Esben Houborg is with the Center for Drug and Alcohol Research, Aarhus University, Copenhagen, Denmark. Marie Jauffret-Roustide is with the Centre d'Étude des Mouvements Sociaux (Inserm U1276/CNRS UMR 8044/EHESS), Paris, France; the Baldy Center for Law and Social Policy, Buffalo University, Buffalo, NY; and the British Columbia Center on Substance Use, Vancouver, BC, Canada. Marie Jauffret-Roustide is also a Guest Editor of this supplement issue.
Am J Public Health. 2022 Apr;112(S2):S159-S165. doi: 10.2105/AJPH.2022.306808.
Drug consumption rooms (DCRs) have the potential to have a positive impact on the opioid overdose crisis. DCRs could also potentially change the political environment for public health because they can affect the distribution of responsibility for harm reduction between the individual and society by collectivizing responsibility for harm reduction through welfare regimes. The methodology is based on 2 case studies-1 in Copenhagen, Denmark, and 1 in Paris, France-about residents, people who inject drugs (PWID), and politicians' experiences of DCRs involving semidirective interviews. Denmark has a long history of harm-reduction policy, and the implementation of DCRs in Copenhagen has happened through close collaboration between local authorities and the local community. France is far more centralized and paternalistic in terms of the distribution of authority and decision-making in welfare and drug policy. Difficulties in cohabitation between local residents and PWID happened in both countries and can sometimes make public authorities hesitate to implement DCRs because of the NIMBY ("not in my backyard") phenomenon. However, the Danish and French case studies show that DCRs have the potential to become an instrument for civic cohabitation as well as to contribute to the destigmatization and health of PWID. (. 2022;112(S2):S159-S165. https://doi.org/10.2105/AJPH.2022.306808).
吸毒室（DCR）有可能对阿片类药物过量危机产生积极影响。DCR 还可能通过福利制度将减少伤害的责任集体化，从而改变公共卫生的政治环境，因为它们可以影响个人和社会之间减少伤害责任的分配。该方法基于丹麦哥本哈根和法国巴黎的 2 个案例研究，涉及居民、注射毒品者（PWID）和政治家对 DCR 的经验，包括半直接访谈。丹麦在减少伤害政策方面有着悠久的历史，哥本哈根 DCR 的实施是通过地方当局和当地社区之间的密切合作实现的。法国在福利和毒品政策方面的权力分配和决策更加集中和家长式。在这两个国家都出现了当地居民和 PWID 之间同居困难的情况，有时这会使公共当局因 NIMBY（“不在我后院”）现象而犹豫不决地实施 DCR。然而，丹麦和法国的案例研究表明，DCR 有可能成为公民同居的工具，并有助于减少 PWID 的污名化和促进他们的健康。（. 2022;112(S2):S159-S165. https://doi.org/10.2105/AJPH.2022.306808）。
