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Solidify self-assessment tool (checklist) - local communities (municipalities) with existing DCRs

Dear Sir / Madam,

This assessment is a part of pilot assessment of compliance with selected quality standards in the field of risk and harm reduction, focused especially on drug consumption rooms (DCRs) in European countries within the European project »Solidify« (https://efus.eu/en/topics/risks-forms-of-crime/substance-abuse/public/14380/), co-funded by the European Commission under the Justice Programme (Drug Policy Initiatives). The pilot assessment is coordinated by the Institute »Utrip« from Slovenia (www.institut-utrip.si). The purpose of the assessment is to examine the reality of compliance with selected quality standards regarding drug consumption rooms (DCRs) in local communities with existing DCRs and those communities, which want to install DCRs in the future. This assessment intends to help local communities (especially cities) to develop, sustain and improve DCRs and other services directly or indirectly related to DCRs. .

Due to your expertise and important role in the process of policy- and decision-making and implementation of risk and harm reduction interventions in your city, region and/or country we would be very grateful if you could fulfil the following assessment tool (checklist). Your expertise will help us to prepare useful guidelines and recommendations for key stakeholder and professionals (including you) in purpose to develop, sustain and improve quality risk and harm reduction services for people who use drugs in your country and wider. Results of this assessment will be incorporated in all key products of »Solidify« project including guidelines and recommendations. Results will be presented on most relevant conferences, promoted in media and published on the project website.

Please, fulfil the assessment tool by Monday, 20th May 2019.

Contact for questions and clarifications:

Matej Košir (pilot assessment leader); e-mail address: info@institut-utrip.si; mobile phone number: +386 31 880 520.

THANK YOU FOR YOUR PARTICIPATION!

There are 55 questions in this survey.

Some general questions concerning your background

(This question is mandatory)

Country:

Choose one of the following answers

(This question is mandatory)

City

Please write English name of your city

(This question is mandatory)

Type of stakeholder you best represent (choose by ticking one box):

Check all that apply

Representative of the parliament, politician (e.g. member of parliament or political party, including national, regional or local level)
Representative of the government (e.g. responsible ministry, office, agency - see footnote , including national, regional or local level)
Representative of the regional or local authorities (e.g. mayor or deputy-mayor, governor or deputy-governor, regional or local councillor, member of regional or local parliament, regional or local public official)
Representative of health and social services (e.g. medical doctor, nurse, social worker)
Representative of police (e.g. chief, commander, police officer)
Representative of research institution (e.g. scientist, professor, researcher)
Representative of NGO (e.g. in the field of risk and harm reduction)
Other:

Responsible ministries, offices and agencies: (public) health, interior, youth and social affairs.

Sex:

Choose one of the following answers

male
female
No answer

Age group:

Choose one of the following answers

under 18
18-24
25-35
36-50
more than 50
No answer

1. SAFETY / SECURITY

a.) Safety | In your opinion …

… are there any police & justice statistics or analysis of safety situation available at local level (especially for the areas of existing DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Crime & neighbourhood disorder	0	1	2	Not applicable, not relevant or don’t know
Drug dealing & trafficking	0	1	2	Not applicable, not relevant or don’t know
Drug-related thefts & robbery incidents	0	1	2	Not applicable, not relevant or don’t know
Drug possession	0	1	2	Not applicable, not relevant or don’t know
Car crashes	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

b.) Feeling of security | In your opinion …

… are there any information or data (e.g. surveys among citizens) on perception of safety/security available at local level (especially for the areas of existing DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Perception of crime & neighbourhood disorder	0	1	2	Not applicable, not relevant or don’t know
Perception of drug dealing & trafficking	0	1	2	Not applicable, not relevant or don’t know
Perception of drug-related thefts & robbery incidents	0	1	2	Not applicable, not relevant or don’t know
Perception of drug possession	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

b.) Feeling of security | In your opinion …

… are there any regular direct contacts with local people by authorities & risk and harm reduction (RHR) services?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Face-to-face contacts	0	1	2	Not applicable, not relevant or don’t know
Open days	0	1	2	Not applicable, not relevant or don’t know
Telephone line(s)	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

c.) Cleanliness | In your opinion …

… are there any information or data on perception of cleanliness among different stakeholders, citizens, service providers etc. available at local level (especially for the areas of existing DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Perception of publicly discarded syringes & injection- or inhaling-related litter	0	1	2	Not applicable, not relevant or don’t know
Perception of street-based drug scene (people injecting/inhaling drugs in public)	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

