Addictions
Ontario to close 10 safe consumption sites and open 19 recovery hubs
A photo of the South Riverdale neighbourhood. (Photo credit: Andrea Nickel)
News release from Break The Needle
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.
A 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.
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.
Addictions
Ontario to restrict Canadian government’s supervised drug sites, shift focus to helping addicts
From LifeSiteNews
Doug Ford’s Progressive Conservative government tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Ontario Premier Doug Ford is making good on a promise to close so-called drug “supervision” sites in his province and says his government will focus on helping addicts get better instead of giving them free drugs.
Ford’s Progressive Conservative government on Monday tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Specifically, the new bill will ban “supervised” drug consumption sites from being close to schools or childcare centers. Ten sites will close for now, including five in Toronto.
The new law would prohibit the “establishment and operation of a supervised consumption site at a location that is less than 200 meters from certain types of schools, private schools, childcare centers, Early child and family centers and such other premises as may be prescribed by the regulations.”
It would also in effect ban municipalities and local boards from applying for an “exemption from the Controlled Drugs and Substances Act (Canada) for the purpose of decriminalizing the personal possession of a controlled substance or precursor.”
Lastly, the new law would put strict “limits” on the power municipalities and local boards have concerning “applications respecting supervised consumption sites and safer supply services.”
“Municipalities and local boards may only make such applications or support such applications if they have obtained the approval of the provincial Minister of Health,” the bill reads.
The new bill is part of a larger omnibus bill that makes changes relating to sex offenders as well as auto theft, which has exploded in the province in recent months.
In September, Ford had called the federal government’s lax drug policies tantamount to being the “biggest drug dealer in the entire country” and had vowed to act.
‘No’ new drug sites in Ontario, vows Health Minister
In speaking about the new bill, Ontario Minister of Health Sylvia Jones said the Ford government does not plan to allow municipal requests to the government regarding supervised consumption sites.
“Municipalities and organizations like public health units have to first come to the province because we don’t want them bypassing and getting any federal approval for something that we vehemently disagree with,” Jones told the media on Monday.
She also clarified that “there will be no further safe injection sites in the province of Ontario under our government.”
Ontario will instead create 19 new intensive addiction recovery to help those addicted to deadly drugs.
Alberta and other provinces have had success helping addicts instead of giving them free drugs.
As reported by LifeSiteNews, deaths related to opioid and other drug overdoses in Alberta fell to their lowest levels in years after the Conservative government began to focus on helping addicts via a recovery-based approach instead of the Liberal-minded, so-called “safe-supply” method.
Despite public backlash with respect to supervised drug consumption sites, Health Canada recently approved 16 more drug consumption sites in Ontario. Ford mentioned in the press conference that each day he gets “endless phone calls about needles being in the parks, needles being by the schools and the daycares,” calling the situation “unacceptable.”
The Liberals claim their “safer supply” program is good because it is “providing prescribed medications as a safer alternative to the toxic illegal drug supply to people who are at high risk of overdose.”
However, studies have shown that these programs often lead an excess of deaths from overdose in areas where they are allowed.
While many of the government’s lax drug policies continue, they have been forced to backpedal on some of their most extreme actions.
After the federal government allowed British Columbia to decriminalize the possession of hard drugs including heroin, cocaine, fentanyl, meth and MDMA beginning January 1, 2023, reports of overdoses and chaos began skyrocketing, leading the province to request that Trudeau re-criminalize drugs in public spaces.
A week later, the federal government relented and accepted British Columbia’s request.
Addictions
BC Addictions Expert Questions Ties Between Safer Supply Advocates and For-Profit Companies
By Liam Hunt
Canada’s safer supply programs are “selling people down the river,” says a leading medical expert in British Columbia. Dr. Julian Somers, director of the Centre for Applied Research in Mental Health and Addiction at Simon Fraser University, says that despite the thin evidence in support of these experimental programs, the BC government has aggressively expanded them—and retaliated against dissenting researchers.
Somers also, controversially, raises questions about doctors and former health officials who appear to have gravitated toward businesses involved in these programs. He notes that these connections warrant closer scrutiny to ensure public policies remain free from undue industry influence.
Safer supply programs claim to reduce overdoses and deaths by distributing free addictive drugs—typically 8-milligram tablets of hydromorphone, an opioid as potent as heroin—to dissuade addicts from accessing riskier street substances. Yet, a growing number of doctors say these programs are deeply misguided—and widely defrauded.
