Addictions
Alberta closing Red Deer’s only overdose prevention site in favor of recovery model
Alberta’s Minister of Mental Health and Addiction, Dan Williams, at the Alberta Legislature in Edmonton on Sept. 11 2024. [Photo credit: Alexandra Keeler]
Alberta’s Minister of Mental Health and Addiction explains the shift from overdose prevention to recovery amid community concerns
On Sept. 23, Alberta announced the city of Red Deer would be closing the community’s only overdose prevention site by spring 2025. The closure will mark the first time an Alberta community completely eliminates its supervised consumption services.
The decision to close the site was taken by the city — not the province. But it aligns with Alberta’s decision to prioritize recovery-focused approaches to addiction and mental health over harm-reduction strategies.
“The whole idea of the Alberta Recovery Model is that unless you create off-ramps [from] addiction, you’re barreling ahead towards a brick wall, and that’s going to be devastating,” Alberta Minister of Mental Health and Addiction Dan Williams told Canadian Affairs in an interview in September.
However, the closure — which parallels similar moves by other provinces — has sparked debate over whether recovery-oriented models adequately meet the needs of at-risk populations.
The Alberta Recovery Model
The Alberta Recovery Model, which was first introduced by Alberta’s UCP government in November 2023, emphasizes prevention, early intervention, treatment and recovery.
It is informed by recommendations from Alberta’s Mental Health and Addiction Advisory Council and research from the Stanford Lancet Commission on the North American Opioid Crisis.
“Alberta, in our continuum of care, has everything from low entry, low barriers, and zero cost [for] detox, to treatment, to virtual opioid dependency, to outreach teams working with shelters,” said Williams.
Williams said that Alberta intends to continue funding safe consumption sites as short-term harm-reduction measures. But it views them as temporary components in the continuum of care.
This is not without controversy.
At the Feb. 15 Red Deer council meeting where councillors voted 5-2 to close the city’s safe consumption site, some councillors noted that safe consumption sites play an essential role in the continuum of care.
“Each individual is at a different stage of addiction … the overdose prevention site does play a role in the treatment spectrum,” said Coun. Dianne Wyntjes, who voted against the closure.
While Red Deer is home to Alberta’s first provincially funded addiction treatment facility, Wyntjes noted there had been reports within the community of the facility lacking capacity to meet demand.
She pointed to Lethbridge’s experience in 2020, where overdose deaths spiked after its consumption site was replaced with mobile services.
The Ontario government’s recent decision to close 10 safe consumption sites located near schools and daycares has prompted similar concerns.
In August, Ontario Health Minister Sylvia Jones told reporters that the province plans to “very quickly” replace the closed sites with Homelessness and Addiction Recovery Treatment (HART) hubs that prioritize community safety, treatment and recovery. But critics — including site workers, NDP MPPs and harm-reduction advocates — have warned these shutdowns will lead to an increase in fatal overdoses.
It is possible that Alberta, Ontario and other jurisdictions will make other moves in tandem in the coming months and years.
In April, Alberta announced it was partnering with Ontario and Saskatchewan to build recovery-focused care systems. The partnerships include sharing of best practices and advocating for recovery-focused policies and investments at the federal level.
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‘Mandatory treatment’
Another controversial component of Alberta — and other provinces’ — recovery-oriented strategy is involuntary care.
The UCP government has said it plans to introduce “compassionate intervention” legislation next year that will enable family members, doctors or police officers to seek court orders mandating treatment for individuals with substance use disorders who pose a risk to themselves or others.
“If someone is a danger to themselves or others in the most extreme circumstances because of their addiction, then we as a society have an obligation to intervene, and that might include mandatory treatment,” said Williams.
Critics have raised concerns about increasing reliance on involuntary care options.
“Over the last two decades, there has been a dramatic increase in reliance on involuntary services [such as psychiatric admissions and treatment orders], while voluntary services have not kept up with demand,” the B.C. division of the Canadian Mental Health Association said in a Sept. 18 statement published on their website.
The statement followed an announcement by B.C. Premier David Eby — who was recently reelected — to expand involuntary care in that province.
Research from Yale University’s School of Public Health indicates involuntary interventions for substance use are generally no more effective than voluntary treatment, and can in some cases cause more harm than good. The research notes that “involuntary centers often serve as venues for abuse.”
A 2023 McMaster University study that synthesized the research on involuntary treatment from international jurisdictions similarly found inconclusive outcomes. It recommended expanding voluntary care options to minimize reliance on involuntary measures.
Williams emphasized that the province’s involuntary care legislation would target “a very small group of people for whom all else has failed … those at the far end of the addiction spectrum with very serious and devastating addictions.”
‘Off-ramps from addiction’
Over the past six years, Alberta has incrementally increased its mental health and addiction budget from an initial $50 million to a cumulative total of $1.5 billion.
The funding boost has enabled Alberta to eliminate a $40 daily user fee for some detox and recovery services, add 10,000 publicly funded addiction treatment spaces, and expand access to its Virtual Opioid Dependency Program, which offers same-day access to life-saving medications.
