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Addictions

Harm reduction projects in Nelson are fraying the city’s social fabric, residents say

Published

3 months ago

10 minute read

News release from Break The Needle

Public disorder and open drug use raise concerns in picturesque mountain-rimmed town.

“Just the other night, we had an intruder in our yard,” Kirsten Stolee recounted, her voice unsteady. Her two daughters often watch television with their windows open. “He easily could have gotten inside,” she said.

Stolee lives in Nelson, a picturesque, mountain-rimmed town in BC’s Southern Interior that is struggling with rising public disorder. Some residents, herself included, say that local harm reduction initiatives – which appear to be operating without adequate accountability and safety measures – are responsible for the decay.

Near Stolee’s house, one can find the Stepping Stones emergency shelter alongside the former Nelson Friendship Outreach Clubhouse, which used to provide support services for individuals struggling with mental health issues before being abandoned late last year.

When the clubhouse still operated, supporters claimed that it provided clients with a space to socialize and partake in “art, gardening, cooking and summer camp” – but critics countered that it was a drop-in centre for drug users. After the provincial government announced plans to open a supervised inhalation site at the clubhouse early last year, local residents protested and had the project, and eventually the clubhouse itself, shut down.

Although Stolee supports harm reduction in principle, she opposed the opening of the inhalation site on safety grounds. The incidents near her home were concerning: an assault just outside her window, a drug-addled individual stabbing a pole with scissors, people carrying weapons on the street in front of the site. When her daughter’s phone was stolen, it was eventually recovered from a man at the clubhouse.

Although the clubhouse is closed, Stepping Stones continues to operate and has been similarly chaotic. Stolee watched a suspected drug dealer attack one of the residents there, and learned that another resident had made an inappropriate comment to her daughter.

She has also observed fire hazards near local homeless encampments, including a burning electrical panel and abandoned fires, and says that local drug users “play with fires” on sidewalks and streets. She finds these incidents concerning, as BC and Alberta have recently been ravaged by large wildfires and Nelson’s downtown is filled with historic wooden architecture.

Calling the police seemed unhelpful. In one case, officers dismissed her concerns about a man who was carrying large rocks, considering him non-threatening. However, the man was later arrested for assault and for using these types of rocks to break into a gas station.

Gavin Halford, a representative of Interior Health, the provincial agency which oversees most of the region’s harm reduction programs, stated that his organization “does not tolerate or condone any form of criminal activity, including trespassing.” He claimed that Interior Health has taken “a number of steps to increase security at the Clubhouse,” including increased signage, lighting, video surveillance and on-site security services.

However, the acquisition of 24/7 security services was facilitated by Stolee’s partner, after Interior Health told him that no such options were available. The partner also alleges that he was told by local police officers that Interior Health asked them not to enforce the “No Trespassing” signs around the clubhouse.

Stolee’s family has since invested $1,000 into security upgrades such as video surveillance and fencing. “We have baseball bats and pepper spray by our front door and a bat under the bed,” she said, noting that she wrote a letter to BC Premier David Eby detailing their experiences, which received no reply.

Kari Kroker, another neighbour of Stepping Stones, said that downtown Nelson has experienced a noticeable decline as open drug use and trafficking have proliferated, including sales to youth. “The alley behind my house has become a place of screaming and chaos,” she said, expressing frustration at how some drug users have told local children that using drugs is a form of “play.”

“I’m all in favour of putting more money into this situation, but I think we’re going the cheap way,” said Kroker. “I don’t see the province doing much to solve this. I don’t see rehab and supports for people. We need rehab. Where are the facilities to support people?” She believes that the town’s social fabric is fraying and that “harmony has been completely undermined.”

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Tanya Finley, owner of Finley’s Bar and Grill and Sage Wine Bar, is an outspoken critic of provincial harm reduction policies and a leading figure in N2, the local residents’ association. She says that human feces, drug dealing, broken windows and home invasions are daily issues in her community: “Our eighty-year-old neighbour, who had just had surgery, had a brick thrown through her window.”

Finley says that her activism has had personal and professional costs and that, after she wrote a newspaper article advocating that homeless individuals be relocated to more suitable locations, a harm reduction advocate urged for a boycott of her business on social media. This led to a decline in sales and caused some of her employees to worry about their job security.

