Globally, the rate of injection drug use has increased, leading to a rise in injection-related injuries, infections, disease transmission, and death. Safe consumption facilities (SCFs) were developed with the aim of reducing injection-related disease transmission and death. There is a rapidly growing body of literature related the individual and community level outcomes associated with SCFs that warrants a comprehensive review. Thus, this scoping review examined the impact and effectiveness of SCFs related to: (1) individual outcomes for people who inject drugs; (2) community outcomes associated with SCFs; and (3) the cost-effectiveness of SCFs.

Highlights:

• Inferential research on the individual impacts of safe consumption facilities primarily focus on disease transmission, overdose, or death.
• Inferential research on community impacts of safe consumption facilitates primarily focus on drug use in public spaces.
• Qualitative research revealed safe consumption facilitates may have a positive effect on the wellbeing and quality of life for those served.
• Future research should focus on how safe consumption facilitates improve the wellbeing and quality of life of those served and the broader community impacts.