Imagine Safe Supply
First Nations Consent Form


It will take up to 20 minutes to review this consent information.



The purpose of the Imagine Safe Supply study is to explore people’s thoughts about participation in safe supply of drugs within Canada. We want to learn more about the attitudes and choices of people who use drugs (PWUD) and front-line workers who support PWUD.

Safe supply means access to drugs that come from a regulated and tested source where we know what is in a drug, and what potency it has. Safe supply has a goal of reducing the risks of drug use by creating access to a safe and uncontaminated supply of drugs.

By taking part in this research, you will not be offered or denied a safe supply of drugs.

This study is being carried out with First Nations through a partnership between the Canadian Drug Policy Coalition at Simon Fraser University and Thunderbird Partnership Foundation. This project is funded by the Canadian Institute of Health Research. This research will be carried out between December 2020 and September 2021.



You are invited to take part in a screening questionnaire, interview and survey. These should take about 2 hours to complete. You will be asked for your thoughts about a safe supply of drugs: what would work best for you and your community?

We are doing a screening questionnaire to make sure people qualify to do this research. It will also be used to make sure there are a diverse and equal number of research participants from across different provinces. It should take up to 15 minutes. You will not be paid to complete the screening. If you are qualified to take part, you will be invited to take part in an interview and survey.

The interview will be done by phone or zoom video and will be audio recorded. You can choose to have your interviewer do written notes instead. The survey will be done through a web link. You can fill out the web survey yourself, or you can have the researcher read and fill in your survey answers for you.

You will be offered a $50 honorarium for your participation in the interview and survey. Payment will be in the form of an electronic (Interac©) bank transfer or mailed Visa gift card, made out to your name. You do need a personal bank account to receive an electronic transfer. You do not need a bank or credit card account to use a visa gift card at stores, but it cannot be redeemed for cash and carries a fee.



Participation in the screening questionnaire, interview and survey is voluntary. If you don’t wish to take part, you don’t have to, and you can choose to stop at any point and refuse to answer any questions. No negative consequence will result if you withdraw from the study, end your participation before completion, or refuse to answer questions. Any services or supports you receive, or any jobs you have, will not be affected whether you take part in this research or not.

You can stop at any time by telling the researcher/s. You will still be offered a $50 honorarium to participate. If you choose to take part in the study and later decide to opt out, all the information collected from you up to the time that you opt out will be immediately destroyed.



You are not being offered access to a safe supply of drugs by taking part in this research. There is no guarantee or promise that you will receive any benefits from taking part. You may or may not find benefit from taking part. People might like the idea that they are adding to knowledge about safe supply in Canada. This study may support people and organizations to understand better ways of doing safe supply. In the future, others may benefit from what we learn in this study.



You will be asked about thoughts and experiences related to drug use, and/or working with people who use drugs. Some of the questions may make you feel uneasy. However, you can choose to opt out of any question or stop taking part at any time. As well, the researcher may check in with you and stop an interview if you show signs of distress. A list of resources for free support and referrals in your province will be given to you by text, email and/or video chat in case you become upset or distressed and want to seek follow-up. If you suffer any distress or psychological injury as a result of this research, please contact the research team as soon as possible at [email protected]a or 416-831-6626. You will be assisted with arranging appropriate support.

Any information you give will be made anonymous and will be combined with other people’s information before it is shared. This means that no individual participant will be able to be identified. The study findings may include information about the age, gender, ethnicity, housing status, and sexual orientation (LGBTQ2S) of research participants. This information might be connected to findings about safe supply and drug use. While we do not believe this will lead to stereotypes or negative impacts, some groups often face stigmatization around drug use. We will not share the name of any First Nation without written approval.

This research has not been approved by any group, organization, or service where you may be an employee, member, or client. There is a small chance that people could identify you based on what information you share. To reduce this risk, we will not ask you to name any person, group, organization, or service, and no specific person, organization or group will be mentioned in the research findings.

Please be aware that open internet connections, such as public WI-FI (that don’t require a username and password), are not secure. There is a chance that any information you give in an unsecured internet connection may not stay private. If your email address or phone is accessed by someone who is not you, your participation in any part of this research may not stay confidential. It is best to choose a password protected internet connection and a trusted phone or computer so that your participation stays confidential.

