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Safer Inside : A Community Safe Injection Site Demonstration

Project Description

Project Description

The Safer Inside Demonstration was a full-scale, operational demonstration model of a safe injection site opened to the community for education and outreach from August 28 – 31, 2018 in San Francisco’s Tenderloin neighborhood. Presented by the Safer Inside Community, Tenderloin Health Improvement Partnership (TLHIP), Capital One Design Pro Bono and hosted by GLIDE, this collaborative project demonstrated the integration of safe injection services (SIS) into an existing multi- service organization.

The week-long exhibition provided experiential learning opportunities through interactive displays and guided tours, and allowed for community engagement through multiple events, including speaker panels and forums. As a prototype, this project provided opportunities to test operational principles and obtain feedback from people who inject drugs, various service providers (including Tenderloin medical clinics, harm reduction programs, and treatment programs) and the community at large.

Project Partners
Glide Foundation, Drug Policy Alliance, Saint Anthony’s Foundation, Saint Francis Foundation, Tenderloin Health Improvement Partnership, Drug Users Union, City of San Francisco Mayors Office and Department of Public Health

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Project Goals

Project Goals

1. Create a full-scale, operational prototype that moves beyond single injection booth models to support ongoing advocacy for overdose prevention sites;

2. Demonstrate how SIS would integrate into existing CBO’s, emphasizing operating principles and demonstrating the path from engagement into treatment and other harm reduction services;

3. Create opportunities for experiential learning through different mediums (e.g., speaker panels, interactive digital displays, guided walk-throughs for individuals and/or groups);

4. Test operational procedures and consider best practices using community participation; and

5. Learn from the community, especially from people who inject drugs living in the Tenderloin.

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Process

Process

The project started with a two-day maker conference focused on tackling social challenges, sponsored by Capital One. This weekend of design support created an initial package that was presented to the community and used by the Glide foundation to secure future funding and support going forward. The few months that followed included presentations by Capital One Design Probono to stakeholders leading to a comprehensive project scope and timeframe with strong community buy in. After the core design team was formed, the project scope included:

VANCOUVER SITE VISIT & RESEARCH
We visited and reviewed various operating models, existing best practices and experiences from around the world as well as conducted interviews with staff, healthcare workers, and people who inject drugs (PWID) locally

COMMUNITY PARTNER WORKSHOPS
Conducted experience mapping exercises with multiple stakeholder groups, physical design workshops with the Safer Inside Taskforce and feedback sessions with PWIDs

STORY GATHERING WITH PEOPLE WHO INJECT DRUGS (PWID)
Interviewed and created audio visual recordings to represent personal local stories from PWIDs in the tenderloin neighborhood

MAYORS OFFICE MEETINGS
Newly elected Mayor London Breed supported and championed this project leading to collaboration with her office and multiple with policy change makers

COMMUNICATION AND TOUR SCRIPTING WORKSHOPS
Working with Glide’s communication team, we provided content to socialize the project as well as created a scripted experience for all tours during the prototype week

QUALITATIVE AND QUANTITATIVE RESEARCH
The team provided research protocols, guides, and frameworks to capture feedback data from participants during the demonstration

PROTOTYPE INSTALL AND WEEK EVENTS
A full week of on-the-hour tours, a press day with the SF mayor’s office, expert panels and speakers, feedback cards and intercept interviews

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Outcomes & Impact

Outcomes & Impact

The safer Inside prototype concluded with a wealth of new learnings, national press exposure which has led to new mindsets in the community, and stakeholder next steps that range from new policy initiatives at the state level to on-the-ground service improvements throughout the local healthcare network. In total, the week’s impact included:

- 558 individuals attended tours
- 122 “companies”: 59 community organizations, 20 government departments, and 43 business and educational institutions
- 67 tours in four days with an average of 8.32 persons/tour and 139.5 persons/day
- Over 30 media outlets
- 106 Feedback cards written and 24 intercept interviews

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  Photos by Iran Narges, Dorothy Levin & Katherine O’Toole

Photos by Iran Narges, Dorothy Levin & Katherine O’Toole