Break The Needle
B.C. crime survey reveals distrust in justice system, regional divides
By Alexandra Keeler
In late August, the RCMP seized nearly 40 kilograms of illegal drugs and half-a-million dollars in cash from a home in Prince George, B.C., while responding to a break-and-enter call.
The RCMP linked the drug operation to organized crime and said it was one of the largest busts in the history of the 80,000-person city, which is located in the B.C. heartland.
“It is obvious we can no longer ignore the effects of the B.C. gang conflict in Prince George, as this is a clear indication that more than our local drug traffickers are using Prince George as a base of operations,” Insp. Darin Rappel, interim detachment commander for the Prince George RCMP, told local media at the time.
It is operations such as these that may be contributing to a perception among British Columbians — particularly those in northern parts of the province — that crime rates are rising.
A survey released Sept. 24 shows a majority of respondents believe B.C. crime rates are up — and often unreported — even though official crime data suggest the opposite.
The survey was commissioned by Save Our Streets, a coalition of more than 100 B.C. community and business groups that is calling for non-partisan, province-wide efforts to establish safer communities in the face of widespread mental health and addiction issues and lack of confidence in the justice system.
“I’m glad that we have our data,” said Jess Ketchum, co-founder of Save Our Streets. “[N]ow we can show that, ‘Look, 88 per cent of the public in B.C. believe that crime is going unreported.’”
“[And] the reason that it’s going unreported is that they’ve lost faith in the justice system,” he said.
‘Revolving doors’
Fifty-five per cent of the 1,200 British Columbians who participated in the survey said they believed criminal activity had increased over the past four years. The survey did not specify types of crime, though it mentioned concerns about violence against employees, vandalism and theft.
But crime data tells a different story. B.C. crime rates fell eight per cent during the years 2020 to 2023, according to Statistics Canada.
Underreporting of crime may partly explain the trend. A 2019 nationwide Statistics Canada survey of individuals aged 15 years and older showed only 29 per cent of violent and non-violent incidents were reported to police. Victims often cited the crime being minor, not important, or no one being harmed as reasons for not reporting.
What is clear is many British Columbians perceive crime is being underreported: 88 per cent of all survey respondents said they believe many crimes go unreported.
Perceptions of Crime & Public Safety in British Columbia. Online survey commissioned by Save Our Streets, conducted by Research Co. with a representative sample of 1,200 British Columbians, Sept 9-12, 2024. (Graphic: Alexandra Keeler)
Mario Canseco, president of Research Co., the public research company that conducted the Save Our Streets survey, attributes the gap between actual and perceived crime rates to the heightened visibility of mental health and addiction issues in the media.
“You look at the reports, you watch television news, listen to the radio, or read the newspaper, and you see that something happened, or that there was a high-profile attack,” said Canseco. “That leads people to believe that things are going badly.”
Survey respondents, though, attributed the lack of crime reporting to a lack of confidence in the justice system, with 75 per cent saying they believe an inadequate court system is to blame. Eighty-seven per cent said they supported bail reform to keep repeat offenders in custody while awaiting trial.
“There was support [in the survey results] for judicial reform that would allow for steps to resolve the revolving doors of the justice system when it comes to repeat offenders,” said Ketchum.
Cowboys
The survey highlighted regional differences in perceptions of B.C. crime rates and views on whether addiction-related crime ought to be addressed as a public health or law enforcement issue.
Respondents from Northern B.C., Prince George and the surrounding Cariboo region were more likely to say they believed criminal activity had increased than respondents from southern and coastal regions of the province.
Canseco suggests that drug use and associated crime are now becoming more apparent in smaller communities, as the drug crisis has spread beyond the major cities of Vancouver and Victoria. Residents of these communities may thus see these problems as more novel and alarming, he says.
Eighty-four per cent of respondents in Northern B.C. said they viewed opioid addiction as a health issue, while only 68 per cent of respondents in Prince George/Cariboo shared this perspective.
Respondents from Prince George/Cariboo exhibited the strongest preference for punitive measures regarding addiction and mental health, with nearly unanimous support for harsher penalties, bail reform and increased police presence.
“It’s one of the tougher areas in the province … somewhat more cowboys,” Ketchum said about Prince George and the Cariboo region, where his hometown of Quesnel is located. “I think there’s less tolerance.”
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Differences in each region’s demographic makeup may also help to explain differing sentiments.
Northern B.C. has the highest concentration of B.C.’s Indigenous population, with about 17 per cent of the population identifying as Indigenous, versus eight per cent in Prince George.
Indigenous communities tend to emphasize addiction as a health issue rooted in historical trauma and social inequities, and prefer community-based healing over punitive measures. Indigenous communities are also frequently distrustful of the RCMP, given its history of being used to extend colonial control.
A majority of all survey respondents favoured investing in mental health facilities, drug education campaigns and rehabilitation over harm-reduction strategies such as safer supply programs, supervised injection sites and drug decriminalization.
