Imagine Safe Supply is a community-based research project that explores ideas about participation in safe supply. Between January and June of 2021, we interviewed 33 people who use drugs and frontline workers from across British Columbia, Alberta, Ontario and Quebec about what they want and need for safe supply.
Safe supply means drugs that are legally regulated with a known potency and composition. In this research, we considered safe supply to center the choices of drug users, including options that don’t necessarily focus on reduction or abstinence of drug use.
The people leading this research include people who use drugs and frontline workers, as well as graduate students and staff of the Canadian Drug Policy Coalition at Simon Fraser University. As a team, we co-designed and led every stage of the project, including research design, interviews, data analysis, and knowledge sharing. We carried out this work with the understanding that people who use drugs are closest to the problem of the toxic drug supply. We can’t move forward to find solutions without their vision and leadership.
We used the word ‘imagine’ in the title of this research because we asked people what safe supply would look like on their own terms, without barriers and stigma. Imagination can be a powerful framework for research as it has a transformative potential to see beyond existing conditions. This research built on the visionary agency of people who use drugs and frontline workers to chart new horizons of possibility in drug policy.
Our intention in sharing this research is to contribute to awareness and dialogue on safe supply in a way that is destigmatizing; to network people using drugs, frontline organizations, prescribers, and policy makers around value-based understandings of safe supply; and to encourage people with decision-making power to listen and actively respond to the needs and perspectives of people using drugs.
Summary of Findings
Meet the Team
Phoenix Beck McGreevy
Céline Côté
Frank Crichlow
Mikki Schell
Erica Schoen
Erin Howley
Sean O'Callaghan
Donald MacPherson
Jack Farrell
Karmvir Padda
Research Advisory
Dr. Marie-Eve Goyer, University of Montreal
Dr. Alissa Greer, Simon Fraser University
Dr. Elaine Hyshka, University of Alberta
Dr. Gillian Kolla, University of Victoria
Research Presentations
This presentation focuses on community-based values:
- Who took part in the Imagine Safe Supply research?
- What values are important to drug user participation in safe supply?
- What are the elements of safe supply programs?
- How can safe supply be designed in effective ways?
- What are some best practices for safe supply planning and evaluation?
In the Q&A we talk about ways to share these findings and our team's experience in leading this research.
This presentation focuses on prescribed safe supply:
- Who took part in this research?
- Why is a value-based approach to safe supply important?
- What are constraints and barriers people faced with prescribed safe supply?
- What are ways to address these barriers, with attention to issues of drug resale and sharing, eligibility criteria, and prescriber relationships?
- What happened when we asked people to imagine an ideal safe supply?
Please stay tuned for the release of the Imagine Safe Supply zine!
Blog Posts
Further Reading
- Opioid Toxicity and Access to Treatment among Adolescents and Young Adults in Ontario - Full Report (June 2023)
- Opioid Toxicities and Access to Treatment among Adolescents and Young Adults in Ontario - Infographic (June 2023)
- Public support for safer supply programs: analysis of a cross-sectional survey of Canadians in two provinces (June 2023)
- British Columbia Coroners Service, Illicit Drug Toxicity Deaths in BC January 1, 2012 – December 31, 2022 (Jan 2023)
- A concept mapping study of service user design of safer supply as an alternative to the illicit drug market (October 2022)
- Clinical outcomes and health care costs among people entering a safer opioid supply program in Ontario (September 2022)
- SAFER Victoria Impacts Graphic (2022)
- The impact of an integrated safer use space and safer supply program on non-fatal overdose among emergency shelter residents during a COVID-19 outbreak: a case study (March 2022)
- Implementation of Safe Supply Alternatives During Intersecting COVID-19 and Overdose Health Emergencies in British Columbia, Canada, 2021 (March 2022)
- Co/Lab Safer Supply Research, University of Victoria
- Kootenay Insurrection for Safe Supply – Links & Resources
- Drug User Liberation Front – Partial Reference Bibliography
- Opioïdes et approvisionnement plus sécuritaire (Safer supply)
- National Safer Supply Community of Practice - Searchable Resource & Literature Collection
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