Addictions
B.C. poll reveals clash between Indigenous views and drug policy

By Alexandra Keeler
A supermajority of First Nations respondents disagree that criminalizing drug use is racist, challenging public health advocates’ assumptions
A new report shows a majority of British Columbians — and a plurality of all ethnic communities surveyed — disagree with the contention that drug criminalization policies are racist.
The findings challenge assertions made by prominent B.C. policymakers, who have advocated for drug decriminalization and harm-reduction initiatives on the grounds of anti-racism and reconciliation.
The report, published by the policy nonprofit Centre for Responsible Drug Policy and think tank Macdonald-Laurier Institute, draws from a poll of 6,300 B.C. adults that was commissioned by the centre and conducted by Mainstreet Research.
“Chinese and Indigenous leaders keep telling me that their communities are very anti-drug, but public health officials and harm-reduction activists keep saying that legalization is integral to anti-racism and reconciliation,” said Adam Zivo, a journalist and founder of the centre.
“Now we have data to show which side is more accurate.”
When asked whether criminalizing drug use is racist, just 22 per cent of all respondents agreed, while 60 per cent disagreed. Notably, 79 percent of the respondents identified as white.
Disagreement was strongest among First Nations respondents, with just nine per cent of the 172 Indigenous respondents agreeing that criminalization is racist and 67 per cent disagreeing.
Agreement was stronger among Asian communities, with East Asian and South Asian respondents being most likely to say criminalization policies are racist.
In the East Asian cohort, 42 per cent said they disagreed that criminalizing drug use is racist, while 36 per cent strongly agreed. Similarly, 46 per cent of South Asian respondents disagreed and 32 per cent agreed.
Self-determination
The poll challenges views articulated by some prominent B.C. policymakers and public health groups.
In July, B.C.’s provincial health officer, Dr. Bonnie Henry, released a report asserting that drug policies prohibiting the use of hard drugs are rooted in racism and colonialism.
“Prohibitionist drug policies are deeply rooted in colonialism, reflecting and perpetuating systemic racism that disproportionately impacts Indigenous peoples,” Henry’s report says.
“These policies were designed to control marginalized populations and have led to over-incarceration, intergenerational trauma, and significant health disparities within these communities.”
Henry’s report contends that decriminalization policies — such as those implemented by B.C. as part of a three-year trial project that began January 2023 — can help to rectify these injustices by prioritizing health and safety over law enforcement.
Henry’s report was released mere months after B.C. rolled back some of its decriminalization measures in response to growing public concerns over decriminalization’s effects on community safety and order. Henry’s report, which is published by the BC Ministry of Health, urges the province to move in the opposite direction.
“This report’s recommendation is to continue to refine and expand prescribed alternatives to unregulated drugs, and critically, to explore implementation of models that do not require prescription,” Henry writes, referring to harm-reduction initiatives such as safer supply that dispense prescription opioids to drug users.
The report presents decriminalization as a move supported by Indigenous communities, citing the Declaration on the Rights of Indigenous Peoples Act Action Plan. Action 4.12 aims to “address the disproportionate impacts of the overdose public health emergency on Indigenous Peoples by: applying to the Government of Canada to decriminalize simple possession of small amounts of illicit drugs for personal use.”
The Canadian Drug Policy Coalition, a policy advocacy group based out of Simon Fraser University, has similarly contended that drug criminalization is racist.
The coalition’s website says, “the demand by Black communities to decriminalize drugs and to immediately expunge records are a vital necessity for minimizing the racially disproportionate harms of drug criminalization, part of a broader struggle to end the war on Black communities.”
And in December 2023, the Harm Reduction Nurses Association, a national organization that advances harm-reduction nursing, obtained an injunction to prevent the B.C. government from imposing restrictions on public drug consumption.
The association alleged the government’s actions “would put people at greater risk of fatal overdose, make healthcare outreach more challenging, and drive racial discrimination, particularly against Indigenous people.”
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Minority polling challenges
Some Indigenous groups have expressed reservations about blanket decriminalization policies in other contexts.
In January 2024, the First Nations Health Authority, an agency that manages health services for Indigenous communities in B.C., issued a statement acknowledging decriminalization may not be the best approach for all communities.
“FNHA acknowledges and supports the self-determination of each First Nations community when considering implementing this exemption,” the statement reads, referring to the three-year exemption B.C. obtained from federal laws prohibiting the use of hard drugs.
First Nations Health Authority has emphasized the need for culturally informed approaches that prioritize community health and safety and advocated for nuanced strategies tailored to each community’s specific needs.
The Mainstreet Research poll reveals challenges in accurately representing the views of B.C.’s smaller ethnic communities.
While non-white Canadians make up 40 per cent of B.C.’s population, they accounted for only 16 per cent of the poll’s 6,300 respondents.