N2 was formed earlier this year after the province attempted to open the aforementioned supervised inhalation site. Local residents believed that the location of the site was unsuitably close to several youth facilities and that health authorities had, in contravention to Health Canada guidelines, failed to adequately consult the community.

“We were lied to deliberately and continuously,” said Kroker. “We found out later that this had been in the works for almost a year.”

Early efforts to address public safety concerns were undermined by accusations of NIMBYism and inadequate responses from government authorities. After N2 was formed and took collective action – such as letters to officials and media engagement – officials began to take these concerns more seriously and temporarily halted the opening of the inhalation site.

Polly Sutherland from ANKORS, a local harm reduction organization, acknowledged friction with the community but said that deteriorating public safety is largely due to limited resources. “We need more staff hours… We have the expertise and compassion for these individuals. Just give us the resources to do our jobs, and we will get it done,” she said.

She said that high rents have worsened homelessness and dereliction, and that mobile services could mitigate the concentration of public disorder in certain areas.

Nelson’s Mayor, Janice Morrison, who has had 35 years of experience working in healthcare, emphasized that municipal authority over healthcare is limited and argued for improved communication with provincial and federal agencies, which she believed needed to provide more funding.

“I think ANKORS is totally correct in that they need more staff hours and more resources,” she said, while stressing the importance of funding existing roles, such as community safety officers and outreach workers. “Drug addiction is a health issue, not a crime,” she said.

Morrison also criticized Interior Health for its inadequate community consultation regarding the placement of harm reduction sites. “They’ve had a hard go of it in their area,” the mayor said, referring to these sites’ neighbours.

Despite public safety challenges, Morrison noted that Nelson has made progress with operating several safe injection sites and would soon be adding 28 supportive housing beds. She remained committed to finding solutions despite persistent funding difficulties. “I’m ready to hear the solutions, and to support anyone with viable ideas,” she said.

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Addictions

BC Addictions Expert Questions Ties Between Safer Supply Advocates and For-Profit Companies

Published on November 20, 2024

By

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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Addictions

Ottawa “safer supply” clinic criticized by distraught mother

Published on November 12, 2024

By

By Alexandra Keeler

An Ottawa mother, who lost her daughter to addiction, is frustrated by Recovery Care’s failure to help her opioid-addicted son

Masha Krupp has already lost one child to an overdose and fears she could lose another.

In 2020, her 47-year-old daughter Larisa died from methadone toxicity just 12 days into an opioid addiction treatment program. The program is run by Recovery Care, an Ottawa-based harm reduction clinic with five locations across the city, which aims to stabilize drug users and eventually wean them off more potent drugs.

Krupp says she is skeptical about the effectiveness of the support and counseling services that Recovery Care claims to provide and believes the clinic was negligent in her daughter’s case.

On Oct. 22, the Ottawa mother testified before the House of Commons Standing Committee on Health, which is studying Canada’s opioid epidemic.

In her testimony, Krupp said her daughter was prescribed 30mg of methadone — 50 per cent more than the recommended induction dose — and was not given an opiate tolerance test before starting the program. Larisa received treatment at the Bells Corners Recovery Care location.

Krupp’s 30-year-old son, whom Canadian Affairs agreed not to name, has been a patient at Recovery Care’s ByWard Market location since 2021, where he receives a combination of methadone and hydromorphone, another prescription drug administered through the treatment program.

“Three years later, my son is still using fentanyl, crack cocaine and methadone, despite being with Dr. [Charles] Breau and with Recovery Care for over three years,” Krupp testified.

“About four weeks ago, I had to call 9-1-1 because he was overdosing,” Krupp told Canadian Affairs in an interview. “This is on the safer supply program … three years in, I should not be calling 9-1-1.”

Open diversion

Founded in 2018, Recovery Care is a partner in the Safer Supply Ottawa initiative. The initiative, which is led by Ottawa Public Health and managed by the nonprofit Pathways to Recovery, provides prescription pharmaceutical opioids to individuals who are at high risk of overdose.

Pathways to Recovery works with a network of service providers throughout the city — including Recovery Care — to administer safer supply.

