An ethical issue in supervised injection sites with a low threshold
In Quebec, workers who carry out their mandate within supervised injection sites are often faced with ethical issues that affect vulnerable and marginalized populations. Workers are caught between the desire to support users and the importance of respecting regulations to ensure the proper functioning of the service and the safety of users in order to provide equitable access. Using a fictitious case, which illustrates the so-called lack of collaboration of a user with disruptive and threatening behaviour, the aim is to describe the difficulty and tensions between different perspectives in the field of social intervention. Our approach is phenomenological and hermeneutic with a pragmatic focus. The theoretical frameworks of Aristotle and Ricoeur will serve as a support. We propose the idea that supervised injection sites offer a place for sharing, listening and dialogue, and even a place for reflection, deliberation and decision-making within a research community, in which users, even in a state of intoxication, have a social role to play in the resolution of an ethical problem.