Canada is experiencing an overdose emergency, which killed over 21,000 people between 2016 and 2020. Supervised Consumption Services (SCS) are a core component of Canada’s overdose response.

 
 

Supervised consumption services (SCS) are health facilities where people consume drugs and are monitored by staff who provide education on harm reduction and provide emergency medical care for overdose.

SCS also distribute sterile drug use equipment and can act as a pathway to other health services. SCS are authorized by federal or provincial authorities, which protects staff and participants from being charged with possession of illegal drugs while on site.

 

Learn more about the basics of supervised consumption services.

Evidence Brief

Learn more about the basics of SCS, including supporting peer reviewed research.

Overview of the Canadian Overdose Epidemic

Canada has been experiencing an unprecedented overdose emergency, which has killed more than 21,000 people between 2016 and 2020.

2016

Naloxone kits
Changes to federal and provincial regulations make naloxone more widely available to the general public

BC declared public health emergency
Increased emphasis on supervised consumption services and other harm reduction services

2017

More SCS open
Alberta, Ontario, and Quebec open their first SCS

SCS regulations streamlined with new federal legislation
Made it easier to apply for and get supervised consumption services approved

2018

Peer-assisted injection
was permitted in select SCS

2019

Saskatchewan’s first SCS
SCS opens in Saskatoon without provincial funding

2021

SCS scale up

37 SCS currently approved in 5 provinces.

Number of federally-exempted supervised consumption services (SCS) in each Canadian province


Learn more about the supervised consumption services and the Canadian overdose epidemic.

Evidence Brief

Learn about supervised consumption services and the Canadian overdose epidemic in more detail, including supporting peer reviewed research.

Infographic

Download a printable PDF infographic visualizing supervised consumption services in the context of the Canadian overdose epidemic.

Health Impacts

Supervised consumption services (SCS) can reduce a number of drug-related harms and improve the health of people who use drugs. The evidence says that supervised consumption services…

 

Prevent overdose deaths

Trained staff are on site to reverse overdoses if they happen.

Decrease unsafe drug use practices

Facilitation of less risky drug use practices helps keep people who use drugs safe.

Decreased HIV/HCV transmission risk

Sterile supplies and drug use education help decrease HIV and hepatitis C transmission.

Increase access to health and social services

Connect participants to services like primary health care and substance use disorder treatment.

 

Learn more about the health impacts of supervised consumption services.

Evidence Brief on Health Impacts

Learn the health impacts of supervised consumption services in more detail, including supporting peer reviewed research.

Infographic on Health Impacts

Download a printable PDF infographic summarizing the health impacts of supervised consumption services.

Cost Savings

The literature generally concludes that supervised consumption services (SCS) save money. The evidence says that these cost savings are through…

 

Reduced Disease Transmission

Prevention of Overdose Deaths

 
 

Learn more about the cost savings of supervised consumption services.

Evidence Brief

Learn more about the cost savings of supervised consumption services in more detail, including supporting peer reviewed research.

Infographic

Download a printable PDF infographic summarizing the cost savings of supervised consumption services.

Crime & Public Order

Opponents of proposed SCS are worried that crime and disorder will worsen in the surrounding area. Most research has found that SCS do not negatively impact crime and public disorder in their surrounding communities. The evidence says that supervised consumption services result in…

 

Less public drug use

Fewer publicly discarded needles

Decreases or no changes in
violent crime

No verified changes in drug trafficking

 

Learn more about the impact of supervised consumption services on crime and public order.

Evidence Brief

Learn more about the impacts of supervised consumption services on crime and public order in more detail, including supporting peer reviewed research.

Crime and Public Order Evidence Brief (PDF, 349 KB, English)

Synthèse des données probantes de la criminalité et l’ordre public (PDF, 354 KB, Français)

Infographic

Download a printable PDF infographic summarizing the health impacts of supervised consumption services.

Crime and Public Order Infographic (PDF, 303 KB, English)

Infographie de la criminalité et l’ordre public (PDF, 305 KB, Français)

A Typical Visit

What happens at a Supervised Consumption Service?

Click a step to enlarge it.

Infographic

Download a printable PDF infographic summarizing a typical visit to an SCS.

Learn more

 

SCS Resources

Download our full collection of infographics and evidence briefs to further your learning on Supervised Consumption Services.

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About the Team

Learn about the WHY SCS team including our ongoing areas of research.

About the Team