"Minister for Health Simon Harris and Minister of State for Communities and the National Drugs Strategy, Catherine Byrne today (Tuesday) welcomed the Government’s decision to approve the publication of the Misuse of Drugs (Supervised Injecting Facilities) Bill 2017.
"The Bill, which was approved by Cabinet at its meeting this morning, will allow the Minister for Health to issue a licence, with conditions, to operate a supervised injecting facility. This is a controlled environment where drug users may self-administer, by injection, drugs they have brought with them. Such facilities will provide access to clean, sterile injecting equipment and have trained staff on hand to provide emergency care in the event of an overdose, as well as advice on treatment and rehabilitation. They will also help alleviate the problems associated with injecting on the street, including drug-related litter.
"Minister Harris said that he is, 'delighted to be bringing forward this important legislation that adopts a health-led approach to drugs-use by those in our society who have been marginalised as a result of their addictions.'
"The provisions of the Bill would also:
"Exempt authorised users from the offence of possession when in the facility, and with the permission of the licence holder;
"It would provide an exemption for licensed providers whereby it is currently an offence to permit the preparation or possession of a controlled substance in premises;
"It would enable the Minister to consult with the HSE, An Garda Síochána, or others on matters relating to a supervised injecting facility, and enable the Minister to make regulations relating to the operation of such facilities.
"It is important to note that possession of controlled drugs will continue to be an offence outside a supervised injecting facility. Possession for sale or supply will remain an offence both inside and outside a supervised injecting facility.
"Minister of State for Communities and the National Drugs Strategy, Catherine Byrne, who attended Cabinet today alongside Minister Harris, afterwards said that the facilities – the first of which will be run on a pilot basis – will be a safe harbour for chronic drug users. 'They will provide a controlled place for people to inject, but will be much more than that – a place to rest, have a chat and access the services people need. I believe in a health-led and person-centred approach to the drug problem. For me this is all about people and looking after the most vulnerable and marginalised in our society. The human cost of public injecting is clear and keeps adding up – the lack of dignity, the effect it has on people’s health, wellbeing and safety. We know that these facilities are not the sole solution to the drugs problem and many other steps are needed, but I am committed to doing everything we can to help those who need it most.'
"The Bill does not establish a location for a supervised injecting facility, but a pilot facility is planned for Dublin city centre. The HSE have established a working group to gather data, consider possible options and to undertake consultation before any decision is made."

"A ruling by the Supreme Court of Canada will not only have ramifications across Canada but will also likely have an impact in the United States, which has taken an active role in debating Canadian drug issues.⁴⁰ A review of the legal framework in the United States concluded that states and municipalities have some authority to regulate safe injection facilities, but federal agencies could supervene under the Controlled Substances Act.⁴¹ Local public health activists have investigated the establishment of safe injection facilities in San Francisco and New York City.⁴² There are no official facilities in the United States, but anecdotally, some agencies do informally provide safer environments for drug injection."

"Consumption rooms reach a population of often older, long-term users some of whom have had no previous treatment contact. Services appear particularly successful in attracting groups that are difficult to reach. No evidence was found to suggest that naive users are initiated into injecting as a result of the presence of consumption rooms."

"Consumption rooms can reduce significantly the level of drug use in public. The extent to which this is achieved depends on their accessibility, opening hours and capacity to accommodate drug consumptions that would otherwise occur in public.
"The location of consumption rooms needs to be compatible with the needs of drug users but also to take account of the needs and expectations of local residents. A reduction in the number of public consumptions can contribute to improvements in the neighbourhood by helping to reduce public nuisance associated with open drug scenes. However, facilities near illicit drug markets are not able to solve wider nuisance problems that result from these markets.
"Police actions against drug markets and drug scenes in other neighbourhoods may sometimes increase public order problems near consumption rooms. This implies that, if rooms are to contribute to reducing public nuisance rather than be blamed for aggravating it, there needs to be consultation not only with local residents but also with police, so that action to discourage open drug scenes does not at the same time deter drug users from making use of the facilities."