To support addiction prevention, Williams said Alberta is expanding CASA Classrooms in schools. These offer mental health support and therapy to Grade 4-12 students who have ongoing mental health challenges, and equip school staff and caregivers to support these students.
“Mental health and addiction needs to be as connected to the emergency room as it is to the classroom,” Williams said. “We need to be able to understand low-acuity chronic mental health challenges as they begin to manifest [in the community].”
The province is also in the process of establishing 11 residential recovery communities across the province. These centres provide free, extended treatment averaging four months — which is longer than most recovery programs.
Oct. 23 marked the one-year anniversary of one such centre, the Lethbridge Recovery Community. The $19-million, 50-bed facility served more than 110 clients in its first year and expects to serve about 200 individuals in 2025.
“I’m coming to see that entering treatment is only the start,” said Sean P., a client of Lethbridge Recovery Community, in a government press release celebrating the anniversary.
“With the support of the staff and the community here, I’m beginning to face my past and make real changes. Recovery is giving me the tools I need for this journey, and I’m genuinely excited to keep growing and moving forward with their help.”
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From LifeSiteNews
Nearly 64% of American men now believe online pornography should be more difficult to access, with even higher numbers of women saying the same thing.
A new survey has shown that an increasing number of young men want more restrictions on online pornography.
According to a survey by the American Enterprise Institute’s Survey Center on American Life, nearly 7 in 10 (69 percent) of Americans support the idea of making online pornography less accessible. In 2013, 65 percent expressed support for policies restricting internet pornography.
The most substantial increase in the support for restrictive measures on pornography could be observed in young men (age 18-24). In 2013, about half of young men favored restrictions, while 40 percent actively opposed such policies. In 2025, 64 percent of men believe accessing online pornography should be made more difficult.
The largest support for restriction on internet pornography overall could be measured among older men (65+), where 73 percent favored restrictions. An even larger percentage of women in each age group supported making online pornography less accessible. Seventy-two percent of young women (age 18-24) favored restriction, while 87 percent of women 55 years or older expressed support for less accessibility of internet pornography.
Viewing pornography is highly addictive and can lead to serious health problems. Studies have shown that children often have their first encounter with pornography at around 12 years old, with boys having a lower average age of about 10-11, and some encountering online pornography as young as 8. Studies have also shown that viewing pornography regularly rewires humans brains and that children, adolescents, and younger men are especially at risk for becoming addicted to online pornography.
According to Gary Wilson’s landmark book on the matter, “Your Brain on Porn,” pornography addiction frequently leads to problems like destruction of genuine intimate relationships, difficulty forming and maintaining real bonds in relationship, depression, social anxiety, as well as reduction of gray matter, leading to desensitization and diminished pleasure from everyday activities among many others.
These four personality traits are predictive of addiction. A new program is using this knowledge to prevent addiction from ever developing
In classrooms across Canada, addiction prevention is getting personal.
Instead of warning students about the dangers of drugs, a program called PreVenture teaches students about themselves — and it’s working.
Developed by Canadian clinical psychologist Patricia Conrod, PreVenture helps young people recognize how traits like risk-taking or negative thinking shape their reactions to stress.
“When you intervene around these traits and help people learn new cognitive behavioural strategies to manage these traits, you are able to reduce their substance use,” said Conrod, who is also a professor at the Université de Montréal.
By tailoring addiction prevention strategies to individual personality profiles, the program is changing how we think about addiction — from something we react to, to something we might stop before it starts.
And now, scientists say the potential for early intervention is going even deeper — down to our genes.
Personality and addiction
PreVenture is a personality-targeted prevention program that helps young people understand and manage traits linked to a higher propensity for future substance use.
The program focuses on four core traits — anxiety sensitivity, sensation seeking, impulsivity and hopelessness — that shape how individuals experience the world and respond to stress, social situations and emotional challenges.
“They don’t only predict who’s at risk,” said Conrod in an interview with Canadian Affairs. “They predict what you’re at risk for with quite a lot of specificity.”
Anxiety sensitivity shows up in people who feel overwhelmed by physical symptoms like a racing heart or dizziness. People with this trait may ultimately turn to alcohol, benzodiazepines such as Xanax, or opioids to calm their bodies.
Sensation seeking is characterized by a desire for excitement and novel experiences. This trait is associated with a higher likelihood of being drawn to substances like cannabis, MDMA, psilocybin or other hallucinogens.
“[Cannabis] alters their perceptual experiences, and so makes things feel more novel,” said Conrod.
Sensation seeking is also associated with binge drinking or use of stimulants such as cocaine.
The trait of impulsivity involves difficulty controlling urges and delaying gratification. This trait is associated with a higher likelihood of engaging in risky behaviours and an increased risk of addiction to a broad range of substances.
“Young people with attentional problems and a core difficulty with response inhibition have a hard time putting a stop on a behaviour once they’ve initiated it,” said Conrod.
Finally, the trait of hopelessness is tied to a pessimistic, self-critical mindset. People with this trait often expect rejection or assume others are hostile, so they may use alcohol or opioids to dull emotional pain.
