Is distribution model better than exchange model for iV drug use and users?

Epidemiology

HIV/HCV

Economics

Sociology

Relationships between users

Relationships between users and nonusers

Psychology

Addiction

Potential for recovery

Cons

Potentially greater cost

Model could disrupt intimate relationship that the exchange currently has with clients.

Lack of multiple points of contact with clients

Distribution makes it appear as though there is increased level of support for very negative behavior.

People may not bring needles back.

Pros

Better for transient populations with unreliable/unstable housing.

Less regulation may or may not be helpful for users

Users get amount of needles they need

Ethics

Enabling

Law

How will police officers interact with greater incidence of needles among some criminals they come in contact with?

How far is this model pushing the law?

Disease prevalence and rates of infection

Harm Reduction