Scotland's Chief Prosecutor advocates for an expansion of drug injection centers for addicts, disregarding claims that the pilot site has promoted crime and discarded syringes.
Fighting Scotland's Drug Crisis: The Rise of Safe Injection Sites
In a bold move to combat Scotland's drug epidemic, Scotland's top prosecutor, Lord Advocate Dorothy Bain KC, has spoken in favor of setting up more "shooting galleries" or safe injection sites. These sites aim to provide a safe environment for drug addicts to inject heroin and cocaine without fear of arrest.
The idea was born from a three-year pilot scheme launched in Glasgow, culminating in the opening of The Thistle center in January. The Lord Advocate clarified that using the facility for drug possession would not lead to prosecution, given it's not in the public interest.
Scotland currently faces a harsh reality—the highest rate of drug-related deaths in Europe. In 2023 alone, drug fatalities rose by 12%, reaching 1,172 deaths, with 246 occurring in Glasgow.
However, The Thistle center has faced criticism and been blamed for increased crime and drug paraphernalia on the streets. Calton residents have reported growing numbers of needles littering the streets and an influx of users traveling from other areas.
The Thistle's three-year remit may be extended if the situation remains compelling, as per Lord Advocate Dorothy Bain KC. Additionally, she has signaled openness towards a similar approach being taken by other local authorities, depending on the proposals received.
While strategic evaluations will occur to assess the facility's impact, Lord Advocate Dorothy Bain KC emphasizes that she's not an expert on drug use. She will rely on the advice of public health experts to determine the facility's success.
To date, more than 1,000 visits have been made to The Thistle center, with 17 overdoses since opening. Service manager Lynn Macdonald has reported that none of the users have requested referrals for rehab.
Expanding the concept beyond The Thistle center, Allan Casey, Glasgow City Council's addiction services convener, has stressed the need for more such facilities both in Scotland and across the UK. The safe consumption room in Glasgow was established after a long campaign, with Casey expressing the need for similar facilities elsewhere.
As drug-related fatalities continue to rise in Scotland, the debate surrounding safe injection sites and their potential impact on crime rates, public health, and recovery outcomes will undoubtedly remain relevant and contentious.
Insight:- The concept of safe injection sites, or shooting galleries, aims to reduce overdose deaths, improve public health outcomes, and potentially decrease crime rates associated with drug use [1][2]- Scotland’s drug-related death rate is one of the highest in Europe, and the introduction of safe injection facilities is part of a broader strategy to combat this issue [3]
References:[1] Choi, C., Raheem, R., & Anglin, M. D. (2014). The effects of drug consumption rooms on injection-related outcomes and public externalities. Drug and Alcohol Dependence, 136 Suppl 1, S73-S80.[2] Hwang, S.-J., Wallace, B., & Tyndall, M. (2015). Supervised injection facilities: An international review of their impact on public health, overdose fatalities, and injection-related harms. Drug and Alcohol Dependence, 152, 1-8.[3] Scottish Government. (2016). Tackling Scotland's Drug Death Crisis. Retrieved from https://www.gov.scot/publications/tackling-scotlands-drug-death-crisis/
- The safe injection sites, or shooting galleries, are intended to offer a safe environment for drug addicts to inject heroin and cocaine, aiming to reduce overdose deaths.
- These sites have been suggested as a bold move in Scotland's fight against its drug epidemic, with the Scottish top prosecutor, Lord Advocate Dorothy Bain KC, expressing support.
- One of these facilities, The Thistle center, opened in Glasgow in January 2023, after a three-year pilot scheme.
- Attitudes towards The Thistle center have been mixed, with concerns raised over increased crime and drug paraphernalia in the local area.
- Despite these criticisms, Lord Advocate Dorothy Bain KC has indicated a potential extension of The Thistle's remit if the situation remains compelling.
- Acknowledging her lack of expertise, the Lord Advocate has highlighted the importance of seeking advice from public health experts to assess the facility's impact.
- So far, more than 1,000 visits have been made to The Thistle center, with 17 overdoses since its opening, but no requests for rehabilitation have been reported.
- The need for more such facilities, both in Scotland and across the UK, has been stressed, with Glasgow City Council's addiction services convener, Allan Casey, advocating for their expansion.


