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Why are we still debating Safer Drug Consumption Facilities (SDCFs): A critical analysis of the drug policy constellation of power and its impact on the introduction of SDCFs in Scotland

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Fotopoulou M & Malloch MS (2026) Why are we still debating Safer Drug Consumption Facilities (SDCFs): A critical analysis of the drug policy constellation of power and its impact on the introduction of SDCFs in Scotland. British Journal of Community Justice, 21 (1), pp. 74-89. https://mmuperu.co.uk/bjcj/wp-content/uploads/sites/441/2026/06/BJCJ-20-3-74-89-FM.pdf

Abstract
This paper will critically discuss policy drivers that have impacted the introduction of Safer Drug Consumption Facilities (SDCFs) (also known as overdose prevention centres) in Scotland, focusing on Glasgow as an example. This paper explores the history of SDCFs and the evidence concerning their effectiveness in various jurisdictions. Faced with the growing body of national and international evidence in support of their introduction and the reluctance and delay to introduce them in Scotland, we pose the question: "What may be the reasons behind the evidence policy/practice gap in Scotland, as far as SDCFs are concerned?" To answer this question, we utilise the theoretical framework of drug policy constellations (Stevens, 2024a), and specifically the dimension of power, to review the evidence and discuss the influence of power on the debate surrounding, and introduction of, SDCFs in Scotland. We highlight how forms of political and social power have impacted decision-making processes. The paper concludes with the suggestion that policymaking in the case of SDCFs is better understood through an exploration of different forms of power, rather than a more objective consideration of 'evidence'.

Keywords
Safer Drug Consumption Facilities (SDCFs); drug policy constellations; political power; social power; drug policy

Notes
74

Journal
British Journal of Community Justice: Volume 21, Issue 1

StatusPublished
Publication date31/07/2026
Publication date online30/06/2026
Date accepted by journal13/02/2025
Publisher URL
ISSN1475-0279

People (2)

Dr Maria Fotopoulou

Dr Maria Fotopoulou

Senior Lecturer, Sociology, Social Policy & Criminology

Professor Margaret Malloch

Professor Margaret Malloch

Professor, Sociology, Social Policy & Criminology