Please note that posting to comments sections, liking or sharing on social media or other forums about this study may identify you as a participant. To protect your anonymity, we suggest you refrain from posting comments about the project on social media or other online forums.



By agreeing to take part in this study, you agree to the research team collecting and using personal information about you for this research project. Any information collected that can identify you, such as your consent and screening information, audio interview, and survey will remain confidential. Nobody will know your identity, aside from the Principal Investigator and member/s of the research team who gather and compile your information.


What happens to my screening information?

Your screening information will be used to see if you qualify to take part. If you are selected, this information will be made anonymous and used within the research. If you are not selected to take part, your screening information will be immediately destroyed and not used in the research.


What will happen to my audio recordings?

If you do consent by phone, it will be audio recorded. Your interview will also be audio recorded. The Imagine Safe Supply Principal Investigator Scott Bernstein, Research Associate Erin Howley, Research Assistant Karmvir Padda, and Thunderbird staff Dr. Heba Hassan, Dr. Manjit Pabla, Sacha Bragg and Tim Ominika will have access to your audio recordings. This will include your consent to participate (if you choose to do it verbally) and interview.  

A transcription service will put your interview into writing. It will be confidential and no information about you will be shared with others. Thunderbird staff will share your transcript and audio file with you after it has been put into writing, for your review. Once you have approved your written transcript the original and all copies of your interview audio recording will be promptly destroyed. If you prefer not to have your interview audio recorded, the researcher can take written notes instead.


What will happen to my written information?

Your written information will include your screening questionnaire, interview transcript and survey. Thunderbird staff Dr. Heba Hassan, Dr. Manjit Pabla, Sacha Bragg and / or Tim Ominika will share your interview transcript and survey with you for your approval. They will also de-identify your information and make it anonymous by replacing your name with a unique code number. Principal Investigator Scott Bernstein, Research Associate Erin Howley, Research Assistant Karmvir Padda, and Thunderbird staff will be able to see the code key, a document that connects your name with your unique code number. 

  • Your code key, consent, audio recordings and written information will be stored on a password protected database called SFU Vault. It will be removed from this database as soon as possible, until no later than September 2021. Your consent information and code key will be backed up on encrypted, password protected hard drives stored in locked cabinets at the offices of Canadian Drug Policy Coalition and Thunderbird Partnership Foundation for 5 years, until September 2026. Your screening, interview, and survey information will be also be stored in the same way, but only Thunderbird Partnership Foundation will keep this data, until September 2026.
  • Your anonymized written information will be shared with the Imagine Safe Supply research team for data analysis.
  • All researchers will sign a confidentiality form, agreeing not to share your identity or anything about you with others, and to keep your information secure. We will keep your confidentiality to our fullest ability.
  • You can be provided a copy of all the data collected from you that you wish to keep, including your consent, screening questionnaire, interview transcript, audio recorded interview, and survey. To request this information, please contact  [email protected] or 519-692-9922 ext 204.
  • While quotes may be used, you will not be identified by name in any of the study findings or reports. Your information will be made anonymous and combined with other people’s information first.
  • Your identity will be shared only with your permission. However, as required by law, if you share that there is a possibly of serious harm to yourself or others, such as suicide or intent to inflict physical violence, your identity may be shared with emergency services.
  • Studies involving harmful drug use are at minimal risk of the data being subpoenaed in legal (including criminal) proceedings. If the research data for this study is subpoenaed, CDPC will challenge the subpoena. A judge will then decide whether CDPC has to comply with the subpoena and release some or all of the research data. In this case, CDPC may be required by law to release some or all of the information that you share in this research, and this may be used against you during legal proceedings. We do not anticipate that this will happen and as far as we know, this has never happened in a research study with people who use drugs in Canada. However, it is important that you be aware that this is a potential risk.
  • Your information will not be used in future research unless you give permission first. You will be contacted by Thunderbird staff about any future research, so that you can decide whether or not you want your information included. If you decide to share your information for use in other research, only documents that have been made anonymous using your unique code number will be shared.
  • Any information you give will be kept on a secure server located within Canada in accordance with British Columbia Freedom of Information and Protection of Privacy Act (FIPPA).



