Addictions
Kensington Market’s overdose prevention site is saving lives but killing business

Business owners and residents weigh in on the controversial closure of Kensington Market’s overdose prevention site
Toronto’s Kensington Market is a bohemian community knit together by an eclectic symphony of cultures, sounds and flavours.
However, debate has been raging in the community over the potential closure of a local overdose consumption site, which some see as a life-saving resource and others consider a burden on the community.
Grey Coyote, who owns Paradise Bound record shop, believes that the Kensington Market Overdose Prevention Site is fuelling theft and property damage. He plans on shutting his store, which is adjacent to the site, after 25 years of operation.
Other nearby business owners have decided to stay. But they, too, are calling for change.
“The merchants in the market are the ones taking the brunt of this … especially the ones closest to [the overdose prevention site],” said David Beaver, co-owner of Wanda’s Pie in the Sky, a nearby bakery.
“There’s a larger issue at hand here,” Beaver said. “We have to help these people out, but perhaps [the status quo] is not the way to go about it.”
In an effort to change the status quo, Ontario recently passed a law prohibiting overdose prevention sites from operating within 200 metres of schools or daycares. The law could force the Kensington Market Overdose Prevention Site to close, although it is challenging the decision.
Coyote says he plans on leaving the neighbourhood regardless. The high concentration of social programs in the area will make continued theft, property damage and defacement likely, he says.
“They’re all still going to be there,” he said.
Court challenge
Ontario’s decision to close supervised consumption sites near schools and daycares affects 10 sites across the province.
The province plans to transition all nine provincially funded overdose prevention sites into Homelessness and Addiction Recovery Treatment (HART) Hubs. These hubs will offer drug users a range of primary care and housing solutions, but not supervised consumption, needle exchanges or the “safe supply” of prescription drugs.
The tenth site, Kensington Market Overdose Prevention Site, is not eligible to become a HART Hub because it is not provincially funded.
In response, The Neighbourhood Group, the social agency that runs the Kensington site, has filed a lawsuit against the province. It claims the closure order violates the Charter rights of the site’s clients by increasing their risk of death and disease.
“There will be a return of [overdose] deaths that would be preventable,” said Bill Sinclair, CEO of The Neighbourhood Group.
“Our neighbours include people who use these sites and … they are very frightened. They want to know what’s going to happen to them if we close.”
In response to the lawsuit, the province has initiated an investigation on the site’s impact on the community. It has enlisted two ex-police officers to canvas the market, question locals and gather information about the site in preparation for the legal challenge.
“Ontario is collecting evidence from communities affected by supervised consumption sites,” said Keesha Seaton, a media spokesperson for Ontario’s Ministry of the Attorney General.
“Ontario’s responding evidence in the court challenge will be served on January 24.”
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Kensington Market Overdose Prevention Site in Toronto; Dec. 18, 2024. [Photo credit: Alexandra Keeler]
Bad for business
The Kensington Market Overdose Prevention Site sits at the northern entrance of Spadina Avenue, a key thoroughfare into the heart of Kensington Market. It is located within St. Stephen’s Community House, a former community centre.
The site was added to the community centre in 2018 in response to a surge of overdoses in the area. It is funded through federal grants and community donations.
Within the site’s 200-metre radius are Westside Montessori School, Kensington Kids Early Learning Centre and Bellevue Child Care Centre. Bellevue is operated by The Neighbourhood Group, the same organization that operates the overdose prevention site.
The site serves an average of 154 clients per month. It reversed 50 overdoses in 2024, preventing fatalities.
But while the site has saved lives, shop owners claim it is killing business.
“[Kensington] is a very accepting market and very understanding, but [the overdose prevention site is] just not conducive to business right now,” said Mike Shepherd, owner of Trinity Common beer hall — located across the street from the site — and chair of the Kensington Market Business Improvement Area.
Shepherd says it has become more common to find broken glass, needles and condoms outside his bar in recent years. He has also had to deal with stolen propane heaters and vandalism, including a wine bottle thrown at his car.
Shepherd attributes some of these challenges to a growing homeless population and increased drug use in the neighborhood. He says these issues became particularly acute after Covid hit and the province cut funding for community programs once offered by St. Stephen’s.
Inside his bar, he has handled multiple overdoses, administering naloxone and calling ambulances, and has had to physically remove disruptive patrons.
“I don’t have problems throwing people out of my establishment when they’re … getting violent or causing problems, but my staff shouldn’t have to deal with that,” he said.
“I’m literally watching somebody smoke something from a glass pipe right now,” he said, staring across the street from his bar window as he spoke to Canadian Affairs.
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Trinity Common beer hall and restaurant in Toronto’s Kensington Market; January 19, 2025. [Photo credit: Alexandra Keeler]
Still, he is empathetic.
“A lot of people who are drug addicted are self-diagnosing for mental traumas,” said Shepherd. “Sometimes, when they go down those deep roads, they go off the tracks.”
Other business owners in the area share similar concerns.
Bobina Attlee, the owner of Otto’s Berlin Döner, has struggled to deal with discarded syringes, stolen bins and sanitation concerns like urine and feces.
These issues prevented her from joining the CaféTO program, which allows restaurants and bars to expand their outdoor dining space during the summer months.
Sid Dichter, owner of Supermarket Restaurant and Bar, has dealt with loitering, break-ins and drug paraphernalia being left behind on his patio day after day.
