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Modular construction has become exceedingly relevant against the current scenario of increasing housing demand and can respond to this need in Canada due to its advantages of rapid construction. However, a holistic environmental sustainability framework for this construction method is still lacking. This paper proposes a hierarchical-based framework to benchmark the environmental performance of modular buildings versus conventional buildings. The framework identifies criteria and indicators affecting environmental sustainability, makes composite indicators, and establishes performance benchmarks. Based on expert survey, six criteria (construction waste management, energy performance and efficiency strategies, site disruption and appropriate strategies, renewable and environmentally preferable products, regional materials, and renewable energy use) are first identified. The related indicators and sub-indicators are combined to develop indices using Technique for Order of Preference by Similarity to Ideal Solution. Robust benchmark scales were established through application of Monte Carlo analysis on data collected through experts. Finally, the developed indices were compared against the benchmark scales at different assessment levels. The proposed framework was examined for two single-family modular buildings in British Columbia, Canada. The overall environmental performance benchmarking informs the policy makers on the usefulness of modular buildings, while the criteria-level indices direct the construction industry practitioners to improve the low performing indicators. The proposed framework will enhance the sustainability of modular and offsite construction in Canada. [ABSTRACT FROM AUTHOR]

The majority of overdose deaths in British Columbia (BC) occur among people using illicit substances alone in private residences. Some supportive housing in BC includes on-site access to a variety of health and substance use-related services. More recently, a number of supportive housing locations have started offering prescribed safer supply medications to people at high overdose risk, though these remain limited and under-evaluated. In this study, we describe the drug use practices - including access to and use of on-site supervised consumption, OAT, and prescribed safer supply medications - of study participants living in permanent supportive housing with integrated primary care, substance use treatment services, and supervised consumption spaces. Qualitative interviews were conducted with 30 residents of a permanent supportive housing site in Vancouver, Canada. Data were analyzed using a sequential process to identify both a priori (e.g., low-barrier substance use treatment, pandemic effects on service access) and emerging themes (e.g., using alone). Most (N = 27) study participants reported using alone in their rooms, despite having access to an on-site supervised consumption area. Reasons for using alone include the following: preference for being alone, discretion/stigma, and restrictive housing policies. Less than half (N = 12) of the study participants accessed on-site prescribed safer supply medications. Participants receiving on-site prescribed safer supply described positive benefits including reduced use of illicit opioids, and less reliance on illicit income generation activities. On-site prescribed safer supply programs within supportive housing environments are an important tool in addressing overdose risk. [ABSTRACT FROM AUTHOR]