Urinalysis and Self-Reporting - Timeline

• Built a pilot system based on earlier work in British Columbia and Montreal, including an annual B.C. Harm Reduction Client Survey (2012–2015) and a fentanyl urine screening study (2015), and a Montreal drug-testing project (2017).
   
• Sites in British Columbia, Montreal and Edmonton tested the pilot system and collected data from 858 participants.
   
• Publications describing the pilot project and results:
  • Biggar, E., Papamihali, K., Leclerc, P., Hyshka, E., Graham, B., Taylor, M., Payer, D., Maloney-Hall, B., & Buxton, J. (2021). Towards cross-Canada monitoring of the unregulated Street Drug Supply. BMC Public Health, 21, 1678.
  • Slide presentation: Leclerc, P., Graham. B., Papamihali, K., Hyshka, E., Taylor, M., Tremblay, C., Carron, N., Morissette, C., & Buxton, J. (2019, Nov.). Towards a Cross-Canada Surveillance of Illicit Drug Content. Presentation at Issues of Substance conference, Ottawa. For a copy of the slides, please contact cusp-pcua@ccsa.ca.
     
• BCCDC resources, reports, and knowledge translation outputs are available on the BCCDC Harm Reduction Client Survey page.
  
   

   Phase 2 project toolkit:

• Developed English and French project toolkit materials in collaboration with British Columbia, Montreal and Edmonton study teams to facilitate implementation at additional locations.
  • Project manual
  • Standardized long- and short-form surveys
  • Survey and urine collection instructions
  • Verbal consent form
  • Ethics review board materials
  • Template spreadsheet for inputting and analyzing data
  • Suggested template for local reports
     
• Expanded the system to five new sites in Manitoba, Thunder Bay, Laval, Nova Scotia, and Newfoundland and Labrador (see Partners and Collaborators) and collected additional data from existing sites (B.C., Montreal). This resulted in data from more than 2,000 participants in Phase 2.
   
• Local project reports:
  • Manitoba Harm Reduction Network. (2021). Community Urinalysis and Self-Report Project: Summary of Findings for Manitoba.
  • Project reports and additional resources from B.C. are available on the BCCDC Harm Reduction Client Survey page.
    
     

• Continuing to expand the project across Canada by recruiting additional sites and repeating data collection at existing sites.
   
• Developing additional toolkit materials. The additional materials currently include support for integrating an optional qualitative interview alongside the survey and urine testing.
   
• Toolkit materials are available upon request (see Participation).