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BEYOND ENDURING The Transformative and unexpected Impact of an Overdose Prevention Site On The Lives Of The Site Users ENDURING Enduring represents the sorrows, traumas, despair, and hopelessness experienced by our participants prior to accessing the site and to some extent, their experiences that continue outside the site. Participants spoke to enduring traumas, and enduring in the face of trauma Enduring represented the experiences of participants prior to accessing support through the site and to some extent, their experiences that continue when not at the site. It reflected the sorrows, traumas, despair, and hopelessness experienced during substance use. While participants highlighted that they survived the multiple challenges associated with substance use prior to the opening of the site, doing so was difficult and accompanied by significant isolation, oppression, and ultimately, risk of dying. Before coming to the site, the only relationships many participants had were precarious relationships with other peers. Many had experienced overdoses or had witnessed friends die due to overdose or other health complications linked to substance use. Some participants found it too difficult to talk about what they had endured. For those who did talk, they illustrated how they had stopped caring for themselves or others due to a lack of hope for the future. ACCESSING SAFETY Participants described how they accessed the site for physical safety As participants reached out for clean gear and supervised use, they found a space free from stigmatization and discrimination. They discovered acceptance and described feeling safe Participants also shared how safer substance use extended beyond the site. Accessing Safety was the next step in participants’ journeys. Participants accessed the site for physical safety to reduce risks of infectious diseases and overdose. However, as participants reached out for clean gear and supervised use, they encountered a deeper sense of safety as they discovered a space free from stigmatization and discrimination. They described feeling safe and discovering acceptance in the site, a feeling they did not necessarily experience when they were out in the community CONNECTING & BELONGING The social connections that participants developed at the site made them feel connected and experience a sense of belonging. Relationships with staff provided a sense of community at the site and appeared to fill a void in participants’ lives. Caring relationships with staff supported participants to develop more meaningful relationships with peers and connection to external services. Connecting and Belonging were central to the experiences shared by participants at the site. The relationships participants developed with staff helped provide a sense of community at the site and a place where they belonged. This sense of connection appeared to fill a void in their lives. Through these relationships with staff at the site, site users also found more connection and belonging with their peers. They also were connected to external services that they didn’t know existed or had previously been fearful of accessing. TRANSFORMING Participants shared a range of unique changes in their day-to-day lives which they attributed to coming to the site. Self-identified changes included healthier substance use practices and improved well-being. Participants also found hope, new directions and community. The experiences of feeling safe and the relationships that developed were the foundations that made transformative change possible. Transforming Participants shared unique changes in their day-to-day lives which they attributed to the site. Responses reflected a range of changes, some that moved beyond the harm reduction and overdose prevention goals for the site. Changes included self-reported healthier substance use practices and improved well-being. Other changes participants identified included participating in community and finding hope and new directions The experience of feeling safe and the relationships that developed at the site were the foundations that made transformation possible. For many participants, their experiences at the site provided opportunities for hope, growth, and transformation of themselves and their community.