Table 1 Substance use services provided at the CIRS

Harm reduction education and distribution of harm reduction equipment (including sterile injection equipment, and safer smoking and inhalation equipment)

Provision of cigarettes and outdoor space for physically-distanced smoking

A managed alcohol program

Prescription opioids and/or stimulants as treatment or as an alternative to unregulated drugs that people would buy themselves (opioid agonist treatments (OAT), safer opioid supply (SOS), stimulant medications)

Prescription of medications to treat withdrawal from drugs or alcohol

Services to prevent and respond to overdoses:

 An on-site overdose prevention site (a room where people can go to use substances—primarily by injection—under the supervision of trained staff)

 In-room witnessing when using substances by staff when clients requested it

 Telephone or in-person check-ins when using substances when clients requested it

 Naloxone training and distribution to staff and clients