Some business owners, like Coyote, expressed harsher criticisms.
“Weak politicians and law enforcement have been infiltrated by the retarded, woke mafia,” Coyote said, referring to what he sees as overly lenient harm reduction policies and social programs in “liberal” cities.
Toronto Police Service data show increases in auto and bike thefts and break-and-enters in Kensington Market from 2014 to 2023. Auto thefts rose from 23 in 2014 to 50 in 2023, bike thefts from 92 to 137, and break-and-enters from 103 to 145.
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Kensington Market’s city councillor, Dianne Saxe, said she has received numerous complaints from constituents about disorder in the area.
In an email to Canadian Affairs, she cited complaints about “feces, drug trafficking, harassment, shoplifting, theft from yards and porches, trash, masturbation in front of children, and shouting at parents and teachers.”
However, Saxe noted it is difficult to determine what portion of these problems are linked to the overdose prevention site, as opposed to factors like nearby homeless encampments.
Encampments emerged at the Church of Saint Stephen-in-the-Fields on Bellevue Avenue in the spring of 2022 and were cleared in November 2023.
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Supermarket Bar and Variety in Toronto’s Kensington Market; January 19, 2025. [Photo credit: Alexandra Keeler]
‘Fair share’
Wanda’s Pie in the Sky is located just a few doors down from the Kensington Market Overdose Prevention Site. Beaver, the store’s co-owner, says Wanda’s has always provided food and coffee to clients of the site.
However, issues escalated during the pandemic. Beaver had to deal with incidents like drug use in the restaurant’s restrooms, theft, vandalism and violent outbreaks.
“We try to deal with it on a very compassionate level, but there’s only so much we can do,” said Beaver.
Despite the messes left on his patio, Dichter, who owns the Supermarket Restaurant and Bar, has also developed relationships with site clients.
“I’ve talked to a lot of them, and most of them are very good human beings,” he said. “For the most part, they just have bad luck in life.”
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Wanda’s Pie in the Sky bakery and cafe in Toronto’s Kensington Market; January 19, 2025. [Photo credit: Alexandra Keeler]
Reverend Canon Maggie Helwig has been a priest at Church of Saint Stephen-in-the-Fields since 2013. She described the overdose prevention site as a safe, well-run space where many people have connected to recovery resources.
“It’s clear to me that the overdose prevention site has been a positive influence in the neighbourhood,” she told Canadian Affairs in an email.
“We need more access to harm reduction, not less, and … closing the site will lead to more public drug use, more deaths from toxic drugs, and fewer people connecting to recovery resources.”
Sinclair, CEO of The Neighbourhood Group, described Kensington Market as “an accepting place for people who are sometimes different or excluded from society … it’s been a place where people have practised tolerance.”
“But sometimes it does feel that some neighbourhoods are doing more than their fair share,” he added.
Shepherd, of Trinity Common beer hall, counted five different social service agencies within a two-block radius of the market. These range from food banks and homeless shelters to the Centre for Addiction and Mental Health.
“When you have that kind of social services infrastructure in one area, it’s going to draw the people that need it to this area and overburden the neighbourhood,” said Shepherd.
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Late-Victorian bay-and-gable residential buildings in Toronto’s Kensington Market; January 19, 2025. [Photo credit: Alexandra Keeler]
Systemic issues
Some sources pointed to potential root causes of the growing tensions in Kensington Market.
“We mostly blame the provincial government,” said Beaver, referencing funding cuts by the Ford government that began in 2019.
“They cut the funding to the city, and the city can only do so much with whatever budget they have.”
Provincial funding reductions slashed millions from Toronto Public Health’s budget, straining harm reduction, infectious disease control and community health programs.
“The [overdose prevention site] closure is a provincial decision,” said Councillor Saxe. “I was not consulted [and] I am not aware of any evidence that supports Ford’s decision.
A Toronto Public Health report tabled Jan. 20 warns that closing overdose prevention sites could increase fatal overdoses and strain emergency responders.
The report, prepared by the city’s acting Medical Officer of Health Na-Koshie Lamptey, urges the province to reconsider its decision to exclude safe consumption services from the HART Hubs.
The province’s decision to close sites located near schools and daycares came after a mother of two was fatally shot in a gunfight outside a safe consumption site in Toronto’s Riverdale neighbourhood.
Ontario has also cited crime and public safety concerns as reasons for prohibiting supervised consumption services near centres with children. Police chiefs and sergeants in the Ontario cities of London and Ottawa have additionally raised concerns about prescription drugs dispensed through safer supply programs being diverted to the black market.
For some Kensington Market business owners, the answer is to move overdose prevention sites elsewhere.
“Put our safe injection sites as a wing or an area of the hospital,” said Shepherd, referring to Toronto Western Hospital, on the east side of the Kensington Market neighbourhood.
But another local resident, Andy Stevenson, argues for leaving things as they are. “Leave it alone. Just leave it alone,” said Stevenson, whose home is a five-minute walk from the site. “It’s going to become chaotic if they close it down.”
Stevenson says she has felt a deep connection to the market since her teenage years. She spends her leisure time there and continues to do all her shopping in the area.
“When you choose to live around here, it’s a reality that there are drug addicts, homeless people and street people — It’s a fact of life,” she said.
“So you can’t [complain] about it … move to suburbia.”
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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