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Addictions

Province expanding recovery support in Red Deer

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In Red Deer, Alberta’s government is increasing access to recovery-oriented care by launching several new initiatives within the community.

Alberta’s government has built a system of care based on the belief that recovery is possible for those suffering from the disease of addiction. The focus has been on reducing barriers to recovery by increasing capacity and ensuring that no one is forced to pay for life-saving addiction treatment. Since 2019, the province has added more than 10,000 new addiction treatment spaces. It has also removed financial barriers and pioneered a program for immediate, same-day access to life-saving evidence-based treatment medication.

Red Deer is home to Alberta’s first of 11 recovery communities being built by the province. This facility opened its doors in May 2023 and has become a beacon of hope for those suffering from addiction, along with their families. Red Deer was also the first in Alberta to open a Therapeutic Living Unit within its correctional center. This means the recovery community model of treatment has been adopted in corrections, lowering the chances of reoffending and breaking the cycle of addiction and crime in individuals’ lives. Access to opioid agonist therapy has been expanded to police cells through the Virtual Opioid Dependency Program and can also be administered by specialized paramedics with support from the province.

Earlier this year, Red Deer city council put forward and passed a motion requesting a transition of the drug consumption site to instead implement options focused on health, wellness and recovery.

In response to this request, Alberta’s government has committed $3.4 million to provide the following:

  • A Mobile Rapid Access Addiction Medicine clinic operated by Recovery Alberta, located in the homeless shelter parking lot. This will offer screening, diagnosis and referral to services; access to the Virtual Opioid Dependency Program; and education, naloxone kits and needle exchange.
  • A Dynamic Overdose Response Team of paramedics and licensed practical nurses to monitor a designated area of the Safe Harbour shelter facility, as well as the surrounding block.
  • Recovery coaches in and around the homeless shelter to provide outreach services and help guide individuals along the path of recovery.
  • Enhancements to medically supported detox capacity in partnership with Safe Harbour that will help more people safely withdraw from substances so they can continue their pursuit of recovery.

In addition, Alberta’s government recently provided more than $1.2 million over the next two years to the Red Deer Dream Centre to support 20 additional publicly funded addiction treatment beds.

“Our government will always listen to and take seriously the feedback we receive from elected local leaders. This is a well-thought-out plan that aligns with Red Deer’s needs and requests, which is why the province is making these changes and increasing support for the community. We remain committed to protecting the health and well-being of Albertans while actively supporting connections to treatment and recovery.”

Dan Williams, Minister of Mental Health and Addiction

“Our council is pleased to see this new path forward for recovery-oriented services in Red Deer. At the heart of our council’s and community’s efforts is the belief that recovery is possible for everyone, especially the most vulnerable. This is a complex challenge and only by working with all our partners at the province, agencies, businesses, faith communities and all Red Deerians will we create a safe, healthy and prosperous community. We look forward to close collaboration with the province as these changes are made.”

Ken Johnston, mayor, City of Red Deer

Alberta’s government is working closely with the City of Red Deer, Safe Harbour Society, Recovery Alberta and others to implement these supports starting this fall.

Since October 2018, the Red Deer drug consumption site has been operating at a temporary site within an ATCO trailer in the parking lot next to Safe Harbour Society’s detox building. As requested by the city council, the drug consumption site will be transitioned out of Red Deer once all other services are operational, which is anticipated to be in spring 2025. The program expansion for recovery services represents a net increase in programming and staffing.

“We look forward to bringing a new service to Red Deer with the opening of a Mobile Rapid Access Addiction Medicine clinic. With this and the new outreach services being put in place, Recovery Alberta will provide opportunities for those facing addiction and mental health issues to access support on an ongoing basis.”

Kerry Bales, CEO, Recovery Alberta

“I am pleased to see that Alberta’s government is working collaboratively with our local government and service providers. This plan ensures we prioritize Red Deer’s needs while also supporting individuals in their pursuit of recovery.”

Adriana LaGrange, MLA for Red Deer-North

“Red Deer is a beautiful community with wonderful families and individuals. Transitioning the drug site out of Red Deer and focusing on recovery is the right thing to do. Thank you to the Government of Alberta and Red Deer City Council for leading, listening and doing what is right.”

Jason Stephan, MLA for Red Deer-South

“We are pleased to partner with Alberta’s government, Recovery Alberta and the City of Red Deer to increase access to addiction and detox services for those accessing supports at Safe Harbour. This partnership profoundly enhances our capacity to meet the needs of community members challenged by addiction and to support them in their recovery journey.”

Perry Goddard, executive director, Safe Harbour Society

Alberta is making record investments and removing barriers to recovery-oriented supports for all Albertans, regardless of where they live or their financial situation. This includes the addition of more than 10,000 new publicly funded addiction treatment spaces, expanded access to the Virtual Opioid Dependency Program—which provides same-day access to life-saving treatment medication—the removal of daily user fees for publicly funded live-in treatment, and the construction of 11 world-class recovery communities.

Quick facts

  • Albertans struggling with opioid addiction can contact the Virtual Opioid Dependency Program (VODP) by calling 1-844-383-7688, seven days a week, from 6 a.m. to midnight. VODP provides same-day access to addiction medicine specialists. There is no wait list.