Thunderbird staff will get back in touch to share the early findings of the research for your review and input. You can also visit the Imagine Safe Supply web page for updates at

The findings from the Imagine Safe Supply study may be published and publicly shared in a variety of places such as academic journal articles, conference presentations, webinars, and infographics. In any publication or presentation, information will be provided in a way that you cannot be identified, except with your written permission.



You can ask that your information be corrected or taken out of the research. However, this may not be possible after your input has been made anonymous and used within research analysis and findings. You also have the right to request a copy of your information for as long as it is stored by Thunderbird Partnership Foundation (5 years, until September 2026). Please contact the research team at [email protected] or 519-692-9922 ext 201 for these requests.



Principal Investigator, Scott Bernstein (of Canadian Drug Policy Coalition) will oversee the research. Research Associate, Erin Howley will lead Anglophone interviews and coordinate the sharing of your information with the research team. Research Associate Yan Ferguson will lead Francophone interviews and manage the storage of Francophone data. Research Assistant Karmvir Padda will manage data and coordinate data analysis. Research Assistants, Jack Farrell and Sean O’Callaghan will
assist with data analysis and will only be able to view anonymized data.

Thunderbird Partnership Foundation will be involved with preserving the integrity of data and information of and about First Nations people. Thunderbird Partnership Foundation team members will ensure that the voices of people from First Nations communities views and voices follow OCAP (ownership, control, access and possession) principles for data usage, analyses, and knowledge sharing. Dr. Carol Hopkins is Thunderbird Executive Director. Dr. Heba Hassan, Dr. Manjit Pabla, Sacha Bragg, and Tim Ominika are members of the Thunderbird Research team. They will manage the storage of your information, lead interviews, and assist with providing your data to you. 

The Imagine Safe Supply Community Advisory Committee is a group of people with lived expertise of drug use and front-line work with people who use drugs. The Community Advisory Committee may co-lead interviews, read data, and help with findings. The Community Advisory Committee includes Phoenix Beck McGreevy, Céline Côté, Frank Crichlow, Erica Schoen, Mikki Schell.

The Imagine Safe Supply Research Advisory Committee is a group of researchers and professors who will assist with looking at data and findings: Elaine Hyshka (University of Alberta); Alissa Greer (Simon Fraser University); Marie-Eve Goyer (University of Montreal); Gillian Kolla (University of Victoria).



If you want any further information about taking part in this project, you can contact [email protected] or call 416-831-6626. This project is led by Principal Investigator Scott Bernstein, who can be contacted at [email protected] or 778-782-9567.

If you have any concerns about your rights as a research participant and/or your experiences while participating in this study, you may contact Dr. Jeffrey Toward, the Director of Simon Fraser University Office of Research Ethics at [email protected] or 778-782-6593.



Taking part in this study is entirely up to you. You have the right to refuse to take part. If you decide you do want to take part in the Imagine Safe Supply research, you must confirm using an internet form or audio recording. By confirming, you will be telling us that:

  • You are at least 18 years old.
  • You do not give up any of your legal rights by taking part in this study.
  • You have read and understand this consent form, or someone has read it to you in a language that you understand.
  • You understand the purpose, and possible benefits and risks of this study.
  • You have had an opportunity to ask questions and are satisfied with the answers you have received.
  • You freely agree to participate in this study as described and understand that you can pull out at any time or refuse to answer any questions without giving a reason and without any negative impact on your access to supports or services.
  • You understand that your consent to participate will be collected using an internet form or audio recording.
  • You understand that your interview will be audio recorded. If you are opposed to audio recording, you can choose to have the researcher take written notes instead.
  • You understand that we will contact you first for your permission before your data is used by other researchers in the future. Only data that has been made anonymous will be shared with other researchers.
  • You understand that you have the option to request an email or mailed paper copy of your consent form and research data. You can also request that your data be removed from the project at a later time. You can make these requests by emailing Dr. Amanda Perri at [email protected] or 519-692-9922 ext 201.



If you would like more time to consider your participation, you can complete this consent at a later time by visiting or calling 416-831-6626.

Please click here to consent to take part in the Imagine Safe Supply research. By filling in your information and clicking “Submit” you consent to take part in the Imagine Safe Supply research.