HIGH-STAKES INSTITUTIONAL TRANSLATION: ESTABLISHING NORTH AMERICA'S FIRST GOVERNMENT-SANCTIONED SUPERVISED INJECTION SITE

Around the world, potentially effective responses to serious social problems are left untried because those responses are politically, culturally, or morally problematic in affected communities. I describe the process through which communities import such practices as high-stakes institutional translation. Drawing on a study of NorthAmerica's first supervised injection site for users of illegal drugs, I propose a process model of high-stakes institutional translation that involves a triggering period of public expressions of intense emotion, followed by waves of translations in which the controversial practice is constructed in discursive and material terms many times over.