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Addictions

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

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By Alexandra Keeler

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.

The garden car on Augusta Avenue in Kensington Market; Oct 30, 2022.

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.”

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.

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.

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.”

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.

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.

Subscribe 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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Addictions

Annual cannabis survey reveals many positive trends — and some concerning ones

Published on

By Alexandra Keeler

On Christmas Eve, during his final year of high school, Justin Schneider’s friend handed him his first bowl of weed.

Schneider says he remembers it being an especially stressful evening and thinking, ‘Oh my God, they were lying to us about this.’

“Here I was this ‘good kid,’ staying away from alcohol and drugs, but this stuff is the best thing I’ve ever had,” he said. “But that reaction was brought on because it was the first time I’d ever taken any type of medication for anxiety.”

At first, Schneider used cannabis to cope with generalized anxiety, depression and insomnia. By his late twenties, he had become a heavy user.

In 2018, after more than 20 years of daily cannabis use, he was finally able to overcome his cannabis dependency with the help of a psychiatrist and addictions counselor.

Canadians’ relationship with cannabis has shifted dramatically since it was first legalized for non-medical use in 2018, a new survey shows.

The 2024 Canadian Cannabis Survey, released by Health Canada Dec. 6, reveals cannabis use has become increasingly normalized, driven by broader legal access and growing social acceptance. It also suggests legalization has achieved many of policymakers’ key goals.

But Schneider and others warn cannabis is not without its risks, and say better public education is required to address some of cannabis’ lesser known risks.

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‘Some sketchy guy’

Health Canada’s annual survey, which collected responses from more than 1,600 Canadians aged 16 and older, reveals a thriving legal cannabis market in Canada.

The number of users purchasing cannabis through legal channels has nearly doubled since legalization, rising from 37 per cent in 2019 to 72 per cent today.

“I imagine if I was just starting out [with cannabis] now, I wouldn’t ever have to interact with some sketchy guy, and that would have been easier growing up,” said Jesse Cohen, a 34-year-old daily cannabis user from Montreal.

Cohen uses cannabis to unwind after work or while performing menial tasks at home. Today, he picks up his supply from a sleek, well-lit government-regulated dispensary. He feels this interaction is safer than buying it on the black market.

Cohen says he has also seen the quality and variety of products on the market improve — accompanied by an increase in price.

In the survey, just over one-quarter of all respondents said they used cannabis for non-medical purposes in the past year, up from 22 per cent in 2018. Among youth, that number was 41 per cent.

The number of youth using cannabis has remained stable since 2018, a finding that challenges some critics’ claims that legalization would lead to higher rates of youth consumption.

“For youth, I do think that the whole legalization de-stigmatized and took the risk out of it — it wasn’t a taboo subject or a taboo activity anymore — so there wasn’t the same draw,” said Ian Culbert, executive director of the Canadian Public Health Association, a non-profit that promotes public health.

“Let’s face it, youth experiment, and if it’s something your grandmother is doing, you don’t necessarily want to be doing it too.”

Another positive trend, Culbert says, is that cannabis users now seem to be better informed about the risks of driving while high.

Only 18 per cent of people who had used cannabis in the past year reported getting behind the wheel after cannabis use, down from 27 per cent in 2018.

Culbert interviewed cannabis users when cannabis was legalized. At that time, many said they thought their driving abilities improved when under the influence of cannabis.

“Of course, that’s just not the truth … They felt that their video game experience was so much better when they were consuming, therefore why wouldn’t driving a car be better?” Culbert said.

“I think [because of] education efforts, and the fact that police across the country have put in programs to identify and prosecute people who are driving impaired, that message has gotten through, and people are now equating it to drinking alcohol and driving.”

Public health campaigns also seem to have raised awareness of cannabis’ risks to physical health. Successive Health Canada cannabis surveys have shown a growing understanding of cannabis’ effects on lung health and youth brain development.

Schneider believes public health campaigns now need to focus more on the mental health risks associated with heavy cannabis use.

“I think there’s a responsibility to say that, for a small proportion of people, it can be very psychologically addictive and very, very risky to mental health.”

According to Health Canada, regular cannabis users can experience psychological and mild physical dependence, with withdrawal symptoms that include irritability, anxiety, upset stomach and disturbed sleep.

“You don’t actually have anxiety,” said Schneider about his own withdrawal symptoms. “But your brain creates it anyway, driving you to use cannabis to relieve it.”

Research also shows frequent use of high-THC cannabis is linked to an increased risk of psychosis, a mental condition marked by a disconnection from reality. Individuals with mental disorders or a family history of schizophrenia are at particular risk.

In the survey, only 70 per cent of respondents said they had enough reliable information to make informed decisions about cannabis use. And the number of respondents saying they have not seen any education campaigns or public health messages about cannabis has increased, from 24 per cent in 2019 to 50 per cent today.

Culbert says the revenue that the government generates from cannabis creates a disincentive for it to issue strong health warnings.

“There’s no coherence in our regulatory and legal frameworks with respect to health harms and the level of regulation,” he said.

“Governments are addicted to their sin taxes,” he 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.

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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