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Addictions

Ontario to close 10 safe consumption sites and open 19 recovery hubs

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A photo of the South Riverdale neighbourhood. (Photo credit: Andrea Nickel)

News release from Break The Needle

By Alexandra Keeler

Ontario’s decision to close safe consumption sites near schools and daycares comes in the wake of a bystander’s death and class-action lawsuit

In a dramatic shift in policy, Ontario is closing 10 safe consumption sites located near schools and daycares, citing public safety concerns.

“Our first priority must always be protecting our communities, especially when it comes to our most innocent and vulnerable — our children,” said Ontario Health Minister Sylvia Jones at an Association of Municipalities of Ontario conference in Ottawa on Tuesday.

Safe consumption sites, which enable people to use illicit drugs with sterile equipment under staff supervision, will be prohibited from operating within 200 metres of schools and child-care centres after March 31, 2025.

The province also plans to introduce legislation to prevent municipalities from establishing new consumption sites, requesting the decriminalization of illegal drugs or participating in federal safe supply initiatives, a health ministry press release says.

Safe consumption sites have faced mounting scrutiny in the wake of community feedback highlighting their effect on public safety.

“We’ve noticed a real change from 2021 onwards,” Andrea Nickel, a parent who lives near a safe consumption site at Toronto’s South Riverdale Community Health Centre, told Canadian Affairs in May.

“At the beginning of last year it just escalated out of control.”

Unacceptable danger

Ontario opened its first safe consumption site in 2017 with the aim of reducing overdose deaths and providing users with a gateway to treatment. Today, there are 23 safe consumption sites across the province, 17 of which are provincially funded.

KeepSIX, the safe consumption site in South Riverdale, is among the sites facing closure. Last July, Karolina Huebner-Makurat, a local resident and mother of two, was fatally shot during a gunfight outside the site. Her death prompted Ontario to conduct two reviews of the centre and to also review the 16 other provincially funded sites.

review of keepSIX conducted by the hospital network Unity Health Toronto and released in February recommended improvements in security, community relations, law enforcement communication and staff training. It did not recommend closure.

Drugs found by a child in the South Riverdale neighbourhood. (Photo provided by Andrea Nickel.)

The second review, released in April and conducted by former health-care executive Jill Campbell, also opposed closure. It advocated instead for expanded harm reduction and treatment, enhanced security and increased mental health support.

In March 2024, two South Riverdale residents launched a class-action lawsuit against the operator of keepSIX and all levels of government, Canadian Affairs reported in May. The lawsuit alleges the site has exposed the community to unacceptable danger.

The site’s proximity to daycares and schools and its role in exposing children to illicit drugs and used needles are at the heart of that case.

Reacting to this week’s announcement, South Riverdale parent Andrea Nickel said she is supportive of the site’s services. “[But] it is not unreasonable to ask that they are balanced with community safety, specifically kids’ safety.”

South Riverdale’s response cited the centre’s role in reversing 74 overdoses in 2023.

“Every overdose reversed is a life saved,” Anne Marie Aikins, a public affairs consultant at AMA Communications, said on behalf of the centre.

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‘Devil’s in the details’

In Tuesday’s address, Ontario’s health minister also announced a $378-million investment to establish 19 new Homelessness and Addiction Recovery Treatment Hubs (HART hubs) across the province. These recovery-focused hubs will offer social support services and employment assistance to individuals struggling with addiction.

They will not provide supervised drug consumption, needle exchange programs or the “safe supply” of prescribed controlled substances.

“The devil’s in the details with these things,” said John-Paul Michael, an addictions case manager in Toronto who has extensive experience in harm reduction and lived experience with substance use.

“Everyone I know in the harm-reduction community is very much in favour of having better access to treatment, better access to detox, better wraparound care,” he said. “The problem becomes when it is at the expense of other evidence-based care.”

Michael says safe consumption sites are often the only form of health care available to individuals struggling with addiction. Eliminating them would leave these individuals without support, he says.

“Safe consumption sites are essential for saving lives, particularly for those who may never seek formal treatment,” he said. “Eliminating these supports disregards the value of human life.”

Michael is also concerned about the reduction of needle exchange services, which are crucial for managing HIV and Hepatitis C rates and lessening the burden on emergency rooms.

“Community-based nurses at [safe consumption sites] provide basic care that can prevent emergency department visits and potentially severe outcomes, such as [intensive care unit] stays,” Michael said.

The province will soon seek proposals to establish up to 10 HART hubs. Priority will be given to proposals that aim to transition existing safe consumption sites — especially those facing closure — into HART hubs.

“[T]he likelihood is that [these transitions] would happen very quickly,” Health Minister Jones told reporters on Tuesday. “The other applications — it will depend on what they bring forward.”


