Needle and syringe programs (NSPs) are key public health and HIV prevention programs. We sought to compare over time the quality of relationships between NSPs and police, and implementation of best practices. We conducted cross-sectional surveys in 2008 (n = 32) and 2015 (n = 28) with NSP managers in Ontario, Canada. Participants were recruited via e-mail to complete an online survey. Over the period studied, self-reported quality of NSP–police relationships did not change—roughly two thirds of NSP managers reported a positive/mostly positive relationship. In 2015, higher proportions of programs offered training to police about the following: the purpose and goals of NSPs (48% vs. 41% in 2008), NSP effectiveness (55% vs. 34%), the health and social concerns of people who use drugs (52% vs. 40%), and needlestick injury prevention (44% vs. 31%). Few managers reported formal conflict resolution procedures with the police (22% in 2015, 9% in 2008). Our findings show that NSP–police relationships did not deteriorate during a time when such programs fell into disfavor with the federal government. More research is needed to understand if and when formal versus informal agreements with police serve the needs of NSPs.
AitkenC.MooreD.HiggsP.KelsallJ.KergerM. (2002). The impact of a police crackdown on a street drug scene: Evidence from the street. International Journal of Drug Policy, 13, 193-202.
2.
BeletskyL.AgrawalA.MoreauB.KumarP.Weiss-LaxerN.HeimerR. (2011). Police training to align law enforcement and HIV prevention: Preliminary evidence from the field. American Journal of Public Health, 101, 2012-2015.
3.
BeletskyL.CochraneJ.SawyerA. L.Serio-ChapmanC.SmelyanskayaM.HanJ.. . . ShermanS. G. (2015). Police encounters among needle exchange clients in Baltimore: Drug law enforcement as a structural determinant of health. American Journal of Public Health, 105, 1872-1879.
4.
BurrisS.BlankenshipK. M.DonoghoeM.ShermanS.VernickJ. S.CaseP.. . . KoesterS. (2004). Addressing the “risk environment” for injection drug users: The mysterious case of the missing cop. Milbank Quarterly, 82, 125-156.
CepedaJ. A.StrathdeeS. A.ArredondoJ.MittalM. L.RochaT.MoralesM.. . . BeletskyL. (2017). Assessing police officers’ attitudes and legal knowledge on behaviors that impact HIV transmission among people who inject drugs. International Journal of Drug Policy, 50, 56-63.
7.
CooperH.MooreL.GruskinS.KriegerN. (2005). The impact of a police crackdown on drug injectors’ ability to practice harm reduction: A qualitative study. Social Science & Medicine, 61, 673-684.
8.
DeBeckK.WoodE.MontanerJ.KerrT. (2009). Canada’s new federal “national anti-drug strategy”: An informal audit of reported funding allocation. International Journal of Drug Policy, 20, 188-191.
9.
Des JarlaisD. C. (2000). Research, politics, and needle exchange. American Journal of Public Health, 90, 1392-1394.
10.
DillmanD. A. (2000). Mail and internet surveys: The tailored design method (2nd ed.). New York, NY: John Wiley.
11.
DillmanD. A.SmythJ. D.ChristianL. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th ed.). Hoboken, NJ: Wiley.
12.
HankinsC. A. (1998). Syringe exchange in Canada: Good but not enough to stem the HIV tide. Substance Use & Misuse, 33, 1129-1146.
13.
IvsinsA.RothE.NakamuraN.KrajdenM.FischerB. (2011). Uptake, benefits of and barriers to safer crack use kit (SCUK) distribution programmes in Victoria, Canada: A qualitative exploration. International Journal of Drug Policy, 22, 292-300.
14.
NadelmannE.LaSalleL. (2017). Two steps forward, one step back: Current harm reduction policy and politics in the United States. Harm Reduction Journal, 14, 37.
15.
RichJ. D.AdashiE. Y. (2015). Ideological anachronism involving needle and syringe exchange programs: Lessons from the Indiana HIV outbreak. JAMA: Journal of the American Medical Association, 314, 23-24.
16.
RileyD.ThomsonN.MonaghanG.JardineM. (2015). Training manual for law enforcement officials on HIV service provision for people who inject drugs. Vienna, Austria: United Nations Office on Drugs and Crime.
SheldonC. T.FerrisL. E.StrikeC. (2013). Hopeful result, unclear implications: A comment on Canada (Attorney General) v PHS Community Services Society. Health Law Review, 21(2), 15-25.
19.
SilvermanB.DavisC. S.GraffJ.BhattiU.SantosM.BeletskyL. (2012). Harmonizing disease prevention and police practice in the implementation of HIV prevention programs: Up-stream strategies from Wilmington, Delaware. Harm Reduction Journal, 9, 17.
20.
StrikeC. J.MyersT.MillsonM. (2004). Finding a place for needle exchange programs. Critical Public Health, 14, 261-275.
21.
StrikeC.JairamJ. A.KollaG.MillsonP.ShepherdS.FischerB.. . . BayoumiA. M. (2014). Increasing public support for supervised injection facilities in Ontario, Canada. Addiction, 109, 946–953.
22.
StrikeC.LeonardL.MillsonM.AnsticeS.BerkeleyN.MeddE. (2006). Ontario needle exchange programs: Best practice recommendations. Toronto, Ontario, Canada: Ontario Needle Exchange Coordinating Committee.
23.
StrikeC.WatsonT. M. (2017). Relationships between needle and syringe programs and police: An exploratory analysis of the potential role of in-service training. Drug and Alcohol Dependence, 175, 51–54.
24.
StrikeC.WatsonT. M.GohilH.MiskovicM.RobinsonS.ArkellC.. . . ZurbaN. (2015). Best practice recommendations for Canadian harm reduction programs that provide service to people who use drugs and are at risk for HIV, HCV, and other harms: Part 2. Toronto, Ontario, Canada: Working Group on Best Practice for Harm Reduction Programs in Canada.
25.
StrikeC.WatsonT. M.LavigneP.HopkinsS.ShoreR.YoungD.. . . MillsonP. (2011). Guidelines for better harm reduction: Evaluating implementation of best practice recommendations for needle and syringe programs (NSPs). International Journal of Drug Policy, 22(1), 34–40.
26.
TheinH.-H.KimberJ.MaherL.MacDonaldM.KaldorJ. M. (2005). Public opinion towards supervised injecting centres and the Sydney Medically Supervised Injecting Centre. International Journal of Drug Policy, 16, 275-280.
27.
TreloarC.FraserS. (2007). Public opinion on needle and syringe programmes: Avoiding assumptions for policy and practice. Drug and Alcohol Review, 26, 355-361.
28.
WerbD.WoodE.SmallW.StrathdeeS.LiK.MontanerJ.KerrT. (2008). Effects of police confiscation of illicit drugs and syringes among injection drug users in Vancouver. International Journal of Drug Policy, 19, 332-338.
29.
WodakA.CooneyA. (2005). Effectiveness of sterile needle and syringe programmes. International Journal of Drug Policy, 16(Suppl. 1), S31-S44.
30.
World Health Organization. (2004). Effectiveness of sterile needle and syringe programming in reducing HIV/AIDS among injecting drug users. Geneva, Switzerland: Author.
31.
World Health Organization. (2014). Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. Geneva, Switzerland: Author.