Responses by Black, Middle Eastern and Southeast Asian respondents were excluded from the current analysis because sample sizes were too small, numbering below 100. The English-only and automated telephone polling format may also increase uncertainty.
As the poll focused primarily on B.C. and broad drug policy questions, its findings underscore the need for a deeper understanding of community beliefs to inform drug policies.
The Centre for Responsible Drug Policy is releasing the polling data and its report on a “preliminary” basis so it can inform drug policy discussions ahead of provincial elections, which are taking place this October in B.C., Saskatchewan and New Brunswick.
But Mainstreet Research is continuing to gather data, aiming for a final survey size of more than 12,000 respondents. Once completed, the survey will be one of the largest polls on harm reduction ever conducted in Canada.
“The final report, set to be released later this year, will include larger samples from B.C.’s diverse ethnic communities, providing further clarity on their beliefs,” Zivo said.
This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.
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Addictions
New RCMP program steering opioid addicted towards treatment and recovery

News release from Alberta RCMP
Virtual Opioid Dependency Program serves vulnerable population in Red Deer
Since April 2024, your Alberta RCMP’s Community Safety and Well-being Branch (CSWB) has been piloting the Virtual Opioid Dependency Program (VODP) program in Red Deer to assist those facing opioid dependency with initial-stage intervention services. VODP is a collaboration with the Government of Alberta, Recovery Alberta, and the Alberta RCMP, and was created to help address opioid addiction across the province.
Red Deer’s VODP consists of two teams, each consisting of a police officer and a paramedic. These teams cover the communities of Red Deer, Innisfail, Blackfalds and Sylvan Lake. The goal of the program is to have frontline points of contact that can assist opioid users by getting them access to treatment, counselling, and life-saving medication.
The Alberta RCMP’s role in VODP:
- Conducting outreach in the community, on foot, by vehicle, and even UTV, and interacting with vulnerable persons and talking with them about treatment options and making VODP referrals.
- Attending calls for service in which opioid use may be a factor, such as drug poisonings, open drug use in public, social diversion calls, etc.
- Administering medication such as Suboxone and Sublocade to opioid users who are arrested and lodged in RCMP cells and voluntarily wish to participate in VODP; these medications help with withdrawal symptoms and are the primary method for treating opioid addiction. Individuals may be provided ongoing treatment while in police custody or incarceration.
- Collaborating with agencies in the treatment and addiction space to work together on client care. Red Deer’s VODP chairs a quarterly Vulnerable Populations Working Group meeting consisting of a number of local stakeholders who come together to address both client and community needs.
While accountability for criminal actions is necessary, the Alberta RCMP recognizes that opioid addiction is part of larger social and health issues that require long-term supports. Often people facing addictions are among offenders who land in a cycle of criminality. As first responders, our officers are frequently in contact with these individuals. We are ideally placed to help connect those individuals with the VODP. The Alberta RCMP helps those individuals who wish to participate in the VODP by ensuring that they have access to necessary resources and receive the medical care they need, even while they are in police custody.
Since its start, the Red Deer program has made nearly 2,500 referrals and touchpoints with individuals, discussing VODP participation and treatment options. Some successes of the program include:
- In October 2024, Red Deer VODP assessed a 35-year-old male who was arrested and in police custody. The individual was put in contact with medical care and was prescribed and administered Suboxone. The team members did not have any contact with the male again until April 2025 when the individual visited the detachment to thank the team for treating him with care and dignity while in cells, and for getting him access to treatment. The individual stated he had been sober since, saying the treatment saved his life.
- In May 2025, the VODP team worked with a 14-year-old female who was arrested on warrants and lodged in RCMP cells. She had run away from home and was located downtown using opioids. The team spoke to the girl about treatment, was referred to VODP, and was administered Sublocade to treat her addiction. During follow-up, the team received positive feedback from both the family and the attending care providers.
The VODP provides same-day medication starts, opioid treatment transition services, and ongoing opioid dependency care to people anywhere in Alberta who are living with opioid addiction. Visit vodp.ca to learn more.
“This collaboration between Alberta’s Government, Recovery Alberta and the RCMP is a powerful example of how partnerships between health and public safety can change lives. The Virtual Opioid Dependency Program can be the first step in a person’s journey to recovery,” says Alberta’s Minister of Mental Health and Addiction Rick Wilson. “By connecting people to treatment when and where they need it most, we are helping build more paths to recovery and to a healthier Alberta.”
“Part of the Alberta RCMP’s CSWB mandate is the enhancement of public safety through community partnerships,” says Supt. Holly Glassford, Detachment Commander of Red Deer RCMP. “Through VODP, we are committed to building upon community partnerships with social and health agencies, so that we can increase accessibility to supports in our city and reduce crime in Red Deer. Together we are creating a stronger, safer Alberta.”