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.

Break The Needle. Our content is always free – but if you want to help us commission more high-quality journalism, consider getting a voluntary paid subscription.

Addictions

Harm Reduction is a Lie: Red Deer South MLA Jason Stephan

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News release from Red Deer South MLA Jason Stephan

Truth is wonderful. We can trust in truth. Truth leads to better choices and more happiness. Yet, there are many lies around us. A failure to comprehend things as they were, as they really are, as they will be, results in bad choices and unhappiness.

Sometimes lies are cloaked in words which distort their true outcomes. One such lie is so called “harm
reduction”. One government program under the heading of harm reduction is “safe supply”. Safe supply is a lie. It is not “safe”.

Another government program under the heading of harm reduction is an “overdose prevention site”. That is a lie also – these sites do not prevent overdoses.

Consider this, if your neighbor was drowning in filthy waters, would you row a boat out, and do nothing,
watching your neighbor flail and choke beside you in filthy waters, and just before he was about to go under, grab his hair as he was about to drown? And then, gasping for air, would you let him go, so that he resumes flailing and choking in filthy waters? What if you kept doing that bizarre thing?

What would be the normal thing to do? Get them out of filthy waters and onto shore, of course. Begin with the end in mind – for men and women drowning in filthy waters of addiction, that means recovery, not drug sites that keep them in those filthy waters.

Supervised consumption / overdose prevention sites are in fact drug sites – where illegal drugs are consumed accompanied with many other bad things.

Albertans did not ask for drug sites in their communities. Government imposed them on Albertans.

As a private citizen, prior to serving as an MLA, I attended packed town hall meetings at Red Deer City
Hall. The vast majority of townhall participants did not want the NDP to impose a drug site in Red Deer. They did anyways.

The drug site in Red Deer has now been in our community for too many years and its impacts are
evident for all to see. Let’s speak plainly and honesty. Drug sites in Alberta are an attraction for individuals seeking to live in drug addictions. Because of drug sites, there are more, not less, individuals living in addictions in communities with drug sites.

There is an exodus of businesses from areas containing drug sites. I have seen it. There is too much stealing, too much vandalizing, too much uncertainty for local businesses, their employees, their customers.

Regardless of good intentions, the truth is that drug sites facilitate a growing lawlessness, including embedding and emboldening criminal elements, which either abuse drug sites or prey on those living in addictions, some of whom support addiction lifestyles through stealing or robbing businesses and families in our communities.

The truth is that “harm reduction” drug sites result in “harm production” to businesses and individuals in our communities seeking to peaceably live their lives, working, and raising their families.

Communities that do not want drug sites should not be forced to have them.

Red Deer City Council, listening to its citizens and businesses, passed a motion to get the drug site out of Red Deer. The Alberta government listened, announcing that the drug site will be removed out of Red Deer. That is good for Red Deer!

Other Alberta municipalities that have suffered with drug sites will follow Red Deer and will seek to get drug sites out of their communities also.

It is good to confront and reject harm reduction lies, get drug consumption sites out of Alberta, and support recovery for those suffering under addiction, blessing themselves, their families, and our communities.

Alberta is the best province in a nation in trouble. Our lives belong to ourselves, not government. The machine is not greater than the creator.

Alberta is a land of freedom and prosperity. We must be vigilant to keep it that way.

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Addictions

B.C. mayors voice discontent over province’s response to drug crisis

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The street outside the Harbour Supervised Consumption Service in Victoria, B.C., on Sept. 6, 2024. (Photo credit: Alexandra Keeler)

By Alexandra Keeler

A number of B.C. mayors say the province’s drug decriminalization project has been a failure — and they are not confident involuntary care will address the problem

Many B.C. mayors are unhappy with the province’s handling of the drug crisis, saying it is failing their communities.

“I don’t think [the province’s] approach was very well thought out,” said Mayor Brad West of Port Coquitlam, a city of 61,000 that is a half-hour’s drive east of Vancouver.

“They announced, seemingly pretty quickly, that the province was going to pursue decriminalization, and there didn’t seem to be a lot of public discourse or consultation in the lead up to it,” he said.

“It was just kind of like, ‘Bam! Here it is.’”

West’s comments were echoed by other municipal leaders, who also say the province’s harm-reduction and treatment services are under-resourced, leaving them ill-equipped to help community members who are struggling.

‘Can’t do anything’

West says he and Port Coquitlam’s constituents observed an immediate increase in public drug use after the province launched a three-year, trial decriminalization project in January 2023.

The project initially enabled residents to use otherwise illicit drugs — such as fentanyl, heroin and cocaine — in most parts of the province, although it prohibited drug use on school premises or near child-care facilities.

