Implementation contexts and the impact of policing on access to supervised consumption services in Toronto, Canada: a qualitative comparative analysis

#Abstract

#Background

Supervised consumption services (SCS) are being implemented across Canada in response to a variety of drug-related harms. We explored the implementation context of newly established SCS in Toronto and the role of policing in shaping program access by people who inject drugs (PWID).

“That's a double-edged sword”: Exploring the integration of supervised consumption services within community health centres in Toronto, Canada

#Highlights

  • Integrating SCS within health centres provided clients access other health services.
  • Hours of operation were seen as a barrier to SCS service uptake.
  • The building layouts created privacy and anonymity concerns for clients.

#Abstract

Case Study: West End Quality Improvement Collaboration

The West End Quality Improvement Collaboration is a partnership of six community health centres in Toronto that was established with the goal of increasing the efficiency and effectiveness of service delivery by working alongside one another on quality indicators. Community health centres are funded to serve the most marginalized populations, which include people living in poverty, homeless people, street-involved people, newcomers and lesbian, gay, bisexual, transgender, queer (or questioning) people.

Virtual Care During COVID-19 and Implications for Future Care Delivery

Virtual care is defined as “any interaction between patients and/or members of their circle of care, occurring remotely, using any form of communication or information technologies, with the aim of facilitating or maximizing the quality and effectiveness of patient care”, and was provided under special circumstances before March 2020. However, with the recent challenges posed by the COVID-19 pandemic, community health centres and clinics have had to resort to providing virtual care with exceptions of face-to-face appointments for those requiring physical exams and interventions.

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