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Harm Reduction Client Survey

BCCDC reports regularly on harm reduction and substance use topics.

Since 2012 the BCCDC Harm Reduction Services program has surveyed clients of harm reduction supply distribution sites across BC. BC has an established network of more than 350 harm reduction distribution sites. 

Prior to 2012, knowledge about high-risk drug use was based primarily on data from two major cities, Vancouver and Victoria. The Harm Reduction Client Survey was introduced to obtain more comprehensive and province-wide information about drug use, related harms, stigma, and access to harm reduction services.

Data from the survey is used to inform harm reduction planning, confirm emerging issues, and to evaluate and improve quality of harm reduction services. The background and significant findings of the survey are summarised in the report below. The 2021 survey was administered at sites across the province and data analyses are in progress. People with lived and living experience of substance use are engaged during survey development and interpreting findings. InfographicBC Harm Reduction Client Survey: Background & Significant Findings throughout the Years 

Annual Reports & Findings

A BCCDC Rounds presentation Sep 2021 highlights how survey findings have informed policy and programs, and how people with lived/living experience of substance use are engaged in all steps of survey development, administration and interpretation of the findings.

The harm reduction client survey: From small beginnings to influencing harm reduction policy and programs. 

Findings and knowledge summaries for each year the survey was administered are described below.   


Summary Infographics


Reports & Publications

Exploring motivations for concurrent use of uppers and downers among people who access harm reductio services in British Columbia: a thematic analysis  (2022) Publication


Correlates of concurrent use of stimulants and opioids among people who access harm reduction services in British Columbia, Canada: Findings from the 2019 Harm Reduction Client Survey.  (Apr 2022) Publication


Investigating Opioid Preference to Inform Safe Supply Services: A Cross Sectional Study (Jan 2022) Publication


Urine toxicology screening among 2018 and 2019 harm reduction client survey participants (Dec 2021) Report


Examining prevalence and correlates of smoking opioids in BC: Opioids are more often smoked than injected (Oct 2021) Publication 


Good Samaritan Drug Overdose Act awareness among people who use drugs in British Columbia (Sep 2021) Publication


Crystal Methamphetamine Use in BC: A Cross-sectional Study of People Who Access Harm Reduction Services (May 2021)  Publication


Summary Infographics

Reports & Publications

Convenience & Comfort: Reasons Reported for Using Drugs Alone Among Clients of Harm Reduction Sites in B.C. (Dec 2020) Infographic  Publication

Known & Unknown Fentanyl Use (Jan 2020)

Infographic  Publication

Acceptability of Technological Solutions for Overdose Monitoring: Perspectives of People Who Use Drugs (Oct 2019)  Publication

Correlates of Naloxone Kit Possession Research Summary (Oct 2019)  Infographic


Findings from the 2018 B.C. Harm Reduction Client Survey (Dec 2018)  Knowledge Update


Urinalysis Toxicology Screening Results (Oct 2018)  Infographic

Survey

2018 Harm Reduction Client Survey

Maps

Geographic distribution of psychoactive substance use among clients of harm reduction sites across BC. 

Download All Maps 


Alcohol                    Benzodiazepine    Cannabis
BCHRCS2018_Alcohol.jpgBCHRCS2018_Benzodiazepine.jpgBCHRCS2018_Cannabis.jpg

Cocaine                 Crack                       Crystal Meth

BCHRCS2018_Cocaine.jpgBCHRCS2018_Crack.jpgBCHRCS2018_CrystalMeth.jpg 

Dilaudid                Fentanyl                 Heroin

BCHRCS2018_Dilaudid.jpgBCHRCS2018_Fentanyl.jpgBCHRCS2018_Heroin.jpg

Methadone              Morphine

BCHRCS2018_Methadone.jpgBCHRCS2018_Morphine.jpg

Reports

Substance Use Trends in BC: A Survey of Harm Reduction Clients Overall Results for British Columbia: 2015

Report


Publications

Why the FUSS (Fentanyl Urine Screen Study)? A Cross-sectional Survey to Characterize an Emerging Threat to People Who Use Drugs in B.C. (Nov 2015)

Research Summary   Publication 

Reports 

Patient Perspectives of Methadone Formulation Change in British Columbia, Canada: Outcomes of a Provincial Survey (Jan 2016)

Publication


Substance Use Trends in BC: A Survey of Harm Reduction Clients - Overall Results for BC 2014 (Mar 2015)

Report


Maps

Geographic distribution of psychoactive substance use among clients of harm reduction sites across BC. 

Download All Maps 


Alcohol                  Benzodiazepine   Cocaine



Crack                     Crystal Meth        Dilaudid



Heroin                    Marjuana             Methadone



Morphine




Reports 

Substance Use Trends in BC: A Survey of Harm Reduction Clients - Overall Results for BC 2013 (Feb 2014)

Report


Maps

Geographic distribution of psychoactive substance use among clients of harm reduction sites across BC. 

Download All Maps 


Alcohol                Benzodiazepine    Cocaine



 Crack                    Crystal Meth      Dilaudid   



Heroin                   Marijuana            Methadone



Morphine  






Publications

Survey on Drug Use Among Harm Reduction Clients (Apr 2014)  Publication


Reports 

Survey on Drug Use Among Harm Reduction Clients (Sep 2012)  Pilot Project Report



SOURCE: Harm Reduction Client Survey ( )
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