Yet, West says drug use in parks and playgrounds was a major issue in his community.

“What [decriminalization] meant in a place like Port Coquitlam is that when you did have an incident that required a police response, none was forthcoming anymore,” he said. “[Police] would tell you, ‘Well, we can’t do anything. We’re not allowed to.’”

In June 2023, Port Coquitlam responded by passing a bylaw, introduced by West, that banned drug use in public spaces. Other B.C. municipalities — including Nelson, Kamloops and Campbell River — soon followed suit.

In December, B.C. tried to pass a law enabling police to remove people from public spaces if they were using drugs. But a B.C. court temporarily blocked it, citing risks to drug users.

The province then sought approval from Ottawa to re-criminalize public drug use, which it obtained this spring. Now, hard drug use is only permitted in private residences, legal shelters or harm-reduction clinics.

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Wait times

West says he has also been frustrated with the province’s harm-reduction facilities, which he describes as “poorly staffed” and “under-resourced.” These facilities often fail to connect individuals to necessary resources or recovery programs, he says.

West has witnessed some of these problems up close. His stepbrother battled addiction and homelessness before finding recovery.

“The biggest barrier that I think he encountered — and most people encounter in terms of recovery — is the wait times,” he said.

The wait time to get into B.C.’s private addiction rehab centres is about three to seven days. But the cost — ranging from $10,000 to $30,000 a month — is out of reach for many.

By contrast, the wait time to get into government-funded programs is about three to six months.

In addition to advocating for more accessible recovery services, West emphasizes the need for stronger enforcement at docks, ports and borders to combat drug trafficking.

“Our ports of entry, our border, the port itself, are completely porous,” he said. “We have no dedicated port police — one of the few jurisdictions that doesn’t. And as a result, Metro Vancouver has become an epicentre for drug trafficking.”

In May 2023, he was the sole Canadian mayor invited by US Secretary of State Antony Blinken to discuss the issue with other mayors. “We have weak [drug] laws … This is why I think we’ve become a global hub for [drug trafficking],” he said.

Brain damage

The BC NDP and BC Conservatives have both recently pledged to introduce involuntary care, which would enable the province to admit people with addiction challenges, brain injuries and mental-health issues into treatment facilities without their consent.

Mayor Leonard Krog of Nanaimo, a coastal city of about 100,000 on the east side of Vancouver Island, has long advocated for involuntary care.

Nanaimo Mayor Leonard Krog sits in his office at Nanaimo City Hall on Sept. 4, 2024. (Photo credit: Alexandra Keeler)

Krog notes that a significant segment of the homeless population has suffered brain damage, which can exacerbate efforts to help them. A 2020 report by Brain Injury Canada says about 50 per cent of people experiencing homelessness have some form of brain injury.

Krog does not believe people with brain injuries and addiction issues are likely to seek treatment on their own. “Those folks should be in secure, involuntary care,” he said.

But he is not optimistic that NDP’s involuntary care proposal will address the full scope of the issue.

“[I]n terms of numbers, my strong view is that it will not address the significant population who are currently in the streets.”

Stay alive

Victoria Mayor Marianne Alto believes in providing support to keep people alive until they seek recovery.

“My view of harm reduction is … I’ll give you anything you need to stay alive until you have that epiphany moment,” she said.

But she is concerned that the province has not adopted a comprehensive approach to tackling the drug crisis. The recent proposals to introduce involuntary care have not eased her concerns.

“Involuntary care can be a necessary tool in a complex system,” she said. “But its effectiveness hinges on clear standards. We must ensure that individuals receive not just initial intervention but also ongoing support to prevent their return to the circumstances that led them there.”

“The devil is in the details,” she said.

Victoria Mayor Marianne Alto leans against a railing in downtown Victoria, B.C. , in May 2022. (Marianne Alto’s Facebook)

The B.C. capital has been pursuing additional strategies to tackle the city’s homelessness, addiction and mental health challenges.

For example, a local nonprofit has been working with individuals living in parks to connect them with housing and support. “It’s also very slow, because to be very successful, you have to do it one person at a time, one-on-one. But it’s working,” she said.

But other efforts have met resistance.

City council rejected a motion introduced by Alto that had proposed rewarding churches and cultural centres that offered overnight parking to vehicle-dwelling homeless people. Five council members opposed it, Alto says, citing fears about crime and concerns that the program overstepped their duties.

“There is a genuine fatigue in the public, which is being reflected in municipal councils, saying, ‘How much further, how much longer, how much more?’”


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.

You’re currently a free subscriber to Break The Needle. Our content is always free – but if you want to help us commission more high-quality journalism, consider getting a voluntary paid subscription.

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