs, trained staff can use naloxone (an overdose reversal medication) and oxygen to reverse an overdose and save a life, without needing to call 911.

There is currently one overdose prevention center operating in the state, operated by Project Weber/RENEW in Providence. These sites are regulated by the Rhode Island Department of Health and have been approved by the Rhode Island State Legislature.

 


 

How do Overdose Prevention Centers work?

 

They reduce overdose deaths.

These sites reduce overdose deaths in the neighborhoods they are located in. One study from Vancouver showed a 35% drop in overdose deaths in the area where the OPC opened. In Toronto, there was a 69% drop in overdoses within 1000m of overdose prevention centers one year after they opened.They prevent overdoses by having staff readily available to address emergencies, and foster an environment that increases the safety and security of participants, even when they are not using an OPC. For example through naloxone distribution and having trained staff available.


They connect people to treatment.

These sites also connect people to treatment. Research shows that using an OPC increases the amount of people who use treatment services like medication assisted treatment. At OPCs there are often counselors on site, some of whom are peers. Research shows these counselors are effective at helping people get into treatment. One study found that 42% of opc participants not previously enrolled in treatment were enrolled within two years of using the OPC.


They save communities money.

OPCs save cities money. They reduce the amount of overdoses and infections. Studies have looked into the cost-effectiveness of these sites across different American cities. These studies have all found reduced healthcare costs. There are fewer visits to the emergency room, fewer ambulance rides, and fewer hospital stays. This saves money and reduces the burden on emergency service staff. By giving out safe supplies and teaching people about using safely, the risk of infections like HIV can be reduced. Furthermore, these infections can need years of treatment, which can be costly.


They reduce litter and don’t increase drug use.

By offering a safer place to use drugs, these sites also keep the community safe. OPCs provide a place to dispose of needles and other used drug equipment, which decreases the amount of litter on the street. One study found a drop in public drug use 12 weeks after an OPC opened in Vancouver. Studies have also shown that these sites do not increase drug use or drug selling activity in the area. There are also no increases in violent crimes like assault or robbery. In fact, one study looked at an unsanctioned site in the US for five years and found that there was a decrease in crime.


They reduce infections.

OPCs reduce the spread of HIV and other infectious diseases. They provide access to basic healthcare, sterile supplies, and spread knowledge on safer drug use practices. Research has estimated that these sites reduce HIV infection rates by 6%-11% amongst those who use them. Studies have also shown that using these sites reduces the risk of getting abscesses. People are also more likely to seek treatment for drug-related skin injuries (like soft tissue infections) at these sites compared to a hospital. People who use these sites are also likely to report using harm reducing approaches including using new syringes when they use drugs. Data from one site in the US shows that those who used an OPC were less likely to go to the emergency room and the hospital.


 

What does an overdose prevention center look like?

 

Take a tour of the Overdose Prevention Center in New York City.

Watch this video from opcinfo.org which tours the Overdose Prevention Center in East Harlem, New York City, operated by OnPoint NYC.

Ashley Perry, Co-Director of the Overdose Prevention Center in Providence talks about these sites.

Watch this video from Filter Magazine, where Ashley Perry, Co-Director of the Overdose Prevention Center in Providence talks about how OPCs work, why they are needed and the work they do every day.


How will we know if the site in Rhode Island is effective?

There is currently an ongoing study that is evaluating the effectiveness of this site and the sites in New York City. The study is conducted by a team at New York University and Brown University. You can find out more about the study and learn more about their results here.


Download Fact Sheets

There is a lot of scientific evidence on overdose prevention centers. opcinfo.org has created fact sheets that summarize this research based on different topics.


 
Health Impacts

Find out more about the impacts overdose prevention centers have on people’s health.


 
Cost Effectiveness

Learn more about how overdose prevention centers save communities money.


 
Treatment Uptake

Read about how overdose prevention centers impact the uptake of treatment.


 
Community Impacts

Find out more about the impacts that overdose prevention centers have on the surrounding community.


 
Services Offered

Learn more about the services that are offered at overdose prevention centers.


 
Operational Considerations

Read more about the operational considerations that go into operating an overdose prevention center.


Social media graphics

Download and share graphics that explain the concept of overdose prevention centers.

Harm reduction can keep us safe

Harm reduction can keep us safe
Caption: There are several ways you can stay safe when using drugs: remember to always have naloxone on hand, stay with other people when using, use new works, and visit a doctor or clinic regularly. Learn more at https://preventoverdoseri.org/overdose-prevention-centers/

What does harm reduction look like?

What does harm reduction look like?
Caption: Harm reduction can look like using fentanyl test strips, carrying naloxone, using with others and using safer smoking supplies, sterile syringes, new works, and other harm reduction tools. All of these steps make drug use safer and can save lives. Learn more at https://preventoverdoseri.org/overdose-prevention-centers/

What are overdose prevention centers?

What are overdose prevention centers?
Caption: Overdose prevention centers are places where people can go to use drugs safer. Here, trained professionals will be readily available to monitor drug consumption, give life-saving help if someone overdoses, and support clients. The evidence shows that these sites reduce overdose deaths, do not increase drug use in surrounding areas, and connect people to services. There have been zero deaths at any of these centers worldwide. Learn more at https://preventoverdoseri.org/overdose-prevention-centers/

Harm reduction keeps people alive.

Harm reduction keeps people alive
Caption: People can and do change their drug use. Change is hard and takes time, it can be a long and winding journey. People should not be at risk of dying while they make that journey. Harm reduction keeps people alive. Learn more at https://preventoverdoseri.org/overdose-prevention-centers/

More Resources

 

Resources for safer drug use

In Rhode Island, you can already get supplies and services to stay safer when you use drugs. Find out where you can get syringes, naloxone, fentanyl test trips, and get tested for HIV and hepatitis C.

Safer drug use practices

Learning to take care of yourself takes time and thought. There are many that you can do to help you use drugs more safely. This includes resources in the community that you can access, as well as general suggestions to prevent overdose and infection.