A place that is their own: Understanding a gender-specific safer-use space as a therapeutic landscape

Safer-Use Spaces are recognized as one of the most effective ways to reduce the harms associated with the opioid and toxic drug crisis. This study performed an analysis of a gender-specific safer-use space in Hamilton, Ontario, using the therapeutic landscapes conceptual framework. We conducted eight in-depth one-on-one interviews with staff at the site, asking what parts of the social, built, and symbolic environments encouraged people who use drugs to return to the site. The thematic analysis found that the practicality and safety offered by the site, the control and agency felt by the clientele, and the ways in which clientele find sanctuary and oasis were valued by the clients. The study concludes with remarks on the importance of creating gender-specific, accessible, and empowering harm-reducing services for people who use drugs.

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Publication Details

Journal
Health & Place
Published
2026-01-15
DOI
https://doi.org/10.1016/j.healthplace.2025.103604
Primary Topic
HIV, Drug Use, Sexual Risk
Type
article
Field-Weighted Citation Impact
0.00
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article

A place that is their own: Understanding a gender-specific safer-use space as a therapeutic landscape

Mary Elizabeth Vaccaro, A.R. Williams, Xin Ke Law-Gallagher
Health & Place
HIV, Drug Use, Sexual Risk
article

A place that is their own: Understanding a gender-specific safer-use space as a therapeutic landscape

Mary Elizabeth Vaccaro, A.R. Williams, Xin Ke Law-Gallagher
article en

Abstract

Safer-Use Spaces are recognized as one of the most effective ways to reduce the harms associated with the opioid and toxic drug crisis. This study performed an analysis of a gender-specific safer-use space in Hamilton, Ontario, using the therapeutic landscapes conceptual framework. We conducted eight in-depth one-on-one interviews with staff at the site, asking what parts of the social, built, and symbolic environments encouraged people who use drugs to return to the site. The thematic analysis found that the practicality and safety offered by the site, the control and agency felt by the clientele, and the ways in which clientele find sanctuary and oasis were valued by the clients. The study concludes with remarks on the importance of creating gender-specific, accessible, and empowering harm-reducing services for people who use drugs.

Health & PlaceVol. 98
McMaster University (CA)
Gender equality
Openalex Percentile: Top 87%
HIV, Drug Use, Sexual Risk
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