“People want to see a more holistic approach [to the drug crisis],” said Canseco. “[T]he voter who hasn’t been exposed to something like [harm reduction], and who may be reacting to what they see on social media, is having a harder time understanding whether this is actually going to help.”
“I was pleased to see the level of support for more investments in recovery, more investments in treatment, around the province,” said Ketchum.
But Ketchum says the preference of some respondents for punitive approaches to B.C. crime rates – particularly in the province’s more northern regions — worries him.
“I believe that if governments don’t respond adequately now, and this is allowed to escalate, that there’ll be more and more instances of people taking these things into their own hands.”
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
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.
armed forces
Canadian veterans battle invisible wounds of moral injury and addiction
Moral injury, a unique psychological trauma, drives many Canadian veterans to substance use disorders as they struggle with inadequate support
When he was stationed in Bosnia in 1994, Steve Lamrock would drive a truck loaded with food through villages full of hungry people.
As a Canadian Armed Forces platoon quartermaster, one of Lamrock’s duties was transporting food to other soldiers involved in the United Nations Protection Force’s peacekeeping mission in the war-torn country.
“I had people starving to death, children starving to death,” he recalled, his wife seated beside him for support. “I could see, weekly, the deterioration in certain people in the community and the elderly from a lack of nutrition.”
Often, there was a surplus of rations.
“The UN policy was, if you can’t give exactly equal to both sides, you don’t give anything away,” he said, adding that it could trigger violent raids if you provided food to just one faction.
“So we would throw out food when there’s people starving to death.”
Moral dilemmas like these haunted Lamrock long after he retired from the military in 2009. Tormented by nightmares, he turned to alcohol to cope. “When I drank so much I passed out, I wouldn’t dream or remember the dreams as vividly or as often,” he said.
Lamrock — whose 24-year military career included tours in Afghanistan, Bosnia, Croatia, Kosovo and Iraq — was identified as suffering from psychological distress caused by the perception of having violated one’s moral or ethical beliefs. Experts are now calling this moral injury.
Moral injury is not formally recognized in the Diagnostic and Statistical Manual of Mental Disorders, an authoritative manual on mental disorders. But experts and veterans say moral injury affects many individuals who serve in the military, and requires better institutional support and treatment than are currently available.
Moral injury and addiction
“[Moral injury presents as] shame, guilt and anger that occurs when someone is exposed to an event that goes against their moral values, standards or ethics,” said Dr. Don Richardson, a psychiatrist and scientific director of the MacDonald Franklin Operational Stress Injury Research Centre in London, Ont. The centre studies the impact of stress injuries on military personnel, veterans and first responders.
Moral injury can result not only from witnessing or causing harm, but also from being affected by an organization’s actions or inactions, Richardson says.
The term moral injury was first introduced in the 1990s by American psychiatrist Dr. Jonathan Shay, who worked with veterans of the Vietnam War. It gained wider recognition following the Iraq and Afghanistan wars, when traditional treatments for post-traumatic stress disorder (PTSD) — such as Cognitive Behavioural Therapy — were proving to be only partially effective.
While fear is often at the core of traditional PTSD cases, feelings of guilt, shame, anger and betrayal are more strongly linked to cases of moral injury, says Dr. Anthony Nazarov, associate director of the MacDonald Franklin Operational Stress Injury Research Centre and an expert on moral injury.
Nearly 60 per cent of Canadian Armed Forces personnel deployed in NATO operations in Afghanistan reported exposure to morally injurious events, according to a 2018 study co-authored by Nazarov. Those exposed to such events demonstrated a greater likelihood of developing PTSD and major depressive disorders.
Dr. Ronald Shore, a research scientist and assistant professor in psychiatry at Queen’s University, says individuals suffering from moral injury often develop coping strategies due to a lack of support to help them process traumatic experiences.
One common coping mechanism is substance use, he says.
“You’re constantly feeling like something is wrong with you, that you’ve done something wrong … that leads to that self-regulation with addiction,” Shore said.
Lamrock says his experiences in Bosnia — and the habits he developed afterwards — deeply affected him and his family.
He recalled promising his young daughter they would do something fun after a night’s rest. “‘No, you won’t, Daddy, you won’t get up,’” she had replied, knowing he would likely be too hungover.
“That was my motivation to quit,” he said.
Betrayal
It is common for veterans suffering from moral injury to feel angry or betrayed due to the military’s actions or lack of support.
“[A person feels] betrayed by policies, betrayed by leaders, betrayed by organizations,” said Nazarov.
This has been the case for Gordon Hurley, 37, whose 14-year career in the Canadian Armed Forces included tours in Afghanistan, Africa and Iraq.
“When you get out, there’s nothing,” Hurley said. “If you think that Veterans Affairs is going to support you … they will, but you’re gonna have to fight for it.”
Hurley was medically discharged from the military in 2021 due to various physical and mental health challenges, including PTSD. He says Veterans Affairs requires him to continually prove the severity of his injuries to maintain disability support and benefits, such as reimbursements for retinal surgery and rehabilitation.