d.) Nuisance | In your opinion …

… are there any information or data on perception of nuisance (e.g. shouting, fights, urinating in public etc.) in the local community & neighbourhoods?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Information/data on perception of nuisance in the local community & neighbourhoods are available	0	1	2	Not applicable, not relevant or don’t know
Information/data on perception of nuisance for the areas of existing DCRs are available	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

d.) Nuisance | In your opinion …

… are there any police & justice statistics (e.g. analysis of situation) on nuisance in the areas where DCRs are located?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Police reports (analysis) on crime & neighbourhood disorder	0	1	2	Not applicable, not relevant or don’t know
Recorded complaints by citizens	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

e.) Social cohesion | In your opinion …

… does your local community (municipality) measure social cohesion indicators in relation to drug use situation at local level? (adapted from OECD)

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Insertion / exclusion	0	1	2	Not applicable, not relevant or don’t know
Legitimacy / illegitimacy	0	1	2	Not applicable, not relevant or don’t know
Recognition / rejection	0	1	2	Not applicable, not relevant or don’t know
Equality / inequality	0	1	2	Not applicable, not relevant or don’t know
Participation / passivity	0	1	2	Not applicable, not relevant or don’t know
Affiliation / isolation	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

f.) Cost benefit | In your opinion …

… are there any information or data on costs for law enforcement, health & social services, health insurance, vandalism etc. at local level?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Law enforcement	0	1	2	Not applicable, not relevant or don’t know
Health & social services	0	1	2	Not applicable, not relevant or don’t know
Health insurance	0	1	2	Not applicable, not relevant or don’t know
Vandalism	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

2. PUBLIC HEALTH

a.) Injecting/inhaling and other risk behaviours of people who use drugs (PWUD) | In your opinion …

… are there any information or data on injecting/inhaling and other risk behaviours available at local level?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Syringe / inhaling equipment sharing	0	1	2	Not applicable, not relevant or don’t know
Syringe / inhaling equipment exchange	0	1	2	Not applicable, not relevant or don’t know
Emergency cases (e.g. intoxication)	0	1	2	Not applicable, not relevant or don’t know
Overdose deaths	0	1	2	Not applicable, not relevant or don’t know
Infections (e.g. HIV, Hep C, soft skin tissue)	0	1	2	Not applicable, not relevant or don’t know
Unprotected sex among PWUD	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

b.) Access & uptake of health care and/or risk & harm reduction services | In your opinion …

… are there any other risk & harm reduction measures in place in your local community (municipality) (other than DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Needle & syringe programmes (NSPs)*	0	1	2	Not applicable, not relevant or don’t know
Outreach work with people who use drugs	0	1	2	Not applicable, not relevant or don’t know
Opioid substitution treatment (OST)	0	1	2	Not applicable, not relevant or don’t know
Naloxone distribution	0	1	2	Not applicable, not relevant or don’t know
Information, education & communication	0	1	2	Not applicable, not relevant or don’t know
Voluntary counselling & BBV** testing	0	1	2	Not applicable, not relevant or don’t know
Distribution of or easy access to condoms	0	1	2	Not applicable, not relevant or don’t know
Measures address gender specific needs	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

(* incl. other drug use equipment)
(** BBV – blood-borne virus)

Please specify other:

c.) Access to the most marginalised & problematic injecting/inhaling users | In your opinion …

… are there any information or data (analysis) available regarding most marginalised & problematic injecting / inhaling users?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Injecting/inhaling users under the age of 18	0	1	2	Not applicable, not relevant or don’t know
Pregnant women who inject/inhale drugs	0	1	2	Not applicable, not relevant or don’t know
Injecting users who can’t self-inject/inhale	0	1	2	Not applicable, not relevant or don’t know
Homeless people who inject/inhale drugs	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

d.) Size and composition of street-based drug scene | In your opinion …

… are there any information or data on size and composition (e.g. juveniles, women/men, migrants, refugees etc.) of street-based drug scene available in your country?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at national level	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at regional level	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at local level	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

d.) Size and composition of street-based drug scene | In your opinion …

… are there any interventions to offer refuge from street-based drug scene (other than DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Homeless shelter(s)	0	1	2	Not applicable, not relevant or don’t know
Drop-in shelter(s)	0	1	2	Not applicable, not relevant or don’t know
In-patient addiction treatment centre(s)	0	1	2	Not applicable, not relevant or don’t know
Out-patient addiction treatment centre(s)	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

e.) (Re)shaping social & environmental contexts | In your opinion …

… are there any information or data (analysis) of social & environmental contexts regarding drug use, injecting / inhaling drugs etc. available in your country?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at national level	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at regional level	0	1	2	Not applicable, not relevant or don’t know
Information/data are available at local level	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