Ultimately, Somers argues, safer supply is exacerbating the country’s addiction crisis.
Somers opposed safer supply at its inception and openly criticized its nationwide expansion in 2020. He believes these programs perpetuate drug use and societal disconnection and fail to encourage users to make the mental and social changes needed to beat addiction. Worse yet, the safer supply movement seems rife with double standards that devalue the lives of poorer drug users. While working professionals are provided generous supports that prioritize recovery, disadvantaged Canadians are given “ineffective yet profitable” interventions, such as safer supply, that “convey no expectation that stopping substance use or overcoming addiction is a desirable or important goal.”
To better understand addiction, Somers created the Inter-Ministry Evaluation Database (IMED) in 2004, which, for the first time in BC’s history, connected disparate information—i.e. hospitalizations, incarceration rates—about vulnerable populations.
Throughout its existence, health experts used IMED’s data to create dozens of research projects and papers. It allowed Somers to conduct a multi-million-dollar randomized control trial (the “Vancouver at Home” study) that showed that scattering vulnerable people into regular apartments throughout the city, rather than warehousing them in a few buildings, leads to better outcomes at no additional cost.
In early 2021, Somers presented recommendations drawn from his analysis of the IMED to several leading officials in the B.C. government. He says that these officials gave a frosty reception to his ideas, which prioritized employment, rehabilitation, and social integration over easy access to drugs. Shortly afterwards, the government ordered him to immediately and permanently delete the IMED’s ministerial data.
Somers describes the order as a “devastating act of retaliation” and says that losing access to the IMED effectively ended his career as a researcher. “My lab can no longer do the research we were doing,” he noted, adding that public funding now goes exclusively toward projects sympathetic to safer supply. The B.C. government has since denied that its order was politically motivated.
In early 2022, the government of Alberta commissioned a team of researchers, led by Somers, to investigate the evidence base behind safer supply. They found that there was no empirical proof that the experiment works, and that harm reduction researchers often advocated for safer supply within their studies even if their data did not support such recommendations.
Somers says that, after these findings were published, his team was subjected to a smear campaign that was partially organized by the British Columbia Centre on Substance Use (BCCSU), a powerful pro-safer supply research organization with close ties to the B.C. government. The BCCSU has been instrumental in the expansion of safer supply and has produced studies and protocols in support of it, sometimes at the behest of the provincial government.
Somers is also concerned about the connections between some of safer supply’s key proponents and for-profit drug companies.
He notes that the BCCSU’s founding executive director, Dr. Evan Wood, became Chief Medical Officer at Numinus Wellness, a publicly traded psychedelic company, in 2020. Similarly, Dr. Perry Kendall, who also served as a BCCSU executive director, went on to found Fair Price Pharma, a now-defunct for-profit company that specializes in providing pharmaceutical heroin to high-risk drug users, the following year.
While these connections are not necessarily unethical, they do raise important questions about whether there is enough industry regulation to minimize potential conflicts of interest, whether they be real or perceived.
The BCCSU was also recently criticized in an editorial by Canadian Affairs, which noted that the organization had received funding from companies such as Shoppers Drug Mart and Tilray (a cannabis company). The editorial argued that influential addiction research organizations should not receive drug industry funding and reported that Alberta founded its own counterpart to the BCCSU in August, known as the Canadian Centre of Recovery Excellence, which is legally prohibited from accepting such sponsorships.
Already, private interests are betting on the likely expansion of safer supply programs. For instance, Safe Supply Streaming Co., a publicly traded venture capital firm, has advertised to potential investors that B.C.’s safer supply system could create a multi-billion-dollar annual market.
Somers believes that Canada needs more transparency regarding how for-profit companies may be directly or indirectly influencing policy makers: “We need to know exactly, to the dollar, how much of [harm reduction researchers’] operating budget is flowing from industry sources.”
Editor’s note: This story is published in syndication with Break The Needle and Western Standard.
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Dr. Julian M. Somers is director of the Centre for Applied Research in Mental Health and Addiction at Simon Fraser University. He was Director of the UBC Psychology Clinic, and past president of the BC Psychological Association. Liam Hunt is a contributing author to the Centre For Responsible Drug Policy in partnership with the Macdonald-Laurier Institute.
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