• Olivier Véran published in the Official Journal of February 23 a decree detailing the procedures for setting up Addiction Care Stops (HSA) which will replace the Lower Risk Consumption Rooms, also called “shoot rooms”.

  • These future HSAs will have to be located “close to places of consumption in order to be close to users”.

  • For the Addiction Federation, “this is very good news: lower-risk consumption devices […] will be able to continue and develop”.

It was a long-awaited decree.

Olivier Véran published in the Official Journal of February 23 the decree “of January 26, 2022 approving the national specifications relating to “addiction care” stops” (HSA).

Behind this term hide the famous Lower Risk Consumption Rooms (SCMR) – which the HSAs replace –, better known by the name, quite inappropriate moreover, of “shooting rooms”.

In concrete terms, this decree, which fairly precisely details the methods for implementing HSAs, paves the way for their implementation everywhere in France where it may be useful, and in particular in the Paris region, provided that the institutional players agree.

For the Addiction Federation, "this is very good news: lower-risk consumption devices, of which all the studies demonstrate the usefulness and relevance, will be able to continue and develop", indicates she in a statement.

Same echo from Anne Sourys, deputy mayor of Paris in charge of Health: “This is good news, the HSA will be able to be discussed”.

Good news today: the addiction treatment centers have seen their application decree published.

A hope: that the State mobilizes quickly to create some.

It's an emergency for drug users as well as for https://t.co/Tt0ClPbUBu #paris #pantin #aubervilliers pic.twitter.com/IAawcYUKhg

— Anne Souyris (@annesouyris) February 23, 2022

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In the preamble, the decree recalls that "the final results of the evaluation of the two existing rooms [in Paris and Strasbourg] highlight positive effects on the health of the persons concerned, a cost-effectiveness ratio acceptable to society as well as 'an absence of deterioration of public peace'.

This justifies the extension of the experiment.

Moreover, the two pioneering SCMRs which were to operate until March 2022 have been extended until December 31, 2025.

Avoid the risk of overdose

These new HSAs, renamed with the "aim of strengthening the dimension of access to a health course of these devices" must fulfill several objectives: "Contribute to reducing, among active users, the risks of overdose, infections and 'other complications related to drug use' and to 'bring drug users […] into a health journey'.

The order is very careful to specify, to reassure the taxpayer, that HSAs save public funds.

The evaluation of the two SCMR figures "the medical costs avoided at 11 million euros for the two rooms".

Our file on crack

Concerning their possible location, the decree indicates that "the implementation of HSA experiments is entrusted […] to reception and support centers for the reduction of risks for drug users (CAARUD) and to centers for care, support and prevention in addictology (CSAPA)”.

What's more, these HSAs will have to be located “close to places of consumption in order to be close to users and reduce public nuisances where they are most tangible”.

This tightens the mesh even if Anne Souyris warns that “we are not going to implant HSAs wherever possible.

We will have to make a diagnosis with the actors in the field to know where to install them”.

Working together is no mean feat

Even before the establishment of an HSA, a steering committee must be set up which is managed jointly by "the mayor of the municipality where the HSA is located, the general manager of the ARS, the prefect of the territorially competent department and the prosecutor ".

In the Parisian case, the HSAs will therefore be managed jointly by Anne Hidalgo and the prefect of Ile-de-France, whose relations are not always very cordial on the issue of crack.

Moreover, Anne Souyris hopes “that the prefect will ensure that we meet quickly, in particular with the actors in the field, to discuss the HSA”.

If the elected Parisian is satisfied with the publication of the decree, she regrets that there is nothing on accommodation, which hinders the logic of the care pathway.

"This must be articulated with the HSA and we should do as in Strasbourg where there is accommodation on the upper floors of the SCMR".

For its part, Addiction Federation, specifies that these HSA "can only fully play their role in close connection with the care devices".

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  • Drug

  • Official newspaper

  • Shoot Room

  • Paris

  • Crack

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