Addictions
Saskatchewan launches small fleet of wellness buses to expand addictions care

By Alexandra Keeler
Across Canada, mobile health models are increasingly being used to offer care to rural and underserved communities
Saskatchewan has launched a small fleet of mobile wellness buses to improve access to primary health care, mental health and addiction services in the province.
The first bus began operating in Regina on Feb. 12. Another followed in Prince Albert on March 21. Saskatoon’s bus was unveiled publicly on April 9. All three are former coach buses that have been retrofitted to provide health care to communities facing barriers to access.
“Mobile health units are proven to improve outcomes for people facing barriers to healthcare,” Kayla DeMong, the executive director of addiction treatment centre Prairie Harm Reduction, told Canadian Affairs in an email.
“We fully support this innovative approach and are excited to work alongside the health bus teams to ensure the people we support receive the care they need, when and where they need it.”
Wellness buses
Like all provinces, Saskatchewan has been grappling with the opioid crisis.
In 2023, an estimated 457 individuals died from overdoses in the province. In 2024, that number fell to 346. But the province continues to struggle with fatal and non-fatal overdoses.
In late February, Saskatoon firefighters responded to more than 25 overdoses in a single 24-hour period. Just over a week later, they responded to 37 overdoses within another 24-hour window.
Saskatchewan’s wellness buses are part of the province’s plan to address these problems. In April 2025, the province announced $2.4 million to purchase and retrofit three coach buses, plus $1.5 million in annual operating funds.
The buses operate on fixed schedules at designated locations around each city. Each bus is staffed with a nurse practitioner, nurse and assessor coordinator who offer services such as overdose reversal kits, addiction medicine and mental health referrals.
“By bringing services directly to where people are, the health buses foster safer, more welcoming spaces and help build trusting relationships between community members and care providers,” said DeMong, executive director of Prairie Harm Reduction.
Saskatoon-based Prairie Harm Reduction is one of the local organizations that partners with the buses to provide additional support services. Prairie Harm Reduction provides a range of family, youth and community supports, and also houses the province’s only fixed supervised consumption site.
The mobile model
Saskatchewan is not the only province using wellness buses. Across Canada, mobile health models are increasingly being used to expand access to care in rural and underserved communities.
In Kingston, Ont., the Street Health Centre operates a retrofitted RV called PORCH (Portable Outreach Care Hub) that serves individuals struggling with homelessness and addiction.
“Our outreach services are extremely popular with our clients and community partners,” Donna Glasspoole, manager at Street Health Centre, said in an emailed statement.
“PORCH hits the road two to three days/week and offers a variety of services, which are dependent on the health care providers and community partners aboard.”
Street Health Centre also has a shuttle service that picks up clients in shelters and brings them to medical clinics or addiction medicine clinics.
The PORCH vehicles are not supported by provincial funding, but instead rely on support from the United Way and other grants. Glasspoole says the centre’s permanent location — which does receive government funding — is more cost-effective to operate.
“The vehicles are expensive to operate and our RV is not great in winter months and requires indoor parking,” she said.

Politically palatable
Many mobile health models currently do not provide controversial services such as supervised drug consumption.
The Saskatchewan Health Authority told Canadian Affairs the province’s new wellness buses will not offer supervised consumption services or safer supply, where drug users are given prescribed opioids as an alternative to toxic street drugs.
“There are no plans to provide supervised consumption services from the wellness buses,” Saskatchewan Health Authority spokesperson Courtney Markewich told Canadian Affairs in a phone call.
This limited scope may make mobile services more politically palatable in provinces that have resisted harm reduction measures.
In Ontario, some harm reduction programs have shifted to mobile models following Premier Doug Ford’s decision to suspend supervised consumption services located within 200 metres of schools and daycares.
In April, Toronto Public Health ended operations at its Victoria Street fixed consumption site, replacing it with street outreach and mobile vans.
The Ontario government’s decision to close the sites is part of a broader pivot away from harm reduction. The province is investing $378 million to transition suspended sites into 19 new “HART Hubs” that offer primary care, mental health, addictions treatment and other supports.
Glasspoole says that what matters most is not whether services are provided at fixed or mobile locations, but how care is delivered.
Models that “reduce barriers to care, [are] non-judgemental, and [are staffed by] trauma-informed providers” are what lead more people toward treatment and recovery, she said in her email.
In Saskatchewan, DeMong hopes the province’s new wellness buses help address persistent service gaps and build trust with underserved communities.
“This initiative is a vital step toward filling long-standing gaps in the continuum of care by providing low-barrier, community-based access to health-care services,” she said.
This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.
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