Hurley says that having to repeatedly prove his injuries to Veterans Affairs has been frustrating. “You were the ones who released me from the military … for these injuries, but now you are asking me to prove them back to you?” he said.
The Canadian Armed Forces redirected inquiries about support for veterans with moral injury and substance use disorder to Veterans Affairs Canada.
In an emailed statement to Canadian Affairs, Veterans Affairs spokesperson Josh Bueckert said mental health-care practitioners who work with veterans are “well aware of moral injury” and recognize the condition is often associated with operational stress injuries.
Bueckert said the department provides funding to organizations such as the Atlas Institute for Veterans and Families, which has a moral injury toolkit for veterans.
He also noted the department offers veterans a range of mental health resources, including access to 11 operational stress injury clinics and a network of 12,000 mental health professionals. Bueckert said veterans also have access to treatments for substance use disorder and for conditions such as “trauma-and-stressor-related disorders.”
Hurley acknowledges all these benefits are available, but says they are hard-won.
“All those benefits listed you get, but unless your condition has been [approved by the department], you do not receive those benefits,” he said.
‘Never-ending battle’
Josh Muir, 49, served nearly 14 years in the military and was deployed twice to Afghanistan. After sustaining soft tissue damage, hearing damage and spinal injuries in a 2010 improvised explosive device attack, he was medically discharged from the military — something he says he opposed because the military had become his entire identity.
“As soon as I’ve crossed this threshold, I no longer really have a clear picture of who I am, what I am, what use I might play in the future, and where to go from here,” he said.
He described feeling discarded by the military. “I was very quickly turned from a valuable asset into a liability that needed to be rid of as quickly and as expeditiously as possible,” said Muir, who turned to alcohol as a crutch.
Canadian Forces veteran Josh Muir and his son Max at a beach in Vancouver, April 2024. [Photo Credit: Atlas Institute for Veterans and Families]
Shore, of Queen’s University, says recovering from moral injury and substance use disorder can require rebuilding one’s identity as the sense of purpose and belonging one gets from being part of the military fades.
Therapies such as acceptance and commitment therapy help veterans accept difficult emotions and commit to taking actions that align with their values. Another treatment called narrative therapy helps veterans separate their problems from their identity. These therapies can be effective at helping veterans recover, says Richardson, of the MacDonald Franklin Operational Stress Injury Research Centre.
Richardson also encourages veterans to seek peer support through groups like Operational Stress Injury Social Support or True Patriot Love Foundation.
David Fascinato joined the military in 2005 and served in psychological operations, including a deployment to Afghanistan in 2010.
Fascinato, who has since left the military, has struggled with mental health issues and moral injury. He says he has come to realize that veterans need organizations that offer community, purpose and tools to rebuild their sense of self.
This realization led him to co-found Team Rubicon Canada, a volunteer disaster relief organization that conducts missions in Canada and abroad. “Doing things with others for others, that’s where it helps reduce substance misuse and provides an off-ramp,” he said.
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Fascinato has also found purpose by serving as executive director of Heroic Hearts Project Canada, an organization that supports veterans and first responders with alternative mental health treatments such as psychedelics.
Richardson and Shore view psychedelic-assisted therapy — which uses psychedelics to disrupt ingrained neural patterns — as a promising treatment for moral injury and substance use disorder..
Shore says support for psychedelic trials with veterans is still limited due to safety concerns and insufficient research. However, Canadian veterans are seeking psychedelic therapy in overseas retreats in places like Mexico and Peru.
Hurley says he was only able to recover from his alcoholism after seeking treatment at a psychedelic retreat in Tijuana, Mexico in 2022. “Only after I did ibogaine did I get released from [alcohol addiction],” he said, referring to a type of psychedelic drug.
While the production, sale and possession of psychedelics remain illegal in Canada, Health Canada in 2023 amended its Special Access Program, which allows health-care providers to request psychedelic medications for patients with life-threatening or treatment-resistant conditions.
In Muir’s case, he was able to gain control of his addiction and mental health issues after completing a two-month residential program at a treatment centre on Vancouver Island. The cost of the program was covered by Veterans Affairs.
While Muir is grateful to have his treatment costs covered, he says he would like to see Veterans Affairs generally improve the support it offers veterans, including offering more personalized assistance in the transition to civilian life.
He describes his experience with the Canadian Armed Forces’ transition program as taking in “information via fire hose,” with overwhelming seminars and a lack of personal guidance to navigate the process.
“There’s little services and ceremonies,” said Muir. “But ultimately you have to go back to you being a small cog in a large machine.”
“I felt like I was going to become Army Surplus, just like the items in the store that sit there after their function has been superseded by newer models.”
“I think it’s absurd,” said Fascinato. “We have to pick up the proverbial sword and shield, or in this case pen and pad of paper, and seemingly wage this never-ending battle for access to care that shouldn’t be this difficult to get.”
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.
If you want to help us commission more high-quality journalism, consider getting a voluntary paid subscription.
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