“We call it negative attributional style,” said Conrod. “They have come to believe that the world is against them, and they need to protect themselves.”
These traits also cluster into two broader categories — internalizing and externalizing.
Anxiety sensitivity and hopelessness direct distress inward, while sensation seeking and impulsivity are characterized by outward disinhibition.
“These traits change your perception,” said Conrod. “You see the world differently through these traits.”
Conrod also notes that these traits appear across cultures, making targeted addiction prevention broadly applicable.
Personality-based prevention
Unlike most one-size-fits-all drug prevention programs, PreVenture tailors its prevention strategies for each individual trait category to reduce substance use risk.
The program uses a brief personality assessment tool to identify students’ dominant traits. It then delivers cognitive-behavioural strategies to help users manage stress, emotions and risky behaviours associated with them.
Recreation of the personality assessment tool based on the substance use risk profile scale — a scale measuring traits linked to reinforcement-specific substance use profiles. | Alexandra Keeler
Students learn to recognize how their dominant trait influences their thoughts and reactions — and how to shift those patterns in healthier directions.
“We’re trying to raise awareness to young people about how these traits are influencing their automatic thinking,” said Conrod. “You’re having them be a little more critical of their thoughts.”
Hopelessness is addressed by teaching strategies to challenge depressive thoughts; those high in sensation seeking explore safer ways to satisfy their need for stimulation; anxiety sensitivity is managed through calming techniques; and impulsivity is reduced by practicing pausing before acting.
Crucially, the program emphasizes the strengths of each trait as well.
“We try to present [traits] in a more positive way, not just a negative way,” said Sherry Stewart, a clinical psychologist at Dalhousie University who collaborates with Conrod.
“Your personality gets you into trouble — certainly, we discuss that — but also, what are the strengths of your personality?”
While a main goal of the program is preventing substance use disorders, the program barely discusses substances.
“You don’t really have to talk about substances very much,” said Conrod. “You talk more about how you’re managing the trait, and it has this direct impact on someone’s motivation to use, as well as how severely they experience mental health symptoms.”
The workshops make it clear, however, that while substances may offer temporary relief, they often worsen the very symptoms participants are trying to manage.
The genetic angle
Catherine Brownstein, a Harvard Medical School professor and geneticist at Boston Children’s Hospital, says genetic factors also help explain why some people are more vulnerable to addiction.
“A lot of personality is genetic,” she said in an interview with Canadian Affairs.
Her research has identified 47 locations in human DNA that affect brain development and shape personality traits.
While substance use risk cannot yet be detected genetically, certain gene variants — like SHANK3, NRXN1 and CRY1 — are linked to psychiatric disorders that often co-occur with substance use, including ADHD and schizophrenia.
Brownstein also says genetic variations influence pain perception.
Some variants increase pain sensitivity, while others eliminate it altogether. One such gene, SCN9A, may make individuals more likely to seek opioids for relief.
“If you’re in pain all the time, you want it to stop, and opioids are effective,” said Brownstein.
While we cannot yet predict addiction risk from genetics alone, Brownstein says she thinks genetic screening combined with psychological profiling could one day personalize prevention even further.
Expansion and challenges
Conrod’s personality-targeted intervention program, PreVenture, has proven highly effective.
A five-year study published in January found that students who participated in PreVenture workshops were 23 to 80 per cent less likely to develop substance use disorders by Grade 11.
Stewart says that the concept of PreVenture began with adults with substance use disorders, but research suggests earlier intervention can alter life trajectories. That insight has driven PreVenture’s expansion to younger age groups.
Conrod’s team delivers PreVenture to middle and high school students, UniVenture to university students and OpiVenture to adults in treatment for opioid dependence.
PreVenture has been implemented in schools across the U.S. and Canada, including in B.C., Ontario, Quebec, Nova Scotia and Newfoundland and Labrador. Five Canadian universities are participating in the UniVenture study.
However, currently, Canada’s flagship youth prevention strategy is based on the Icelandic Prevention Model — a 1990s framework that aims to reduce youth substance use by focusing on environmental factors such as family, school and peer influence.
While the Icelandic Prevention Model has shown success in Iceland, it has serious limitations. It lacks a mental health component, does not specifically address opioid use and has demonstrated mixed results by gender.
Despite strong evidence for personality-targeted prevention, programs like PreVenture remain underused.
Conrod says education systems often default to less effective, generic methods like one-off guest speakers. She also cites staffing shortages and burnout in schools, along with insufficient mental health services, as major barriers to implementing a new program.
Still, momentum is building.
B.C. has aligned their prevention services with the PreVenture model. And organizations such as the youth wellness networks Foundry B.C. and Youth Wellness Hubs Ontario are offering the program and expanding its reach.
Conrod believes the power of the program lies in helping young people feel seen and understood.
“It’s really important that a young person is provided with the space and focus to recognize what’s unique about [their] particular trait,” she said.
“Recognize that there are other people in the world that also think this way [and tell them] you’re not going crazy.”
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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