Krupp says she supports the concept of safer supply, but believes it needs to be administered differently.

“You can’t give addicts 28 pills and say ‘Oh here you go,’” she said in her testimony. “They sell for three dollars a pop on the street,” she said, referring to the practice of some individuals selling their prescribed medications to fund purchases of more intense street drugs like heroin and fentanyl.

Krupp says she sees her son — and other patients of the program — openly divert their prescribed medications outside of the Recovery Care clinic in ByWard Market, where she parks to wait for him.

“[B]ecause there’s no treatment attached to [my son’s safer supply], it’s just the doctor gives him all these pills, he diverts them, gets the drugs he needs, and he’s still an addict,” Krupp said in her testimony.

Donna Sarrazin, chief executive of Recovery Care, told Canadian Affairs that Recovery Care has measures to address diversion, including security cameras and onsite security staff.

“Patients are educated at intake and ongoing that diversion is not permitted and that they could be removed from the program,” she said in an emailed statement.

“Recovery Care works to understand diversion and has continued to progress programs and actions to address the issues. Concerns expressed by the community and our teams are taken seriously,” she said.

Krupp says she has communicated her concerns about her son reselling his prescribed medications to his doctor, Dr. Charles Breau, both in-person and through faxed letters. “I never hear back from the doctor. Never,” she said.

Krupp also said in her testimony that police have spoken to her son about his diversion.

Breau did not respond to inquiries made to his clinical teams at Recovery Care or Montfort Hospital, a teaching hospital affiliated with the University of Ottawa.

Sarrazin said Breau is not able to comment on patient or family care.

In Krupp’s view, the safer supply program would be more successful if drug users were required to take prescribed medications under supervision.

“If he was receiving his hydromorphone under witnessed dosage and there was a treatment plan attached to it, I believe it would be successful,” she said.

Dr. Eileen de Villa, the City of Toronto’s medical officer of health, reinforced this point at the Oct. 22 Health Committee meeting. She said Toronto Public Health’s injectable opioid agonist therapy program — which combines observed administration with a treatment plan — has seen “incredible results.”

De Villa shared a case of a pregnant client who entered the program. “She went on to have a successful pregnancy, a healthy baby, has actually successfully completed the treatment, and is now housed and has even gained custody of her other children,” she said.

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‘An affront to me’

Krupp also says Recovery Care fails to deliver on its promise of supporting patients’ mental health needs. Recovery Care’s website says its clinics offer “mental health programs which are essential to every treatment plan.”

Krupp and her son’s father have both requested a clear treatment plan and consistent counselling for their son. But he was started on safer supply after participating in only one virtual counselling session, she says.

She says Recovery Care has only one mental health counselor who services four of Recovery Care’s clinics. “If you’re getting $2-million-plus a year in funding, you should be able to staff each clinic with one on-site counselor five days a week,” she said.

Instead of personalized assistance, her son received “a sheaf of photocopies” offering generic services like Narcotics Anonymous and crisis helplines. “It’s almost an affront to me, as a taxpayer and a mother of an addict,” Krupp said.

Krupp says that, following her testimony to the parliamentary committee, Breau reached out to offer her son a mental health counseling session for the first time.

Sarrazin told Canadian Affairs that patients are encouraged to request counseling at any time. “Currently there is no wait list and appointments can be booked within 1 week,” she said in her emailed statement.

Class actions

Today, Krupp is considering launching a class-action lawsuit against Health Canada and the Government of Canada, challenging both the enactment of safer supply and the loosening of methadone dispensing requirements in 2017. She believes these changes contributed to her daughter’s death in 2020.

She is also considering joining an existing class-action lawsuit in B.C., which alleges Health Canada failed to monitor the distribution of drugs provided through safer supply programs.

The Pathways to Recovery initiative received $9.69-million in funding from Health Canada from July 2020 to March 2025. In June 2023, Health Canada allocated an additional $1.9 million to expand Ottawa’s safer supply program across five sites and improve access to practitioners, mental health support, housing and other services.

“I want to see that money being put to a recovery based treatment, not simply people going in and out and getting their medications and just creating this new sub-layer of addicts,” Krupp 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.

Subscribe for free to get BTN’s latest news and analysis, or donate to our journalism fund.

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