Dr. Katherine Rudzinski is an adjunct assistant professor and a postdoctoral research fellow in the School of Social Work, University of Windsor. She has over 15 years of experience working with and for people who use drugs on various community-based research projects examining harm reduction, substance use, health, and well-being.

Background: Canada's drug poisoning crisis prompted the implementation of safer supply programs (SSPs), providing individuals who use unregulated opioids with prescriptions for pharmaceutical-grade alternatives. While SSPs aim to reduce overdose deaths and health-related harms, their impact has been more extensive. This community-based study explored the broader effects of SSPs on women and non-binary SSP clients at a community health centre in Toronto, Canada. Methods: From October 2023 to June 2024, we conducted a photovoice project with SSP clients guided by a community advisory group. Following a photo training session, participants received digital cameras to capture photos representing the impact of safer supply on their lives. Semi-structured interviews were conducted to discuss photos, create captions, and select images to share. A focus group was held to share photos, discuss collective themes, and plan a community exhibition. Results: We received photos and completed interviews with 10 participants, who all emphasized how SSPs ‘saved them’ and kept them alive. Photographs and accompanying captions vividly illustrated how access to a safe and consistent drug supply positively influenced participants’ lives. Many reported improved physical well-being, housing, stability, enhanced self-confidence, self-care, community connection, and a sense of control. A highly attended (>50 attendees) photo exhibit showcasing 29 participant-selected photos and descriptions was held at the partner site. Subsequently, these were installed as a permanent outdoor exhibition, serving as an ongoing visual representation of SSPs’ impact. Throughout this presentation, we’ll share project findings and methodological lessons about balancing photovoice – a novel methodology for this population – with the needs of SSP clients. Discussion: Findings suggest SSPs may contribute to improved quality of life, enhanced social stability, and increased personal agency for women and non-binary clients. These outcomes have implications for considering SSPs’ role in advancing healthcare and social justice, especially in light of recent program closures.