level of competence in social and legal matters (Hedrich, 2004). For example, the survey of clients of 18 German facilities found that 95% were happy or very happy with services, and that 70% were satisfied with the opening hours (despite many German facilities being open only part of the day) (Poschadel et al., 2002). "However, a sample of drug users in Berlin who had never used SISs mentioned a lack of consumer friendliness (e.g., opening hours and regulations) and the high level of social control as the main reasons for non-use (Schu, et al. 2005). When a non-representative survey of clients of 18 SISs across Germany asked why they thought fellow drug users did not use SISs , the following reasons were cited: loss of anonymity; fear of police presence; possible wait times; distance to the facility. Clients of this same survey were also asked what they liked best about SISs (selective mentions, and not necessarily in rank order): hygienic environment (48%); opportunity to use calmly and safely and without fear of the police (47%); available medical care and emergency assistance (36%); less need to use in public (31%); use of ancillary services (22.6%); needle exchange program (22%) (Poschadel, et al. 2002)." A13: Views of local stakeholders and the general public INSITE service Letters in support of the service from the Mayor of Vancouver, the Chief Constable, the Director of the BC Centre for Excellence in HIV /AIDS, the Director of the BC Centre for Disease Control, the Chief Medical