3. POLICY / LEGISLATION

a.) Legal framework | In your opinion …

… is there any legislation which allow DCRs in your country?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
National legislation allows DCRs	0	1	2	Not applicable, not relevant or don’t know
Regional legislation allows DCRs	0	1	2	Not applicable, not relevant or don’t know
Local legislation allows DCRs	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

a.) Legal framework | In your opinion …

… is there any regulation analysis available in your country (e.g. to what extend (if) DCRs are allowed, what are the conditions & criteria they have to meet etc.)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Regulation analysis is available at national level	0	1	2	Not applicable, not relevant or don’t know
Regulation analysis is available at regional level	0	1	2	Not applicable, not relevant or don’t know
Regulation analysis is available at local level	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

b.) Political framework | In your opinion …

… is there any stakeholder analysis available in your country (regarding support to the implementation of DCRs)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Stakeholders analysis is available at national level	0	1	2	Not applicable, not relevant or don’t know
Stakeholders analysis is available at regional level	0	1	2	Not applicable, not relevant or don’t know
Stakeholders analysis is available at local level	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

c.) Level of acceptability | In your opinion …

… are DCRs acceptable among different stakeholders in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Policy makers (e.g. local public officials)	0	1	2	Not applicable, not relevant or don’t know
Decision makers (e.g. local politicians)	0	1	2	Not applicable, not relevant or don’t know
Opinion leaders (e.g. popular local people)	0	1	2	Not applicable, not relevant or don’t know
Representatives of neighbourhoods	0	1	2	Not applicable, not relevant or don’t know
Police officers	0	1	2	Not applicable, not relevant or don’t know
Health & social workers	0	1	2	Not applicable, not relevant or don’t know
Local media (including social media)	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Please specify other:

4. OTHER STANDARDS

a. Accessibility | In your opinion …

… are DCRs accessible according to the needs of their service users in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Location near street-based drug scene(s)	0	1	2	Not applicable, not relevant or don’t know
Opening hours based on the needs	0	1	2	Not applicable, not relevant or don’t know
Accessibility no matter of financial status	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Other, please specify:

b. Staff qualification| In your opinion …

… are staff in DCRs in your local community (municipality) qualified for their work with service users?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Staff is qualified in the field of medicine	0	1	2	Not applicable, not relevant or don’t know
Staff is qualified in the field of nursing	0	1	2	Not applicable, not relevant or don’t know
Staff is qualified in the field of social work	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Other, please specify:

c. Age limits| In your opinion …

… do DCRs meet minimum quality standards regarding age limits in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Services in DCRs are age appropriate	0	1	2	Not applicable, not relevant or don’t know
Staff is trained to meet age appropriate service users’ needs	0	1	2	Not applicable, not relevant or don’t know
There are no age limits in DCRs	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Other, please specify:

d. Assessment procedure| In your opinion …

… do DCRs assess particular characteristics and status of their service users in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Risk behaviour assessment	0	1	2	Not applicable, not relevant or don’t know
Complete needs assessment & prioritisation (e.g. individualised planning	0	1	2	Not applicable, not relevant or don’t know
Service users health status	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Other, please specify:

e. Informed consent| In your opinion …

… do DCRs use informed consent as a regular procedure in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Service users receive information on available service options	0	1	2	Not applicable, not relevant or don’t know
Service users agree with a proposed regime before starting an intervention	0	1	2	Not applicable, not relevant or don’t know
DCRs provide transparent information about all the offers by a service (rather than written informed content)	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2)

Other, please specify:

f. Confidentiality of service users data| In your opinion …

… do DCRs respect confidentiality of service users in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Service users records are confidential	0	1	2	Not applicable, not relevant or don’t know
Records are exclusively accessible to staff involved in a service user’s intervention or regime	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2

Other, please specify:

g. Evaluation | In your opinion …

… are DCRs evaluated in your local community (municipality)?

(This question is mandatory)

	0	1	2	Not applicable, not relevant or don’t know
Internal process evaluation	0	1	2	Not applicable, not relevant or don’t know
Internal outcome evaluation	0	1	2	Not applicable, not relevant or don’t know
External outcome evaluation	0	1	2	Not applicable, not relevant or don’t know
If other, please specify below	0	1	2	Not applicable, not relevant or don’t know

Indicators | Rating Scale (No - 0; Partly - 1; Yes - 2

Other, please specify:

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