Accessing digital harm reduction services—exploring the impact of the “Here4U Scotland” application

Background: The global rise of synthetic drugs and poor quality of drug supply has added to the current global drug death crisis, particularly, disproportionately affecting those in North America and Scotland and those from the lowest socioeconomic settings. While traditional harm reduction methods exist, the transient nature and unique challenges faced by vulnerable drug users highlight the urgent need for accessible, immediate digital interventions. This paper explores the impact of the Here4U digital drug supervision app, examining relationships between service users and providers, their separate relationships with harm reduction digital solutions and the app’s effects on personal and collaborative service engagement. Methods: The "Here4UScotland" app was piloted in Aberdeen, Scotland. This qualitative study employed focus groups and semi-structured interviews with service users, supporters, and stakeholders. Data was thematically analysed using NVivo 12 to look for associated and relevant codes and themes using the Technology, People, Organisational, and Macro-environmental (TPOM) framework. Results: The pilot indicated improved mutual relationships, personal and social connections, and enhanced harm reduction access among participants. However, key concerns emerged regarding the absence of crucial visual cues for staff and the potential for police involvement. Conclusions: Digital interventions like Here4U Scotland offer significant benefits in enhancing harm reduction engagement and access, fostering new connections and community among vulnerable populations. The presence of digital access is viewed more broadly and encouragingly than simply for the purpose virtual consumption. However, for successful integration of this pilot, it appears crucial to balance technological advantages with ensuring privacy, providing adequate training for staff, and integrating these solutions with existing services, rather than replacing essential human interaction.