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.

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.

The brutal stabbing last month of a 58-year-old city employee in Nanaimo, B.C., made national headlines. The man was stabbed multiple times with a syringe after he asked two men who were using drugs in a public park washroom to leave.

The worker sustained multiple injuries to his face and abdomen and was hospitalized. As of Jan. 7, the RCMP were still investigating the suspects.

The incident comes on the heels of other violent attacks in the province that have been linked to mental health and substance use disorders.

On Dec. 4, Vancouver police fatally shot a man armed with a knife inside a 7-Eleven after he attacked two staff members while attempting to steal cigarettes. Earlier that day, the man had allegedly stolen alcohol from a nearby restaurant.

Three months earlier, on Sept. 4, a 34-year-old man with a history of assault and mental health problems randomly attacked two men in downtown Vancouver, leaving one dead and another with a severed hand.

These incidents have sparked growing calls from politicians, police and residents for governments to expand involuntary care and strengthen health-care interventions and law enforcement strategies.

“What is Premier Eby, the provincial and federal government going to do?” the volunteer community group Nanaimo Area Public Safety Association said in a Dec. 11 public statement.

“British Columbians are well past being fed-up with lip-service.”

‘Extremely complex needs’

On Jan. 5, B.C.’s newly reelected premier, David Eby, announced the province will open two involuntary care sites this spring. One will be located at the Surrey Pretrial Centre in Surrey, and the other at the Alouette Correctional Facility in Maple Ridge, a city northeast of Vancouver.

Eby said his aim is to address the cases of severe addiction, brain injury and mental illness that have contributed to violent incidents and public safety concerns.

Involuntary care allows authorities to mandate treatment for individuals with severe mental health or substance use disorders without their consent.

Amy Rosa, a BC Ministry of Health public affairs officer, confirmed to Canadian Affairs that the NDP government remains committed to expanding both voluntary and involuntary care as a solution to the rise in violent attacks.

“We’re grappling with a growing group of people with extremely complex needs — people with severe mental health and addictions issues, coupled with brain injuries from repeated overdoses,” Rosa said.

As part of its commitment to expanding involuntary care, the province plans to establish more secure facilities and mental health units within correctional centres and create 400 new mental health beds.

In response to follow-up questions, Rosa told Canadian Affairs that the province plans to introduce legal changes in the next legislative session “to provide clarity and ensure that people can receive care when they are unable to seek it themselves.” She noted these changes will be made in consultation with First Nations to ensure culturally safe treatment programs.

“The care provided at these facilities will be dignified, safe and respectful,” she said.

Maffeo Sutton Park, where on Dec. 10, 2024, a Nanaimo city worker was stabbed multiple times with a syringe; Sept. 1, 2024. [Photo credit: Alexandra Keeler]

‘Health-led approach’

Nanaimo Mayor Leonard Krog says involuntary care is necessary to prevent violent incidents such as the syringe stabbing in the city’s park.

“Without secure involuntary care, supportive housing, and a full continuum of care from detox to housing, treatment and follow-up, little will change,” he said.

Elenore Sturko, BC Conservative MLA for Surrey-Cloverdale, agrees that early intervention for mental health and substance use disorders is important. She supports laws that facilitate interventions outside of the criminal justice system.

“Psychosis and brain damage are things that need to be diagnosed by medical professionals,” said Sturko, who served as an officer in the RCMP for 13 years.

Sturko says although these diagnoses need to be given by medical professionals, first responders are trained to recognize signs.

“Police can be trained, and first responders are trained, to recognize the signs of those conditions. But whether or not these are regular parts of the assessment that are given to people who are arrested, I actually do not know that,” she said.

Staff Sergeant Kris Clark, a RCMP media relations officer, told Canadian Affairs in an emailed statement that officers receive crisis intervention and de-escalation training but are not mental health professionals.

“All police officers in BC are mandated to undergo crisis intervention and de-escalation training and must recertify every three years,” he said. Additional online courses help officers recognize signs of “mental, emotional or psychological crisis, as well as other altered states of consciousness,” he said.

“It’s important to understand however that police officers are not medical/mental health professionals.”

Clark also referred Canadian Affairs to the BC Association of Chiefs of Police’s Nov. 28 statement. The statement says the association has changed its stance on decriminalization, which refers to policies that remove criminal penalties for illicit drug use.

“Based on evidence and ongoing evaluation, we no longer view decriminalization as a primary mechanism for addressing the systemic challenges associated with substance use,” says the statement. The association represents senior police leaders across the province.

Instead, the association is calling for greater investment in health services, enhanced programs to redirect individuals from the justice system to treatment services, and collaboration with government and community partners.

Vancouver Coastal Health’s Pender Community Health Centre in East Hastings, Vancouver, B.C., Aug. 31, 2024. [Photo credit: Alexandra Keeler]

‘Life or limb’

Police services are not the only agencies grappling with mental health and substance use disorders.

The City of Vancouver told Canadian Affairs it has expanded programs like the Indigenous Crisis Response Team, which offers non-police crisis services for Indigenous adults, and Car 87/88, which pairs a police officer with a psychiatric nurse to respond to mental health crises.

Vancouver Coastal Health, the city’s health authority, adjusted its hiring plan in 2023 to recruit 55 mental health workers, up from 35. And the city has funded 175 new officers in the Vancouver Police Department, a seven per cent increase in the force’s size.

The city has also indicated it supports involuntary care.

In September, Vancouver Mayor Ken Sim was one of 11 B.C. mayors who issued a statement calling on the federal government to provide legal and financial support for provinces to implement involuntary care.

On Oct. 10, Conservative Party Leader Pierre Poilievre said a Conservative government would support mandatory involuntary treatment for minors and prisoners deemed incapable of making decisions.

The following day, Federal Minister of Mental Health and Addictions Ya’ara Saks said in a news conference that provinces must first ensure they have adequate addiction and mental health services in place before discussions about involuntary care can proceed.

“Before we contemplate voluntary or involuntary treatment, I would like to see provinces and territories ensuring that they actually have treatment access scaled to need,” she said.

Some health-care providers have also expressed reservations about involuntary care.

In September, the Canadian Mental Health Association, a national organization that advocates for mental health awareness, issued a news release expressing concerns about involuntary care.

The association highlighted gaps in the current involuntary care system, including challenges in accessing voluntary care, reports of inadequate treatment for those undergoing involuntary care and an increased risk of death from drug poisoning upon release.

“Involuntary care must be a last resort, not a sweeping solution,” its release says.

“We must focus on prevention and early intervention, addressing the root causes of mental health and addiction crises before they escalate into violent incidents.”

Sturko agrees with focusing on early intervention, but emphasized the need for such interventions to be timely.

“We should not have to wait for someone to commit a criminal act in order for them to have court-imposed interventions … We need to be able to act before somebody loses their life or limb.”

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.