• The next most commonly reported services that supervised consumption facilities reported offering addressed the hygiene of people who use drugs (including laundry, showers, and washrooms). • Services related to drug equipment, such as needle and syringe exchange, were rarely reported. This might reflect an assumption that such services are essential and assumed to be available (such as tourniquets) or might reflect the pattern of drug use in specific cities (such as the lack of safer crack use kits). • On-site counselling was rarely reported. • Other services reported occasionally by individual supervised consumption facilities included: o Distribution of candles, towels, cotton pads, bandages, bins, distilled water for injection, citric acid (for cooking brown heroin), non-sterile paper, rubber strips, and scissors o On-site withdrawal management and treatment services o Methadone maintenance therapy o Beds for detoxification o Sexual and reproductive health education o Screening and treatment for sexually transmitted infections, including rapid point of care HIV testing o Adherence support for antiretrovirals and other medications o Immunizations o Transportation to medical care facilities o Acute and chronic wound care o Acupuncture o Safe storage for cash o Women-only sessions o Mail service, including postal contact with clients in prison o Recreational trips o Clothing o Parenting skills sessions o Pastoral care o Opportunities for employment in the supervised consumption facility kitchen and non-alcoholic bar • Some facilities reported having additional staff, including social work students, case managers, lawyers, psychologists, drug and alcohol treatment liaison staff, and security guards.
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